6p duplication

6p 复制
  • 文章类型: Case Reports
    未经证实:部分三体性6p是一种罕见的染色体异常,以低出生体重为特征,发育迟缓,颅面异常,喂养困难,先天性心脏缺陷,和肾脏异常。文献中报道的一些部分三体性6p病例包括另一条染色体的部分单体性。这通常是由于父母之一是平衡的易位携带者,从而难以确定基因型-表型关系。纯粹的部分三体6p病例更罕见,可能是标记染色体的结果,串联或倒置复制,和染色体间插入。
    未经批准:在这项研究中,我们评估了一个发育迟缓和面部畸形特征的2岁女孩的身体特征和遗传数据。形态学评估显示存在突出的前额,短而窄的睑裂,上睑下垂,外凸鼻脊,左眼睑血管瘤,高拱形腭,小颌后,低耳朵。患者的G带核型为46,XX,der(2)t(2;6)(q37.3;p22.1)。通过SNP阵列分析,旨在确定患者2号染色体中检测到的额外染色体物质的来源,在6p有一个从头27.5MB的重复,ARR[GRCh37]6p25.3p22.1(204,909_27,835,272)×3,被解释为致病性。
    未经授权:我们提供此病例报告以阐明罕见染色体异常的临床发现,讨论可能与表型相关的基因,并在有关基因型-表型相关性的知识方面为文献做出贡献。
    UNASSIGNED: Partial trisomy 6p is a rare chromosomal anomaly, characterized by low birth weight, developmental delay, craniofacial abnormalities, feeding difficulties, congenital heart defects, and renal abnormalities. Some of the partial trisomy 6p cases reported in the literature included partial monosomy of another chromosome. This is often due to the fact that one of the parents is a balanced translocation carrier, thereby making it difficult to determine the genotype-phenotype relationship. Pure partial trisomy 6p cases are even rarer and may occur as a result of a marker chromosome, tandem or inverted duplication, and interchromosomal insertion.
    UNASSIGNED: In this study, we evaluated the physical characteristics and genetic data of a 2-year-old girl with developmental delay and facial dysmorphic features. Dysmorphology assessment revealed the presence of a prominent forehead, short and narrow palpebral fissures, blepharoptosis, convex nasal ridge, hemangioma on the left eyelid, high-arched palate, retromicrognathia, and low-set ears. The patient‧s G-banded karyotype was 46,XX,der(2)t(2;6)(q37.3;p22.1). Upon SNP-array analysis, aimed to determine the origin of the extra chromosomal material detected in chromosome 2 of the patient, there was a de novo 27.5-Mb duplication at 6p, arr[GRCh37] 6p25.3p22.1(204,909_27,835,272)×3, interpreted to be pathogenic.
    UNASSIGNED: We present this case report to clarify the clinical findings of a rare chromosomal anomaly, discuss the genes that may be related to the phenotype and contribute to the literature in terms of knowledge regarding genotype-phenotype correlation.
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  • 文章类型: Journal Article
    5p删除综合征,其特征是像猫一样的哭泣和独特的声音,被认为是最常见的致病拷贝数变异(CNV)之一。5p上涉及多种基因的可变关键区有助于表型异质性,而没有特定的相关性。这项研究的目的是检查5p缺失综合征的基因型-表型相关性。并重新定义5p缺失综合征相关区域。此外,我们证明了全基因组测序(WGS)在产前诊断中鉴定染色体断点的潜在用途.
    招募了三个接受产前诊断的妇女家庭和两个孩子。核型分析,CNV-seq,荧光原位杂交,WGS,进行Sanger测序以鉴定染色体疾病。
    我们报道了3个家庭和2个有5p缺失或合并6p重复的CNVs的儿童。检测到5个不同大小的5p缺失,并确定其致病性,包括5p15.33-p15.31[1-7,700,000,具有不确定意义的家族变体(VUS)],5p15.33(1-3,220,000,家庭2-VUS),5p15.33-p15.31(1-7,040,000,家庭3-VUS),5p15.33-p15.31(1-8,740,000,儿童1致病性)和5p15.31-p15.1(8,520,001-18,080,000,儿童2致病性)。在6p25.3-p24.3(1-10,420,000)处检测到一个重复,并确定为可能致病。WGS成功鉴定了家族3中的染色体断点。
    确定了一些可能导致症状的关键基因。重新定义了5p缺失综合征的相关区域,而chr5:7,700,000-8,74万地区应该是猫般的哭声的原因。证明了WGS在检测染色体易位方面的巨大潜力。我们的发现可能为进一步的预防研究铺平道路,诊断,以及相关疾病的治疗。
    UNASSIGNED: 5p deletion syndrome, that characterized by cat-like cry and peculiar timbre of voice, is believed to be one of the most common pathogenic copy number variations (CNVs). Variable critical regions on 5p involving a variety of genes contribute to the phenotypic heterogeneity without specific correlation. The objective of this study was to examine the genotype-phenotype correlation of 5p deletion syndrome, and to redefine 5p deletion syndrome relevant regions. In addition, we demonstrate the potential use of whole genome sequencing (WGS) to identify chromosomal breakpoints in prenatal diagnosis.
    UNASSIGNED: Three families with women undergoing prenatal diagnosis and two children were recruited. Karyotyping, CNV-seq, fluorescence in situ hybridization, WGS, and Sanger sequencing were performed to identify the chromosomal disorder.
    UNASSIGNED: We reported three families and two children with CNVs of 5p deletion or combined 6p duplication. Five different sizes of 5p deletion were detected and their pathogenicity was determined, including 5p15.33-p15.31 [1-7,700,000, family1-variant of uncertain significance (VUS)], 5p15.33 (1-3,220,000, family 2-VUS), 5p15.33-p15.31 (1-7,040,000, family 3-VUS), 5p15.33-p15.31 (1-8,740,000, child 1-pathogenic) and 5p15.31-p15.1 (8,520,001-18,080,000, child 2-pathogenic). One duplication at 6p25.3-p24.3 (1-10,420,000) was detected and determined as likely pathogenic. The chromosomal breakpoints in family 3 were successfully identified by WGS.
    UNASSIGNED: Some critical genes that were supposed to be causative of the symptoms were identified. Relevant region in 5p deletion syndrome was redefined, and the chr5:7,700,000-8,740,000 region was supposed to be responsible for the cat-like cry. The great potential of WGS in detecting chromosomal translocations was demonstrated. Our findings may pave the way for further research on the prevention, diagnosis, and treatment of related diseases.
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