Thesis (Ph. D.)--University of Virginia, 2009. / Title from title page. Includes bibliographical references. Also available online through Digital Dissertations.

Thesis (Ph.D. in Human Medical Genetics) -- University of Colorado Denver, 2008. / Typescript. Includes bibliographical references (leaves 98-112). Free to UCD Anschutz Medical Campus. Online version available via ProQuest Digital Dissertations;

Thesis (M.S.)--University of Missouri-Columbia, 2005. / "May 2005" The entire dissertation/thesis text is included in the research.pdf file; the official abstract appears in the short.pdf file (which also appears in the research.pdf); a non-technical general description, or public abstract, appears in the public.pdf file. Includes bibliographical references.

Thesis (Ph. D.)--University of Washington, 2006. / Vita. Includes bibliographical references (leaves 69-76).

abstract: We propose a novel solution to prevent cancer by developing a prophylactic cancer. Several sources of antigens for cancer vaccines have been published. Among these, antigens that contain a frame-shift (FS) peptide or viral peptide are quite attractive for a variety of reasons. FS sequences, from either mistake in RNA processing or in genomic DNA, may lead to generation of neo-peptides that are foreign to the immune system. Viral peptides presumably would originate from exogenous but integrated viral nucleic acid sequences. Both are non-self, therefore lessen concerns about development of autoimmunity. I have developed a bioinformatical approach to identify these aberrant transcripts in the cancer transcriptome. Their suitability for use in a vaccine is evaluated by establishing their frequencies and predicting possible epitopes along with their population coverage according to the prevalence of major histocompatibility complex (MHC) types. Viral transcripts and transcripts with FS mutations from gene fusion, insertion/deletion at coding microsatellite DNA, and alternative splicing were identified in NCBI Expressed Sequence Tag (EST) database. 48 FS chimeric transcripts were validated in 50 breast cell lines and 68 primary breast tumor samples with their frequencies from 4% to 98% by RT-PCR and sequencing confirmation. These 48 FS peptides, if translated and presented, could be used to protect more than 90% of the population in Northern America based on the prediction of epitopes derived from them. Furthermore, we synthesized 150 peptides that correspond to FS and viral peptides that we predicted would exist in tumor patients and we tested over 200 different cancer patient sera. We found a number of serological reactive peptide sequences in cancer patients that had little to no reactivity in healthy controls; strong support for the strength of our bioinformatic approach. This study describes a process used to identify aberrant transcripts that lead to a new source of antigens that can be tested and used in a prophylactic cancer vaccine. The vast amount of transcriptome data of various cancers from the Cancer Genome Atlas (TCGA) project will enhance our ability to further select better cancer antigen candidates. / Dissertation/Thesis / Ph.D. Molecular and Cellular Biology 2012

Orientador: Prof. Dr. Márcio Katsumi Oikawa / Dissertação (mestrado) - Universidade Federal do ABC, Programa de Pós-Graduação em Ciência da Computação, 2016. / No Brasil, há grande variação da prevalência de doenças infecciosas, dentre as quais podemos destacar as hepatites B e C. Um dos fatores que pode in uenciar o tratamento é a realização de um diagnóstico preciso e rápido do genótipo do vírus que ataca o paciente. Esse diagnóstico norteará todos os procedimentos clínicos de tratamento de curto, médio e longo prazo, além de permitir indicar com maior precisão a lista de medicamentos usados pelo paciente e acompanhar historicamente a in uência do tratamento na sua vida cotidiana. Em muitos casos ocorre a resistência da doença a um determinado medicamento, resistência associada à presença de mutações em regiões específicas do DNA. O processo de compreensão da resistência é dinamico e depende de muitas observações e testes, no entanto, pode ser estruturado com regras e expressões representadas pela lógica de primeira ordem, pois esta ultima fornece sentenças abrangentes sob a forma de quantificadores e operações sobre variáveis. Nesse contexto, esse projeto se propõe a implementar uma gramática capaz de interpretar expressõess em lógica de primeira ordem, aplicados a análise de dados biológicos e a diversos contextos semânticos. A gramática foi desenvolvida na linguagem de programação Java, com o auxílio da ferramenta ANTLR e empregada por uma biblioteca, nomeada de BIAR (Biblioteca de Análise de Regras). Na forma de biblioteca, o BIAR, pode ser utilizado sozinho ou acoplado com outros softwares. Na seleção resultados encontramos um estudo de caso sobre sua aplicabilidade para a composição de regras de tratamento usando medicamentos. Desta forma, o BIAR demonstra condições de analisar expressões levando em consideração características clinicas e epidemiol logicas, oferecendo um grau maior de especifcidade para as analises de sequencias, baseado no historico de pacientes de centros hospitalares da cidade de São Paulo. / In Brazil, there is wide variation in infectious diseases prevalence, among which we highlight the hepatitis B and C. One of the factors that may in uence the treatment is to perform an accurate and rapid identication of the virus genotype that infected the patient. This diagnosis will guide all clinical procedures in short, medium and long term treatments, and also allows to state more precisely the list of medicines that will used by the patient and to track the in uence of treatment in their daily lives. In many cases, there may be a disease resistance to a particular drug which is associated to the presence of mutations in specic regions of DNA. The process of understanding the resistance is dynamic and depends on many observations and exams. However, it can be structured with rules and keywords represented by rst-order logic, that provides comprehensive decisions as quantiers of operations on variables. In this context, this project aimed to implement a lexical grammar capable of interpreting expressions in rst-order logic, applied to biological data analysis and dierent semantic contexts. The grammar was developed in Java programming language, with the help of ANTLR tool, and employed by a library named BIAR (Analysis of rules library). In its library format, the BIAR may be used alone or coupled with other softwares. In the Results section, we present a case study about its applicability to the development of procedures in treatments with drugs. Therefore, BIAR demonstrates the abilities to analyze expressions according to clinical and epidemiological characteristics, providing a higher degree of specicity for analysis of sequences, based on the medical histories of patients from hospitals centers in S~ao Paulo city.

