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Clinical and molecular cytogenetic description of a female patient with de novo 18q inversion duplication/deletion. GENE REPORTS 2021. [DOI: 10.1016/j.genrep.2021.101386] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
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Gökpınar İli E, Altıner Ş, Karabulut HG. Cytogenetic, Molecular, and Phenotypic Characterization of a Patient with de novo Derivative Chromosome 18 and Review of the Literature. Cytogenet Genome Res 2019; 159:74-80. [PMID: 31658462 DOI: 10.1159/000503574] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/10/2019] [Indexed: 11/19/2022] Open
Abstract
We present a patient with a de novo derivative chromosome 18 which includes a terminal deletion of 18p and a terminal duplication of 18q accompanied by a cryptic duplication of 18p. The girl had mild dysmorphic features such as micro-retrognathia, upslanted palpebral fissures, bilateral epicanthus, high palate, low-set ears, short neck, and full cheeks. She also had an H-type tracheoesophageal fistula which required surgery. Her cognitive and motor skills were delayed. Karyotype analysis showed an additional segment on the short arm of chromosome 18. Chromosomal microarray revealed a 7.3-Mb terminal loss from 18p11.32 to 18p11.23, a 22.2-Mb terminal gain from 18q21.31 to 18q23, and a 3.9-Mb interstitial gain from 18p11.22 to 18p11.21. We hypothesize that the mother has gonadal mosaicism for normal chromosome 18, der(18)dup(p11.22p11.21), and der(18)dup(p11. 22p11.21)inv(18)(p11.22q21.31), or both the terminal del/dup and the interstitial duplication occurred simultaneously.
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Poterico JA, Vásquez F, Chávez-Pastor M, Trubnykova M, Chavesta F, Chirinos J, Salcedo N, Mena R, Cubas S, González R, Alvariño R, Abarca-Barriga H. A Peruvian Child with 18p-/18q+ Syndrome and Persistent Microscopic Hematuria. J Pediatr Genet 2017; 6:258-266. [PMID: 29142771 DOI: 10.1055/s-0037-1604099] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/16/2017] [Accepted: 06/01/2017] [Indexed: 12/30/2022]
Abstract
Chromosome 18 pericentric inversion carriers could have offspring with recombinant chromosomes, leading to patients with clinical variable manifestations. Patients with 18p-/18q+ rearrangements share some clinical characteristics, while other characteristics differ. Factors for such divergence include the length of the inverted segment, among others. Here, we describe a Peruvian child with dysmorphic features, intellectual disability persistent microscopic hematuria, aortic pseudocoarctation, and descending aorta arteritis, among others. Karyotype analysis of family members determined the mother as the carrier of a pericentric inversion: 18[inv(18)(p11.2q21.3)]. This child carries a recombinant chromosome 18, with chromosomal microarray analysis detecting two genomic imbalances in patient's chromosome 18: one duplicated region and one deleted segment in the large and the short arms, respectively. Persistent microscopic hematuria has not been reported among 18p-/18q+ phenotypes. Our patient elucidates that other factors play significant and yet unknown roles for not fulfilling the proposed genotype-phenotype correlation associated with hemizygosity in this type of recombinant chromosome 18 or presenting these features as the patient ages.
