Mosaic 22q13 deletions: Evidence for concurrent mosaic segmental isodisomy and gene conversion

Maria Clara Bonaglia, Roberto Giorda, Silvana Beri, Stefania Bigoni, Alberto Sensi, Anna Baroncini, Antonella Capucci, Cristina De Agostini, Rhian Gwilliam, Panos Deloukas, Ian Dunham, Orsetta Zuffardi

Research output: Contribution to journalArticlepeer-review


Although 22q terminal deletions are well documented, very few patients with mosaicism have been reported. We describe two new cases with mosaic 22q13.2-qter deletion, detected by karyotype analysis, showing the neurological phenotype of 22q13.3 deletion syndrome. Case 1 represents an exceptional case of mosaicism for maternal 22q13.2-qter deletion (45% of cells) and 22q13.2-qter paternal segmental isodisomy (55% of cells). This complex situation was suspected because cytogenetic, FISH and array-CGH analyses showed the presence of an 8.8 Mb mosaic 22q13.2-qter deletion, whereas microsatellite marker analysis was consistent with maternal deletion without any evidence of mosaic deletion. Molecular analysis led to the definition of very close, but not coincident, deletion and uniparental disomy (UPD) break points. Furthermore, we demonstrated that the segmental UPD arose by gene conversion in the same region. In Case 2, mosaicism for a paternal 8.9 Mb 22q13.2-qter deletion (73% of cells) was detected. In both patients, the level of mosaicism was also verified in saliva samples. We propose possible causative mechanisms for both rearrangements. Although the size of the deletions was quite similar, the phenotype was more severe in Case 2 than in Case 1. As maternal UPD 22 has not been generally associated with any defects and as the size of the deletion is very similar in the two cases, phenotype severity is likely to depend entirely on the degree of mosaicism in each individual.

Original languageEnglish
Pages (from-to)426-433
Number of pages8
JournalEuropean Journal of Human Genetics
Issue number4
Publication statusPublished - 2009

ASJC Scopus subject areas

  • Genetics(clinical)
  • Genetics


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