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  2. Keyword: Chromosome deletion
ABC
Original Article

Cytogenomics Investigation of Infants with Congenital Heart Disease: Experience of a Brazilian Center

Marcília Sierro Grassi et al. Marília Montenegro Evelin Aline Zanardo Antonio Carlos Pastorino … Mayra Barros Dorna Chong Kim Marcelo Jatene Nana Miura Leslie Kulikowski Magda Carneiro-Sampaio

Abstract

Background

Some syndromes have specific and easily recognizable features, while others may be more complex to identify and may present different phenotypic manifestations, for example. An etiological diagnosis is important to understand the nature of the disease, to establish the prognosis and to start the treatment, allowing the inclusion of patients in society and reducing the financial cost of such diseases.

Objective

The initial proposal of this study was cytogenetic screening for the detection of the 22q11.2 deletion syndrome in consecutive newborns and infants with congenital heart disease using the multiplex ligation-dependent probe amplification (MLPA) technique. Therefore, throughout our research, other genomic alterations were identified in these cardiac patients. Thus, our objective was extended to investigate these other cytogenetic alterations.

Methods

We investigated 118 neonates with congenital heart diseases born consecutively during one year using the MLPA technique.

Results

The MLPA technique allowed the detection of 22q11.2DS in 10/118 patients (8.5%). Other genomic alterations were also identified in 6/118 patients (5%): 1p36 del, 8p23 del (2 cases), 7q dup, 12 dup and 8q24 dup.

Conclusion

This study highlights the relevance of detecting genomic alterations that are present in newborns and infants with congenital cardiac diseases using cytogenomic tools.

  • Chromosome deletion
  • Congenital
  • Congenital Abnormalities
  • DiGeorge Syndrome
  • Early diagnosis
  • Heart Defects
  • Newborn
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Creative Commons Attribution (CC BY) Creative Commons license
21/02/2022 DOI: 10.36660/abc.20190894 Views 1
Figure 1
IJCS
Case Report

Congenital Heart Disease Revealing Familial 22q11 Deletion Syndrome

Marlene Viviane Pires Fernandes Santos et al. Bruno Faulin Gamba Stefany Lucas Lopes Empke Camila Cristina de Oliveira Alves … Nádia Aparecida Bérgamo Lucilene Arilho Ribeiro-Bicudo

Abstract

Congenital heart defects are the most common birth defects and the leading cause of mortality in the first year of life. It is well known that the 22q11 deletion syndrome (22q11DS) is the most common microdeletion syndrome in humans and that congenial heart diseases (CHDs) are one of the most common phenotypic manifestations. However, it should be noted that the 22q11 deletion was also found in a significant number of patients with isolated CHD. The 22q11DS phenotype may include cardiovascular anomalies, palatal abnormalities, nasal voice, immune deficiency, endocrine dysfunctions, a varying degree of cognitive deficits and intellectual disabilities, velopharyngeal insufficiency, and characteristic craniofacial dysmorphism. This condition affects about 1 in 4,000 live births, making 22q11DS the most common microdeletion syndrome in humans. Here we describe the cases of three children who were referred to the clinical hospital center with the diagnosis of CHD, but with no direct signs of 22q11DS. Investigation of familial data led us to suspect that the mothers could be carriers of 22q11DS. The multiplex ligation-dependent probe amplification (MLPA) testing confirmed that the patients and mothers exhibited 3 Mb 22q11 deletions, which justified the clinical signs in the mothers and the CHD in children. In the presence of a few characteristics that are common of a spectrum of some known syndromes, a familial examination can provide clues to a definitive diagnosis, as well as to the prevention of diseases and genetic counseling of these patients.

  • Chromosome deletion
  • Chromosomes, Human, Pair 22/genetics
  • Congenital Heart Disease/genetics
  • DiGeorge Syndrome/genetics
  • Face/abnormalities/ genetics
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Creative Commons Attribution (CC BY) Creative Commons license
03/02/2020 DOI: 10.36660/ijcs.20180060 Views 2
Interrupted aortic arch type B in A patient with cat eye syndrome
ABC
Case Report

Interrupted aortic arch type B in A patient with cat eye syndrome

Sintia Iole Nogueira Belangero et al. Fernanda Teixeira da Silva Bellucco Mirlene C. S. P. Cernach April M. Hacker … Beverly S. Emanuel Maria Isabel Melaragno

We report a patient with cat eye syndrome and interrupted aortic arch type B, a typical finding in the 22q11.2 deletion syndrome. Chromosomal analysis and fluorescent in situ hybridization (FISH) showed a supernumerary bisatellited isodicentric marker chromosome derived from chromosome 22. The segment from 22pter to 22q11.2 in the supernumerary chromosome found in our patient does not overlap with the region deleted in patients with the 22q11.2 deletion syndrome. However, the finding of an interrupted aortic arch type B is unusual in CES, although it is a frequent heart defect in the 22q11 deletion syndrome.

