PMID- 16082706 OWN - NLM STAT- MEDLINE DCOM- 20051017 LR - 20200930 IS - 1552-4825 (Print) IS - 1552-4825 (Linking) VI - 137 IP - 2 DP - 2005 Aug 30 TI - A patient with mosaic partial trisomy 18 resulting from dicentric chromosome breakage. PG - 208-12 AB - We present a patient with minor dysmorphic features and a mosaic karyotype with two different abnormal cell lines, both involving abnormalities of chromosome 18. Twenty percent of cells studied (4/20) had 46 chromosomes with a large derivative pseudoisodicentric chromosome 18. This chromosome was deleted for 18pter and duplicated for part of proximal 18p (18p11.2 based on fluorescence in situ hybridization (FISH) studies and all of 18q. The two copies of portions of chromosome 18 were fused in an inverted fashion (duplicated for 18qter->18p11.3). The smaller der(18) was present in 80% of cells studied (16/20) and had a normal q-arm, while the p-arm was missing the subtelomere region but had duplication of a part of 18p. FISH studies showed that the larger derivative 18 contained the 18q subtelomere at each end, but the 18p subtelomere was absent, consistent with fusion of two regions within 18p resulting in deletion of the subtelomeric regions. The smaller der(18) was also missing the 18p subtelomere (with normal 18q as expected). Further testing with BAC clones mapping within 18p11.2 showed that these sequences were duplicated and inverted in both of the der(18)s. These findings lead us to hypothesize that the smaller der(18) was derived from the larger, dicentric 18 following anaphase bridge formation, with breakage distal to the duplicated segment. CI - (c) 2005 Wiley-Liss, Inc. FAU - Morrissette, Jennifer J D AU - Morrissette JJ AD - Division of Human Genetics and Molecular Biology, 1007A Abramson Research Center, Children's Hospital of Philadelphia, 34th Street & Civic Center Boulevard, Philadelphia, PA 19104, USA. FAU - Medne, Livija AU - Medne L FAU - Bentley, Tyrone AU - Bentley T FAU - Owens, Nancy L AU - Owens NL FAU - Geiger, Elizabeth AU - Geiger E FAU - Pipan, Mary AU - Pipan M FAU - Zackai, Elaine H AU - Zackai EH FAU - Shaikh, Tamim AU - Shaikh T FAU - Spinner, Nancy B AU - Spinner NB LA - eng GR - GM 64725/GM/NIGMS NIH HHS/United States GR - P50 HL 074731/HL/NHLBI NIH HHS/United States PT - Case Reports PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, U.S. Gov't, P.H.S. PL - United States TA - Am J Med Genet A JT - American journal of medical genetics. Part A JID - 101235741 SB - IM MH - Chromosome Banding MH - *Chromosome Breakage MH - Chromosomes, Human, Pair 18/*genetics MH - Female MH - Humans MH - In Situ Hybridization, Fluorescence MH - Infant MH - Karyotyping MH - Models, Genetic MH - Mosaicism MH - *Trisomy EDAT- 2005/08/06 09:00 MHDA- 2005/10/18 09:00 CRDT- 2005/08/06 09:00 PHST- 2005/08/06 09:00 [pubmed] PHST- 2005/10/18 09:00 [medline] PHST- 2005/08/06 09:00 [entrez] AID - 10.1002/ajmg.a.30845 [doi] PST - ppublish SO - Am J Med Genet A. 2005 Aug 30;137(2):208-12. doi: 10.1002/ajmg.a.30845.