PMID- 20101690 OWN - NLM STAT- MEDLINE DCOM- 20100402 LR - 20211020 IS - 1552-4833 (Electronic) IS - 1552-4825 (Print) IS - 1552-4825 (Linking) VI - 152A IP - 2 DP - 2010 Feb TI - Two siblings with alternate unbalanced recombinants derived from a large cryptic maternal pericentric inversion of chromosome 20. PG - 373-82 LID - 10.1002/ajmg.a.33219 [doi] AB - Two brothers, with dissimilar clinical features, were each found to have different abnormalities of chromosome 20 by subtelomere fluorescence in situ hybridization (FISH). The proband had deletion of 20p subtelomere and duplication of 20q subtelomere, while his brother was found to have a duplication of 20p subtelomere and deletion of 20q subtelomere. Parental cytogenetic studies were initially thought to be normal, both by G-banding and by subtelomere FISH analysis. Since chromosome 20 is a metacentric chromosome and an inversion was suspected, we used anchored FISH to assist in identifying a possible inversion. This approach employed concomitant hybridization of a FISH probe to the short (p) arm of chromosome 20 with the 20q subtelomere probe. We identified a cytogenetically non-visible, mosaic pericentric inversion of one of the maternal chromosome 20 homologs, providing a mechanistic explanation for the chromosomal abnormalities present in these brothers. Array comparative genomic hybridization (CGH) with both a custom-made BAC and cosmid-based subtelomere specific array (TEL array) and a commercially available SNP-based array confirmed and further characterized these rearrangements, identifying this as the largest pericentric inversion of chromosome 20 described to date. TEL array data indicate that the 20p breakpoint is defined by BAC RP11-978M13, approximately 900 kb from the pter; SNP array data reveal this breakpoint to occur within BAC RP11-978M13. The 20q breakpoint is defined by BAC RP11-93B14, approximately 1.7 Mb from the qter, by TEL array; SNP array data refine this breakpoint to within a gap between BACs on the TEL array (i.e., between RP11-93B14 and proximal BAC RP11-765G16). CI - Copyright 2010 Wiley-Liss, Inc. FAU - Descipio, Cheryl AU - Descipio C AD - Division of Human Genetics, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania 19104, USA. FAU - Morrissette, Jennifer D AU - Morrissette JD FAU - Conlin, Laura K AU - Conlin LK FAU - Clark, Dinah AU - Clark D FAU - Kaur, Maninder AU - Kaur M FAU - Coplan, James AU - Coplan J FAU - Riethman, Harold AU - Riethman H FAU - Spinner, Nancy B AU - Spinner NB FAU - Krantz, Ian D AU - Krantz ID LA - eng GR - P50 HL074731/HL/NHLBI NIH HHS/United States GR - P50 HL074731-050004/HL/NHLBI NIH HHS/United States PT - Case Reports PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PL - United States TA - Am J Med Genet A JT - American journal of medical genetics. Part A JID - 101235741 SB - IM MH - Child MH - Chromosome Aberrations MH - Chromosome Banding MH - Chromosome Inversion MH - Chromosomes, Artificial, Bacterial MH - Chromosomes, Human, Pair 20/*genetics MH - Comparative Genomic Hybridization MH - Cosmids MH - Family Health MH - Female MH - Gene Deletion MH - Humans MH - In Situ Hybridization, Fluorescence MH - Infant MH - Male MH - Mothers MH - Phenotype MH - Telomere/ultrastructure PMC - PMC2840621 MID - NIHMS160993 EDAT- 2010/01/27 06:00 MHDA- 2010/04/03 06:00 PMCR- 2011/02/01 CRDT- 2010/01/27 06:00 PHST- 2010/01/27 06:00 [entrez] PHST- 2010/01/27 06:00 [pubmed] PHST- 2010/04/03 06:00 [medline] PHST- 2011/02/01 00:00 [pmc-release] AID - 10.1002/ajmg.a.33219 [doi] PST - ppublish SO - Am J Med Genet A. 2010 Feb;152A(2):373-82. doi: 10.1002/ajmg.a.33219.