
ARRAY-BASED COMPARATIVE GENOMIC HYBRIDIZATION
ANALYSIS IN CHILDREN WITH DEVELOPMENTAL
DELAY/INTELLECTUAL DISABILITY Türkyılmaz A, Geckinli BB, Tekin E, Ates EA, Yarali O, Cebi AH, Arman A *Corresponding Author: Ayberk Türkyılmaz, M.D., Assistant Professor, Department of Medical Genetics,
Karadeniz Technical University Faculty of Medicine, Farabi Street, 61080 Ortahisar, Trabzon,
Turkey. Tel: +90-505-812-03-34. Fax: +90-462-377-51-06. E-mail: ayberkturkyilmaz@gmail.com page: 15 download article in pdf format
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Abstract
Developmental delay (DD) is a condition wherein
developmental milestones and learning skills do not occur
at the expected age range for patients under 5 years of
age. Intellectual disability (ID) is characterized by limited
or insufficient development of mental abilities, including
intellectual functioning impairments, such as learning and
cause–effect relationships. Isolated and syndromic DD/ID
cases show extreme genetic heterogeneity. Array-based
comparative genomic hybridization aCGH) can detect
copy number variations (CNVs) on the whole genome at
higher resolution than conventional cytogenetic methods.
The diagnostic yield of aCGH was 15.0-20.0% in DD/ID
cases. The aim of this study was to discuss the clinical findings
and aCGH analysis results of isolated and syndromic
DD/ID cases in the context of genotype-phenotype correlation.
The study included 139 cases (77 females, 62 males).
Data analysis revealed 38 different CNVs in 35 cases. In
this study, 19 cases with pathogenic CNVs (13.6%) and
five cases with likely pathogenic CNVs (3.5%) were found
in a total of 139 cases diagnosed with DD/ID. When all
pathogenic and likely pathogenic cases were evaluated, the
diagnosis rate was 17.1%. The use of aCGH analysis as a
first-tier test in DD/ID cases contributes significantly to the
diagnosis rates and enables the detection of rare microdeletion/
microduplication syndromes. The clear determination
of genetic etiology contributes to the literature in terms of
genotype-phenotype correlation.
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