Research Article

Screening for Subtelomeric Rearrangements in Thai Patients with Intellectual Disabilities Using FISH and Review of Literature on Subtelomeric FISH in 15,591 Cases with Intellectual Disabilities

Table 2

Frequencies and details of subtelomeric rearrangements detected by FISH in patients with ID.

ReferenceTotal casesPositive casesFrequency (%)De novoFamilialUnknown inheritance

Knight et al., 1999 [4]466224.7Deletion: del(1)(p36.3)dn [], del(1)(q44)dn, del(6)(p25)dn, del(9)(p24)dn, del(13)(q34)dn, del(22)(q13.3)dn [] 
Derivative: der(9)t(9;16)(p24;q24)dn, der(13)t(Y;13)(p11.3;q34)dn, der(18)t(X;18)(q28;q23)dn
Derivative: der(12)t(6;12)(q27;p13.3)mat, der(4)t(4;22)(p16;q13.3)pat, der(9)t(9;13)(q34;p11.1)mat, der(1)t(1;13)(q44;q34)mat, der(4)t(4;11)(p16;p15.5)pat, der(4)t(4;6)(q35;q27)pat, der(1)t(1;19)(p36.3;q13.4)pat, der(4)t(4;20)(q35;p13)pat, der(8)t(8;20)(p23;p13)mat, der(7)t(2;7)(q37;q36)pat

Joyce et al., 2001 [5]213115.2Deletion: del(1)(p36.2)dn, del(15)(q26.2)dn 
Derivative: der(13)t(13;19)(q34;q13.43)dn, der(4)t(4;8)(p16.1;p23.1)dn, der(4)t(4;11)(p16.3;p15.5)dn, 
mos der(18)t(4;18)(p16.3;q23)dn
Deletion: del(8)(p23.3)pat
Derivative: der(2)t(2;14)(q27.3;p11)pat, der(2)t(2;7)(q37.2;q36.3)mat, der(17)t(11;17)(p15.5;p13.3)mat, der(22)t(14;22)(q32.33;q13.31)pat

Fan et al., 2001 [6]15064.0Deletion: del(1)(ptel)dn [n = 2]Derivative: der(1)t(1;3)(qtel;qtel)pat, der(18)t(7;18)(ptel;qtel)matDerivative: der(4)t(4;12)(ptel;qtel), der(5)t(5;20)(ptel;ptel)

Sismani et al., 2001 [7]7011.4Deletion: del(8)(pter)dn

Anderlid et al., 2002 [8]111119.9Deletion: del(2)(qter)dn, del(4)(pter)dn, del(6)(qter)dn, del(9)(qter)dn 
Derivative: der(22)t(20;22)(qter;qter)dn
Derivative: der(4)t(2;4)(qter;qter)pat, der(21)t(9;21)(qter;qter)mat, der(17)t(12;17)(qter,qter)pat 
Others: rec(6)dup(6p)inv(6)(p23q27)pat [n = 2 siblings]
Deletion: del(22)(qter)

Baker et al., 2002 [9]25083.2Deletion: 22q− dn 
Derivative: der(5)t(5;16)(q35.3;q24.3)dn
Deletion: 20p− mat
Derivative: der(5)t(5;16)(q35.3;q24.3)pat, der(14)t(9;14)(q34.3;q32.33)mat 
Others: insertion (1p− and 9p+)pat
Deletion: 1p− 
Others: inversion (1p+ and 1q−)

Popp et al., 2002 [10]30620.0Derivative: der(3)t(3;16)(p25;p13.2)dn, der(8)t(8;11)(p23.1;p15.5)dn, der(7)t(7;7)(p22;q36)dnDeletion: del(8)(p23.1p23.1)pat
Derivative: der(5)t(3;5)(q27;p15.3)pat, der(16)t(16;19)(p13.3;p13.3)mat

Dawson  et al., 2002 [11]4037.5Deletion: del(9)(q34.3)dnDerivative: der(9)t(5;9)(q35.3;q34.3)patDerivative: der(3)t(3;11)(p36.3;p15.5)

