Studies of developmental processes are making significant contributions to the understanding of the pathogenesis of human developmental disorders. Since most developmental pathways are controlled by genetic factors, the identification of causative genes in congenital birth defect and the analysis of their developmental effects will greatly facilitate the understanding of underlying genetic control mechanism.
In a number of genetic diseases, structural chromosomal changes that segregate with the disease phenotype have served to map the causative genes to specific chromosomal regions. In this regard, Mendelian cytogenetics refers to the association between chromosomal rearrangements and single gene disorders. De novo chromosome translocations have been widely used for the mapping and cloning of disease genes. In these cases, translocation breakpoints provide important information about the gene location. Balanced chromosome translocations or inversions are rare chromosomal mutations of monogenic developmental disorders which are used to close the disease-causing gene in many genetic diseases.
Most of these balanced reciprocal chromosomal anomalies are sporadic such that the breakpoint disrupts the disease gene directly or dysregulates it indirectly by positional effect. Therefore, finding the exact position of a gene disrupted at the breakpoint can lead to the identification of a disease gene by the screening of patients with similar phenotype but without chromosomal anomalies.
In addition, it has become increasingly clear that microdeletion syndromes are largely due to the phenotypic effects of haploinsuffiency for single genes. This is seen in Smith-Magenis syndrome, Angelman syndrome and DiGeorge syndrome II. Consequently, microdeletions or microduplications have also become instrumental for the identification of disease genes