| H01525 | |
| H番号 | H01525 |
| 名称 | 22q11.2 欠失症候群; キャッチ 22 |
| 概要 | The 22q11.2 deletion syndrome is the most common microdeletion disorder with an estimated prevalence of 1 in 3000-6000 live births. Most of the patients show the common 3 Mb deletion, but proximal 1.5 Mb deletion and unusual deletions located outside the common deleted region, have been detected. Various syndromes have been associated with 22q11.2 deletion including DiGeorge syndrome (DGS), velocardiofacial syndrome (VCFS), conotruncal anomaly face syndrome (CTAF), and isolated and familial forms of cardiovascular malformation. Microdeletions of 22q11.2 have been found in more than 90% of patients with DGS and over 85% of VCFS/ CTAF patients. In addition, several patients with Opitz-GBBB syndrome have been reported with microdeletions of 22q11. The variability in the clinical expression of this disease is extremely wide. Classical features include congenital heart disease, velopharyngeal insufficiency or cleft palate, facial anomalies, speech and learning disabilities, neonatal hypocalcemia, and T-cell immune deficit. Nevertheless, the spectrum of anomalies associated with 22q11.2 deletion is becoming wider and wider. Some cardiovascular abnormalities are relatively specific for the syndrome. An interruption of the aortic arch, type-B (IAA-B) is associated with deletion 22q11 in approximately 50% of cases. Other defects including tetralogy of Fallot [DS:H00549], double outflow right ventricle, ventricular septal defect and an aberrant origin of the right subclavian artery are frequently found. |
| カテゴリ | 染色体異常 |
| ネットワーク | - |
| 病因遺伝子 | TBX1 [HSA:6899] [KO:K10175] |
| 病原体 | - |
| 環境要因 | - |
| 発癌物質 | - |
| 治療薬 | - |
| コメント | - |
| リンク | ICD-11: LD44.N0 ICD-10: Q93.8 MeSH: D058165 OMIM: 188400 611867 |
| 文献 | PMID:25123577 著者 Leoni C, Stevenson DA, Geiersbach KB, Paxton CN, Krock BL, Mao R, Rope AF タイトル Neural tube defects and atypical deletion on 22q11.2. 雑誌 Am J Med Genet A 164A:2701-6 (2014) DOI:10.1002/ajmg.a.36701 PMID:22368650 著者 Digilio M, Marino B, Capolino R, Dallapiccola B タイトル Clinical manifestations of Deletion 22q11.2 syndrome (DiGeorge/Velo-Cardio-Facial syndrome). 雑誌 Images Paediatr Cardiol 7:23-34 (2005) PMID:9268629 著者 Chieffo C, Garvey N, Gong W, Roe B, Zhang G, Silver L, Emanuel BS, Budarf ML タイトル Isolation and characterization of a gene from the DiGeorge chromosomal region homologous to the mouse Tbx1 gene. 雑誌 Genomics 43:267-77 (1997) DOI:10.1006/geno.1997.4829 PMID:20054531 著者 Scambler PJ タイトル 22q11 deletion syndrome: a role for TBX1 in pharyngeal and cardiovascular development. 雑誌 Pediatr Cardiol 31:378-90 (2010) DOI:10.1007/s00246-009-9613-0 PMID:12644781 著者 Kato T, Kosaka K, Kimura M, Imamura S, Yamada O, Iwai K, Ando M, Joh-o K, Kuroe K, Ohtake A, Takao A, Momma K, Matsuoka R タイトル Thrombocytopenia in patients with 22q11.2 deletion syndrome and its association with glycoprotein Ib-beta. 雑誌 Genet Med 5:113-9 (2003) DOI:10.1097/01.GIM.0000056828.03164.30 |