PMID- 23040927 OWN - NLM STAT- MEDLINE DCOM- 20130317 LR - 20121008 IS - 1875-6263 (Electronic) IS - 1028-4559 (Linking) VI - 51 IP - 3 DP - 2012 Sep TI - Prenatal diagnosis and molecular cytogenetic characterization of mosaicism for a small supernumerary marker chromosome derived from ring chromosome 2. PG - 411-7 LID - S1028-4559(12)00131-3 [pii] LID - 10.1016/j.tjog.2012.07.017 [doi] AB - OBJECTIVE: To present prenatal diagnosis and molecular cytogenetic characterization of mosaicism for a small supernumerary marker chromosome (sSMC) derived from ring chromosome 2 [r(2)]. METHODS AND RESULTS: A 35-year-old woman underwent amniocentesis at 17 weeks of gestation, because of advanced maternal age. Amniocentesis revealed a de novo ring-shaped sSMC in 11 of 23 colonies of cultured amniocytes. Repeated amniocenteses were made. The sSMC was characterized by array comparative genomic hybridization (aCGH), interphase fluorescence in situ hybridization (FISH) and quantitative fluorescent polymerase chain reaction (QF-PCR) on uncultured amniocytes. In uncultured amniocytes, aCGH showed a 39.49-Mb genomic gain in chromosome 2 encompassing 2q11.2-->q21.2, interphase FISH revealed a mosaic level of 52% (52/100 cells), and QF-PCR manifested a diallelic pattern for chromosome 2, with gene dosage increase in the paternal allele of proximal 2q-specific DNA markers. In cultured amniocytes, the sSMC was characterized by metaphase FISH, spectral karyotyping (SKY) and multicolor banding (MCB) to contain the centromere and proximal 2q, and the karyotype was 47,XX,+r(2)(p11.1q21.2)[14]/46,XX[11]. The pregnancy was terminated. The fetus postnatally manifested facial dysmorphisms. Postnatal cytogenetic analyses revealed the karyotypes of 47,XX,+r(2)[12]/46,XX[28] in cord blood, 47,XX,+r(2)[7]/46,XX[33] in umbilical cord, 47,XX,+r(2)[13]/47,XX,+idic r(2)[3]/46,XX[24] in placenta and 47,XX,+r(2)[8]/47,XX,+idic r(2)[1]/46,XX[31] in amnion. CONCLUSION: Molecular cytogenetic techniques such as aCGH, interphase FISH and QF-PCR on uncultured amniocytes, and SKY, MCB and metaphase FISH on cultured amniocytes are useful for characterization of the nature of a prenatally detected sSMC. CI - Copyright (c) 2012. Published by Elsevier B.V. FAU - Chen, Chih-Ping AU - Chen CP AD - Department of Medicine, Mackay Medical College, New Taipei City, Taiwan. cpc_mmh@yahoo.com FAU - Chen, Ming AU - Chen M FAU - Chern, Schu-Rern AU - Chern SR FAU - Wu, Peih-Shan AU - Wu PS FAU - Chang, Shun-Ping AU - Chang SP FAU - Lee, Dong-Jay AU - Lee DJ FAU - Chen, Yu-Ting AU - Chen YT FAU - Chen, Li-Feng AU - Chen LF FAU - Su, Jun-Wei AU - Su JW FAU - Hwa-Ruey Hsieh, Alan AU - Hwa-Ruey Hsieh A FAU - Hwa-Jiun Hsieh, Alex AU - Hwa-Jiun Hsieh A FAU - Wang, Wayseen AU - Wang W LA - eng PT - Case Reports PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - China (Republic : 1949- ) TA - Taiwan J Obstet Gynecol JT - Taiwanese journal of obstetrics & gynecology JID - 101213819 SB - IM MH - Adult MH - Amniocentesis MH - *Chromosome Aberrations MH - Chromosome Disorders/*diagnosis/genetics MH - *Chromosomes, Human, Pair 2 MH - Comparative Genomic Hybridization MH - Craniofacial Abnormalities/*genetics MH - Female MH - Humans MH - In Situ Hybridization, Fluorescence MH - Infant, Newborn MH - *Mosaicism MH - Polymerase Chain Reaction/methods MH - Pregnancy EDAT- 2012/10/09 06:00 MHDA- 2013/03/19 06:00 CRDT- 2012/10/09 06:00 PHST- 2012/05/25 00:00 [accepted] PHST- 2012/10/09 06:00 [entrez] PHST- 2012/10/09 06:00 [pubmed] PHST- 2013/03/19 06:00 [medline] AID - S1028-4559(12)00131-3 [pii] AID - 10.1016/j.tjog.2012.07.017 [doi] PST - ppublish SO - Taiwan J Obstet Gynecol. 2012 Sep;51(3):411-7. doi: 10.1016/j.tjog.2012.07.017.