Subscribe to RSS
DOI: 10.1055/s-0042-1758872
A Cytogenetic Study of Turkish Children with Global Developmental Delay
Funding This study was conducted by means and allowances of Cytogenetic Laboratory of Medical Biology and Genetics Department at Çukurova University.Abstract
Global developmental delay (GDD)/intellectual disability (ID) is common in children and its etiology is unknown in many cases. Chromosomal abnormalities are predominant genetic causes of GDD/ID. The aim of this study is to determine the genetic risk factors that may be involved in the etiology of GDD/ID. In this study, 810 children with moderate to severe, clinically unexplained GDD/ID for whom cytogenetic analysis were performed were retrospectively rescreened. The results showed that GDD/ID affected more females than males (2 girls:1 boy). A total of 54 children (6.7%) with GDD showed chromosomal aberrations (CAs): 59.3% of these CAs were structural aberrations, and the rest were numerical aberrations (40.7%). Specifically, inversions, deletions, and reciprocal and robertsonian translocations, which were detected in 1, 0.7, 0.8, and 0.4% of the children, respectively, constituted important categories of structural CAs. Among numerical CAs, classic Turner and mosaics were detected in 1.2% of all children. Trisomy 21 and mosaic trisomy 21 were detected in 1% of the children. Marker chromosomes and 47,XXY karyotypes were found in two children each. Our results suggest that female sex is more affected by CAs among GDD/ID cases, and cytogenetic analysis is useful in the etiological diagnosis of GDD/ID.
Publication History
Received: 26 November 2021
Accepted: 20 September 2022
Article published online:
01 December 2022
© 2022. Thieme. All rights reserved.
Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany
-
References
- 1 Shevell MI, Majnemer A, Rosenbaum P, Abrahamowicz M. Etiologic yield of subspecialists' evaluation of young children with global developmental delay. J Pediatr 2000; 136 (05) 593-598
- 2 Bélanger SA, Caron J. Evaluation of the child with global developmental delay and intellectual disability. Paediatr Child Health 2018; 23 (06) 403-419
- 3 Yeargin-Allsopp M, Murphy CC, Cordero JF, Decouflé P, Hollowell JG. Reported biomedical causes and associated medical conditions for mental retardation among 10-year-old children, metropolitan Atlanta, 1985 to 1987. Dev Med Child Neurol 1997; 39 (03) 142-149
- 4 Grayton HM, Fernandes C, Rujescu D, Collier DA. Copy number variations in neurodevelopmental disorders. Prog Neurobiol 2012; 99 (01) 81-91
- 5 Majnemer A, Shevell MI. Diagnostic yield of the neurologic assessment of the developmentally delayed child. J Pediatr 1995; 127 (02) 193-199
- 6 Harris JC. Intellectual Disability: Understanding Its Development, Causes, Classification, Evaluation, and Treatment. Oxford: Oxford University Press; 2006
- 7 Maulik PK, Mascarenhas MN, Mathers CD, Dua T, Saxena S. Prevalence of intellectual disability: a meta-analysis of population-based studies. Res Dev Disabil 2011; 32 (02) 419-436
- 8 Morrow EM. Genomic copy number variation in disorders of cognitive development. J Am Acad Child Adolesc Psychiatry 2010; 49 (11) 1091-1104
- 9 Regier DA, Friedman JM, Marra CA. Value for money? Array genomic hybridization for diagnostic testing for genetic causes of intellectual disability. Am J Hum Genet 2010; 86 (05) 765-772
- 10 Savatt JM, Myers SM. Genetic testing in neurodevelopmental disorders. Front Pediatr 2021; 9: 526779