  • Aorta, Thoracic
  • Cat Eye Syndrome
  • Chromosome deletion
  • Heart Defects, Congenital
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20/07/2009 DOI: 10.1590/S0066-782X2009000500016
22q11.2 deletion in patients with conotruncal heart defect and del22q syndrome phenotype
ABC
Artigo Original

22q11.2 deletion in patients with conotruncal heart defect and del22q syndrome phenotype

Sintia Iole Nogueira Belangero et al. Fernanda T.S. Bellucco Leslie Domenici Kulikowski Denise M. Christofolini … Mirlene C. S. P. Cernach Maria Isabel Melaragno

BACKGROUND: The 22q11.2 deletion syndrome is the most frequent human microdeletion syndrome. The phenotype is highly variable, being characterized by conotruncal heart defect, facial dysmorphisms, velopharyngeal insufficiency, learning difficulties and mental retardation. OBJECTIVE: The objective of this study was to investigate the frequency of deletion 22q11.2 in a Brazilian sample of individuals with isolated conotruncal heart defect and 22q11.2 deletion syndrome phenotype. METHODS: Twenty-nine patients were studied by classical cytogenetics, by fluorescence in situ hybridization (FISH), and by molecular techniques. RESULTS: Cytogenetic analysis by G-banding revealed a normal karyotype in all patients except one who presented a 47,XX,+idic(22)(q11.2) karyotype. Using molecular techniques, a deletion was observed in 25% of the patients, all exhibiting a 22q11.2 deletion syndrome phenotype. In none of the cases the deletion was inherited from the parents. The frequency of 22q11.2 deletion was higher in patients with the clinical spectrum of the 22q11.2 deletion syndrome than in patients with isolated conotruncal heart defect. CONCLUSION: Investigating the presence of the deletion and its correlation with the patients’ clinical data can help the patients and their families to have a better genetic counseling and more adequate clinical follow-up.

  • Chromosome deletion
  • genetic markers
  • Heart Defects, Congenital
  • Phenotype
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Creative Commons Attribution (CC BY) Creative Commons license
23/06/2009 DOI: 10.1590/S0066-782X2009000400010

How to cite this article

EndNote RIS

Electronic Document Format (Vancouver)

Grassi MS, Montenegro M, Zanardo EA, Pastorino AC, Dorna MB, Kim C, Jatene M, et al. Cytogenomics Investigation of Infants with Congenital Heart Disease: Experience of a Brazilian Center. Arquivos Brasileiros de Cardiologia 2022;118(1):61-7.

Electronic Document Format (ABNT)

Grassi, Marcília Sierro; Montenegro, Marília; Zanardo, Evelin Aline; Pastorino, Antonio Carlos; Dorna, Mayra Barros; Kim, Chong; Jatene, Marcelo; Miura, Nana; Kulikowski, Leslie; Carneiro-Sampaio, Magda. Cytogenomics Investigation of Infants with Congenital Heart Disease: Experience of a Brazilian Center. Arquivos Brasileiros de Cardiologia, v. 118, n. 1, p. 61-67, Feb. 2022.

Electronic Document Format (APA)

Grassi, M. S., Montenegro, M., Zanardo, E. A., Pastorino, A. C., Dorna, M. B., Kim, C., Jatene, M., Miura, N., Kulikowski, L., & Carneiro-Sampaio, M. (2022). Cytogenomics Investigation of Infants with Congenital Heart Disease: Experience of a Brazilian Center. Arquivos Brasileiros de Cardiologia, 118(1), 61-67.

Electronic Document Format (ISO)

Grassi, Marcília Sierro and Montenegro, Marília and Zanardo, Evelin Aline and Pastorino, Antonio Carlos and Dorna, Mayra Barros and Kim, Chong and Jatene, Marcelo and Miura, Nana and Kulikowski, Leslie and Carneiro-Sampaio, Magda. Cytogenomics Investigation of Infants with Congenital Heart Disease: Experience of a Brazilian Center. Arquivos Brasileiros de Cardiologia [online]. 2022, vol. 118, n. 1, [cited 2026-10-14], pp. 61-67. Available from: <https://journals.cardiol.br/en/article/cytogenomics-investigation-of-infants-with-congenital-heart-disease-experience-of-a-brazilian-center/>. ISSN 0066-782X

EndNote RIS

Electronic Document Format (Vancouver)

Santos MVPF, Gamba BF, Empke SLL, Alves CCO, Bérgamo NA, Ribeiro-Bicudo LA. Congenital Heart Disease Revealing Familial 22q11 Deletion Syndrome. International Journal of Cardiovascular Sciences 2020;33(4):425-6.

Electronic Document Format (ABNT)

Santos, Marlene Viviane Pires Fernandes; Gamba, Bruno Faulin; Empke, Stefany Lucas Lopes; Alves, Camila Cristina de Oliveira; Bérgamo, Nádia Aparecida; Ribeiro-Bicudo, Lucilene Arilho. Congenital Heart Disease Revealing Familial 22q11 Deletion Syndrome. International Journal of Cardiovascular Sciences, v. 33, n. 4, p. 425-426, Feb. 2020.