Psychosocial factors are the interrelated psychological, social and/or behavioural considerations that can influence talent development in football (Holt & Dunn, 2004). Despite this, the significant growth of female football worldwide, and the psychosocial challenges faced by female athletes during adolescence, scant scholarly attention has been afforded to the role of psychosocial factors in the development of talented female football players. Therefore the main aim of this thesis was to understand psychosocial factors associated with talent development in UK female football players. Study one systematically reviewed the literature on psychosocial factors associated with talent development in soccer. Following an extensive literature searching, selecting and appraisal process, three overarching themes of psychological, social and behavioural factors associated with talent development in soccer - underpinned by a total of 33 subthemes were created. The appraised literature has a moderate-to-high risk of reporting bias; had a significant bias towards adolescent, Caucasian, male, able-bodied, and European soccer players; and extant literature has demonstrated bias towards quantitative approaches and retrospective data collection methods. Consequently, study two began to address these reported biases by longitudinally and prospectively investigating the developmental experiences of English elite female youth soccer players. Through interviews, fieldwork and the use of composite sequence analysis, study two forwarded the importance of psychosocial considerations including the interaction between players and key social agents (soccer fathers, soccer brothers, soccer peers and non- soccer peers), elements of self-regulation and volitional behaviours, and the subsequent developmental benefits for their soccer careers. However, this study did not address the experiences of those who were unsuccessful in their attempts to achieve an elite female soccer career, nor did it collect primary data from other key social agents. Building on the critique of study two, study three sought to adopt an underutilised approach of negative case analysis by examining the experiences of players who had been unsuccessful in their attempts to forge a career in female soccer. Based on interviews former female players, their best friends, coaches and teachers, a grounded theory of talent and career development in UK female youth soccer players was produced. The theory posited that interactions with multiple social agents can affect the quality of talent development and learning environment that a player experiences, which can lead to adaptive player level benefits and changes (e.g., basic psychological need satisfaction; development of pertinent intra-individual constructs; optimal match preparation and training behaviours) and create a greater chance of career success. Study three also forwarded important culturally significant considerations for practitioners working with UK female soccer players, such as an understanding of dual career demands and the impact of role strain on female players. However, study three did not test any of the theoretical predictions offered by the grounded theory. Owing to the need to test predictions of grounded theories to assess their predictive validity, study four sought to test key predictions using a representative sample of English talented and elite adolescent female soccer players (N=137). As a result of the limited structural stability of the Basic Needs Satisfaction in Sport Scale and the Talent Development Environment Questionnaire (as demonstrated by significant cross loading of items, high bivariate correlations between subscales, and one example of an inadequate Cronbach s alpha), data was parcelled and the revised path hypothesis: perceptions of talent development environment > basic psychological needs satisfaction > career aspirations and beliefs > career intentions was produced. Path analysis supported the hypothesis. Supporting findings of studies two and three, regression analysis demonstrated that playing level positively predicted career beliefs, aspirations and intentions; whereas age negatively predicted these variables. Finally, TDEQ results indicated a perception that UK female soccer players that they can be written off before having the opportunity to fulfil their potential. Overall, this thesis has provided original and unique contributions to the sport psychology literature by enlightening the body of research to the developmental experiences of English female youth soccer players. It provides a developmental understanding scarcely evident in existing talent development literature. The interactional roles of multiple social agents have been elucidated and linked to psychosocial development, behavioural outcomes and talent and career progression within talented female players. The thesis has extended previous approaches to talent development in soccer by testing the predictions of the grounded theory. Initial evidence suggests that the proffered grounded theory is robust; however further research utilising structurally sound and ecologically valid measures would serve to further validate these claims.

