PMID- 15832362 OWN - NLM STAT- MEDLINE DCOM- 20050627 LR - 20200930 IS - 1552-4825 (Print) IS - 1552-4825 (Linking) VI - 135 IP - 2 DP - 2005 Jun 1 TI - Monozygotic twins concordant for blood karyotype, but phenotypically discordant: a case of "mosaic chimerism". PG - 190-4 AB - We report on 23 years old discordant monozygotic (MZ) twins, one with minor anomalies and mental delay, the other one being normal. Both had 46,XX,dup(11)(p12p15)/46,XX mosaicism in blood, with a similar proportion of abnormal cells (respectively, 16% and 17%). However, interphase fluorescence in situ hybridization (FISH) analysis performed on buccal smear and urinary sediment using specific probes located at the duplicated region showed that mosaicism was only present in the abnormal twin, with 68% abnormal cells. We hypothesize that the postzygotic chromosomal rearrangement may have occurred early in one embryo after the twinning event, and the blood mosaicism observed in both twins would have resulted from blood exchanges via placental anastomoses. This hypothesis of chimerism is strongly supported by twin-to-twin transfusion syndrome observed during fetal life of our twins. This case and those previously reported lead us to suggest that blood is particularly unsuitable for cytogenetic investigations of twins. CI - Copyright (c) 2005 Wiley-Liss, Inc. FAU - Bourthoumieu, Sylvie AU - Bourthoumieu S AD - Department of Histology, Limoges University Hospital, Limoges, France. FAU - Yardin, Catherine AU - Yardin C FAU - Terro, Faraj AU - Terro F FAU - Gilbert, Brigitte AU - Gilbert B FAU - Laroche, Cecile AU - Laroche C FAU - Saura, Robert AU - Saura R FAU - Vincent, Marie-Claire AU - Vincent MC FAU - Esclaire, Francoise AU - Esclaire F LA - eng PT - Case Reports PT - Comparative Study PT - Journal Article PL - United States TA - Am J Med Genet A JT - American journal of medical genetics. Part A JID - 101235741 SB - IM MH - Adult MH - Chromosome Aberrations MH - Chromosome Banding MH - Chromosomes, Human, Pair 11/genetics MH - Diseases in Twins/genetics/pathology MH - Female MH - Humans MH - In Situ Hybridization, Fluorescence MH - Intellectual Disability/pathology MH - Karyotyping MH - *Mosaicism MH - Phenotype MH - Twins, Monozygotic/blood/*genetics EDAT- 2005/04/16 09:00 MHDA- 2005/06/28 09:00 CRDT- 2005/04/16 09:00 PHST- 2005/04/16 09:00 [pubmed] PHST- 2005/06/28 09:00 [medline] PHST- 2005/04/16 09:00 [entrez] AID - 10.1002/ajmg.a.30674 [doi] PST - ppublish SO - Am J Med Genet A. 2005 Jun 1;135(2):190-4. doi: 10.1002/ajmg.a.30674.