PMID- 17009345 OWN - NLM STAT- MEDLINE DCOM- 20070221 LR - 20091119 IS - 0197-3851 (Print) IS - 0197-3851 (Linking) VI - 26 IP - 12 DP - 2006 Dec TI - Supernumerary marker chromosomes detected in 100,000 prenatal diagnoses: molecular cytogenetic studies and clinical significance. PG - 1142-50 AB - OBJECTIVE: To evaluate the clinical significance of the supernumerary marker chromosomes (SMCs) detected during prenatal diagnosis. METHODS: We retrospectively studied cytogenetic/fluorescence in situ hybridization (FISH) results and clinical evaluation of 110 marker cases identified from approximately 100,000 cases referred for prenatal diagnosis. The clinical follow-up performed was focused on cases with de novo markers not derived from chromosome 15. RESULTS: Among the 110 SMCs, 79 (71.8%) were de novo, 24 (21.8%) were familial, and the origin was undetermined in 7 cases. Fifty-eight of the SMCs originated from nonacrocentric chromosomes and 52 SMCs were derived from acrocentric chromosomes, with 27 originating from chromosome 15. Twenty-two of the SMCs from chromosome 15 did not contain the Prader-Willi/Angelman syndrome critical region, and uniparental disomy was ruled out in 19/19 cases. Clinical information ranging from birth to 4 years was obtained for 46 de novo cases with nonchromosome-15-derived SMCs. Of these cases, 11/11 acrocentric SMCs resulted in normal phenotype. In contrast, 4/23 cases with single nonacrocentric SMCs and 3/5 cases with two or more SMCs resulted in an abnormal phenotype. CONCLUSIONS: Our data suggests an overall low risk for acrocentric SMCs and a higher risk for nonacrocentric SMCs. Phenotypes associated with markers derived from some specific chromosomes are also discussed. CI - 2006 John Wiley & Sons, Ltd. FAU - Huang, Bing AU - Huang B AD - Genzyme Genetics, Orange, CA 92868, USA. bihuang@genzyme.com FAU - Solomon, Sharon AU - Solomon S FAU - Thangavelu, Maya AU - Thangavelu M FAU - Peters, Katherine AU - Peters K FAU - Bhatt, Sucheta AU - Bhatt S LA - eng PT - Journal Article PL - England TA - Prenat Diagn JT - Prenatal diagnosis JID - 8106540 RN - 0 (Genetic Markers) SB - IM MH - Chromosome Disorders/diagnosis/*genetics MH - Chromosomes, Human/*genetics MH - Chromosomes, Human, Pair 15 MH - Cytogenetic Analysis/*methods MH - Female MH - *Genetic Markers MH - Genetic Testing MH - Humans MH - In Situ Hybridization, Fluorescence MH - Pregnancy MH - Prenatal Diagnosis/*methods MH - Retrospective Studies EDAT- 2006/09/30 09:00 MHDA- 2007/02/22 09:00 CRDT- 2006/09/30 09:00 PHST- 2006/09/30 09:00 [pubmed] PHST- 2007/02/22 09:00 [medline] PHST- 2006/09/30 09:00 [entrez] AID - 10.1002/pd.1575 [doi] PST - ppublish SO - Prenat Diagn. 2006 Dec;26(12):1142-50. doi: 10.1002/pd.1575.