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European Human Genetics Conference 2007 June 16 – 19, 2007 ...

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Cytogenetics<br />

P0298. Female-specific instability of pericentromeric regions in<br />

human embryo development: the earliest clinically significant<br />

manifestation of difference between the sexes<br />

N. V. Kovaleva;<br />

St. Petersburg Medical Academy of Postgraduate Studies under the Federal<br />

Agency of Health Care and Social Development, St. Petersburg, Russian Federation.<br />

Recent studies on the sex ratio (SR, male to female ratio) among chromosome<br />

mosaicism carriers suggested female-specific chromosome<br />

loss and centromere instability during early human development [1].<br />

Mosaicism results from later gestation postzygotic formation, while formation<br />

of a chromosome rearrangement in the first zygotic cleavage<br />

results in nonmosaics. Purpose: Nonmosaic homologous acrocentric<br />

rearrangements (Rea), both balanced (blRea) and unbalanced (unblRea)<br />

mostly result from post-fertilization events [2]. Therefore, the<br />

study on the SR in carriers of a de novo nonmosaic Rea might elucidate<br />

when sex-specific centromere instability becomes manifest. Method:<br />

Review of balanced and unbalanced homologous Rea cases of known<br />

sex and mode of ascertainment identified from the literature. Results:<br />

(1) Increased proportion of females in prenatally detected carriers of<br />

both blRea (5M/8F) and unblRea (10M/13F). (2) Female prevalence<br />

among postnatally ill-defined carriers of unblRea (25M/39F). (3) These<br />

data cannot be explained by a strong intrauterine selection against<br />

male carriers of unblRea since a female preponderance was found<br />

among miscarried fetuses (8M/13F). (4) Female prevalence among<br />

patients with PWS due to 45,der(15q;15q) (6M/14F). (5) Overall, there<br />

were 54 males and 87 females in the study group (SR=0.62), significantly<br />

different from the expected ratio of 1.06 (p=0.0023). Conclusion:<br />

These observations indicate sex-specific centromere instability<br />

at the earliest stage of human embryo development. It is suggested<br />

that reactivation of the paternal X chromosome occurring in the female<br />

zygote, might interfere with the chromatin remodeling process, thus<br />

contributing to the increased fragility of pericentromeric regions.<br />

[1]Kovaleva NV. AJMG 136A:401-13<br />

[2]Robinson et al. AJHG 54:290-302<br />

P0299. High resolution oligo array CGH analysis of challenging<br />

samples.<br />

S. Song, J. Collins;<br />

Agilent Technologies Inc., Santa Clara, CA, United States.<br />

In recent years, array-based Comparative Genomic Hybridization<br />

(aCGH) has been refined to determine chromosomal changes at progressively<br />

higher resolutions. This evolving technology is, however,<br />

somewhat hampered by the large amounts of input DNA required<br />

- a minimum of 150,000 copies of a human genome, or 0.5 µg, are<br />

generally needed to process one aCGH microarray. The GenomePlex<br />

Whole Genome Amplification (WGA) kit provides a rapid method for<br />

processing biological samples of limited quantity, expanding the application<br />

of aCGH technology to analysis of nanogram quantities of DNA.<br />

Furthermore, this global exponential amplification method enables researchers<br />

to representatively amplify genomic DNA from samples that<br />

have been fragmented to an average size of less than 1 kb. This feature<br />

may enable CGH analysis of FFPE samples that were previously<br />

thought to be unusable due to their limited amounts of DNA and high<br />

level of degradation. The data presented in this poster demonstrate<br />

the high quality data that can be generated using Agilent’s high density<br />

oligo aCGH microarrays in combination with Sigma’s GenomePlex<br />

WGA kit. Firstly, WGA lowers the required minimum amount of starting<br />

DNA to as little as 10 ng. In addition, the ability to amplify low molecular<br />

weight DNA, less than 0.5-1 kb in size, is demonstrated. Finally, we<br />

compare the performance of the GenomePlex WGA method to that<br />

of a Phi29-based isothermal amplification method in generating high<br />

quality aCGH data on Agilent microarrays. All aCGH testing has shown<br />

GenomePlex amplified material to behave comparably to larger quantities<br />

of purified genomic DNA.<br />

101<br />

P0300. Comparison of subtelomeric FISH, Multi-FISH and CGH<br />

for the screening of chromosomal rearrangements in 90 patients<br />

with unexplained mental retardation and dysmorphic features<br />

P. Callier, L. Faivre, N. Marle, C. Thauvin, J. Guy, A. Mosca, D. Assous, F.<br />

Huet, F. Mugneret;<br />

Département de Génétique, CHU le Bocage, DIJON, France.<br />

Mental retardation affect 1-3% of the general population and the aetiology<br />

remains unknown in many cases. Conventional cytogenetics<br />

detected rearrangements of more than 10 Mb in size. The development<br />

of molecular cytogenetic techniques permits to identify cryptic<br />

rearrangements, but their frequency is uncertain in patients with unexplained<br />