O gênero Nocardia é composto por bactérias gram-positivas e filamentosas, que normalmente só causam doença em indivíduos imunocomprometidos. No entanto, certo número de infecções por nocardia têm sido relatados em pacientes imunocompetentes. Nos últimos anos, observou-se um aumento da frequência de infecções por Nocardia spp. e, com o aumento do número de espécies descritas, a identificação correta tem sido de difícil obtenção mas de grande importância para a aplicação do tratamento correto e elucidação epidemiológica. O objetivo deste estudo foi caracterizar, por métodos fenotípicos e moleculares, 72 isolados de Nocardia spp. de interesse médico, avaliando as metodologias para elaborar um algoritmo de identificação. Os isolados foram provenientes da Micoteca do Instituto de Medicina Tropical de São Paulo e da rotina do Núcleo de Tuberculose e Micobacterioses do Instituto Adolfo Lutz. Os isolados foram identificados por testes fenotípicos, identificação molecular por análise de restrição (PRA-hsp65), sequenciamento dos genes hsp65 e 16S rRNA e MALDI-TOF MS (Matrix-associated laser desorption time of flight mass spectrometry). O perfil de suscetibilidade foi analisado pelo método de Concentração Inibitória Mínima (MIC) e disco difusão (DD), com os fármacos: amicacina, ciprofloxacina, minociclina, tobramicina, amoxacilina+ácido clavulânico, imipenem e sulfametoxazol+trimetoprim. Os resultados revelaram que a identificação fenotípica foi insuficiente para definir as espécies. Apenas 24 (33,4%) isolados tiveram identificação fenotípica concordante com o sequenciamento do gene 16S rRNA. Na analise feita pela técnica de PRA-hsp65 foram observados 20 (27,8%) N. brasiliensis, seis (8,3%) isolados de outras espécies de nocardias e 38 (52,8%) foram considerados novos padrões (NP). Foi detectado um isolado misto e em cinco isolados não foi obtido produto de amplificação. O sequenciamento do gene hsp65 proporcionou a identificação de 51 isolados como Nocardia, 14 foram identificados como pertencentes a outros gêneros, dos quais, um apresentou mistura de nocardia e micobactéria, sendo identificado como Mycobacterium abscessus no gene hsp65 (análise in silico) e N. otitidiscaviarum no gene 16S rRNA. Sete isolados não foram sequenciados devido à ausência de amplificação do fragmento. Os isolados analisados através do sequenciamento do gene 16S rRNA, foram identificados como Nocardia (57-79,2%), Gordonia (7-9,7%), Rhodoccocus (3-4,2%), Tsukamurella (2-2,8%), Mycobacterium (2-2,8%) e Streptomyces (1-1,3%). Para a análise de MALDI-TOF MS foi observado que, dos 72 isolados estudados, 49 foram identificados como Nocardia, 11 como pertencentes a outros gêneros e 12 amostras não puderam ser identificadas devido aos valores de leitura não serem adequados para análise. Pela primeira vez o corante resazurina foi utilizado para leitura de MIC de Nocardia sp. Entre os fármacos testados através do MIC, os que apresentaram maior sensibilidade foram amicacina (100%) e tobramicina (84%). As maiores resistências foram encontradas com os fármacos sulfametoxazol+trimetoprim (76%) e imipenem (54%). Devido à ausência de critérios interpretativos de disco difusão para o gênero Nocardia, foi elaborado um critério para o presente estudo. Os resultados obtidos no teste de DD mostraram 100% de sensibilidade para os fármacos amicacina, minociclina e sulfametoxazol+trimetroprim. Os isolados apresentaram a maior porcentagem de resistência ao fármaco ciprofloxacina (64%). Comparando os resultados de DD com os obtidos no MIC, observamos que os fármacos ciprofloxacina, imipenem e sulfametoxazol+trimetoprim apresentaram porcentagem de discordância acima de 20%. O fármaco sulfametoxazol+trimetoprim teve a maior discordância (>75%), com elevada porcentagem de isolados resistentes na MIC, mas baixa porcentagem de resistência em DD. O único fármaco com 100% de concordância entre os resultados foi amicacina. Foi elaborado um algoritmo de identificação que utiliza técnicas fenotípicas para triagem para diferenciar nocardias de outros gêneros. A identificação por PRA-hsp65 será útil na rotina de laboratório de micobactérias como identificação presuntiva. A identificação definitiva das espécies deve ser obtida pelo sequenciamento do gene 16S rRNA. / The