[Genetic analysis of a child with Pitt-Hopkins syndrome due to a 18q21.2q21.32 deletion].

Zhonghua Yi Xue Yi Chuan Xue Za Zhi

Medical Genetics Research Center, Northwest Women's and Children's Hospital, Xi'an, Shaanxi 710061, China.

Published: October 2022

AI Article Synopsis

  • The study aimed to investigate the genetic causes of a child's global developmental and intellectual disabilities.
  • Techniques used for analysis included chromosome karyotyping, CNV-seq, and high-resolution chromosome banding to identify genomic variants in the child and parents.
  • Results showed a specific deletion on chromosome 18 linked to Pitt-Hopkins syndrome in the child, which was not present in the parents, highlighting the effectiveness of these genetic testing methods.

Article Abstract

Objective: To explore the genetic etiology of a child featuring global developmental and mental retardation.

Methods: Chromosome G-banding karyotype analysis, copy number variation sequencing (CNV-seq) and high-resolution chromosome banding were used to screen the genomic variant in the child and his parents.

Results: Both the child and his father were found to have a karyotype of 46,XY,del(18)(q21.1q21.3), whilst his mother was 46,XX. CNV-seq analysis showed that the child was arr[19]18q21.2-q21.32(chr18:48 422 190-58 039 582)×1, with a 10.58 Mb deletion which encompassed the TCF4 gene. The same deletion was found in neither parent. High-resolution banding revealed that the father has a fragment of 18q21.1q21.3 inserted into 5p13.1.

Conclusion: The child was diagnosed with Pitt-Hopkins syndrome due to the 18q21.2q21.32 deletion. Chromosome karyotyping and CNV-seq can effectively identify submicroscopic chromosome anomalies.

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Source
http://dx.doi.org/10.3760/cma.j.cn511374-20210915-00750DOI Listing

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