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Atli EI, Atli E, Yalcintepe S, Gurkan H. A Rare Case of Mosaic Unbalanced Non-Robertsonian Translocation Involving Chromosomes 15 and 22 with Congenital Abnormalities in Monozygotic Twins. Mol Syndromol 2020; 10:320-326. [PMID: 32021606 DOI: 10.1159/000505004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/12/2019] [Indexed: 11/19/2022] Open
Abstract
Balanced de novo non-robertsonian translocations (non-RTs), which involve acrocentric chromosomes, are rare findings in clinical cytogenetics and may be associated with an abnormal phenotype. These translocations, detected by conventional karyotyping, are found in approximately 1:1,000 neonates. In most of these cases, one of the parents carries the same translocation. In this study, we report a rare non-RT involving chromosomes 15 and 22 defined as 45, XX, -22,der(15;22)t(15;22)/46, XX, der(15)t(15;22),der(22). To our knowledge, this is the first report of a non-RT t(15;22) with these breakpoints.
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Affiliation(s)
- Emine I Atli
- Department of Medical Genetics, Faculty of Medicine, Trakya University, Edirne, Turkey
| | - Engin Atli
- Department of Medical Genetics, Faculty of Medicine, Trakya University, Edirne, Turkey
| | - Sinem Yalcintepe
- Department of Medical Genetics, Faculty of Medicine, Trakya University, Edirne, Turkey
| | - Hakan Gurkan
- Department of Medical Genetics, Faculty of Medicine, Trakya University, Edirne, Turkey
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Vittas S, Efstathiou G, Tsakalidis C, Malamaki C, Antari V, Chatzitoliou E, Chatziioannidis I, Galli-Tsinopoulou A, Soubasi V. De novo Unbalanced 1;22 Translocation with 22q11 Deletion Syndrome. Cytogenet Genome Res 2019; 158:32-37. [PMID: 30799418 DOI: 10.1159/000497173] [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: 08/06/2018] [Indexed: 11/19/2022] Open
Abstract
This report describes a newborn girl presenting with some of the common features of DiGeorge syndrome/velocardiofacial syndrome (DGS/VCFS), including hypocalcemia, atrial septal defect, and aortic stenosis. Several genetic tests were carried out to determine the origin of the clinical phenotype. MLPA was initially performed followed by aCGH, cytogenetic analysis, and FISH. Cytogenetic analysis of the proband's parents was also done. MLPA revealed a deletion in 22q11.1q11.2 spanning from the cat eye syndrome region to the most commonly deleted region in DGS/VCFS patients. The size of the deletion as defined by aCGH was 3.2 Mb. The karyotype of the proband was 45,XX,der(1)t(1;22)(p36.3;q11.2)dn,-22, the karyotypes of the parents were normal. FISH analysis showed that the 22q11 deletion occurred in the der(1). No loss or gain of chromosomal material was evident for chromosome 1, as confirmed by MLPA, aCGH, and FISH. Unbalanced translocations resulting in DGS are relatively rare, with limited reports in the literature. To our knowledge, this is the second case involving chromosome 1 and the first one with breakpoints in 1p36 and 22q11.2. This case also emphasizes the importance of combining diagnostic methods to better understand a given genetic abnormality.
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MESH Headings
- 22q11 Deletion Syndrome/genetics
- Abnormal Karyotype
- Chromosomes, Human, Pair 1/genetics
- Chromosomes, Human, Pair 1/ultrastructure
- Chromosomes, Human, Pair 22/genetics
- Chromosomes, Human, Pair 22/ultrastructure
- Comparative Genomic Hybridization
- DiGeorge Syndrome/genetics
- Female
- Humans
- In Situ Hybridization, Fluorescence
- Infant, Newborn
- Nucleic Acid Amplification Techniques
- Sequence Deletion
- Syndrome
- Translocation, Genetic/genetics
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Gug C, Huțanu D, Vaida M, Doroş G, Popa C, Stroescu R, Furău G, Furău C, Grigoriță L, Mozos I. De novo unbalanced translocation t(15;22)(q26.2;q12) with velo-cardio-facial syndrome: A case report and review of the literature. Exp Ther Med 2018; 16:3589-3595. [PMID: 30233713 PMCID: PMC6143868 DOI: 10.3892/etm.2018.6609] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/17/2018] [Accepted: 08/06/2018] [Indexed: 12/16/2022] Open
Abstract
The present study reports the case of a 3-h old male with a de novo unbalanced t(15;22) translocation and velo-cardio-facial syndrome (VCFS), with other abnormalities. The manifestations of the condition observed in the patient included cleft palate with feeding difficulties, respiratory infection, dysmorphic face with almond-shaped eyes, a long and wide nose, small and low-set ears, tetralogy of Fallot, cryptorchidism and varus equinus. Standard lymphocyte cytogenetic analysis using G-banding demonstrated a 45,XY,-22,der (15),t(15;22)(q26.2;q12) karyotype. Fluorescent in situ hybridization with DiGeorge/VCFS TUPLE 1 confirmed 22q11 deletions. These cytogenetic aspects appear to be rare in the etiology of VCFS, as >1% of all 22q11 deletions are the result of an unbalanced translocation, which involves chromosomes 22 and another chromosome. To the best of our knowledge, this is the second reported case where the clinical features associated with VCFS are combined with an unbalanced (15;22) translocation involving the critical 22q11.2 region.
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Affiliation(s)
- Cristina Gug
- Department of Microscopic Morphology, Victor Babeș University of Medicine and Pharmacy, 300041 Timisoara, Romania
| | - Delia Huțanu
- Department of Biology, Chemistry-Biology-Geography Faculty, West University Timisoara, 300115 Timisoara, Romania
| | - Monica Vaida
- Department of Anatomy and Embryology, Victor Babeș University of Medicine and Pharmacy, 300041 Timisoara, Romania
| | - Gabriela Doroş
- Department of Pediatrics, Victor Babeș University of Medicine and Pharmacy, 300041 Timisoara, Romania
| | - Cristina Popa
- Department of Microscopic Morphology, Victor Babeș University of Medicine and Pharmacy, 300041 Timisoara, Romania
| | - Ramona Stroescu
- Department of Pediatrics, Victor Babeș University of Medicine and Pharmacy, 300041 Timisoara, Romania
| | - Gheorghe Furău
- Department of General Medicine, Faculty of Medicine, 'Vasile Goldis' Western University of Arad, 310118 Arad, Romania
| | - Cristian Furău
- Department of Life Sciences, Faculty of Medicine, 'Vasile Goldis' Western University of Arad, 310118 Arad, Romania
| | - Laura Grigoriță
- Department of Anatomy and Embryology, Victor Babeș University of Medicine and Pharmacy, 300041 Timisoara, Romania
| | - Ioana Mozos
- Department of Functional Sciences, Victor Babeș University of Medicine and Pharmacy, 300173 Timisoara, Romania.,Center for Translational Research and Systems Medicine, Victor Babeș University of Medicine and Pharmacy, 300173 Timisoara, Romania
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