PMID- 12439897 OWN - NLM STAT- MEDLINE DCOM- 20030501 LR - 20171116 IS - 0148-7299 (Print) IS - 0148-7299 (Linking) VI - 113 IP - 3 DP - 2002 Dec 1 TI - An active ring X and haploinsufficiency of SHOX contribute to short stature, congenital anomalies, and developmental delay in a female. PG - 279-85 AB - We report on a female infant with short stature and mesomelic limb shortening, multiple congenital abnormalities, developmental delay, and Rieger anomaly. Cytogenetic analysis revealed a complex rearrangement of the sex chromosomes in this patient. In addition to a normal X chromosome, a derivative Y [der(Y)] chromosome composed of X and Y material and a ring X [r(X)] were present. Consistent with the fact that this infant had normal female genitalia, the SRY gene was not detected in the Y chromosome portion of the der(Y). By fluorescence in situ hybridization (FISH), XIST was present on the normal X and the r(X), but not on the der(Y). The normal X was late replicating (inactive) and the r(X) early replicating (active) in all lymphocyte metaphases examined. As the X chromosome material on the der(Y) cannot be inactivated, the unusual skew of activation toward the r(X) presumably resulted in the least amount of functional disomy of X-linked genes in the cells of this patient. Deletion of one copy of the SHOX gene was detected in this patient. Haploinsufficiency of this gene is known to be correlated with short stature and mesomelic limb shortening. CI - Copyright 2002 Wiley-Liss, Inc. FAU - Shago, Mary AU - Shago M AD - Department of Pediatric Laboratory Medicine, Hospital for Sick Children, 555 University Avenue, Toronto, Ontario M5G 1X8, Canada. FAU - Sgro, Michael AU - Sgro M FAU - Barozzino, Tony AU - Barozzino T FAU - Antinucci, Daniel AU - Antinucci D FAU - Chakraborty, Pranesh AU - Chakraborty P FAU - Chitayat, David AU - Chitayat D FAU - Teshima, Ikuko AU - Teshima I 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 RN - 0 (Homeodomain Proteins) RN - 0 (SHOX protein, human) RN - 0 (Short Stature Homeobox Protein) SB - IM MH - Abnormalities, Multiple/*genetics MH - Chromosome Banding MH - *Chromosomes, Human, X MH - Female MH - Homeodomain Proteins/*genetics/metabolism MH - Humans MH - In Situ Hybridization, Fluorescence MH - Infant MH - Infant, Newborn MH - Karyotyping MH - *Ring Chromosomes MH - Short Stature Homeobox Protein EDAT- 2002/11/20 04:00 MHDA- 2003/05/02 05:00 CRDT- 2002/11/20 04:00 PHST- 2002/11/20 04:00 [pubmed] PHST- 2003/05/02 05:00 [medline] PHST- 2002/11/20 04:00 [entrez] AID - 10.1002/ajmg.10789 [doi] PST - ppublish SO - Am J Med Genet. 2002 Dec 1;113(3):279-85. doi: 10.1002/ajmg.10789.