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

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Cytogenetics<br />

ing of complex examination of ejaculate from patients with infertility.<br />

Supported by CRDF&RFBR.<br />

Kurilo et al. Probl. Repr.(rus) <strong>19</strong>95.v.3.p.33<br />

P0409. Unusual small supernumerary marker chromosome<br />

(sSMC) in a woman with Triple X syndrome<br />

S. Soleimani 1 , F. Razazian 2 , F. Nasiri. 1 , S. Tootian. 1 , M. Zamanian. 1 , M. Rahnama<br />

1 , F. Mortezapoor 1 , F. Mahjobi 3 ;<br />

1 1) The Blood Transfusion Organization research center, Tehran, Iran, tehran,<br />

Islamic Republic of Iran, 2 The Blood Transfusion Organization research center,<br />

Tehran, Iran, tehran, Islamic Republic of Iran, 3 NRCGEB &The Blood Transfusion<br />

Organization research center, Tehran, Iran, tehran, Islamic Republic of<br />

Iran.<br />

Small supernumerary marker chromosomes (sSMC) are small additional<br />

chromosomes. sSMC have been reported previously in four<br />

types of syndromes associated with chromosomal imbalances: in approximately<br />

150 cases with Turner syndrome, 26 cases with Down<br />

syndrome and only one case each with Klinefelter syndrome and<br />

“Triple-X”-syndrome. Here we report the second case with an sSMC<br />

detected in addition to a Triple X karyotype.<br />

The reported patient was referred to our clinic because of mild mental<br />

retardation, developmental delay, dysmorphic face. Three cell lines<br />

was detected, one with 47, XXX, one with 46, X, +mar, and one with<br />

46, XX. The presence of a marker chromosome in this case generally<br />

implicates a sex chromosome origin. It may also originate from a nonsex<br />

chromosome.<br />

P0410. Sex chromosome aberrations associated with<br />

reproductive failure problems<br />

M. D. Miskovic1 , M. Guc-Scekic1,2 , S. Cirkovic1 , N. Lakic1 , A. D. Krstic1 , D.<br />

Radivojevic1 , T. Lalic1 , M. Djurisic1 ;<br />

1Mother and Child Health Care Institute of Serbia “Dr Vukan Cupic”, Belgrade,<br />

Serbia, 2Faculty of Biology, University of Belgrade, Belgrade, Serbia.<br />

Patients with sterility, primary amenorrhea, azoospermia or other reproductive<br />

failure have indication for cytogenetic analysis. The aim of<br />

this study was to evaluate the contribution of sex chromosomal abnormalities<br />

in such cases. We report here results of 22 patients, who visited<br />

Mother and Child Health Care Institute of Serbia “Dr Vukan Cupic”<br />

from <strong>19</strong>96-2006.<br />

Cytogenetic analysis was performed on 72-hour peripheral blood<br />

culture lymphocytes. Metaphases were karyotyped using G and C<br />

banding technique for chromosome identification. Molecular-genetic<br />

methods are used for solving cytogenetic dilemmas - FISH with X centromeric<br />

