A prenatal case of a 46,XX[44]/ 48,XX,+2XMAR[11].ish(D14Z1/ D22Z1+,WCP+)mat. karyotype, with marker chromosome effects on the phenotypes in three generations


Sayar C., Toksoy G., Türköver B., Yardımcı T., Şahinoğlu Z.

CHROMOSOME RESEARCH, cilt.15, sa.1, ss.122, 2007 (SCI-Expanded)

  • Yayın Türü: Makale / Vaka Takdimi
  • Cilt numarası: 15 Sayı: 1
  • Basım Tarihi: 2007
  • Doi Numarası: 10.1007/s10577-007-1911-x3
  • Dergi Adı: CHROMOSOME RESEARCH
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.122
  • İstanbul Üniversitesi Adresli: Evet

Özet

Fetal karyotype 46,XX[44]/48,XX,+2xmar[11] was identified by amniotic fluid analysis of a pregnant woman referred for advanced maternal age and a mentally retarded child. CBG and NOR banding analysis showed that these marker chromosomes are monocentric and bisatellited and that they have the same structure. In order to identify whether they are inherited in the family, chromosome analysis of the parents and their mentally retarded child was done. The results showed that the mother has the same marker in a singular form with mosaic structure and the mentally retarded child has the marker in the singular form in all cells from blood lymphocytes. Additionally chromosome analysis was done on the grandparents. The grandmother has the same marker with mosaic structure in singular and double copy. To identify the origin of the marker specific to this family FISH analysis was performed and the origin from chromosome 14 was determined. The painting probes include series involving satellites, therefore the existence of euchromatin materials in the marker chromosome could not be proven. Second level ultrosonographic findings were normal. The fetus has two marker chromosomes in mosaic form so that an adverse effect on the phenotype cannot be predicted; genetic counselling and prenatal treatments are disscussed. Although the family members carrying the marker chromosome have normal phenotypes, the effect of the the mosaic marker in the fetus cannot be determined. With all this information genetic counselling was given to the family. The etiology of the mentally retarded child has to be identified before a new pregnancy should be planned.