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Routine chromosomal microarray analysis is necessary in Korean patients with unexplained developmental delay/mental retardation/autism spectrum disorder

 Saeam Shin  ;  Nae Yu  ;  Jong Rak Choi  ;  Seri Jeong  ;  Kyung-A Lee 
 ANNALS OF LABORATORY MEDICINE, Vol.35(5) : 510-518, 2015 
Journal Title
Issue Date
Adolescent ; Asian Continental Ancestry Group/genetics* ; Autism Spectrum Disorder/diagnosis ; Autism Spectrum Disorder/genetics* ; Child ; Child, Preschool ; Chromosome Aberrations* ; DNA Copy Number Variations ; Developmental Disabilities/diagnosis ; Developmental Disabilities/genetics* ; Female ; Humans ; Infant ; Intellectual Disability/diagnosis ; Intellectual Disability/genetics* ; Karyotyping ; Male ; Multiplex Polymerase Chain Reaction ; Oligonucleotide Array Sequence Analysis ; Republic of Korea ; Young Adult
Autism spectrum disorders ; Chromosomal microarray ; Copy number variation ; Developmental delay ; Mental retardation
BACKGROUND: All over the world, chromosomal microarray (CMA) is now the first tier diagnostic assay for genetic testing to evaluate developmental delay (DD), mental retardation (MR), and autism spectrum disorder (ASD) with unknown etiology. The average diagnostic yield of the CMA test is known to be about 12.2%, while that of conventional G-banding karyotype is below 3%. This study aimed to assess the usefulness of CMA for the purpose of clinical diagnostic testing in the Korean population. METHODS: We performed CMA and multiplex ligation-dependent probe amplification (MLPA) tests in 96 patients with normal karyotype and unexplained DD, MR, or ASD. The CMA was conducted with CytoScan 750K array (Affymetrix, USA) with an average resolution of 100 kb. RESULTS: Pathogenic copy number variations (CNVs) were detected in 15 patients by CMA and in two patients by MLPA for four known microdeletion syndromes (Prader-Willi/Angelman syndrome, DiGeorge syndrome, Miller-Dieker syndrome and Williams syndrome) designated by National Health Insurance system in Korea. The diagnostic yield was 15.6% and 2.1%, respectively. Thirteen (13.5%) patients (excluding cases with pathogenic CNVs) had variants of uncertain clinical significance. There was one patient with a 17.1-megabase (Mb) region of homozygosity on chromosome 4q. CONCLUSIONS: Our findings suggest the necessity of CMA as a routine diagnostic test for unexplained DD, MR, and ASD in Korea.
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1. College of Medicine (의과대학) > Dept. of Laboratory Medicine (진단검사의학교실) > 1. Journal Papers
Yonsei Authors
Shin, Saeam(신새암) ORCID logo https://orcid.org/0000-0003-1501-3923
Yu, Nae(유내)
Lee, Kyung A(이경아) ORCID logo https://orcid.org/0000-0001-5320-6705
Jeong, Se Ri(정세리)
Choi, Jong Rak(최종락) ORCID logo https://orcid.org/0000-0002-0608-2989
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