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A French multicenter study of over 700 patients with 22q11 deletions diagnosed using FISH or aCGH.


ABSTRACT: Although 22q11.2 deletion syndrome (22q11.2DS) is the most recurrent human microdeletion syndrome associated with a highly variable phenotype, little is known about the condition's true incidence and the phenotype at diagnosis. We performed a multicenter, retrospective analysis of postnatally diagnosed patients recruited by members of the Association des Cytogénéticiens de Langue Française (the French-Speaking Cytogeneticists Association). Clinical and cytogenetic data on 749 cases diagnosed between 1995 and 2013 were collected by 31 French cytogenetics laboratories. The most frequent reasons for referral of postnatally diagnosed cases were a congenital heart defect (CHD, 48.6%), facial dysmorphism (49.7%) and developmental delay (40.7%). Since 2007 (the year in which array comparative genomic hybridization (aCGH) was introduced for the routine screening of patients with intellectual disability), almost all cases have been diagnosed using FISH (96.1%). Only 15 cases (all with an atypical phenotype) were diagnosed with aCGH; the deletion size ranged from 745 to 2904?kb. The deletion was inherited in 15.0% of cases and was of maternal origin in 85.5% of the latter. This is the largest yet documented cohort of patients with 22q11.2DS (the most commonly diagnosed microdeletion) from the same population. French cytogenetics laboratories diagnosed at least 108 affected patients (including fetuses) per year from among a national population of ?66 million. As observed for prenatal diagnoses, CHDs were the most frequently detected malformation in postnatal diagnoses. The most common CHD in postnatal diagnoses was an isolated septal defect.

SUBMITTER: Poirsier C 

PROVIDER: S-EPMC4867458 | biostudies-literature | 2016 Jun

REPOSITORIES: biostudies-literature

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A French multicenter study of over 700 patients with 22q11 deletions diagnosed using FISH or aCGH.

Poirsier Céline C   Besseau-Ayasse Justine J   Schluth-Bolard Caroline C   Toutain Jérôme J   Missirian Chantal C   Le Caignec Cédric C   Bazin Anne A   de Blois Marie Christine MC   Kuentz Paul P   Catty Marie M   Choiset Agnès A   Plessis Ghislaine G   Basinko Audrey A   Letard Pascaline P   Flori Elisabeth E   Jimenez Mélanie M   Valduga Mylène M   Landais Emilie E   Lallaoui Hakima H   Cartault François F   Lespinasse James J   Martin-Coignard Dominique D   Callier Patrick P   Pebrel-Richard Céline C   Portnoi Marie-France MF   Busa Tiffany T   Receveur Aline A   Amblard Florence F   Yardin Catherine C   Harbuz Radu R   Prieur Fabienne F   Le Meur Nathalie N   Pipiras Eva E   Kleinfinger Pascale P   Vialard François F   Doco-Fenzy Martine M  

European journal of human genetics : EJHG 20151028 6


Although 22q11.2 deletion syndrome (22q11.2DS) is the most recurrent human microdeletion syndrome associated with a highly variable phenotype, little is known about the condition's true incidence and the phenotype at diagnosis. We performed a multicenter, retrospective analysis of postnatally diagnosed patients recruited by members of the Association des Cytogénéticiens de Langue Française (the French-Speaking Cytogeneticists Association). Clinical and cytogenetic data on 749 cases diagnosed bet  ...[more]

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