mental retardation. Only few studies have been performed<br />

to compare the potential of molecular cytogenetic techniques to detect<br />

chromosomal rearrangements. Here we present a study including 90<br />

patients with unexplained mental retardation and dysmorphic features<br />

with normal high-resolution karyotypes, investigated by subtelomeric<br />

FISH, CGH and Multi-FISH.<br />

A total of 6/90 abnormalities were found (6.6%), including three de<br />

novo deletions (1pter, 4pter and 3q21.1-q21.3), two de novo unbalanced<br />

translocations [der(8)t(6;8)(p25;p23] and [der(22)t(10;22)(q26;q<br />

13)], and one unbalanced translocation inherited from the father [der(2<br />

)t(2;10)(q37;q26)pat]. Subtelomeric FISH evidenced 5/6 chromosomal<br />

unbalances but could not detect the interstitial 3q21.1-q21.3 deletion.<br />

CGH revealed 6/6 chromosomal rearrangements but did not detected<br />

the 10qter duplication of the de novo unbalanced [der(2)t(2;10)(q37;<br />

q26)pat] translocation. Multi-FISH did not permit to detect any chromosomal<br />

abnormalities. Molecular cytogenetics studies with specific<br />

BACs probes of the rearrangements are in progress to better define<br />

the size of the chromosomal abnormalities. We compared our results<br />

with previously published studies. This study confirmed the significant<br />

frequency of subtelomeric rearrangements in patient with unexplained<br />

mental retardation, dysmorphic features and demonstrates the importance<br />

of CGH technology to detect interstitial and subtelomeric rearrangements.<br />

P0301. Identification of prognostic chromosomal aberrations in<br />

childhood acute lymphoblastic leukemia<br />

R. Lasan 1 , J. Konja 2 , L. Rajic 2 , R. Feminic 2 , D. Begovic 1 ;<br />

1 <strong>Genetics</strong> and Metabolism Division, Pediatrics Department, University Hospital<br />

Center Zagreb, Zagreb, Croatia, 2 Pediatrics Department, University Hospital<br />

Center Zagreb, Zagreb, Croatia.<br />

Cytogenetic abnormalities emerge as a very important characteristic<br />

of chilhood acute lymphoblastic leukemia (ALL) with major diagnostic<br />

and prognostic impact.<br />

We report bone marrow cytogenetic analysis (CTG) at the time of<br />

diagnosis 85 children (36 females and 49 males) with de novo ALL<br />

aged from 2 months to 15 years old. Uninformative investigations were<br />

2.1%. Normal karyotype was detected in 40.0% (3 with constitutial<br />

+21) cases. The analysis was performed in the period of the last five<br />

years.<br />

Clonal chromosomal abnormalities were present in 60% of the patients.<br />

Changes in ploidy were found in 65.3% of abnormal cases.<br />

The distribution of ploidy groups was: hyperdiploidy with >50 chromosomes<br />

in 34.7% (seven of them were associated with structural chromosomal<br />

changes), hyperdiploidy (47-50 chromosomes) in 14.2%,<br />

pseudodiploidy in 4.1%, hypodiploidy (35-45 chromosomes) 12.2%<br />

of the patients. The most frequently acquired numerical abnormalities<br />

were: +4, +6, +8, +14, +17, +18, +21 and +X. Structural aberrations<br />

were found in 34.7% of the patients. The most frequent structural aberrations<br />

were: del(6q), del(9p), t(9;22), rearrangments of chromosome<br />

14q, 5q and 12p (mostly like a part of complex karyotype), and<br />

t(12;21)(p13;q22.3).<br />

The stuctural and numerical aberrations observed in 69.5% patients<br />

were correiated by FISH. Translocations were: t(12;21), t(9;22), t(1;12),<br />

and one marker chromosome was identified as der (21)t(21;?). For residual<br />

disease, interphase-FISH in combination with cell enrichment or<br />

RT-PCR is extremely useful.<br />

Cytogenetic investigations at diagnosis and during follow up documented<br />

unique chromosomal aberrations which yielded diagnostic<br />

and/or prognostic significance for each relevant patient.

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