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Prenatal Diagnosis of a De Novo Partial Trisomy 6q and Partial Monosomy 18p Associated with Cephalocele: A Case Report. Balkan J Med Genet 2020; 23:99-102. [PMID: 32953417 PMCID: PMC7474219 DOI: 10.2478/bjmg-2020-0014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
A 28-year-old woman underwent amniocentesis at 18 weeks’ gestation upon detection of increased fetal nuchal fold and parietal cephalocele on the second trimester ultrasound examination. Prenatal microarray showed a de novo unbalanced translocation resulting in a gain in 6q and loss in 18p. A female infant was delivered at 38 weeks’ gestation. At birth, cephalocele and webbed neck were noted as major dysmorphic features. The case presented here shows how a combination of different genetic studies is used to accurately elucidate a chromosomal anomaly in a prenatal setting.
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2
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Vigdorovich N, Ben‐Sira L, Blumkin L, Precel R, Nezer I, Yosovich K, Cross Z, Vanderver A, Lev D, Lerman‐Sagie T, Zerem A. Brain white matter abnormalities associated with copy number variants. Am J Med Genet A 2019; 182:93-103. [DOI: 10.1002/ajmg.a.61389] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/21/2019] [Revised: 08/31/2019] [Accepted: 10/04/2019] [Indexed: 01/03/2023]
Affiliation(s)
| | - Liat Ben‐Sira
- Sackler School of Medicine Tel Aviv University Tel‐Aviv Israel
- Division of Pediatric Radiology, Department of Radiology Dana‐Dwek Children's Hospital, Tel‐Aviv Medical Center Tel Aviv Israel
| | - Lubov Blumkin
- Sackler School of Medicine Tel Aviv University Tel‐Aviv Israel
- Pediatric Neurology Unit Wolfson Medical Center Holon Israel
| | - Ronit Precel
- Division of Pediatric Radiology, Department of Radiology Dana‐Dwek Children's Hospital, Tel‐Aviv Medical Center Tel Aviv Israel
| | - Ifat Nezer
- Institute of Medical Genetics, Wolfson Medical Center Holon Israel
| | - Keren Yosovich
- Institute of Medical Genetics, Wolfson Medical Center Holon Israel
| | - Zachary Cross
- Division of Neurology Children's Hospital of Philadelphia Philadelphia Pennsylvania
| | - Adeline Vanderver
- Division of Neurology Children's Hospital of Philadelphia Philadelphia Pennsylvania
- Department of Neurology, Perelman School of Medicine University of Pennsylvania Philadelphia Pennsylvania
| | - Dorit Lev
- Sackler School of Medicine Tel Aviv University Tel‐Aviv Israel
- Institute of Medical Genetics, Wolfson Medical Center Holon Israel
| | - Tally Lerman‐Sagie
- Sackler School of Medicine Tel Aviv University Tel‐Aviv Israel
- Pediatric Neurology Unit Wolfson Medical Center Holon Israel
| | - Ayelet Zerem
- Sackler School of Medicine Tel Aviv University Tel‐Aviv Israel
- Pediatric Neurology Unit Wolfson Medical Center Holon Israel
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3
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Crosiers D, Blaumeiser B, Van Goethem G. Spectrum of Movement Disorders in 18p Deletion Syndrome. Mov Disord Clin Pract 2019; 6:70-73. [DOI: 10.1002/mdc3.12707] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/08/2018] [Revised: 10/16/2018] [Accepted: 11/05/2018] [Indexed: 11/11/2022] Open
Affiliation(s)
- David Crosiers
- Department of Neurology; Antwerp University Hospital; Antwerp Belgium
- Center for Molecular Neurology, VIB; Antwerp Belgium
- Institute Born-Bunge; University of Antwerp; Antwerp Belgium
- Faculty of Medicine and Health Sciences; University of Antwerp; Antwerp Belgium
| | - Bettina Blaumeiser
- Department of Medical Genetics; Antwerp University Hospital; Antwerp Belgium
- Faculty of Medicine and Health Sciences; University of Antwerp; Antwerp Belgium
| | - Gert Van Goethem
- Department of Neurology; Antwerp University Hospital; Antwerp Belgium
- Center for Molecular Neurology, VIB; Antwerp Belgium
- Institute Born-Bunge; University of Antwerp; Antwerp Belgium
- Faculty of Medicine and Health Sciences; University of Antwerp; Antwerp Belgium
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4
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Movement Disorders in 18p Deletion Syndrome: A Case Report and Review of Literature. Can J Neurol Sci 2017; 44:441-443. [DOI: 10.1017/cjn.2016.444] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
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5
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Anzai M, Arai-Ichinoi N, Takezawa Y, Endo W, Inui T, Sato R, Kikuchi A, Uematsu M, Kure S, Haginoya K. Patchy white matter hyperintensity in ring chromosome 18 syndrome. Pediatr Int 2016; 58:919-22. [PMID: 27577543 DOI: 10.1111/ped.13043] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/14/2015] [Accepted: 04/12/2016] [Indexed: 11/27/2022]
Abstract
Ring chromosome 18 syndrome is a chromosomal abnormality in which partial deletions occur at both ends of chromosome 18, that is, distally on the short and long arms. Previously reported brain magnetic resonance imaging (MRI) abnormalities include diffuse hyperintensity in the white matter, which has been regarded as hypomyelination because the gene for myelin basic protein production is located on the long arm of chromosome 18. We report the case of a 14-year-old boy with ring chromosome 18 syndrome, whose MRI showed patchy asymmetrical T2 and fluid-attenuated inversion-recovery hyperintensities in the deep white matter as well as diffuse hypomyelination. These patchy lesions may indicate demyelination or gliosis rather than hypomyelination. This result differs from previous reports.
