PMID- 18252220 OWN - NLM STAT- MEDLINE DCOM- 20080317 LR - 20220331 IS - 1537-6605 (Electronic) IS - 0002-9297 (Print) IS - 0002-9297 (Linking) VI - 82 IP - 2 DP - 2008 Feb TI - Mechanisms and consequences of small supernumerary marker chromosomes: from Barbara McClintock to modern genetic-counseling issues. PG - 398-410 LID - 10.1016/j.ajhg.2007.10.013 [doi] AB - Supernumerary marker chromosomes (SMCs) are common, but their molecular content and mechanism of origin are often not precisely characterized. We analyzed all centromere regions to identify the junction between the unique chromosome arm and the pericentromeric repeats. A molecular-ruler clone panel for each chromosome arm was developed and used for the design of a custom oligonucleotide array. Of 27 nonsatellited SMCs analyzed by array comparative genomic hybridization (aCGH) and/or fluorescence in situ hybridization (FISH), seven (approximately 26%) were shown to be unique sequence negative. Of the 20 unique-sequence-positive SMCs, the average unique DNA content was approximately 6.5 Mb (range 0.3-22.2 Mb) and 33 known genes (range 0-149). Of the 14 informative nonacrocentric SMCs, five (approximately 36%) contained unique DNA from both the p and q arms, whereas nine (approximately 64%) contained unique DNA from only one arm. The latter cases are consistent with ring-chromosome formation by centromere misdivision, as first described by McClintock in maize. In one case, a r(4) containing approximately 4.4 Mb of unique DNA from 4p was also present in the proband's mother. However, FISH revealed a cryptic deletion in one chromosome 4 and reduced alpha satellite in the del(4) and r(4), indicating that the mother was a balanced ring and deletion carrier. Our data, and recent reports in the literature, suggest that this "McClintock mechanism" of small-ring formation might be the predominant mechanism of origin. Comprehensive analysis of SMCs by aCGH and FISH can distinguish unique-negative from unique-positive cases, determine the precise gene content, and provide information on mechanism of origin, inheritance, and recurrence risk. FAU - Baldwin, Erin L AU - Baldwin EL AD - Department of Human Genetics, Emory University School of Medicine, Atlanta, GA 30322, USA. FAU - May, Lorraine F AU - May LF FAU - Justice, April N AU - Justice AN FAU - Martin, Christa L AU - Martin CL FAU - Ledbetter, David H AU - Ledbetter DH LA - eng GR - R01 MH074090/MH/NIMH NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PL - United States TA - Am J Hum Genet JT - American journal of human genetics JID - 0370475 RN - 0 (Genetic Markers) SB - IM MH - Centromere/genetics MH - *Chromosome Aberrations MH - Chromosomes, Artificial, Bacterial/genetics MH - Genetic Markers/genetics MH - Humans MH - In Situ Hybridization, Fluorescence MH - Nucleic Acid Hybridization MH - *Ring Chromosomes PMC - PMC2427313 EDAT- 2008/02/07 09:00 MHDA- 2008/03/18 09:00 PMCR- 2008/08/08 CRDT- 2008/02/07 09:00 PHST- 2007/08/07 00:00 [received] PHST- 2007/10/05 00:00 [revised] PHST- 2007/10/18 00:00 [accepted] PHST- 2008/02/07 09:00 [pubmed] PHST- 2008/03/18 09:00 [medline] PHST- 2008/02/07 09:00 [entrez] PHST- 2008/08/08 00:00 [pmc-release] AID - S0002-9297(08)00092-X [pii] AID - AJHG59 [pii] AID - 10.1016/j.ajhg.2007.10.013 [doi] PST - ppublish SO - Am J Hum Genet. 2008 Feb;82(2):398-410. doi: 10.1016/j.ajhg.2007.10.013.