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Affiliation(s)
- Julio A Poterico
- Department of Pathology, Instituto Nacional de Enfermedades Neoplásicas, Lima, Perú
| | - Flor Vásquez
- Department of Genetic & Inborn Error Metabolism, Instituto Nacional de Salud del Niño, Breña, Lima, Perú
| | - Miguel Chávez-Pastor
- Department of Genetic & Inborn Error Metabolism, Instituto Nacional de Salud del Niño, Breña, Lima, Perú.,Faculty of Human Medicine Alberto Hurtado, Universidad Peruana Cayetano Heredia, Lima, Perú
| | - Milana Trubnykova
- Department of Genetic & Inborn Error Metabolism, Instituto Nacional de Salud del Niño, Breña, Lima, Perú
| | - Félix Chavesta
- Department of Genetic & Inborn Error Metabolism, Instituto Nacional de Salud del Niño, Breña, Lima, Perú
| | - Jenny Chirinos
- Department of Genetic & Inborn Error Metabolism, Instituto Nacional de Salud del Niño, Breña, Lima, Perú
| | - Nancy Salcedo
- Department of Genetic & Inborn Error Metabolism, Instituto Nacional de Salud del Niño, Breña, Lima, Perú
| | - Rosmery Mena
- Department of Genetic & Inborn Error Metabolism, Instituto Nacional de Salud del Niño, Breña, Lima, Perú
| | - Sulema Cubas
- Department of Genetic & Inborn Error Metabolism, Instituto Nacional de Salud del Niño, Breña, Lima, Perú
| | - Rocío González
- Department of Genetic & Inborn Error Metabolism, Instituto Nacional de Salud del Niño, Breña, Lima, Perú
| | - Rossana Alvariño
- Department of Genetic & Inborn Error Metabolism, Instituto Nacional de Salud del Niño, Breña, Lima, Perú
| | - Hugo Abarca-Barriga
- Department of Genetic & Inborn Error Metabolism, Instituto Nacional de Salud del Niño, Breña, Lima, Perú.,Postgraduate Program at Odontopediatrics, Universidad Científica del Sur, Lima, Perú
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Córdova-Fletes C, Sáinz-González E, Avendaño-Gálvez RI, Ramírez-Velazco A, Rivera H, Ortiz-López R, Arámbula-Meraz E, Picos-Cárdenas VJ. De novo dir dup/del of 18q characterized by SNP arrays and FISH in a girl child with mixed phenotypes. J Genet 2015; 93:869-73. [PMID: 25572250 DOI: 10.1007/s12041-014-0459-8] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Affiliation(s)
- Carlos Córdova-Fletes
- Laboratorio de Citogenomica y Microarreglos, Departamento de Bioquimica y Medicina Molecular, Facultad de Medicina, Universidad Autonoma de Nuevo Leon, Monterrey, Nuevo Leon 64460, Mexico.
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Xie Y, Zhou Y, Wu J, Sun Y, Chen Y, Chen B. When Cri du chat syndrome meets Edwards syndrome. Mol Med Rep 2014; 11:1933-8. [PMID: 25385231 DOI: 10.3892/mmr.2014.2920] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/06/2014] [Accepted: 10/24/2014] [Indexed: 11/05/2022] Open
Abstract
It has been well established that the 5p deletion causes Cri du chat syndrome, typically characterized by a cat‑like cry, and that duplication of 18q causes Edwards syndrome; the two are rare genetic abnormalities that separately lead to physical and mental impairments. However, the severity of the clinicopathological characteristics that arise when these two aberrations occur in one patient is unknown. Here, the first case in our knowledge of a single patient (a two‑year‑old female) with 5p partial monosomy and 18q partial trisomy is described. In the present study, chromosome microarray analysis was performed, which identified the imbalance of chromosomes 5 and 18 in the patient. The chromosome aberrations were further confirmed by fluorescence in situ hybridization. By comparing the phenotypes of combined case with those of the individual syndromes, severe clinical phenotypes of the 5p (5p15.33‑p13.3) deletion were confirmed, however, the net effect of the duplication of 18q22.3‑q23 was not determined, as this duplication only appeared to have a weak effect on the patient's phenotypes. The correlation between these chromosomal aberrations and their clinical features has implications for the identification of critical regions of 5p and 18q, particularly for the functional mapping of chromosome 18.
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Affiliation(s)
- Yingjun Xie
- Department of Prenatal Diagnosis, The First Affiliated Hospital of Sun Yat‑sen University, Guangzhou, Guangdong 510080, P.R. China
| | - Yi Zhou
- Department of Prenatal Diagnosis, The First Affiliated Hospital of Sun Yat‑sen University, Guangzhou, Guangdong 510080, P.R. China
| | - Jianzhu Wu
- Department of Prenatal Diagnosis, The First Affiliated Hospital of Sun Yat‑sen University, Guangzhou, Guangdong 510080, P.R. China
| | - Yunxia Sun
- Department of Neonatology, Guangdong General Hospital, Guangdong Academy of Medical Sciences, Guangzhou, Guangdong 510080, P.R. China
| | - Yongzhen Chen
- Department of Prenatal Diagnosis, The First Affiliated Hospital of Sun Yat‑sen University, Guangzhou, Guangdong 510080, P.R. China
| | - Baojiang Chen
- Department of Prenatal Diagnosis, The First Affiliated Hospital of Sun Yat‑sen University, Guangzhou, Guangdong 510080, P.R. China
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Combined deletion 18q22.2 and duplication/triplication 18q22.1 causes microcephaly, mental retardation and leukencephalopathy. Gene 2013; 523:92-8. [DOI: 10.1016/j.gene.2013.03.078] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/15/2012] [Revised: 02/05/2013] [Accepted: 03/15/2013] [Indexed: 11/23/2022]
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