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Affiliation(s)
- Mai Anzai
- Department of Pediatric Neurology, Takuto Rehabilitation Center for Children, Tohoku University School of Medicine, Sendai, Japan.
| | | | - Yusuke Takezawa
- Department of Pediatric Neurology, Takuto Rehabilitation Center for Children, Tohoku University School of Medicine, Sendai, Japan
| | - Wakaba Endo
- Department of Pediatric Neurology, Takuto Rehabilitation Center for Children, Tohoku University School of Medicine, Sendai, Japan
| | - Takehiko Inui
- Department of Pediatric Neurology, Takuto Rehabilitation Center for Children, Tohoku University School of Medicine, Sendai, Japan
| | - Ryo Sato
- Department of Pediatrics, Tohoku University School of Medicine, Sendai, Japan
| | - Atsuo Kikuchi
- Department of Pediatrics, Tohoku University School of Medicine, Sendai, Japan
| | - Mitsugu Uematsu
- Department of Pediatrics, Tohoku University School of Medicine, Sendai, Japan
| | - Shigeo Kure
- Department of Pediatrics, Tohoku University School of Medicine, Sendai, Japan
| | - Kazuhiro Haginoya
- Department of Pediatric Neurology, Takuto Rehabilitation Center for Children, Tohoku University School of Medicine, Sendai, Japan
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6
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Hasi-Zogaj M, Sebold C, Heard P, Carter E, Soileau B, Hill A, Rupert D, Perry B, Atkinson S, O'Donnell L, Gelfond J, Lancaster J, Fox PT, Hale DE, Cody JD. A review of 18p deletions. AMERICAN JOURNAL OF MEDICAL GENETICS PART C-SEMINARS IN MEDICAL GENETICS 2015; 169:251-64. [PMID: 26250845 DOI: 10.1002/ajmg.c.31445] [Citation(s) in RCA: 36] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
Abstract
Since 18p- was first described in 1963, much progress has been made in our understanding of this classic deletion condition. We have been able to establish a fairly complete picture of the phenotype when the deletion breakpoint occurs at the centromere, and we are working to establish the phenotypic effects when each gene on 18p is hemizygous. Our aim is to provide genotype-specific anticipatory guidance and recommendations to families with an 18p- diagnosis. In addition, establishing the molecular underpinnings of the condition will potentially suggest targets for molecular treatments. Thus, the next step is to establish the precise effects of specific gene deletions. As we look forward to deepening our understanding of 18p-, our focus will continue to be on the establishment of robust genotype-phenotype correlations and the penetrance of these phenotypes. We will continue to follow our 18p- cohort closely as they age to determine the presence or absence of some of these diagnoses, including spinocerebellar ataxia (SCA), facioscapulohumeral muscular dystrophy (FSHD), and dystonia. We will also continue to refine the critical regions for other phenotypes as we enroll additional (hopefully informative) participants into the research study and as the mechanisms of the genes in these regions are elucidated. Mouse models will also be developed to further our understanding of the effects of hemizygosity as well as to serve as models for treatment development.
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Myers KA, Warman Chardon J, Huang L, Boycott KM. Deletion ofAFG3L2associated with spinocerebellar ataxia type 28 in the context of multiple genomic anomalies. Am J Med Genet A 2014; 164A:3209-12. [DOI: 10.1002/ajmg.a.36771] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2013] [Accepted: 08/20/2014] [Indexed: 11/10/2022]
Affiliation(s)
- Kenneth A. Myers
- Division of Neurology; Department of Pediatrics; Alberta Children's Hospital; University of Calgary; Calgary Alberta Canada
| | - Jodi Warman Chardon
- Department of Genetics; Children's Hospital of Eastern Ontario; University of Ottawa; Ottawa Ontario Canada
| | - Lijia Huang
- Department of Genetics; Children's Hospital of Eastern Ontario; University of Ottawa; Ottawa Ontario Canada
| | - Kym M. Boycott
- Department of Genetics; Children's Hospital of Eastern Ontario; University of Ottawa; Ottawa Ontario Canada
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Chen CP, Huang JP, Chen YY, Chern SR, Wu PS, Su JW, Pan CW, Wang W. Chromosome 18p deletion syndrome presenting holoprosencephaly and premaxillary agenesis: prenatal diagnosis and aCGH characterization using uncultured amniocytes. Gene 2013; 527:636-41. [PMID: 23850725 DOI: 10.1016/j.gene.2013.06.081] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/26/2013] [Revised: 06/17/2013] [Accepted: 06/18/2013] [Indexed: 12/15/2022]
Abstract
We present prenatal diagnosis of a de novo distal 18p deletion involving 14.06Mb at 18p11.32-p11.21 by aCGH using uncultured amniocytes in a pregnancy with fetal holoprosencephaly and premaxillary agenesis. QF-PCR analysis showed that distal 18p deletion was from maternal origin. Metaphase FISH analysis confirmed haploinsufficiency of TGIF. We discuss the functions of the genes that are deleted within this region. The present case shows the usefulness of applying aCGH on uncultured amniocytes for rapid aneuploidy diagnosis in cases with prenatally detected fetal structural abnormalities.
