Prenatal diagnosis of a 4.5-Mb deletion at chromosome 4q35.1q35.2: Case report and literature review

Abstract Objective We present a genetic analysis of an asymptomatic family with a 4q terminal deletion; we also review other similar published studies and discuss the genotype–phenotype correlation. Methods A karyotype analysis was performed on the amniotic fluid cells of a woman at 24 weeks of preg...

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Autores principales: Gefei Xiao, Xianrong Qiu, Yuqiu Zhou, Gongjun Tan, Yao Shen
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Publicado: BMC 2021
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spelling oai:doaj.org-article:586628c600644e1badbde3570e5a1f052021-11-21T12:03:40ZPrenatal diagnosis of a 4.5-Mb deletion at chromosome 4q35.1q35.2: Case report and literature review10.1186/s13039-021-00573-y1755-8166https://doaj.org/article/586628c600644e1badbde3570e5a1f052021-11-01T00:00:00Zhttps://doi.org/10.1186/s13039-021-00573-yhttps://doaj.org/toc/1755-8166Abstract Objective We present a genetic analysis of an asymptomatic family with a 4q terminal deletion; we also review other similar published studies and discuss the genotype–phenotype correlation. Methods A karyotype analysis was performed on the amniotic fluid cells of a woman at 24 weeks of pregnancy and peripheral blood lymphocytes from both parents and their older son with the conventional G-banding technique. Chromosomal microarray analysis (CMA) testing was carried out for both parents and the fetus to analyze copy number variation (CNV) in the whole genome. Results The results showed no abnormalities in the karyotypes of the father and older son, and the karyotypes of the mother and fetus were 46,XX,del(4)(q35.1) and 46,XY,del(4)(q35.1), respectively. CMA results showed a partial deletion at the 4q terminus in both the fetus and mother. The deletion region of the fetus was arr[GRCh37] 4q35.1q35.2(186,431,008_190,957,460) × 1; the loss size of the CNV was approximately 4.5 Mb and involved 14 protein-coding genes, namely, CYP4V2, F11, FAM149A, FAT1, FRG1, FRG2, KLKB1, MTNR1A, PDLIM3, SORBS2, TLR3, TRIML1, TRIML2, and ZFP42. No variation on chromosome 4 was detected in the father’s CMA results. Conclusion Deletion of the 4q subtelomeric region is a familial variation. The arr[GRCh37] 4q35.1q35.2(186,431,008_190,957,460) region single-copy deletion did not cause obvious congenital defects or mental retardation. The application of high-resolution genetic testing technology combined with the analysis of public genetic database information can more clearly elucidate the genotype–phenotype correlation of the disease and provide support for both prenatal and postnatal genetic counseling.Gefei XiaoXianrong QiuYuqiu ZhouGongjun TanYao ShenBMCarticleKaryotype analysisPrenatal diagnosisChromosome microarray analysisCopy number variationGeneticsQH426-470ENMolecular Cytogenetics, Vol 14, Iss 1, Pp 1-6 (2021)
institution DOAJ
collection DOAJ
language EN
topic Karyotype analysis
Prenatal diagnosis
Chromosome microarray analysis
Copy number variation
Genetics
QH426-470
spellingShingle Karyotype analysis
Prenatal diagnosis
Chromosome microarray analysis
Copy number variation
Genetics
QH426-470
Gefei Xiao
Xianrong Qiu
Yuqiu Zhou
Gongjun Tan
Yao Shen
Prenatal diagnosis of a 4.5-Mb deletion at chromosome 4q35.1q35.2: Case report and literature review
description Abstract Objective We present a genetic analysis of an asymptomatic family with a 4q terminal deletion; we also review other similar published studies and discuss the genotype–phenotype correlation. Methods A karyotype analysis was performed on the amniotic fluid cells of a woman at 24 weeks of pregnancy and peripheral blood lymphocytes from both parents and their older son with the conventional G-banding technique. Chromosomal microarray analysis (CMA) testing was carried out for both parents and the fetus to analyze copy number variation (CNV) in the whole genome. Results The results showed no abnormalities in the karyotypes of the father and older son, and the karyotypes of the mother and fetus were 46,XX,del(4)(q35.1) and 46,XY,del(4)(q35.1), respectively. CMA results showed a partial deletion at the 4q terminus in both the fetus and mother. The deletion region of the fetus was arr[GRCh37] 4q35.1q35.2(186,431,008_190,957,460) × 1; the loss size of the CNV was approximately 4.5 Mb and involved 14 protein-coding genes, namely, CYP4V2, F11, FAM149A, FAT1, FRG1, FRG2, KLKB1, MTNR1A, PDLIM3, SORBS2, TLR3, TRIML1, TRIML2, and ZFP42. No variation on chromosome 4 was detected in the father’s CMA results. Conclusion Deletion of the 4q subtelomeric region is a familial variation. The arr[GRCh37] 4q35.1q35.2(186,431,008_190,957,460) region single-copy deletion did not cause obvious congenital defects or mental retardation. The application of high-resolution genetic testing technology combined with the analysis of public genetic database information can more clearly elucidate the genotype–phenotype correlation of the disease and provide support for both prenatal and postnatal genetic counseling.
format article
author Gefei Xiao
Xianrong Qiu
Yuqiu Zhou
Gongjun Tan
Yao Shen
author_facet Gefei Xiao
Xianrong Qiu
Yuqiu Zhou
Gongjun Tan
Yao Shen
author_sort Gefei Xiao
title Prenatal diagnosis of a 4.5-Mb deletion at chromosome 4q35.1q35.2: Case report and literature review
title_short Prenatal diagnosis of a 4.5-Mb deletion at chromosome 4q35.1q35.2: Case report and literature review
title_full Prenatal diagnosis of a 4.5-Mb deletion at chromosome 4q35.1q35.2: Case report and literature review
title_fullStr Prenatal diagnosis of a 4.5-Mb deletion at chromosome 4q35.1q35.2: Case report and literature review
title_full_unstemmed Prenatal diagnosis of a 4.5-Mb deletion at chromosome 4q35.1q35.2: Case report and literature review
title_sort prenatal diagnosis of a 4.5-mb deletion at chromosome 4q35.1q35.2: case report and literature review
publisher BMC
publishDate 2021
url https://doaj.org/article/586628c600644e1badbde3570e5a1f05
work_keys_str_mv AT gefeixiao prenataldiagnosisofa45mbdeletionatchromosome4q351q352casereportandliteraturereview
AT xianrongqiu prenataldiagnosisofa45mbdeletionatchromosome4q351q352casereportandliteraturereview
AT yuqiuzhou prenataldiagnosisofa45mbdeletionatchromosome4q351q352casereportandliteraturereview
AT gongjuntan prenataldiagnosisofa45mbdeletionatchromosome4q351q352casereportandliteraturereview
AT yaoshen prenataldiagnosisofa45mbdeletionatchromosome4q351q352casereportandliteraturereview
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