PMID- 12574939 OWN - NLM STAT- MEDLINE DCOM- 20030516 LR - 20181113 IS - 0340-6717 (Print) IS - 0340-6717 (Linking) VI - 112 IP - 4 DP - 2003 Apr TI - Chromosome 18 replaced by two ring chromosomes of chromosome 18 origin. PG - 343-7 AB - We here describe the first example of the replacement of an autosome by two ring chromosomes originating from the missing chromosome, presented in a patient with a single chromosome 18 and two additional ring chromosomes. Detailed fluorescence in situ hybridization (FISH) analysis revealed the chromosome 18 origin of both ring chromosomes and characterized the small and the large ring chromosome as derivatives of the short and long arm of chromosome 18, respectively. The loss of subtelomeric regions of the short and the long arm of chromosome 18 in the ring chromosomes was confirmed by FISH studies. Molecular studies showed the exclusive presence of the paternal alleles for microsatellite markers located distal to the short and long arm loci D18S843 and D18S474, respectively. This indicates the maternal origin of both rings and provides evidence for substantial deletions of the distal parts of both arms of chromosome 18 in the ring chromosomes. The dysmorphic features of the patient can be explained by these deletions in both chromosome arms, as the clinical findings partly overlap with observations in 18p- and 18q-syndrome and are similar to some cases of ring chromosome 18. Centromere misdivision is suggested as one mechanism involved in the formation of the ring chromosomes. FAU - Miller, K AU - Miller K AD - Institute of Human Genetics, Hannover Medical University, 30623 Hannover, Germany. miller.konstantin@mh-hannover.de FAU - Pabst, B AU - Pabst B FAU - Ritter, H AU - Ritter H FAU - Nurnberg, P AU - Nurnberg P FAU - Siebert, R AU - Siebert R FAU - Schmidtke, J AU - Schmidtke J FAU - Arslan-Kirchner, M AU - Arslan-Kirchner M LA - eng PT - Case Reports PT - Journal Article DEP - 20030206 PL - Germany TA - Hum Genet JT - Human genetics JID - 7613873 RN - 0 (Genetic Markers) SB - IM MH - Abnormalities, Multiple/genetics MH - Alleles MH - Centromere/genetics MH - Chromosomes, Human, Pair 18/*genetics MH - Female MH - Genetic Markers MH - Genotype MH - Humans MH - In Situ Hybridization, Fluorescence MH - Infant, Newborn MH - Karyotyping MH - Microsatellite Repeats MH - *Ring Chromosomes MH - Syndrome EDAT- 2003/02/08 04:00 MHDA- 2003/05/17 05:00 CRDT- 2003/02/08 04:00 PHST- 2002/08/29 00:00 [received] PHST- 2002/11/20 00:00 [accepted] PHST- 2003/02/08 04:00 [pubmed] PHST- 2003/05/17 05:00 [medline] PHST- 2003/02/08 04:00 [entrez] AID - 10.1007/s00439-002-0885-1 [doi] PST - ppublish SO - Hum Genet. 2003 Apr;112(4):343-7. doi: 10.1007/s00439-002-0885-1. Epub 2003 Feb 6.