Williams Syndrome
Williams Syndrome is the result of a segmental
aneuploid deletion of a small portion of the long arm of
Chromosome 7 (2n = 46, 7q11.23-). The fluorescence in situ
hybridization (FISH) image for the standard karyotype
[above, right] with two complete chromosomes shows
binding of a control
probe for another locus on the 7q arm, along with
an experimental probe for the elastin gene locus, which is present in
the q11.23
region on each of two
medium-sized metacentric chromosomes. The Williams karyotype
(above, left) shows one standard chromosome, to which
both probes bind, and one segmental aneuploid chromosome in which
only the
control probe binds, which indicates a segmental
deletion of q11.23.
According to the Williams Syndrome
Association, children with Williams Syndrome are
characterized by "[S]mall
upturned nose, long philtrum (upper lip length), wide
mouth, full lips, small chin, and puffiness around the
eyes. Blue and green-eyed children with Williams
syndrome can have a prominent "starburst" or white
lacy pattern on their iris." Medical conditions
include narrowing of the aorta (aortic stenosis) and/or
pulmonary arteries, hypercalcemia (elevated blood
calcium levels), low birth-weight and/or "failure to
thrive", dental anomalies, renal anomalies,
inguinal hernia, hyperacusis (hearing sensitivity, "startle response"),
low muscle tone and joint laxity.
"Individuals
with Williams syndrome have a very endearing
personality. They have a unique strength in their
expressive language skills, and are extremely polite.
They are typically unafraid of strangers and show a
greater interest in contact with adults than with
their peers.... Most people with Williams syndrome
have mild to severe learning disabilities and
cognitive challenges. Young children with Williams
syndrome often experience developmental delays.
Milestones such as walking, talking and toilet
training are often achieved somewhat later than is
considered normal. Distractibility is a common problem
in mid-childhood, which can improve as the children
get older... Older children and adults with Williams
syndrome often demonstrate intellectual "strengths and
weaknesses."
For the
advanced student: What is the purpose of
the Control Probe?
Suppose you are a genetic counselor and perform the FISH test on a
newborn child. What is your interpretation if (1) The
karyotype shows binding of both the control and elastin
probes to only one chromosome, (2) the karyotype
shows binding only of the elastin probe, either
(a) to one chromosome only, or (b) two both chromosomes,
or (3) The karyotype does not show binding of either the
control or elastin probes.
See [http://www.williams-syndrome.org/]
Fraser (second
from left) & friends