Table 1.
Characteristics of 14 Patients with Microdeletions at the 22q11.2 Locus Associated with the DiGeorge Syndrome.*
Patient No. | Deletion Type† |
Kidney Phenotype |
Kidney Location |
Urinary Tract Phenotype |
Extrarenal Phenotype |
Sex | Nationality | Age at Diagnosis |
Outcome |
---|---|---|---|---|---|---|---|---|---|
Discovery cohort | |||||||||
P1 | A–D | Renal hypodysplasia (right), cortical cyst (left) | Bilateral | None | None | M | French | 14 days | Normal renal function |
P2 | A–D | Renal agenesis | Right | None | Developmental delay | M | Italian | 10 yr | Normal renal function |
P3 | B–D | Normal renal parenchyma | Left | Left ureterovescical junction obstruction, hypospadia | Arched palate, mild antimongoloid slants | M | Macedonian | 3 mo | Mild renal insufficiency |
P4 | C–E | Renal agenesis | Left | Vesicoureteral reflux, megaureter | Ventricular septal defect | M | French | 3 mo | Mild renal insufficiency, microalbuminuria |
P5 | C–D | Renal hypodysplasia, cortical cysts | Left | Left megaureter | Undescended testis, epicanthus, chest hemangioma | M | Czech | 1 mo | Normal renal function |
P6 | C–D | Renal agenesis | Bilateral | None | None | M | French | Prenatal | Termination of pregnancy |
P7 | C–D | Reflux nephropathy | None | Vesicoureteral reflux | None | F | European American | 16 yr | Mild renal insufficiency |
P8 | C–D | Renal hypodysplasia | Left | None | None | F | Polish | 9 yr | Normal renal function |
P9 | C–D | Renal hypodysplasia and scarring | Bilateral | Ureteropelvic junction obstruction, vesicoureteral reflux, bladder diverticuli | Phimosis | M | Italian | Birth | Chronic kidney disease |
P10 | C–D | Renal agenesis | Left | Vesicoureteral reflux | Undescended testis | M | Swiss | Birth | Normal renal function |
P11 | C–D | Renal agenesis | Left | None | None | F | Italian | 21 yr | Normal renal function |
Replication cohort | |||||||||
RP1 | A–D | Renal agenesis | Right | None | None | M | Polish | 8 yr | Normal renal function |
RP2 | B–D | Renal agenesis | Left | Vesicoureteral reflux | None | F | Polish | 1 yr | Normal renal function |
RP3 | B–D | Renal hypodysplasia | Left | Vesicoureteral reflux | None | M | Polish | 4 mo | Normal renal function |
A total of 1752 patients were included in the discovery cohort and 328 patients in the replication cohort. F denotes female, M male, and RP patients in the replication cohort.
According to the megabase coordinates from the Human Genome 19 release, the boundaries for the chromosome 22q11.2 deletions are from 18.9 to 21.5 mb for the region between LCR22 A and D, 20.7 to 21.5 mb for the region between B and D, 21.1 to 21.5 mb for the region between C and D, and 21.0 to 22.1 mb for the region between C and E.