PMID- 10767487 OWN - NLM STAT- MEDLINE DCOM- 20000512 LR - 20191103 IS - 0188-4409 (Print) IS - 0188-4409 (Linking) VI - 31 IP - 1 DP - 2000 Jan-Feb TI - Functional Xp disomy and hypomelanosis of Ito. PG - 88-92 AB - BACKGROUND: Hypomelanosis of Ito (HI) is a neurocutaneous phenotype that reflects different mosaicisms, including functional imbalances secondary to chromosome-X inactivation patterns in certain X;autosome translocation carriers. METHODS: We assessed X inactivation patterns by means of the human androgen receptor (HUMARA) assay and BrdU labeling in affected and unaffected skin of a young female with HI and a de novo t(X;13)(Xp13q;Xq13p). PCR analysis was carried out in DNA extracted from uncultured and cultured skin, whereas the BrdU replication patterns were sought in cultured fibroblasts. Parental DNA was also tested. Fluorescence in situ hybridization (FISH) with X and 13/21 centromere probes (DXZ2 and D13Z1/D21Z1) and a cosmid for the X inactivation center were also performed to refine breakpoint assignments. RESULTS: An X inactivation pattern implying functional Xpter-->q11 disomy was found in DNA extracted from uncultured hypopigmented skin, whereas preferential inactivation of the normal X was observed in uncultured normal skin as well as in cultured fibroblasts (after one passage) from both affected and unaffected skin areas. PCR analysis also showed paternal origin of the translocation. BrdU labeling of metaphases from hypopigmented and normal skin primary cultures showed der(Xq13p) to be inactive in about 25% of the cells. FISH revealed that der(Xp13q) had a compound centromere, whereas der(Xq13p) retained 13 centromere repeats but lacked X centromere sequences. Hence, breakpoints were assigned to Xq11 and 13q10. The X inactivation center cosmid gave a signal on both normal X and der(Xp13q), indicating that the inactivation center was not disrupted by the translocation. CONCLUSIONS: These findings confirm that mosaic functional Xp disomy, rather than disruption of X-linked genes, is associated with HI and involvement of the central nervous system (CNS) in some carriers of a structurally balanced X;autosome translocation. FAU - Rivera, H AU - Rivera H AD - Division de Genetica, Instituto Mexicano del Seguro Social (IMSS), Guadalajara, Jalisco, Mexico. hrivera2udgserv.cencar.udg.mx FAU - Correa-Cerro, L S AU - Correa-Cerro LS FAU - Robinson, D O AU - Robinson DO FAU - Crolla, J A AU - Crolla JA LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Arch Med Res JT - Archives of medical research JID - 9312706 SB - IM MH - Chromosomes, Human, Pair 13 MH - Dosage Compensation, Genetic MH - Female MH - Humans MH - Karyotyping MH - Piebaldism/*genetics MH - Polymerase Chain Reaction MH - Translocation, Genetic MH - *X Chromosome EDAT- 2000/04/18 09:00 MHDA- 2000/05/20 09:00 CRDT- 2000/04/18 09:00 PHST- 2000/04/18 09:00 [pubmed] PHST- 2000/05/20 09:00 [medline] PHST- 2000/04/18 09:00 [entrez] AID - S0188-4409(99)00081-8 [pii] AID - 10.1016/s0188-4409(99)00081-8 [doi] PST - ppublish SO - Arch Med Res. 2000 Jan-Feb;31(1):88-92. doi: 10.1016/s0188-4409(99)00081-8.