PMID- 18758162 OWN - NLM STAT- MEDLINE DCOM- 20080917 LR - 20080901 IS - 1424-859X (Electronic) IS - 1424-8581 (Linking) VI - 121 IP - 3-4 DP - 2008 TI - Masked complex chromosome rearrangement in a child thought to have del(8qter) as the sole cytogenetic abnormality. PG - 215-21 LID - 10.1159/000138888 [doi] AB - Cytogenetic analyses of constitutional diseases have disclosed several chromosomal rearrangements. At the molecular level, these rearrangements often result in the breakage of genes or alteration of genome architecture. Fluorescence in situ hybridization (FISH) and molecular investigations of a patient showing hypotonia and dysmorphic traits revealed a masked complex chromosome abnormality previously detected by G-banding as a simple 8qter deletion. To characterize the genetic rearrangements panels of bacterial artificial chromosomes (BACs) covering 8q24.22-->qter were constructed, and short tandem repeats (STRs) were used to refine the localization of the breakpoints and to assess the parental origin of the defect. Chromosome 8 displayed the breakpoint at 8q24.22 and an unexpected distal breakpoint at 8q24.23 resulting in unbalanced translocation of a small 8q genomic region on the chromosome 16qter. The study of the 16qter region revealed that the 16q subtelomere was retained and the translocated material of distal 8q was juxtaposed. Moreover, molecular analyses showed that part of the translocated 8qter segment on der(16) was partially duplicated, inverted and that the rearrangement arose in the paternal meiosis. These findings emphasize the complexity of some only apparently simple chromosomal rearrangements and suggest a subtelomeric FISH approach to enhance diagnostic care when a cytogenetic terminal deletion is found. CI - Copyright 2008 S. Karger AG, Basel. FAU - Surace, C AU - Surace C AD - Dipartimento dei Laboratori, U.O. Anatomia Patologica, Struttura Semplice di Citogenetica e Genetica Molecolare, Ospedale Pediatrico Bambino Gesu, Roma, Italy. cecilia.surace@opbg.net FAU - Digilio, M C AU - Digilio MC FAU - Lombardo, A AU - Lombardo A FAU - Sirleto, P AU - Sirleto P FAU - Tomaiuolo, A C AU - Tomaiuolo AC FAU - Roberti, M C AU - Roberti MC FAU - Capolino, R AU - Capolino R FAU - Angioni, A AU - Angioni A LA - eng PT - Journal Article DEP - 20080828 PL - Switzerland TA - Cytogenet Genome Res JT - Cytogenetic and genome research JID - 101142708 RN - 0 (DNA Primers) SB - IM MH - Base Sequence MH - Chromosome Banding MH - *Chromosome Deletion MH - *Chromosomes, Human, Pair 8 MH - DNA Primers MH - Humans MH - In Situ Hybridization, Fluorescence MH - Infant EDAT- 2008/09/02 09:00 MHDA- 2008/09/18 09:00 CRDT- 2008/09/02 09:00 PHST- 2008/05/08 00:00 [accepted] PHST- 2008/09/02 09:00 [pubmed] PHST- 2008/09/18 09:00 [medline] PHST- 2008/09/02 09:00 [entrez] AID - 000138888 [pii] AID - 10.1159/000138888 [doi] PST - ppublish SO - Cytogenet Genome Res. 2008;121(3-4):215-21. doi: 10.1159/000138888. Epub 2008 Aug 28.