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TRISOMY 8 MOSAICISM: CELL CYCLE KINETICS AND ...

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Case Report<br />

RESULTS<br />

Amniocentesis, performed due to abnormal maternal serum triple screen,<br />

diagnosed the fetus with T8m. Twenty-five metaphase cells were investigated and<br />

resulted in 47,XY+8 [8] and 46,XY [17]. The male infant was delivered naturally at 40<br />

weeks gestation and weighed 3.3kg, which falls in the 50 th percentile. Physical<br />

manifestations included bitemporal narrowing, large fleshy ears, hypoplastic nails, deep<br />

palmar and plantar furrows, first-degree hypospadias, severe cardiac enlargement<br />

secondary to pulmonary hypertension, and feeding difficulties. The infant expired at 8<br />

weeks of age due to pulmonary hypertension.<br />

At the time of birth various fetal tissues were collected including peripheral<br />

blood, cord blood, umbilical cord (blood vessel), and extra-embryonic tissues including<br />

chorion, amnion, and villi. Each sample was investigated separately for metaphase and<br />

interphase analysis, and cell cycle kinetics.<br />

Tissue Mosaicism Determination<br />

Once the tissues were cultured and harvested, the slides were prepared and<br />

G-banded (see figures 1 and 2) for analysis of mosaicism percentage. Trisomy 8 cells<br />

were found in every sample, except for the transformed lymphoblasts (see Table 1).<br />

17

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