- 11 Uwineza A, Hitayezu J, Jamar M. et al. Cytogenetic studies of Rwandan pediatric patients presenting with global developmental delay, intellectual disability and/or multiple congenital anomalies. J Trop Pediatr 2016; 62 (01) 38-45
- 12 Mundhofir FE, Winarni TI, van Bon BW. et al. A cytogenetic study in a large population of intellectually disabled Indonesians. Genet Test Mol Biomarkers 2012; 16 (05) 412-417
- 13 Balkan M, Akbas H, Isi H. et al. Cytogenetic analysis of 4216 patients referred for suspected chromosomal abnormalities in Southeast Turkey. Genet Mol Res 2010; 9 (02) 1094-1103
- 14 Aboussair N, Jaouad IC, Dequaqui SC. et al. Cytogenetic analysis of 5572 patients referred for suspected chromosomal abnormalities in Morocco. Genet Test Mol Biomarkers 2012; 16 (06) 569-573
- 15 Kim SS, Jung SC, Kim HJ, Moon HR, Lee JS. Chromosome abnormalities in a referred population for suspected chromosomal aberrations: a report of 4117 cases. J Korean Med Sci 1999; 14 (04) 373-376
- 16 Dayakar S, Rani DS, Babu SJ. et al. Increasing role of cytogenetics in pediatric practice. Genet Test Mol Biomarkers 2010; 14 (02) 197-204
- 17 Thillainathan S, Sirisena ND, Kariyawasam KW, Jayasekara RW, Dissanayake VHW. Cytogenetic analysis of chromosomal abnormalities in Sri Lankan children. World J Pediatr 2015; 11 (04) 374-379
- 18 Duarte AC, Cunha E, Roth JM, Ferreira FLS, Garcias GL, Martino-Roth MG. Cytogenetics of genetic counseling patients in Pelotas, Rio Grande do Sul, Brazil. Genet Mol Res 2004; 3 (03) 303-308
- 19 Curry CJ, Stevenson RE, Aughton D. et al. Evaluation of mental retardation: recommendations of a consensus conference: American College of Medical Genetics. Am J Med Genet 1997; 72 (04) 468-477
- 20 Hu T, Zhang Z, Wang J. et al. Chromosomal aberrations in pediatric patients with developmental delay/intellectual disability: a single-center clinical investigation. BioMed Res Int 2019; 2019: 9352581
- 21 Flint J, Wilkie AO, Buckle VJ, Winter RM, Holland AJ, McDermid HE. The detection of subtelomeric chromosomal rearrangements in idiopathic mental retardation. Nat Genet 1995; 9 (02) 132-140
- 22 Knight SJ, Regan R, Nicod A. et al. Subtle chromosomal rearrangements in children with unexplained mental retardation. Lancet 1999; 354 (9191): 1676-1681
- 23 Wu Y, Ji T, Wang J. et al. Submicroscopic subtelomeric aberrations in Chinese patients with unexplained developmental delay/mental retardation. BMC Med Genet 2010; 11: 72
- 24 Evdokimova VN, Nikitina TV, Lebedev IN, Sukhanova NN, Nazarenko SA. Sex ratio in early embryonal mortality in man [in Russian]. Ontogenez 2000; 31 (04) 251-257
- 25 Morin SJ, Eccles J, Iturriaga A, Zimmerman RS. Translocations, inversions and other chromosome rearrangements. Fertil Steril 2017; 107 (01) 19-26
- 26 Shaffer LG, Jackson-Cook CK, Stasiowski BA, Spence JE, Brown JA. Parental origin determination in thirty de novo Robertsonian translocations. Am J Med Genet 1992; 43 (06) 957-963
- 27 Halgren C, Nielsen NM, Nazaryan-Petersen L. et al. Risks and recommendations in prenatally detected de novo balanced chromosomal rearrangements from assessment of long-term outcomes. Am J Hum Genet 2018; 102 (06) 1090-1103
- 28 Gorski JL, Kistenmacher ML, Punnett HH, Zackai EH, Emanuel BS. Reproductive risks for carriers of complex chromosome rearrangements: analysis of 25 families. Am J Med Genet 1988; 29 (02) 247-261
- 29 Vermeulen S, Menten B, Van Roy N. et al. Molecular cytogenetic analysis of complex chromosomal rearrangements in patients with mental retardation and congenital malformations: delineation of 7q21.11 breakpoints. Am J Med Genet A 2004; 124A (01) 10-18
