Multiplex Ligation-dependent Probe Amplification (MLPA) is a method used to determine the copy number of up to 45 genomic DNA sequences in a single multiplex PCR based reaction. For this study we used MLPA P245 Microdeletion Syndromes for screening of the most common microdeletion syndromes and MLPA P036 Subtelomeres Mix 1 for screening of subtelomeric deletions/ duplications. To confirm alternations discovered with MLPA P036 Subtelomeres Mix 1 we used MLPA P070 Subtelomeres Mix 2B.
Array CGH - the whole genome CNVs screening was carried out by the oligo array CGH. DNA was isolated from peripheral blood by phenol-chloroform extraction. We used the OGT 4x44k format oligonucleotide microarray with a targeted CN resolution of 1 probe every 52kb and a backbone CN resolution of 1 probe every 81kb. The slides were scanned on a GenePix 4100A, two-colour fluorescent scanner (Axon Instruments, Union City, CA, U.S.A.). The arrays were analyzed by CytoSure Interpret Software.