region specific probes (DXZ1) and PCR with primers for SRY<br />

gene and heterochromatin region of Y chromosome (HRY).<br />

In 3 males with azoospermia karyotype: 47,XXY was found. At 6 cases of<br />

male sterility following sex chromosome aberrations were seen: 47,XXY;<br />

46,i(X)(q10)Y; 46,XY[33]/47,XYY[4]; 46,XY[28]/47,XYY[8]; 46,X,der<br />

(Y)t(Y;Y)(p11.3;q11.1) and 46,X,r(Y)(p11.3;q12),inv(9)(p12q13)[22]/<br />

45,X,inv(9)(p12q13)[3]. In last two cases we provided presence of<br />

SRY gene and HRY using PCR method.<br />

Following karyotypes: 46,X,i(X)(q10); 46,X,i(X)(q10)[30]/45,X[3];<br />

47,XXX[3]/48,XXXX[1]/46,XX[96] were associated with female sterility.<br />

Primary amenorrhea diagnosed in 11 female was combined with<br />

karyotypes:<br />

45,X; 46,X,del(X)(q13); 45,X[34]/46,Xder(X?)[30] and 46,XY(8 cases).<br />

To determine numerical aberration of X chromosome and define mosaic<br />

karyotype FISH with X - centromeric region probe was used. The<br />

presence of Y chromosome was confirmed with PCR.<br />

Cytogenetic and molecular genetic approach is very important step to<br />

establish the genetic etiology in reproductive failure abnormalities. Our<br />

study shows that sex chromosomes aberrations are often associated<br />

with these disorders, which is crucial for genetic counseling and future<br />

possible preimplantation management.<br />

P0411. Application of FISH to identification of subtelomeric<br />

rearrangement in cases of intellectual disability and in a couples<br />

with reproduction problem<br />

J. Bogdanowicz, A. Ilnicka, B. Pawlowska, A. Tomankiewicz-Zawadzka, B.<br />

Sobiczewska, E. Zdzienicka, J. Kubalska, S. Gawlik-Zawiślak, A. Górna, J.<br />

Zaremba;<br />

12<br />

Institute of Psychiatry and Neurology, Warsaw, Poland.<br />

FISH technique with subtelomeric probes was applied for cytogenetic<br />

examination of 96 patients with normal karyotype obtained with routine<br />

banding methods. Patients were divided into two groups. Group I composed<br />

of 76 patients with intellectual disability, dysmorphic features;<br />

group II composed of 10 couples (20 individuals with history of several<br />

miscarriages and offspring with abnormal phenotype. In group I in 4<br />

(5%) cases subtelomeric aberrations were found: 3 cases of subtelomeric<br />

deletion 1p36 ( 2 de novo and one due to inherited 1;12 translocation<br />

(with resulting monosomy of subtelomeric region1p and trisomy<br />

of subtelomeric region of 12q). In all 3 cases phenotypic features were<br />

characteristic of 1p deletion syndrome.<br />

In the case No 4 balanced de novo translocation <strong>19</strong>;22 was found.<br />

In the other 3 cases of group I subtelomeric polymorphic variants of<br />

chromosome 2q (inherited deletion) and 7q (inherited duplication)<br />

were found.<br />

In group II three families with subtelomeric translocations were diagnosed:<br />

(7;14), (4;7) and (9;18): in two families chromosome 7q<br />

subtelomeric deletion was diagnosed ( one of them prenatally); holoprosencephaly<br />

and associated abnormalities (cleft lip and palate,<br />

microcephaly) were observed in these cases (most probably sonic<br />

hedgehog gene being involved).<br />

P0412. Molecular characterization of a mosaicism with a<br />

complex chromosome rearrangement: Evidence for coincident<br />

chromosome healing by telomere capture and neo-telomere<br />

formation<br />

E. Chabchoub 1 , L. Rodríguez 2 , E. Galán 3 , E. Mansilla 2 , M. L. Martínez-Fernandez<br />

2 , M. L. Martínez-Frías 2 , J. P. Fryns 1 , J. R. Vermeesch 1 ;<br />

1 Centre for <strong>Human</strong> <strong>Genetics</strong> - University Hospital Gasthuisberg, Leuven, Belgium,<br />

2 Estudio Colaborativo Español de Malformaciones Congénitas (ECEMC)<br />

del Centro de Investigación sobre Anomalías Congénitas (CIAC), Instituto de<br />

Salud Carlos III, Ministerio de Sanidad y Consumo, Madrid, Spain, 3 Servicio de<br />

Pediatría. Hospital Materno Infantil de la seguridad Social de Badajoz, Badajoz,<br />

Spain.<br />

Broken chromosomes, such as terminal deletions, must acquire new<br />

telomeric “caps” to be structurally stable. Chromosome rescue could<br />

be mediated either by telomerase through neo-telomere synthesis or<br />

by telomere capture. The first process is the main mechanism healing<br />

broken chromosomes in germline cells, the latter in somatic cells. Here,<br />

we describe a clinical and molecular study of a 14 year-old girl presenting<br />

with mental retardation, facial dysmorphism, urogenital malformations<br />

and limbs anomalies. High resolution G banding shows a de novo<br />

complex chromosome rearrangement in mosaic with two different cell<br />

lines, one cell line with a deletion 9pter and one cell line carrying an<br />

inverted duplication 9p and a non-reciprocal translocation 5pter fragment.<br />

Using array comparative genomic hybridization (a CGH), fluorescence<br />

in-situ hybridization (FISH) and polymorphic markers we deduced<br />

the most likely sequence of events that generated this complex<br />

mosaic. Surprisingly, we show evidence for simultaneous stabilization<br />

of rearranged chromosomes by telomere capture and neo-telomere<br />

synthesis. During embryogenesis, a double-strand break occurred<br />

on the paternal chromosome 9. Following mitotic separation of both<br />

broken sister chromatids, one acquired a telomere via neo-telomere<br />

formation, while the other generated a dicentric chromosome which<br />

underwent breakage during anaphase, giving rise to the del inv dup(9)<br />

that was subsequently healed by chromosome 5 telomere capture.<br />

P0413. Breakpoints analysis of a balanced de novo translocation<br />

t(3;18)(q13.13;q12.1) in a patient with Opitz C trigonocephaly<br />

syndrome<br />

T. Kaname 1,2 , K. Yanagi 1 , Y. Chinen 3 , K. Yoshiura 4,2 , N. Niikawa 4,2 , K. Naritomi 1,2 ;<br />

1 Department of Medical <strong>Genetics</strong>, University of the Ryukyus, Nishihara-cho, Japan,<br />

2 SORST, JST, Kawaguchi, Japan, 3 Department of Pediatrics, University of<br />

the Ryukyus, Nishihara-cho, Japan, 4 Department of <strong>Human</strong> <strong>Genetics</strong>, Nagasaki<br />

University Graduate School of Biomedical Sciences, Nagasaki, Japan.<br />

We present molecular characterization for a balanced translocation<br />

t(3;18)(q13.13;q12.1) in a male patient. He had clinical manifestations<br />

of the Opitz C trigonocephaly syndrome (OCTS) including trigonocephaly,<br />

a prominent metopic ridge, upslanting palpebral fissure, epicanthal<br />

folds, high-arched palate, thick and irregular alveolar ridge,<br />

long philtrum, redundant nuchal skin, a genesis of the corpus callosum,<br />

and hypotonia, who had been recently reported [Am. J. Med. Genet.

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