genus Nocardia comprises filamentous gram-positive bacteria that usually cause disease only in immunocompromised individuals. However, a number of Nocardia infections have been reported in immunocompetent patients. Overall, it has been reported in the recent years an increased frequency of infections caused by Nocardia spp. due to an also increasing number of species, making the correct identification of the species more difficult. Correct identification assumes a major importance with respect to antimicrobial treatment\'s choice as well a for epidemiological investigation purposes. The objective of this study was to characterize by phenotypic and molecular methods 72 isolates of Nocardia spp. of medical interest, designing the methodologies for an identification algorithm. The isolates were obtained from the fungal collection of the Tropical Medicine Institute of São Paulo and the routine service of the Tuberculosis and Mycobacteriosis Center of the Adolfo Lutz Institute. The isolates were identified by phenotypic testing, molecular identification by restriction analysis (PRA-hsp65), hsp65 and 16S rRNA genes sequencing, and MALDI-TOF MS (matrix-associated laser desorption time-of-flight mass spectrometry). The susceptibility profile was analyzed by the Minimum Inhibitory Concentration method (MIC) and disk diffusion (DD), with the following drugs: amikacin, ciprofloxacin, minocycline, tobramycin, amoxicillin+ clavulanic acid, imipenem and sulfamethoxazole trimethoprim. The results showed that the phenotypic identification was insufficient to define the species. Only 24 (33.4%) of the isolates had phenotype identification that was concordant with the 16S rRNA gene sequencing. In the analysis made with the PRA-hsp65 technique were observed 20 (27.8%) N. brasiliensis and six (8.3%) isolates from other species of Nocardia spp., while 38 isolates (52.8%) were considered as new standards (NP). Also by this technique a mixed isolate was detected and an amplification product was not obtained in five isolates. The hsp65 gene sequencing provided identification of 51 isolates as Nocardia, 14 were identified as belonging to other genera, one of them being identified either as Mycobacterium abscessus by in silico analysis of the hsp65 gene and as N. otitidiscaviarum by the 16S rRNA gene sequencing. Seven isolates were not sequenced due to the absence of the amplified fragment. The isolates analyzed by 16S rRNA gene sequencing were identified as Nocardia (57 to 79.2%), Gordonia (7 to 9.7%), Rhodoccocus (3 to 4.2%), Tsukamurella (2-2, 8%), Mycobacterium (2 to 2.8%) and Streptomyces (1-1.3%). By MALDI-TOF MS analysis of the 72 isolates, 49 were identified as Nocardia, 11 were identified as belonging to other genera and 12 isolates could not be identified because the samples provided reading values that were inadequate for analysis. For the first time, to our knowledge, the resazurin dye was used to determine the MICs of Nocardia sp. Among the drugs tested, the most sensitives were amikacin (100%) and tobramycin (84%). The higher resistances were found with trimethoprim-sulfamethoxazole (76%) and imipenem (54%). Due to the absence of establishe criteria for the interpretation of the disk diffusion assay with Nocardia, we designed a specific criterion for this study. The results obtained in the DD test showed 100% sensitivity for the drugs amikacin, minocycline and trimethoprim-sulfamethoxazole. The isolates showed the highest percentage of resistance to ciprofloxacin drug (64%). Comparing the results with those obtained with DD and MIC, we observed that ciprofloxacin, imipenem and sulfamethoxazole-trimethoprim showed a percentage of disagreement above 20%. The sulfamethoxazole-trimethoprim drug had the highest discrepancy (> 75%), with high percentage of resistant isolates with MIC but low percentage of resistance in DD. The only drug with 100% agreement between the both results was amikacin. We designed a recognition algorithm using phenotyping techniques to screen and differentiate nocardias from other genera. The identification by PRA-hsp65 will be useful in routine mycobacteria laboratory as a presumptive identification tool. The final identification of the species should be obtained by sequencing the 16S rRNA gene.

