%0 Journal Article %T [Genetic analysis of a child with Pitt-Hopkins syndrome due to a 18q21.2q21.32 deletion]. %A Zhang Y %A Qin C %A Wu H %A Zhang Y %A Qin C %A Wu H %J Zhonghua Yi Xue Yi Chuan Xue Za Zhi %V 39 %N 10 %D Oct 2022 10 %M 36184102 暂无%R 10.3760/cma.j.cn511374-20210915-00750 %X 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.
CONCLUSIONS: 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.