PMID- 20424646 OWN - NLM STAT- MEDLINE DCOM- 20101101 LR - 20211020 IS - 1476-5438 (Electronic) IS - 1018-4813 (Print) IS - 1018-4813 (Linking) VI - 18 IP - 8 DP - 2010 Aug TI - Recurrent 70.8 Mb 4q22.2q32.3 duplication due to ovarian germinal mosaicism. PG - 882-8 LID - 10.1038/ejhg.2010.46 [doi] AB - A mosaicism is defined by the presence of two or more populations of cells with different genotypes in one individual. Chromosomal germinal mosaicism occurs in germ cells before the onset of meiosis. Previously, few studies have described germinal mosaicism. In this study, we report on two siblings who carried identical pure and direct interstitial 4q22.2q32.3 duplication. Procedure investigations included complete clinical description, conventional cytogenetic analysis, fluorescence in situ hybridization (FISH), comparative genomic hybridization (CGH) array experiments and microsatellite study searching for parental origin of the duplication. Microarray CGH and further FISH experiments with BAC clones showed the same 70.8 Mb direct duplication, dup(4)(q22.2q32.3). Molecular studies of the 4q duplication were consistent with maternal origin associated with mitotic or meiotic rearrangements. This structural chromosomal aberration was associated in both cases with increased nuchal translucency, growth retardation and dysmorphy. Cardiopathy and lung malformations were only evident in the first case. These clinical manifestations are similar to those previously reported in previous studies involving pure 4q trisomy of the same region, except for thumb and renal abnormalities that were not obvious in the presented cases. The amplified region included genes involved in neurological development (NEUROG2, MAB21L2, PCDH10/18 and GRIA2). The recurrent 4q duplication in these siblings is consistent with a maternal ovarian germinal mosaicism. This is the first description of germinal mosaicism for a large chromosomal duplication and highlights that genetic counselling for apparently de novo chromosome aberration should be undertaken with care. FAU - Tosca, Lucie AU - Tosca L AD - AP-HP, Histologie, Embryologie et Cytogenetique, Hopital Antoine Beclere, 157 rue de la Porte de Trivaux, Clamart Cedex, France. lucie.tosca@abc.aphp.fr FAU - Brisset, Sophie AU - Brisset S FAU - Petit, Francois M AU - Petit FM FAU - Lecerf, Laure AU - Lecerf L FAU - Rousseau, Ghislaine AU - Rousseau G FAU - Bas, Cecile AU - Bas C FAU - Laroudie, Mireille AU - Laroudie M FAU - Maurin, Marie-Laure AU - Maurin ML FAU - Tapia, Sylvie AU - Tapia S FAU - Picone, Olivier AU - Picone O FAU - Prevot, Sophie AU - Prevot S FAU - Goossens, Michel AU - Goossens M FAU - Labrune, Philippe AU - Labrune P FAU - Tachdjian, Gerard AU - Tachdjian G LA - eng PT - Case Reports PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20100428 PL - England TA - Eur J Hum Genet JT - European journal of human genetics : EJHG JID - 9302235 SB - IM MH - Child, Preschool MH - *Chromosome Aberrations MH - Chromosomes, Human, Pair 4/*genetics MH - Cytogenetic Analysis MH - Female MH - Gene Duplication MH - Gene Rearrangement/*genetics MH - Genetic Counseling MH - Humans MH - Karyotyping MH - Microsatellite Repeats MH - *Mosaicism MH - Ovum MH - Siblings PMC - PMC2987392 MID - HALMS515192 OID - NLM: HALMS515192 EDAT- 2010/04/29 06:00 MHDA- 2010/11/03 06:00 PMCR- 2011/08/01 CRDT- 2010/04/29 06:00 PHST- 2010/04/29 06:00 [entrez] PHST- 2010/04/29 06:00 [pubmed] PHST- 2010/11/03 06:00 [medline] PHST- 2011/08/01 00:00 [pmc-release] AID - ejhg201046 [pii] AID - 10.1038/ejhg.2010.46 [doi] PST - ppublish SO - Eur J Hum Genet. 2010 Aug;18(8):882-8. doi: 10.1038/ejhg.2010.46. Epub 2010 Apr 28.