Molecular Cytogenetics

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Open Access Research

"Familial" versus "Sporadic" intellectual disability: contribution of common microdeletion and microduplication syndromes

Maryam Rafati1,2, Elaheh Seyyedaboutorabi3, Mohammad R Ghadirzadeh4, Yaser Heshmati4, Homeira Adibi4, Zarrintaj Keihanidoust5, Mohammad R Eshraghian6, Gholam R Javadi7, Jila Dastan8, Alireza Mosavi-Jarrahi9, Azadeh Hoseini2, Marzieh Purhoseini8 and Saeed R Ghaffari1,2,8*

Author Affiliations

1 Department of Medical Genetics, Tehran University of Medical Sciences, Tehran, Iran

2 Comprehensive Genetic Center, Hope Generation Foundation, Tehran, Iran

3 Department of Biology, Science and Research Branch, Islamic Azad University, Tehran, Iran

4 Tehran Welfare Organization, Tehran, Iran

5 Division of Pediatric Neurology, Department of Pediatrics, Tehran University of Medical Sciences, Tehran, Iran

6 Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran

7 Department of Genetics, Science and Research Branch, Islamic Azad University, Tehran, Iran

8 Gene Clinic, Tehran, Iran

9 Department of Public Health and Social Medicine, Shahid Beheshti University of Medical Sciences, Evin, Tehran, Iran

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Molecular Cytogenetics 2012, 5:9 doi:10.1186/1755-8166-5-9

Published: 29 January 2012

Abstract

Background

Interstitial Microdeletion and Microduplication syndromes have been proposed as a significant cause of sporadic intellectual disability (ID) but the role of such aberrations in familial ID has not yet been investigated. As the balanced chromosomal abnormalities commonly lead to the recurrent ID or multiple congenital anomalies, this study was designed to evaluate whether it was justified to investigate such aberrations in familial ID patients. Three hundred and twenty eight patients from 101 unrelated Iranian families with more than two ID patients in the first-degree relatives, have been investigated. Assessment of a panel of 21 common Microdeletion and Microduplication syndromes (CMMS) was carried out using Multiplex Ligation-Dependent Probe Amplification (MLPA) technique.

Results

Among the families studied, 27.7% had 4-12, 35.6% had 3 and 36.6% had 2 affected individuals in the first-degree relatives. An autosomal dominant inheritance of Williams-Beuren syndrome (WBS) was detected in a family with no clinical suspicion of WBS. The prevalence of CMMS was therefore,0.99%.

Conclusion

This is the first investigation of a panel of CMMS in a large sample set of "familial ID patients". The findings of this study showed the low prevalence of CMMSs in "familial ID" patients in spite of the significant contribution of such aberrations in "sporadic ID" which has a very useful practical impact by avoiding unnecessary diagnostic tests in "familial ID" patients.

Keywords:
Familial Intellectual Disability; Mental Retardation; Common Microdeletion and Microduplication Syndromes; Hereditary