CHROMOSOME 22 CENTRAL 
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RESEARCH OPPORTUNITIES

 CAT EYE SYNDROME RESEARCH

The Children’s Hospital of Philadelphia has long been involved in the study of genetic alterations of chromosome 22. With support from the National Organization for Rare Diseases, Dr. Emanuel’s laboratory is embarking on a research study entitled “Improving the Diagnosis of Cat-Eye Syndrome.”  Our primary goal for this research project is to develop and test a high-resolution, high-throughput technique to efficiently detect the duplications of 22q11.2 associated with the Cat-Eye syndrome.  We will design DNA probes from the sequence of human chromosome 22 to assess copy number differences of 22q11.2 in order to make the test readily available to molecular and molecular cytogenetic diagnostic laboratories.

We are eager to receive samples from individuals with a diagnosis of cat-eye syndrome to test the sensitivity of this new “kit.” To participate in this study you or your child must have a diagnosis of Cat-Eye syndrome on the basis of either phenotypic findings or cytogenetic analysis.

Participation will consist of providing information regarding the individual’s medical findings relevant to the diagnosis of Cat-Eye syndrome. This could, potentially be transmitted as part of a telephone interview with one of our genetic counselors.  Alternatively, this might require review of medical records.  Participants will also be asked to provide a blood sample for DNA and chromosome analysis.

Any individual with a diagnosis of Cat-Eye syndrome is welcome to participate. Another goal of the study is to document the frequency of various types of problems in individuals with Cat-Eye syndrome in relation to the amount of genetic material that is duplicated.  This will help us to investigate the reasons for different features and symptoms that are seen in individuals with Cat-Eye syndrome. If there are multiple family members with the diagnosis, we would like to involve your family in a more detailed analysis of the genetic aspects that could potentially lead to recurrence of Cat-Eye syndrome. If you would like to learn more about this opportunity or to participate in our study, please contact Donna McDonald-McGinn, M.S. at (215) 590-2920 or via email at MCGINN@email.chop.edu.


Cedars-Sinai Medical Center is a world leader in the study of genetic conditions. The Department of Medical Genetics at Cedars-Sinai Medical Center, in conjunction with support from the National Organization for Rare Diseases, is conducting a research study involving individuals with a diagnosis of cat-eye syndrome. In order to participate in this study you or your child must have a known diagnosis of Cat-Eye syndrome. Participation will consist of:

1) A review of medical records, limited only to those records that address issues and treatment related to the diagnosis of cat-eye syndrome.

2) A telephone interview with one of the study coordinators to discuss your/your child’s history and quality of life issues.

Any individual with a diagnosis of cat-eye syndrome is welcome to participate. The study coordinators are particularly interested talking with individuals that are age 10 or older. The purpose of the study is to document the frequency of various types of problems in individuals with cat-eye syndrome as they get older.

The researchers are also interested in investigating the reason for the different symptoms that we see in individuals with cat-eye syndrome. If there are multiple family members with the diagnosis, we would like to talk with your family about a special part of the study that involves detailed analysis of the genetic changes that lead to cat-eye syndrome. If you would like to learn more about this opportunity please contact Nancy Kramer, M.S. at (310) 423-9943 or via email at nancy.kramer@cshs.org.

CAT EYE SYNDROME

Post to the CES message board


(can be referred to as CES, Partial Trisomy (22pter-22q11), Partial Tetrasomy (22pter-22q11) or Inverted Duplication (22qter-22q11) or Schmid-Fraccaro Syndrome

Cat Eye Syndrome is a very rare malformation involving Chromosome 22. The short arm (p) and a small section of the long arm (q) are present three (trisomic) or four times (tetrasomic) instead of the usual two times. The additional chromosome 22 usually arises spontaneously (de novo), though it has been reported to have been passed down in families, and some reports show the parents as mosaic for the marker chromosome but who show no phenotypic (outer) symptoms of the syndrome.

The chromosomal area included in the Cat Eye Syndrome "critical region" is 22pter-->q11. 

The first association of the common abnormalities common to CES was established over 100 years ago (1898) by Haab, and first described in association with a small marker chromosome in 1965 by Schachenmann. A first report of a familial tisomy 22 pter-->q11happened in 1972 by Buhler et al. Early reports of Cat Eye Syndrome discuss the possibility of chromosome 13 involvement. Now, CES is considered to be present with the chromosome 22 trisomy findings.

22q11.2 is a very unstable region of chromosome 22, which is involved in other syndromes, such as 22q11 deletion ( a microdeletion of that area of the chromosome) and supernumerary der(22) syndrome, also known as trisomy 22 or partial trisomy 11/22.

This is what chromosome 22 looks like:

The most common association of symptoms include coloboma of the iris, renal abnormalities, and imperforate anus. Life expectancy is not significantly reduced in those patients who do no present life threatening abnormalities. The term "Cat Eye" syndrome was coined due to the particular appearance of the vertical colobomas in the eyes of some patients. However, over 1/2 of the CES patients in the literature do NOT display this trait.

CLINICAL FEATURES MAY INCLUDE:

  • Anal Atresia (abnormal obstruction of the anus)
  • unilateral or bilateral iris coloboma (absence of tissue from the colored part of the eyes
  • Palpebral fissures (downward slanting openings between the upper and lower eyelids
  • Preauricular pits/tags (small depressions/growths of skin on the outer ears
  • Cardiac defects
  • kidney problems (missing, extra, or underdeveloped kidneys)
  • short stature
  • scoliosis/skeletal problems
  • mental retardation, though most patients are borderline normal to mildly retarded, a few of normal intelligence, and rarely, moderate to severe retardation.
  • micrognathia (smaller jaw)
  • hernias
  • cleft palate
  • Rarer malformations can affect almost any organ.

    Click here for a more extensive list of findings

Read an article written by Rayna Cordova, mom to a child with CES.

OMIM Article on Cat Eye Syndrome

NORD entry (purchase full text on site)

CAT EYE SYNDROME REFERENCE ARTICLES

Full Text: 

Ryusuke MATSUMOTO; Chikara SHIMIZU; So NAGAI; Satoshi TANIGUCHI; Masaaki UMETSU; Yasunori KIMURA; Toshiya ATSUMI; Narihito YOSHIOKA; Mitsumasa KUBO and Takao KOIKE, Cat-eye Syndrome with Isolated Idiopathic Hypogonadotropic Hypogonadism . Intern. Med. 44: 1069-1073, 2005 .

Partial trisomy of chromosome 22 resulting from an interstitial duplication of 22q11.2 in a child with typical cat eye syndrome

DIAGRAM - LINK - CAT EYE SYNDROME REGION OF CHROMOSOME 22

FRENCH - ORPHANET ENTRY
Cat-eye, syndrome
du

Cat eye-syndromet - SWEDISH

 


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