Cri du chat syndrome is caused by a deletion on chromosome 5p and results in a cat-like cry in infants. It can involve deletions of varying sizes on the short arm of chromosome 5. Phenotypic effects range from mild to severe developmental delays. While most cases are sporadic, familial inheritance is possible. There is heterogeneity even among family members with the same deletion, with factors like genomic imprinting possibly influencing severity. Treatment focuses on managing symptoms and providing support for developmental needs.
Cri du chat syndrome is caused by a deletion on chromosome 5p and results in a cat-like cry in infants. It can involve deletions of varying sizes on the short arm of chromosome 5. Phenotypic effects range from mild to severe developmental delays. While most cases are sporadic, familial inheritance is possible. There is heterogeneity even among family members with the same deletion, with factors like genomic imprinting possibly influencing severity. Treatment focuses on managing symptoms and providing support for developmental needs.
Cri du chat syndrome is caused by a deletion on chromosome 5p and results in a cat-like cry in infants. It can involve deletions of varying sizes on the short arm of chromosome 5. Phenotypic effects range from mild to severe developmental delays. While most cases are sporadic, familial inheritance is possible. There is heterogeneity even among family members with the same deletion, with factors like genomic imprinting possibly influencing severity. Treatment focuses on managing symptoms and providing support for developmental needs.
Cri du chat syndrome is caused by a deletion on chromosome 5p and results in a cat-like cry in infants. It can involve deletions of varying sizes on the short arm of chromosome 5. Phenotypic effects range from mild to severe developmental delays. While most cases are sporadic, familial inheritance is possible. There is heterogeneity even among family members with the same deletion, with factors like genomic imprinting possibly influencing severity. Treatment focuses on managing symptoms and providing support for developmental needs.
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Presented By
Cri Du HADIQA AIMEN
FA19/RMG/006 Chat Syndrome (Cry of the Cat) Cri du chat syndrome, also known as chromosome 5p deletion syndrome
5p deletions, whether terminal or
interstitial, occur at different breakpoints Introduction Discovered by a geneticist named Jerome Lejeune
The variability seen among individuals
may be attributed to the differences in their genotypes. Genetics graphics Molecular Characterization • 5p deletions can be interstitial or terminal and range from 560 kb to 40 Mb in size • not have any terminal deletions greater than 33 Mb • 5p deletions are most commonly de novo occurrences • which are paternal in origin in 80–90% of cases • Terminal deletions comprise 80–90% of cases and interstitial deletions account for 3–5% • Less common mechanisms include mosaicism (1.4%), inversions (0.5%), or ring chromosomes (0.5%) Chromosome 5p gene dosage map • There is also phenotypic heterogeneity among family members with the same deletion • parents of affected children with 5p– deletions who themselves have the same deletion yet do not appear to have any symptoms • siblings born to these parents, despite having inherited the same deletion, vary with respect to features such as growth and development • No imprinted genes have been identified • Following factors had not been explored • effects of modifier genes • additional copy number variants • mutations or allelic variation in the homologous allele • occult duplications • epigenetic modifications • coexisting diagnoses • variable expressivity • environmental factors • members of families in which the deletion was maternally inherited were observed to have only mild growth and developmental delays versus families in whom it was paternally inherited
• If there are de novo cases with the same breakpoints, a comparison
analysis of those whose hemizygous alleles are paternal versus maternal in origin may elucidate whether phenotypic differences exist Inheritance • Caused by a dominant trait. • CTNND2 is an important gene • CTNND2 gene usually makes the delta catenin protein. • This protein works in the nervous system and helps with cell movement. • The loss of CTNND2 may cause Delta Catenin protein severe brain damage in some patients. • The TERT gene provides instructions for making one component of an enzyme called telomerase. Telomerase TERT maintains structures called telomeres, which are composed of repeated segments of DNA found at the ends of chromosomes. Telomeres protect chromosomes from abnormally sticking together or breaking down (degrading). Detailed map of the cat-like cry ‘critical region’. (a) STS marker positions, (b) known genes and EST sequences identified and (c) predicted exons identified by Genscan program in the cat-like cry ‘critical region’. Plus and minus mark the two different DNA strands No specific treatment
Treatment Genetic counseling
Therapy to improve skills needed in life
like: language skills motor skills Statistics 90% randomly-occurring deletion
10% occurs purely by inheritance
1 in 20,000 to 50,000 newborns
The male to female ratio is 3:4
30% of infants with cri-du-chat have heart defects