Clarkson et al., 2002 [12]5024.0Derivative: der(5)t(5;21)(p13;q21.1)mat Others: rec(11)dup(11p)inv(11)(p15.5q24.3)pat

van Karnebeek et al., 2002 [13]18410.5Deletion: del(12)(q24.33)dn

Kirchhoff et al., 2004 [14]9433.2Deletion: del(22)(qtel)dn [n = 2] 
Derivative: del(4)(qtel) and dup(7)(ptel) dn

Font-Montgomery 
et al., 2004 [15]
43614.0Deletion: del(6)(q27)dn, del(9)(q34.3)dn 
Derivative: der(6)t(1;6)(q44;q27)dn, der(Y)dn (trisomy for PAR of Xp/Yp)
Derivative: der(4)t(4;5)(q35;p15.3)pat, der(2)t(2;17)(q37.3;p13)pat

Walter et al., 2004 [16]501020.0Deletion: del(22)(q13.32)dn, del(4)(p16.3)dn 
Derivative: der(7)t(7;9)(q36.3p24.1)dn, der(12)t(12;20)(p13p13.3)dn 
Others: t(17;20)(p13.3q13.33)dn
Derivative: der(4)t(4;7)(p16.3p22)pat, der(9)t(9;18)(p23q22.3)pat, der(7)t(7;10)(q36.3q26.3)mat, der(18)t(18;21)(q22.1q21.3)mat 
Others: der(7)inv(7)(p22q36.3)mat

Rodriguez-Revenga 
et al., 2004 [17]
3026.7Deletion: del(1)(p36)dnDerivative: der(13)t(1;13)(qter;qter)mat

Bocian et al., 2004 [18]83910.8Deletion: del(4)(p16.1p16.3)dn 
Derivative: der(13)t(X;13)(q28;q34)dn
Derivative: der(13)t(4;13)(p16;q34)pat, der(2)t(2;7)(q37;q36)pat, der(4)t(4;21)(p16;q22)pat, der(6)t(4;6)(q35;q27)pat, der(4)t(4;7)(q33;q34)mat, der(10)t(10;19)(q26;p13.3)mat 
Others: rec(5)dup(5)(q35.3)inv(5)(p15.33q35.3)pat

Velagaleti et al., 2005 [19]18211.1Deletion: del(2)(q27.3) 
Others: t(3;7)(q27;p21.2)

Baroncini et al., 2005 [20]219125.5Deletion: del(1pter)dn, del(7pter)dn, del(9pter)dn, del(9qter)dn, del(20pter)dn, del(22qter)dn 
Derivative: der(6)t(6;18)(qter;pter)dn, der(18)t(8;18)(pter;qter)dn
Derivative: der(12)t(12;17)(pter;qter)matDerivative: der(2)t(2;17)(qter;qter) 
Others: t(4;18)(pter;qter), t(1;16)(pter;pter)

Sogaard  et al., 2005 [21]13296.8Deletion: del(1)(p36.3)dn, del(4)(p16.1)dn, del(5)(q35)dn 
Derivative: mos der(22)t(12;22)(p13;p?)dn
Derivative: der(13)t(5;13)(q35.2;q34)mat [n = 2 siblings], der(9)t(9;22)(q34.2;q13.3)patDeletion: del(2)(q37.2) 
Derivative: der(2)t(2;22)(q37.2;q1?)

Yu  et al., 2005 [22]53471.3Deletion: del(9)(q34)dn 
Derivative: der(4)t(4;10)(q35.2;p15.3)dn
Derivative: der(22)t(4;22)(p16;q13)pat, der(10)t(10;11)(q26.1;q23.3)mat, der(X)t(X;4)(p22.3;q35.2)mat, der(10)t(7;10)(p22.3;q26.3)patDeletion: del(4)(q35)

