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Somatic mosaicism detected by exon-targeted, high-resolution aCGH in 10,362 consecutive cases.


ABSTRACT: Somatic chromosomal mosaicism arising from post-zygotic errors is known to cause several well-defined genetic syndromes as well as contribute to phenotypic variation in diseases. However, somatic mosaicism is often under-diagnosed due to challenges in detection. We evaluated 10,362 patients with a custom-designed, exon-targeted whole-genome oligonucleotide array and detected somatic mosaicism in a total of 57 cases (0.55%). The mosaicism was characterized and confirmed by fluorescence in situ hybridization (FISH) and/or chromosome analysis. Different categories of abnormal cell lines were detected: (1) aneuploidy, including sex chromosome abnormalities and isochromosomes (22 cases), (2) ring or marker chromosomes (12 cases), (3) single deletion/duplication copy number variations (CNVs) (11 cases), (4) multiple deletion/duplication CNVs (5 cases), (5) exonic CNVs (4 cases), and (6) unbalanced translocations (3 cases). Levels of mosaicism calculated based on the array data were in good concordance with those observed by FISH (10-93%). Of the 14 cases evaluated concurrently by chromosome analysis, mosaicism was detected solely by the array in 4 cases (29%). In summary, our exon-targeted array further expands the diagnostic capability of high-resolution array comparative genomic hybridization in detecting mosaicism for cytogenetic abnormalities as well as small CNVs in disease-causing genes.

SUBMITTER: Pham J 

PROVIDER: S-EPMC4350600 | biostudies-literature | 2014 Aug

REPOSITORIES: biostudies-literature

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Somatic mosaicism detected by exon-targeted, high-resolution aCGH in 10,362 consecutive cases.

Pham Justin J   Shaw Chad C   Pursley Amber A   Hixson Patricia P   Sampath Srirangan S   Roney Erin E   Gambin Tomasz T   Kang Sung-Hae L SH   Bi Weimin W   Lalani Seema S   Bacino Carlos C   Lupski James R JR   Stankiewicz Pawel P   Patel Ankita A   Cheung Sau-Wai SW  

European journal of human genetics : EJHG 20140108 8


Somatic chromosomal mosaicism arising from post-zygotic errors is known to cause several well-defined genetic syndromes as well as contribute to phenotypic variation in diseases. However, somatic mosaicism is often under-diagnosed due to challenges in detection. We evaluated 10,362 patients with a custom-designed, exon-targeted whole-genome oligonucleotide array and detected somatic mosaicism in a total of 57 cases (0.55%). The mosaicism was characterized and confirmed by fluorescence in situ hy  ...[more]

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