PMID- 19515099 OWN - NLM STAT- MEDLINE DCOM- 20091214 LR - 20111117 IS - 1365-2362 (Electronic) IS - 0014-2972 (Linking) VI - 39 IP - 8 DP - 2009 Aug TI - Unbalanced translocation in an adult patient with premature ovarian failure and mental retardation detected by spectral karyotyping and array-comparative genomic hybridization. PG - 729-37 LID - 10.1111/j.1365-2362.2009.02141.x [doi] AB - BACKGROUND: There are only three cases of unbalanced translocation (X;1) reported in childhood in the literature, while no such phenotypic information is available in adults. MATERIALS AND METHODS: To delineate the phenotype-genotype relationship of unbalanced translocation (X;1) in adulthood, we reported here a 20-year-old female with an unbalanced translocation (X;1) which was determined by spectral karyotyping, array-comparative genomic hybridization and subtelomeric fluorescence in situ hybridization (FISH). RESULTS: The phenotype of partial trisomy 1 and partial monosomy X of the present case was much attenuated, including premature ovarian failure, mental retardation, class I obesity, mild dysmorphism and delayed secondary sexual characteristics. The breakpoints of the unbalanced translocation were accurately located at Xq28 and 1q32.1. The large amplification on Chromosome 1 q arm was found to involve 312 genes and the deletion on Chromosome X q arm also involved 141 genes. Overall, genes associated with physiological process (47 genes), cellular process (33), development (23), response to stimulus (1) and reproduction (1) were observed in the amplification on Chromosome 1 q arm. In addition, genes related to physiological process (23 genes), cellular process (13), development (6) and response to stimulus (2) were observed in the large deletion on chromosome X q arm. Late-replication studies revealed the existence of skewed X inactivation in the derivative X chromosome. CONCLUSIONS: The phenotype of partial monosomy X and partial trisomy 1q is much attenuated in case of unbalanced translocation (X;1) in adulthood probably owing to skewed X inactivation in derivative X chromosome. FAU - Guo, Q S AU - Guo QS AD - Department of Maternal and Fetal Medicine, The Obstetrics & Gynecology Hospital, Fudan University, 419 Fangxie Road, Shanghai, China. FAU - Qin, S Y AU - Qin SY FAU - Zhou, S F AU - Zhou SF FAU - He, L AU - He L FAU - Ma, D AU - Ma D FAU - Zhang, Y P AU - Zhang YP FAU - Xiong, Y AU - Xiong Y FAU - Peng, T AU - Peng T FAU - Cheng, Y AU - Cheng Y FAU - Li, X T AU - Li XT LA - eng PT - Case Reports PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20090605 PL - England TA - Eur J Clin Invest JT - European journal of clinical investigation JID - 0245331 SB - IM EIN - Eur J Clin Invest. 2009 Dec;39(12):1114 MH - Adult MH - Chromosomes, Human, X/*genetics MH - Female MH - Gene Deletion MH - Humans MH - In Situ Hybridization, Fluorescence/methods MH - Intellectual Disability/*genetics MH - Phenotype MH - Primary Ovarian Insufficiency/*genetics MH - Spectral Karyotyping MH - Translocation, Genetic/*genetics MH - Young Adult EDAT- 2009/06/12 09:00 MHDA- 2009/12/16 06:00 CRDT- 2009/06/12 09:00 PHST- 2009/06/12 09:00 [entrez] PHST- 2009/06/12 09:00 [pubmed] PHST- 2009/12/16 06:00 [medline] AID - ECI2141 [pii] AID - 10.1111/j.1365-2362.2009.02141.x [doi] PST - ppublish SO - Eur J Clin Invest. 2009 Aug;39(8):729-37. doi: 10.1111/j.1365-2362.2009.02141.x. Epub 2009 Jun 5.