Erjavec-Škerget 
et al., 2006 [23]
10066.0Deletion: del(X)(pter−)dnDerivative: der(21)t(21;8)(qter−,qter+)pat, der(11)t(11;10)(qter−,qter+)patDeletion: del(9)(pter−)(23→pter−) 
Derivative: der(13)t(13;10)(qter−,q23.3→qter+) 
Others: rec(X)(qter+, pter−)

Palomares  et al., 2006 [24]50510.0Deletion: del(9)(q34.3)dn, del(2)(q37.3)dn 
Derivative: der(1)t(1;22)(p36.3;q13.3)dn, der(15)t(15;17)(q26.3;p25.3)dn
Derivative: der(2)t(2;10)(q37.3;q26.1)pat

Rauch  et al., 2006 [25]50091.8Deletion: del(1)(pter)dn, del(5)(qter)dn, del(9)(qter)dn, del(16)(pter)dn, del(22)(qter)dn 
Others: t(11;20)(pter;qter)dn
Derivative: der(14)t(14;20)(qter;qter)pat, der(10)t(9;10)(q34.1;q26.1)familial, der(10)t(10;22)(qter;qter)pat

Ravnan  et al., 2006 [26]116882912.5Deletion: del(1)(pter)dn [n = 10], del(1)(qter)dn, del(2)(qter)dn, del(3)(qter)dn [n = 4], del(4)(pter)dn, del(4)(qter)dn, del(6)(qter)dn [n = 2], del(7)(pter)dn, del(8)(pter)dn, del(9)(pter)dn [], del(9)(qter)dn [n = 6], del(10)(pter)dn, del(10)(qter)dn [n = 2], del(13)(qter)dn, del(16)(pter)dn [n = 4], del(18)(qter)dn, del(20)(pter)dn [n = 3], del(20)(qter)dn [n = 2], del(22)(qter)dn [n = 2] 
Derivative: der(19)t(19;19)(pter;qter)dn, 
der(13)t(9;13)(qter;pter)dn, der(13)t(13;17)(pter;qter)dn, der(14)t(14;14)(pter;qter)dn, der(14)t(14;16)(pter;pter)dn, der(15)t(X;15)(qter;pter)dn, der(22)t(22;22)(pter;qter)dn, 
der(1)t(1;4)(pter;pter)dn, der(1)t(1;10)(pter;pter)dn, der(4)t(X;4)(qter;qter)dn, der(6)t(1;6)(qter;qter)dn, 
der(7)t(7;22)(qter;qter)dn, der(8)t(8;9)(pter;qter)dn, der(9)t(3;9)(pter;pter)dn, der(9)t(X;9)(qter;pter)dn, 
der(10)t(10;16)(pter;pter)dn, der(13)t(3;13)(qter;qter)dn, der(15)t(X;15)(qter;qter)dn, der(16)t(16;22)(pter;qter)dn, der(20)t(9;20)(pter;pter)dn, der(22)t(6;22)(pter;qter)dn, 
der(Y)t(Y;X or Y)(qter;pter)dn
Deletion: del(4)(qter)mat, del(11)(qter)mat
Derivative: der(7)t(7;16)(pter;pter)pat, der(10)t(10;16)(qter;pter)mat, der(15)t(15;19)(pter;qter)mat, 
der(2)t(2;17)(qter;pter)pat, der(2)t(2;20)(qter;qter)pat, der(2)t(2;22)(qter;qter)mat, 
der(4)t(3;4)(qter;pter)pat, der(4)t(4;5)(qter;pter)pat, der(5)t(2;5)(pter;pter)mat, der(5)t(5;7)(pter;pter)mat, der(5)t(5;20)(pter;pter)pat, der(6)t(6;21)(qter;qter)mat, der(7)t(7;19)(pter;qter)mat, der(7)t(5;7)(pter;qter)mat, der(7)t(7;8)(qter;pter)mat, der(7)t(7;11)(qter;pter)mat, der(8)t(2;8)(pter;pter)mat, der(9)t(9;16)(qter;pter)mat, der(10)t(1;10)(pter;qter)mat, der(10)t(8;10)(qter;qter)mat, der(10)t(10;17)(qter;qter)mat, der(11)t(2;11)(qter;qter)mat, der(12)t(12;17)(pter;pter)pat, der(12)t(12;19)(pter;qter)pat, der(12)t(12;19)(qter;pter)pat, der(17)t(9;17)(qter;pter)mat, der(18)t(4;18)(qter;qter)mat, der(21)t(5;21)(pter;qter)pat, der(22)t(16;22)(qter;qter)pat, 
der(X)t(X;X or Y)(pter;qter)mat