Electronic Document Format (APA)

Santos, M. V. P. F., Gamba, B. F., Empke, S. L. L., Alves, C. C. O., Bérgamo, N. A., & Ribeiro-Bicudo, L. A. (2020). Congenital Heart Disease Revealing Familial 22q11 Deletion Syndrome. International Journal of Cardiovascular Sciences, 33(4), 425-426.

Electronic Document Format (ISO)

Santos, Marlene Viviane Pires Fernandes and Gamba, Bruno Faulin and Empke, Stefany Lucas Lopes and Alves, Camila Cristina de Oliveira and Bérgamo, Nádia Aparecida and Ribeiro-Bicudo, Lucilene Arilho. Congenital Heart Disease Revealing Familial 22q11 Deletion Syndrome. International Journal of Cardiovascular Sciences [online]. 2020, vol. 33, n. 4, [cited 2026-10-14], pp. 425-426. Available from: <https://journals.cardiol.br/en/article/congenital-heart-disease-revealing-familial-22q11-deletion-syndrome/>. ISSN 2359-4802

EndNote RIS

Electronic Document Format (Vancouver)

Belangero SIN, Bellucco FTS, Cernach MCSP, Hacker AM, Emanuel BS, Melaragno MI. Interrupted aortic arch type B in A patient with cat eye syndrome. Arquivos Brasileiros de Cardiologia 2009;92(5):e56-8.

Electronic Document Format (ABNT)

Belangero, Sintia Iole Nogueira; Bellucco, Fernanda Teixeira da Silva; Cernach, Mirlene C. S. P.; Hacker, April M.; Emanuel, Beverly S.; Melaragno, Maria Isabel. Interrupted aortic arch type B in A patient with cat eye syndrome. Arquivos Brasileiros de Cardiologia, v. 92, n. 5, p. e56-e58, Jul. 2009.

Electronic Document Format (APA)

Belangero, S. I. N., Bellucco, F. T. S., Cernach, M. C. S. P., Hacker, A. M., Emanuel, B. S., & Melaragno, M. I. (2009). Interrupted aortic arch type B in A patient with cat eye syndrome. Arquivos Brasileiros de Cardiologia, 92(5), e56-e58.

Electronic Document Format (ISO)

Belangero, Sintia Iole Nogueira and Bellucco, Fernanda Teixeira da Silva and Cernach, Mirlene C. S. P. and Hacker, April M. and Emanuel, Beverly S. and Melaragno, Maria Isabel. Interrupted aortic arch type B in A patient with cat eye syndrome. Arquivos Brasileiros de Cardiologia [online]. 2009, vol. 92, n. 5, [cited 2026-10-14], pp. e56-e58. Available from: <https://journals.cardiol.br/en/article/interrupted-aortic-arch-type-b-in-a-patient-with-cat-eye-syndrome/>. ISSN 0066-782X

EndNote RIS

Electronic Document Format (Vancouver)

Belangero SIN, Bellucco FT, Kulikowski LD, Christofolini DM, Cernach MCSP, Melaragno MI. 22q11.2 deletion in patients with conotruncal heart defect and del22q syndrome phenotype. Arquivos Brasileiros de Cardiologia 2009;92(4):307-11.

Electronic Document Format (ABNT)

Belangero, Sintia Iole Nogueira; Bellucco, Fernanda T.S.; Kulikowski, Leslie Domenici; Christofolini, Denise M.; Cernach, Mirlene C. S. P.; Melaragno, Maria Isabel. 22q11.2 deletion in patients with conotruncal heart defect and del22q syndrome phenotype. Arquivos Brasileiros de Cardiologia, v. 92, n. 4, p. 307-311, Jun. 2009.

Electronic Document Format (APA)

Belangero, S. I. N., Bellucco, F. T., Kulikowski, L. D., Christofolini, D. M., Cernach, M. C. S. P., & Melaragno, M. I. (2009). 22q11.2 deletion in patients with conotruncal heart defect and del22q syndrome phenotype. Arquivos Brasileiros de Cardiologia, 92(4), 307-311.

Electronic Document Format (ISO)

Belangero, Sintia Iole Nogueira and Bellucco, Fernanda T.S. and Kulikowski, Leslie Domenici and Christofolini, Denise M. and Cernach, Mirlene C. S. P. and Melaragno, Maria Isabel. 22q11.2 deletion in patients with conotruncal heart defect and del22q syndrome phenotype. Arquivos Brasileiros de Cardiologia [online]. 2009, vol. 92, n. 4, [cited 2026-10-14], pp. 307-311. Available from: <https://journals.cardiol.br/en/article/22q11-2-deletion-in-patients-with-conotruncal-heart-defect-and-del22q-syndrome-phenotype/>. ISSN 0066-782X

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