Genomic imbalances in syndromic congenital heart disease
Journal Title: Jornal de Pediatria - Year 2017, Vol 93, Issue 5
Abstract
Objective To identify pathogenic genomic imbalances in patients presenting congenital heart disease (CHD) with extra cardiac anomalies and exclusion of 22q11.2 deletion syndrome (22q11.2 DS). Methods 78 patients negative for the 22q11.2 deletion, previously screened by fluorescence in situ hybridization (FISH) and/or multiplex ligation probe amplification (MLPA) were tested by chromosomal microarray analysis (CMA). Results Clinically significant copy number variations (CNVs ≥300kb) were identified in 10% (8/78) of cases. In addition, potentially relevant CNVs were detected in two cases (993kb duplication in 15q21.1 and 706kb duplication in 2p22.3). Genes inside the CNV regions found in this study, such as IRX4, BMPR1A, SORBS2, ID2, ROCK2, E2F6, GATA4, SOX7, SEMAD6D, FBN1, and LTPB1 are known to participate in cardiac development and could be candidate genes for CHD. Conclusion These data showed that patients presenting CHD with extra cardiac anomalies and exclusion of 22q11.2 DS should be investigated by CMA. The present study emphasizes the possible role of CNVs in CHD.
Authors and Affiliations
Vera Lúcia Gil-da-Silva-Lopes
Psychological preparation reduces preoperative anxiety in children. Randomized and double-blind trial
Objective To verify the effect of psychological preparation on the relief of preoperative anxiety in children and to correlate parents’ and children's levels of anxiety. Method After the approval of the institutional Re...
Nutritional quality of dietary patterns of children: are there differences inside and outside school?
Objectives To describe the dietary patterns of children inside and outside school and investigate their associations with sociodemographic factors and nutritional status. Methods This was a multicenter cross-sectional s...
Sweat conductivity and coulometric quantitative test in neonatal cystic fibrosis screening
Objective To compare the results obtained with the sweat test using the conductivity method and coulometric measurement of sweat chloride in newborns (NBs) with suspected cystic fibrosis (CF) in the neonatal screening pr...
Prolonged toilet training in children with Down syndrome: a case–control study
Objectives Children with Down syndrome have delayed psychomotor development, which is a factor that influences the level of difficulty in toilet training. The current study aims to estimate the age toilet training starts...
Undersedation is a risk factor for the development of subglottic stenosis in intubated children
Objective To analyze the level of sedation in intubated children as a risk factor for the development of subglottic stenosis. Methods All patients between 30 days and 5 years of age who required endotracheal intubation...