Orientador: Carmen Silvia Bertuzzo / Tese (doutorado) - Universidade Estadual de Campinas, Faculdade de Ciências Médicas / Made available in DSpace on 2018-08-23T19:05:10Z (GMT). No. of bitstreams: 1 Rossanese_LillianBarbosadeQueiroz_D.pdf: 6549748 bytes, checksum: 054df2cab96a347008ff6d310b9dcfa9 (MD5) Previous issue date: 2012 / Resumo: Mutações germinativas no gene APC (Polipose adenomatosa coli) são responsáveis pela ocorrência de polipose adenomatosa familiar (PAF). Mutações somáticas levam à transformação maligna de adenomas. O objetivo desse trabalho foi identificar mutações germinativas no gene APC. No presente estudo, 20 pacientes com PAF foram estudados. A determinação das mutações germinativas no APC foi realizada por meio de sequenciamento, e as mutações foram comparadas com marcadores clínicos (sexo, idade no momento do diagnóstico, tabagismo, estádio TNM, classificação Coller-Astler e o grau de diferenciação do adenocarcinoma). Os dados foram comparados por meio do programa SPSS , com o teste de Fisher e teste de ?2 , considerando ? = 0,05. De acordo com os principais resultados da nossa amostra, 16 alelos com mutações deletérias (80 % dos pacientes) foram identificados, enquanto 7 (35%) pacientes não tinham mutações deletérias. Houve um predomínio de mutações nonsense (45% dos pacientes) e de mutações frameshift (20% dos pacientes). Não houve significância estatística entre as mutações germinativas identificadas e as variáveis clínicas consideradas em nosso estudo. Apenas a fase TNM foi associada com a presença de mutações deletérias. Os portadores com mutações deletérias tinha uma OR , 0,086 ( IC = 0,001-0,984 ); TNM I + II em comparação com III + IV , quando comparado com os pacientes sem mutações deletérias identificados. Neste estudo, demonstramos a heterogeneidade molecular de mutações germinativas no APC em portadores de PAF e a dificuldade para realizar diagnóstico molecular em uma população brasileira / Abstract: Adenomatous polyposis coli (APC) germline mutations are responsible for the occurrence of familial adenomatous polyposis (FAP). Somatic mutations lead to malignant transformation of adenomas. In this context, considering the significance of APC germline mutations in FAP, we aimed to identify APC germline mutations. In the present study, 20 FAP patients were enrolled. The determination of APC germline mutations was performed using sequencing, and the mutations were compared with clinical markers (gender, age at diagnosis, smoking habits, TNM stage, Astler-Coller stage, degree of differentiation of adenocarcinoma). The data were compared using the SPSS program, with the Fisher's exact test and ?2 test, considering ?=0.05. According to the main results in our sample, 16 alleles with deleterious mutations (80% of the patients) were identified while 7 (35%) patients had no deleterious mutations. There was a predominance of nonsense (45% of the patients) and frameshift (20% of the patients) mutations. There was no statistical significance between the APC germline mutations identified and the clinical variables considered in our study. Only TNM stage was associated with the presence of deleterious mutations. Patients with deleterious mutations had an OR, 0.086 (IC=0.001-0.984); TNM stage I + II in comparison with III + IV, when compared with the patients with no deleterious mutations identified. In this context, as a conclusion, we demonstrated the molecular heterogeneity of APC germline mutations in FAP and the difficulty to perform molecular diagnostics in a Brazilian population, considering the admixed population analyzed / Doutorado / Clinica Medica / Doutora em Ciências

Orientador: Vera Lúcia Gil da Silva Lopes / Dissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Ciências Médicas / Made available in DSpace on 2018-08-19T02:52:06Z (GMT). No. of bitstreams: 1 Sgardioli_IlariaCristina_M.pdf: 3234786 bytes, checksum: cb2f0f67f9d7df7814742dbf6ed4fb44 (MD5) Previous issue date: 2011 / Resumo: A Síndrome Velocardiofacial (SVCF), uma das formas do espectro da Síndrome de deleção 22q11.2, possui incidência de 1/4.000 a 1/6.000 nascimentos. Embora a microdeleção em 22q11.2 seja a principal causa da síndrome, cerca de 10 a 20% dos pacientes com características clínicas da SVCF não a apresentam. Em alguns indivíduos com características