CRI-DU-CHAT SYNDROME (5p-)
FISH ANALYSIS

The Kleberg Cytogenetics Laboratory offers a fluorescence in situ hybridization (FISH)-based assay for identifying the deletion of 5p15.2 associated with cri-du-chat syndrome.

Clinical Features:

Individuals with cri-du-chat syndrome have dysmorphic facial features, microcephaly, growth deficiency, mental retardation, speech delay and a characteristic “cat-like” cry.

Reasons for Referral:

Patients with clinical features suggestive of cri-du-chat syndrome may be tested for a deletion of 5p15.2 by FISH simultaneously with high-resolution chromosomal analysis (if not previously performed). The majority of deletions are detectable with high-resolution chromosomal analysis. Prenatal diagnosis may be performed if an affected family member has been studied in our laboratory and has been shown to have a deletion detectable by FISH. Please call regarding all prenatal samples.

Testing Methodology:

FISH is the application of fluorescently labeled DNA molecules to metaphase chromosomes and interphase nuclei for the detection of chromosome abnormalities and alterations. It is a rapid, reliable and direct approach for identifying patients with microdeletions or microduplications. FISH analysis for deletion 5p15.2 is performed on metaphase chromosomes using a commercially available probe. The presence of one hybridization signal indicates a deletion. Virtually all individuals with cri-du-chat syndrome will have a deletion identified by either high-resolution chromosome studies or FISH.

Specimen Requirements:

Whole blood in sodium heparin (green-top) tubes:
Newborn (< 3 months): Minimum 0.5 -2.0 CC
Adult/Child: Minimum 3.0 -5.0 CC

Shipping and Handling:

All tubes must be labeled with the patient's testname and date of birth, and a completed requisition form must accompany each sample. If the laboratory is billing the patient's insurance, please enclose a copy of the insurance card. Ship specimens for overnight delivery at ambient temperature. Please notify the laboratory of incoming samples.

Turnaround Time:

7-10 days

CPT Codes and Prices:

88230, 88271, 88273, 88291

References:

1. Church, et al. (1997) Genomic Res. 7: 787-801.

Forms:

 >> Cytogenetics Requisition
 >> Prenatal Requisition

Test Code:

8464