Objectives: The detection of novel chromosomal imbalances may allow the delineation of new contiguous gene syndromes associated with ASD and may allow for the identification of new ASD genes.
Methods: 1-Mb array CGH was used as a screening method. The deletion was confirmed by fluorescence in situ hybridisation, the duplication by means of qPCR.
Results: We report on a female patient with autism, mild mental retardation, mild facial dysmorphism and a submicroscopic 5q11.2 deletion. This deletion of approximately 8 Mb in size is flanked by the clones CTD-2276024 and RP11-210O14. In addition, a 2Mb duplication on Xp22.31 (RP11-483M24->RP11-323F16) was detected. Interestingly, a similar but possibly slightly smaller deletion on 5q11.2 has previously been described in a boy with profound speech delay, obsessional play and echolalia (K Prescott et al. 2005). In contrast to the patient we describe, this boy presented additional malformations like a cardiac defect (tetralogy of Fallot), a bifid uvula, velopharyngeal insufficiency and short stature.
Conclusions: Since autistic behaviour is the only consistent finding in 2 patients with a similar deletion 5q11.2, the location of this deletion may identify a gene that is implicated in autism spectrum disorders.
Prescott K, Woodfine K, Stubbs P, Super M, Kerr B, Palmer R, Carter NP, Scambler P. A novel 5q11.2 deletion detected by microarray comparative genomic hybridisation in a child referred as a case of suspected 22q11 deletion syndrome. Hum Genet. 2005 Jan;116(1-2):83-90.