PMID- 10748409 OWN - NLM STAT- MEDLINE DCOM- 20000421 LR - 20190905 IS - 0148-7299 (Print) IS - 0148-7299 (Linking) VI - 91 IP - 2 DP - 2000 Mar 13 TI - Mirror-symmetric duplicated chromosome 21q with minor proximal deletion, and with neocentromere in a child without the classical Down syndrome phenotype. PG - 116-22 AB - We report on a mentally retarded child with multiple minor anomalies and an unusually rearranged chromosome 21. This der(21) chromosome has a deletion of 21p and of proximal 21q, whereas the main portion of 21q is duplicated leading to a mirror-symmetric appearance with the mirror axis at the breakpoint. The centromere is only characterized by a secondary constriction (with a centromeric index of a G chromosome) at an unexpected distal position, but fluorescence in situ hybridization (FISH) with either chromosome specific or with all human centromeres alpha satellite DNA shows no cross hybridization. Thus, the marker chromosome represents a further example of an "analphoid marker with neocentromere." Molecular analysis using polymorphic markers on chromosome 21 verified a very small monosomic segment of the proximal long arm of chromosome 21, and additionally trisomy of the remaining distal segment. Although trisomic for almost the entire 21q arm, our patient shows no classical Down syndrome phenotype, but only a few minor anomalies found in trisomy 21 and in monosomy of proximal 21q, respectively. CI - Copyright 2000 Wiley-Liss, Inc. FAU - Barbi, G AU - Barbi G AD - Abteilung Medizinische Genetik der Universitat, Ulm, Germany. gotthold.barbi@medizin.uni-ulm.de FAU - Kennerknecht, I AU - Kennerknecht I FAU - Wohr, G AU - Wohr G FAU - Avramopoulos, D AU - Avramopoulos D FAU - Karadima, G AU - Karadima G FAU - Petersen, M B AU - Petersen MB LA - eng PT - Case Reports PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Am J Med Genet JT - American journal of medical genetics JID - 7708900 SB - IM MH - Abnormalities, Multiple/*genetics MH - *Centromere MH - Child, Preschool MH - Chromosome Banding MH - Chromosome Painting MH - *Chromosomes, Human, Pair 21 MH - Down Syndrome/genetics MH - Facies MH - *Gene Deletion MH - Gene Library MH - Genotype MH - Humans MH - In Situ Hybridization, Fluorescence MH - Intellectual Disability/genetics MH - Male MH - Models, Genetic MH - Monosomy MH - Phenotype MH - *Trisomy EDAT- 2000/04/05 09:00 MHDA- 2000/04/29 09:00 CRDT- 2000/04/05 09:00 PHST- 2000/04/05 09:00 [pubmed] PHST- 2000/04/29 09:00 [medline] PHST- 2000/04/05 09:00 [entrez] AID - 10.1002/(SICI)1096-8628(20000313)91:2<116::AID-AJMG7>3.0.CO;2-Q [pii] AID - 10.1002/(sici)1096-8628(20000313)91:2<116::aid-ajmg7>3.0.co;2-q [doi] PST - ppublish SO - Am J Med Genet. 2000 Mar 13;91(2):116-22. doi: 10.1002/(sici)1096-8628(20000313)91:2<116::aid-ajmg7>3.0.co;2-q.