- 30 Wu BL, Schneider GH, Sabatino DE, Bozovic LZ, Cao B, Korf BR. Distal 8p deletion (8)(p23.1): an easily missed chromosomal abnormality that may be associated with congenital heart defect and mental retardation. Am J Med Genet 1996; 62 (01) 77-83
- 31 Maurin ML, Brisset S, Le Lorc'h M. et al. Terminal 14q32.33 deletion: genotype-phenotype correlation. Am J Med Genet A 2006; 140 (21) 2324-2329
- 32 Spinner NB, Conlin LK, Mulchandani S, Emanuel BS. Deletions and other structural abnormalities of the autosomes. In: Rimoin DL, Pyeritz RE, Korf BR. eds. Emery and Rimoin's Principles and Practice of Medical Genetics. Oxford: Academic Press; 2013: 1-37
- 33 Cho EK, Kim J, Yang A, Cho SY, Jin DK. 2q37 Deletion syndrome confirmed by high-resolution cytogenetic analysis. Ann Pediatr Endocrinol Metab 2017; 22 (02) 129-132
- 34 Theisen A, Shaffer LG. Disorders caused by chromosome abnormalities. Appl Clin Genet 2010; 3: 159-174
- 35 Cornish KM, Cross G, Green A, Willatt L, Bradshaw JM. A neuropsychological-genetic profile of atypical cri du chat syndrome: implications for prognosis. J Med Genet 1999; 36 (07) 567-570
- 36 Ropers HH. X-linked mental retardation: many genes for a complex disorder. Curr Opin Genet Dev 2006; 16 (03) 260-269
- 37 Carrel L, Cottle AA, Goglin KC, Willard HF. A first-generation X-inactivation profile of the human X chromosome. Proc Natl Acad Sci U S A 1999; 96 (25) 14440-14444
- 38 Feng Y, Zhang F, Lokey LK. et al. Translational suppression by trinucleotide repeat expansion at FMR1. Science 1995; 268 (5211): 731-734
- 39 Sasikala K. Occurrence of pericentric inversion in a group of children with multiple congenital abnormalities. The Indian Zoologist 1990; 14: 169-174
- 40 Gardner RJ, Sutherland GR. Chromosomal abnormalities and genetic counseling. In: Gardner RJ, Sutherland GR. eds. Elements of Medical Cytogenetic. New York, NY: Oxford University Press; 1990: 6-9
- 41 Demirhan O, Pazarbasi A, Suleymanova-Karahan D, Tanriverdi N, Kilinc Y. Correlation of clinical phenotype with a pericentric inversion of chromosome 9 and genetic counseling. Saudi Med J 2008; 29 (07) 946-951
- 42 Kamnasaran D, Chen CP, Devriendt K, Mehta L, Cox DW. Defining a holoprosencephaly locus on human chromosome 14q13 and characterization of potential candidate genes. Genomics 2005; 85 (05) 608-621
- 43 Morgan T. Turner syndrome: diagnosis and management. Am Fam Physician 2007; 76 (03) 405-410
- 44 van Karnebeek CD, Jansweijer MC, Leenders AG, Offringa M, Hennekam RC. Diagnostic investigations in individuals with mental retardation: a systematic literature review of their usefulness. Eur J Hum Genet 2005; 13 (01) 6-25
- 45 Sadek AA, Mohamed MA. Yield of karyotyping in children with developmental delay and/or dysmorphic features in Sohag University Hospital, Upper Egypt. Egypt J Med Hum Genet 2018; 19: 253-259
- 46 Chapman RS, Hesketh LJ. Behavioral phenotype of individuals with Down syndrome. Ment Retard Dev Disabil Res Rev 2000; 6 (02) 84-95
- 47 Kumin L. Speech and language skills in children with Down syndrome. Ment Retard Dev Disabil Res Rev 1996; 2: 109-115
- 48 Maurer B, Haaf T, Stout K, Reissmann N, Steinlein C, Schmid M. Two supernumerary marker chromosomes, originating from chromosomes 6 and 11, in a child with developmental delay and craniofacial dysmorphism. Cytogenet Cell Genet 2001; 93 (3–4): 182-187
- 49 Hu J, Madan-Khetarpal S, Russi AHS. et al. Three supernumerary marker chromosomes in a patient with developmental delay, mental retardation, and dysmorphic features. Genet Res Int 2011; 185271: 7