clinicas da SVCF e sem microdeleção em 22q11.2, foram encontradas outras aberrações cromossômicas e mutações no gene TBX1. Existem evidências em modelos animais que aventam a associação de alterações no gene FGF8 ao fenótipo da SVCF em humanos. No entanto, até o momento, o gene FGF8 ainda não havia sido estudado em pacientes com SVCF sem microdeleção. Os objetivos deste trabalho foram: 1 - investigar as causas genéticas em pacientes com suspeita clínica da SVCF por meio de cariótipo e triagem de microdeleções, utilizando a técnica de MLPA e FISH; 2 - verificar a presença de alterações nas seqüências codificantes dos genes TBX1 e FGF8 em pacientes sem deleção 22q11.2. Foram incluídos 109 indivíduos com suspeita clínica de SVCF avaliados clinicamente por médico geneticista e os métodos utilizados foram: cariótipo com bandas G; MLPA, FISH; seqüenciamento direto das regiões codificantes dos genes TBX1 e FGF8 e SNP-array. Dos 101 casos em que o exame de cariótipo foi realizado, quatro apresentaram aberrações cromossômicas não relacionadas à SVCF, sendo que em duas foi possível a confirmação dos resultados por SNP-array. Realizou-se MLPA de 106 casos, sendo que 29 foram positivos para a deleção. Dos casos negativos, selecionou-se 31 indivíduos após reavaliação clínico-dismorfológica com a hipótese clínica mantida e foi realizado seqüenciamento das regiões codificantes dos genes TBX1 e FGF8. No gene TBX1 foram encontradas variações normais na seqüência e no gene FGF8 não foram detectadas alterações, com exceção dos exons 1 e 2, em que não foi possível análise por problemas técnicos. O exame de cariótipo contribuiu na investigação inicial e permitiu concluir a investigação por outras técnicas. O MLPA se mostrou eficiente para a investigação diagnóstica da deleção 22q11.2, identificando, também, outras alterações; FISH confirmou 82,1% dos resultados obtidos por MLPA. Não foram identificadas alterações patogênicas nas regiões codificantes dos genes TBX1 e em 90% das regiões codificantes do gene FGF8 / Abstract: Velocardiofacial Syndrome (SVCF), one of the forms of the 22q11.2 Microdeletion Syndrome spectrum, has an incidence of 1/4.000 to 1/6.000 births. Although the 22q11.2 microdeletion is the main cause of the syndrome, approximately 10 to 20% of the patients with clinical features of SVCF don't present it. In a few individuals with SVCF clinical features and without 22q11.2 microdeletion other chromosomal aberrations and changes in TBX1 gene were found. There is evidence in animal models that suggests the associated changes in FGF8 gene in humans. However, the FGF8 gene had not been studied in patients with SVCF without microdeletion yet. The purpose of this work was: 1 - To investigate the genetic causes in patients with clinical suspicion of SVCF through the karyotype and microdeletion screening using MLPA and FISH techniques; 2 - To check the presence of changes in coding sequences of the TBX1 gene and FGF8 gene in patients without 22q11.2 deletion. 109 individuals with clinical suspicion of SVCF and clinically evaluated by a clinical geneticist were included, and the following methods were used: karyotype with GTG banding, MLPA, FISH, direct sequencing of coding regions of TBX1 and FGF8 gene and SNP-array. Four out of 102 cases in which the tests of karyotype were performed presented chromosomal aberrations not related to SVCF, two of them confirmed by SNP-array. The MLPA of 106 cases was performed, 29 of them positive to deletion. 31 individuals were selected among negative cases, after clinical reevaluation based on the same clinical hypothesis maintained, and direct sequencing of coding regions of TBX1 and FGF8 gene were performed. Normal variations in sequence were found in TBX1 gene and alterations were not detected in FGF8 gene except for 1 and 2 exons because of technical problems. The karyotype test contributed in the first investigation and permitted us to conclude the investigation by means of other techniques. The MLPA proved to be effective for the diagnostic investigation of 22q11.2 deletion, identifying other alterations as well; FISH confirmed 82,1% results obtained by MLPA. Pathogenic alterations in coding regions of TBX1 gene and in 90% of the coding regions of FGF8 gene were not identified / Mestrado / Ciencias Biomedicas / Mestre em Ciências Médicas