Genetic Testing in Patients with Neurodevelopmental Disorders: Experience of 511 Patients at Cincinnati Children's Hospital Medical Center
-
Published:2021-11-13
Issue:
Volume:
Page:
-
ISSN:0162-3257
-
Container-title:Journal of Autism and Developmental Disorders
-
language:en
-
Short-container-title:J Autism Dev Disord
Author:
Du Xiaoli,Glass Jennifer Elaine,Balow Stephanie,Dyer Lisa M.,Rathbun Pamela A.,Guan Qiaoning,Liu Jie,Wu Yaning,Dawson D. Brian,Walters-Sen Lauren,Smolarek Teresa A.,Zhang Wenying
Abstract
AbstractOur institution developed and continuously improved a Neurodevelopmental Reflex (NDR) algorithm to help physicians with genetic test ordering for neurodevelopmental disorders (NDDs). To assess its performance, we performed a retrospective study of 511 patients tested through NDR from 2018 to 2019. SNP Microarray identified pathogenic/likely pathogenic copy number variations in 27/511 cases (5.28%). Among the 484 patients tested for Fragile X FMR1 CGG repeats, a diagnosis (0.20%) was established for one male mosaic for a full mutation, a premutation, and a one-CGG allele. Within the 101 normocephalic female patients tested for MECP2, two patients were found to carry pathogenic variants (1.98%). This retrospective study suggested the NDR algorithm effectively established diagnoses for patients with NDDs with a yield of 5.87%.
Publisher
Springer Science and Business Media LLC
Subject
Developmental and Educational Psychology
Reference33 articles.
1. Butler, M. G., Dasouki, M. J., Zhou, X. P., Talebizadeh, Z., Brown, M., Takahashi, T. N.,… Eng, C. (2005). Subset of individuals with autism spectrum disorders and extreme macrocephaly associated with germline PTEN tumour suppressor gene mutations. Journal of Medical Genetics, 42(4), 318-321https://doi.org/10.1136/jmg.2004.024646 2. Carter, E., Heard, P., Hasi, M., Soileau, B., Sebold, C., Hale, D. E., & Cody, J. D. (2015). Ring 18 molecular assessment and clinical consequences. American Journal of Medical Genetics Part A, 167A(1), 54–63. https://doi.org/10.1002/ajmg.a.36822 3. Chen, C. P., Kuo, Y. T., Lin, S. P., Su, Y. N., Chen, Y. J., Hsueh, R. Y.,… Wang, W. (2010). Mosaic ring chromosome 18, ring chromosome 18 duplication/deletion and disomy 18: Perinatal findings and molecular cytogenetic characterization by fluorescence in situ hybridization and array comparative genomic hybridization. Taiwanese Journal of Obstetrics and Gynecology, 49(3), 327-332https://doi.org/10.1016/S1028-4559(10)60069-1 4. Coffee, B., Ikeda, M., Budimirovic, D. B., Hjelm, L. N., Kaufmann, W. E., & Warren, S. T. (2008). Mosaic FMR1 deletion causes fragile X syndrome and can lead to molecular misdiagnosis: A case report and review of the literature. American Journal of Medical Genetics Part A, 146A(10), 1358–1367. https://doi.org/10.1002/ajmg.a.32261 5. de Graaff, E., Rouillard, P., Willems, P. J., Smits, A. P., Rousseau, F., & Oostra, B. A. (1995). Hotspot for deletions in the CGG repeat region of FMR1 in fragile X patients. Human Molecular Genetics, 4(1), 45–49. https://doi.org/10.1093/hmg/4.1.45
Cited by
2 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献
|
|