Prenatal diagnosis of Smith-Magenis syndrome in two fetuses with increased nuchal translucency, mild lateral ventriculomegaly, and congenital heart defects

Objective: Smith-Magenis syndrome (SMS) is a multiple congenital anomalies/mental retardation disorder characterized by an interstitial deletion involving chromosome 17p11.2 containing the retinoic acid-induced 1 (RAI1) gene or due to mutation of RAI1. Few cases have been reported in the medical lit...

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Main Authors: Ting-Ying Lei (Author), Ru Li (Author), Fang Fu (Author), Jun-Hui Wan (Author), Yong-Ling Zhang (Author), Xiang-Yi Jing (Author), Can Liao (Author)
Format: Book
Published: Elsevier, 2016-12-01T00:00:00Z.
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042 |a dc 
100 1 0 |a Ting-Ying Lei  |e author 
700 1 0 |a Ru Li  |e author 
700 1 0 |a Fang Fu  |e author 
700 1 0 |a Jun-Hui Wan  |e author 
700 1 0 |a Yong-Ling Zhang  |e author 
700 1 0 |a Xiang-Yi Jing  |e author 
700 1 0 |a Can Liao  |e author 
245 0 0 |a Prenatal diagnosis of Smith-Magenis syndrome in two fetuses with increased nuchal translucency, mild lateral ventriculomegaly, and congenital heart defects 
260 |b Elsevier,   |c 2016-12-01T00:00:00Z. 
500 |a 1028-4559 
500 |a 10.1016/j.tjog.2015.07.007 
520 |a Objective: Smith-Magenis syndrome (SMS) is a multiple congenital anomalies/mental retardation disorder characterized by an interstitial deletion involving chromosome 17p11.2 containing the retinoic acid-induced 1 (RAI1) gene or due to mutation of RAI1. Few cases have been reported in the medical literature regarding prenatal diagnosis of SMS. We report on the prenatal diagnosis of SMS in two fetuses with increased nuchal translucency (NT), mild lateral ventriculomegaly, and congenital heart defects by whole-genome and high-resolution chromosome microarray analysis (CMA). Case Report: The CMA result of Fetus 1, which had increased NT, mild lateral ventriculomegaly, tricuspid regurgitation, and right aortic arch with left ductus arteriosus, revealed a de novo 4.79-Mb deletion at 17p12p11.2. Fetus 2 had increased NT, pulmonary stenosis, and a ventricular septal defect, and showed a de novo 3.68-Mb deletion at 17p11.2. Conclusion: The findings further confirm that increased NT is associated with genetic syndromes, and brain imaging is necessary for SMS fetuses. Both deletions encompass the SMS "critical region", which includes many genes including RAI1. However, the precise gene(s) responsible for the heart defects in SMS remain unclear; further efforts should be undertaken to understand the molecular basis of this syndrome. 
546 |a EN 
690 |a chromosome microarray analysis 
690 |a congenital heart defects 
690 |a increased nuchal translucency 
690 |a prenatal diagnosis 
690 |a Smith-Magenis syndrome 
690 |a Gynecology and obstetrics 
690 |a RG1-991 
655 7 |a article  |2 local 
786 0 |n Taiwanese Journal of Obstetrics & Gynecology, Vol 55, Iss 6, Pp 886-890 (2016) 
787 0 |n http://www.sciencedirect.com/science/article/pii/S1028455916302054 
787 0 |n https://doaj.org/toc/1028-4559 
856 4 1 |u https://doaj.org/article/8f2fd70a3b1548e6a5b0070bca4ac6bb  |z Connect to this object online.