Deletion: del(1)(pter) [n = 18], del(2)(pter) [n = 2], del(2)(qter) [n = 6], del(3)(pter) [n = 4], del(3)(qter) [n = 4], del(4)(pter) [n = 7], del(4)(qter) [n = 4], del(4)(qter) and der(8)t(4;8), del(5)(pter), del(6)(pter), del(6)(qter) [n = 2], del(7)(pter), del(7)(qter), del(8)(pter) [n = 3], del(9)(pter), del(9)(qter) [n = 5], del(10)(pter) [n = 2], del(10)(qter) [n = 6], del(11)(qter) [n = 3], del(12)(pter), del(13)(qter) [n = 2], del(14)(qter) [n = 3], del(15)(qter), del(16)(pter), del(17)(pter) [n = 2], del(18)(qter) [n = 2], del(20)(pter) [n = 5], del(21)(qter), del(22)(qter) [n = 13], del(X)(pter), del(X)(qter), del(Y)(pter) [n = 2] 
Derivative: der(1)t(1;17)(pter;pter), der(10)t(10;16)(qter;pter), der(15)t(7;15)(qter;qter), der(19 or 20)t(X or Y;19 or 20)(qter;pter or qter), der(13)t(11;13)(qter;pter), der(14)t(7;14)(qter;pter), der(15)t(15;16)(pter;qter), der(15)t(X or Y;15)(qter;pter), der(21)t(17;21)(qter;pter), der(21)t(21;22)(pter;qter), der(22)t(1;22)(qter;pter), der(1)t(1;1)(pter;qter), der(1)t(1;10)(pter;pter), der(1)t(X or Y;1)(qter;pter), der(1)t(1;4)(qter;qter), der(1)t(1;3)(qter;qter), der(1)t(1;15)(qter;qter), der(1)t(1;18)(qter;pter), der(1)t(1;22)(qter;qter), der(2)t(1;2)(qter;qter), der(2)t(2;12)(qter;qter), der(4)t(4;6)(pter;pter) [n = 2], der(4)t(4;8)(pter;pter) [n = 2], der(4)t(4;11)(pter;pter), der(4)t(X or Y;4)(qter;qter), der(5)t(2;5)(pter;pter), der(5)t(5;9)(pter;pter), der(5)t(5;10)(pter;qter), der(5)t(5;14)(pter;qter), der(6)t(6;10)(pter;qter), der(6)t(6;12)(pter;qter), der(6)t(3;6)(qter;qter), der(6)t(6;7)(qter;pter), der(7)t(7;7)(pter;qter), der(7)t(7;16)(pter;pter), der(7)t(2;7)(qter;qter), der(7)t(7;9)(qter;qter), del(4)(qter) and der(8)t(4;8), der(8)t(8;8)(pter;qter), der(8)t(8;10)(pter;qter), der(8)t(8;12)(pter;pter) [n = 2], der(8)t(8;18)(pter;qter), der(9)t(7;9)(pter;qter), der(9)t(9;17)(qter;pter), der(10)t(7;10)(qter;pter), der(10)t(4;10)(pter;qter), der(10)t(4;10)(qter;qter), der(10)t(8;10)(qter;qter), der(10)t(10;10)(qter;pter), der(10)t(10;21)(qter;qter), der(11)t(11;12)(qter;qter) [n = 2], der(12)t(12;20)(pter;pter), der(13)t(2;13)(qter;qter), der(13)t(3;13)(qter;qter), der(14)t(X or Y;14)(pter;qter), der(15)t(3;15)(qter;qter), der(15)t(9;15)(qter;qter), der(16)t(16;16)(pter;qter), der(18)t(18;18)(pter;qter), der(18)t(2;18)(pter;qter), der(18)t(4;18)(qter;qter) [n = 2], der(18)t(10;18)(pter;qter), der(18)t(14;18)(qter;qter), der(20)t(5;20)(qter;pter), der(21)t(14;21)(qter;qter), der(22)t(12;22)(qter;qter), der(X)t(X;14)(pter;qter), der(X)t(X;X or Y)(pter;qter) [n = 2], der(X)t(X;3)(qter;pter), del(X)(pter)/der(X)t(X;15)(pter;qter)
Others: dup(4)(qter), idic(Y)(q11.2), t(1;5)(qter;qter), t(6;12)(qter;qter), t(19;21)(pter;qter), t(5;6)(qter;qter), der(22)ins(22;X or Y)(q11.2;pter)

