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Prenatal detection and mapping of a distal 8p deletion associated with congenital heart disease
Author(s) -
Bhatia Sangeeta N.,
Suri Veena,
Bundy Albert,
Krauss Celeste M.
Publication year - 1999
Publication title -
prenatal diagnosis
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.956
H-Index - 97
eISSN - 1097-0223
pISSN - 0197-3851
DOI - 10.1002/(sici)1097-0223(199909)19:9<863::aid-pd640>3.0.co;2-i
Subject(s) - microcephaly , breakpoint , fluorescence in situ hybridization , biology , prenatal diagnosis , genetics , heart disease , etiology , chromosome , fetus , pathology , medicine , pregnancy , gene
We report the prenatal diagnosis, at 18 weeks' gestational age of a del(8)(p23.1→pter) in a fetus with an atrio‐ventricular canal, persistent left superior vena cava and hypoplastic right ventricle detected by sonographic imaging. We further refine the breakpoints associated with this defect using fluorescent in situ hybridization analysis (FISH). Our findings correlate with recent reports of the localization and importance of GATA4 (a zinc finger transcription factor) in cardiac development. Though microcephaly, mental retardation and typical behavioural features are well described in various deletions in 8p, the absence of notable microcephaly in this case raises the possibility for a separate genetic aetiology for some of these features. Indeed, primary autosomal recessive microcephaly (MCPH1) was recently mapped to a nearby region and may be the cause for this frequent observation in some cases of 8p deletions. These observations illustrate the role of FISH in prenatal diagnosis and refinement of chromosomal breakpoints. In addition, mappings of loci significant for cardiac development are presented. Our findings suggest that some features of the 8p deletion syndrome may ultimately be uncoupled from one another, and underscore the need for further study of this region of chromosome 8, in order to achieve adequate information for genetic counselling. Copyright © 1999 John Wiley & Sons, Ltd.