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Affiliation(s)
- Chih-Ping Chen
- Department of Obstetrics and Gynecology, Mackay Memorial Hospital, Taipei, Taiwan.
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Vemula SR, Puschmann A, Xiao J, Zhao Y, Rudzińska M, Frei KP, Truong DD, Wszolek ZK, LeDoux MS. Role of Gα(olf) in familial and sporadic adult-onset primary dystonia. Hum Mol Genet 2013; 22:2510-9. [PMID: 23449625 DOI: 10.1093/hmg/ddt102] [Citation(s) in RCA: 82] [Impact Index Per Article: 7.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022] Open
Abstract
The vast majority of patients with primary dystonia are adults with focal or segmental distribution of involuntary movements. Although ~10% of probands have at least one first- or second-degree relative to dystonia, large families suited for linkage analysis are exceptional. After excluding mutations in known primary dystonia genes (TOR1A, THAP1 and CIZ1), whole-exome sequencing identified a GNAL missense mutation (c.682G>T, p.V228F) in an African-American pedigree with clinical phenotypes that include cervical, laryngeal and hand-forearm dystonia. Screening of 760 subjects with familial and sporadic primary dystonia identified three Caucasian pedigrees with GNAL mutations [c.591dupA (p.R198Tfs*13); c.733C>T (p.R245*); and c.3G>A (p.M1?)]. These mutations show incomplete penetrance. Our findings corroborate those of a recent study which used whole-exome sequencing to identify missense and nonsense GNAL mutations in Caucasian pedigrees of mixed European ancestry with mainly adult-onset cervical and segmental dystonia. GNAL encodes guanine nucleotide-binding protein G(olf), subunit alpha [Gα(olf)]. Gα(olf) plays a role in olfaction, coupling D1 and A2a receptors to adenylyl cyclase, and histone H3 phosphorylation. African-American subjects harboring the p.V228F mutation exhibited microsmia. Lymphoblastoid cell lines from subjects with the p.V228F mutation showed upregulation of genes involved in cell cycle control and development. Consistent with known sites of network pathology in dystonia, immunohistochemical studies indicated that Gα(olf) is highly expressed in the striatum and cerebellar Purkinje cells, and co-localized with corticotropin-releasing hormone receptors in the latter.
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Affiliation(s)
- Satya R Vemula
- Department of Neurology, University of Tennessee Health Science Center, Memphis, TN 38163, USA
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Fuchs T, Saunders-Pullman R, Masuho I, Luciano MS, Raymond D, Factor S, Lang AE, Liang TW, Trosch RM, White S, Ainehsazan E, Hervé D, Sharma N, Ehrlich ME, Martemyanov KA, Bressman SB, Ozelius LJ. Mutations in GNAL cause primary torsion dystonia. Nat Genet 2012; 45:88-92. [PMID: 23222958 PMCID: PMC3530620 DOI: 10.1038/ng.2496] [Citation(s) in RCA: 226] [Impact Index Per Article: 18.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/18/2012] [Accepted: 11/16/2012] [Indexed: 12/12/2022]
Abstract
Dystonia is a movement disorder characterized by repetitive twisting muscle contractions and postures1,2. Its molecular pathophysiology is poorly understood, in part due to limited knowledge of the genetic basis of the disorder. Only three genes for primary torsion dystonia (PTD), TOR1A (DYT1)3, THAP1 (DYT6)4, and CIZ15 have been identified. Using exome sequencing in two PTD families we identified a novel causative gene, GNAL, with a nonsense p.S293X mutation resulting in premature stop codon in one family and a missense p.V137M mutation in the other. Screening of GNAL in 39 PTD families, revealed six additional novel mutations in this gene. Impaired function of several of the mutations was shown by bioluminescence resonance energy transfer (BRET) assays.
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Affiliation(s)
- Tania Fuchs
- Department of Genetics and Genomic Sciences, Mount Sinai School of Medicine, New York, New York, USA
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11
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Kowarik MC, Langer S, Keri C, Hemmer B, Oexle K, Winkelmann J. Myoclonus-dystonia in 18p deletion syndrome. Mov Disord 2010; 26:560-1. [DOI: 10.1002/mds.23446] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
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