Ütine  et al., 2009 [27]13032.3Deletion: del(22)(qter)dn 
Derivative: der(4)t(4;8)(pter;pter)dn
Derivative: der(9)t(4;9)(qter;pter)mat

Mihçi  et al., 2009 [28]10798.4Deletion: del(1)(pter−)dn [n = 2], del(3)(qter−)dn, del(9)(pter−)dn, del(9)(qter−)dn 
Derivative: der(18)t(18;22)(qter−;qter+)dn
Derivative: der(5)t(5;15)(pter−;qter+)pat [n = 2 siblings] 
Others: rec(10)dup(10p)inv(10)(p13q26)mat

Belligni et al., 2009 [29]761013.2Deletion: del(1)(p36)dn [n = 2], del(9)(q34qter)dn 
Derivative: der(6)(ptel−;qtel++)dn, der(5)t(5pter;10qter)dn, t(1;13)(p32.2;q31.1)dn
Derivative: der(9)t(9;16)(9pter-9q34.3::16q24.3-qter)pat, der(20)t(16;20)(q24;q13.3)pat, der(6)t(6;1)(p22.3;q44)mat, der(7)t(7;12)(q34;q24.32)mat

Bogdanowicz et al., 2010 [30]7645.3Deletion: del(1)(p36.3−)dn [n = 2] 
Derivative: der(1)t(1;12)(p36.3,q24.3+)dn 
Others: t(19;22)(q13.4−,q13.3+;q13.3−,q13.4+)dn

dos Santos and Freire-Maia, 2012 [31]1500

Our study8256.1Deletion: del(1)(p36.32)dn 
Derivative: der(3)t(X;3)(p22.3;p26.3)dn
Deletion: del(4)(p16.3) 
Derivative: der(10)t(7;10)(p22.3;q26.3), der(20)t(X;20)(p22.3;q13.3)

Summary 15,5914733.0

We included 13 patients, who had subtle subtelomeric rearrangements detected by high resolution G-banding. Of these, 10 cases had subtelomeric rearrangements detected by FISH. We excluded del(4)(q35.2)dn and der(Y)t(Y;17)(pter;q25.3)dn that were detected in 150 controls. Father was balanced translocation with deletion and duplication of 8p231. We excluded one case as FISH was performed in a normal father of 3 deceased patients with severe ID. The FISH result in the father revealed t(7;10)(q36;q26). We excluded 9 patients with interstitial deletions that were detected with control probes. The same individual. Karyotype nomenclature here is as shown in the original article but it was actually an unbalanced rearrangement (trisomy for 1p32.2 and monosomy for 13q31.1). Note that 1p32.1 and 13q31.1 are actually not subtelomeric regions. The same abnormality also found in parent but not a familial variant. ID with or without dysmorphism. ID with dysmorphism. +: gain, −: loss, dn: de novo, del: deletion, der: derivative, dim: partial deletion or diminished signal, dup: duplication, ins: insertion, inv: inversion, idic: isodicentric, mat: maternal, mos: mosaic, pat: paternal, rec: recombinant, tel: telomere, ter: terminal, and t: translocation.