PMID- 23061379 OWN - NLM STAT- MEDLINE DCOM- 20131230 LR - 20130610 IS - 1399-0004 (Electronic) IS - 0009-9163 (Linking) VI - 84 IP - 1 DP - 2013 Jul TI - Monozygotic twins discordant for submicroscopic chromosomal anomalies in 2p25.3 region detected by array CGH. PG - 31-6 LID - 10.1111/cge.12036 [doi] AB - Although discordant phenotypes in monozygotic twins with developmental disorder are not an exception, underlying genetic discordance is rarely reported. Here, we report on the clinical and cytogenetic details of 4-year-old female monozygotic twins with discordant phenotypes. Twin 1 exhibited global developmental delay, overweight and hyperactivity. Twin 2 had an autistic spectrum disorder. Molecular karyotyping in twin 1 identified a 2p25.3 deletion, further confirmed by Fluorescence in situ hybridization (FISH) analysis on leukocytes. Interestingly, array comparative genomic hybridization was normal in twin 2 but FISH analysis using the same probe as twin 1 showed mosaicism with one-third of cells with a 2p25.3 deletion, one-third of cells with a 2p25.3 duplication, and one-third of normal cells. Genotyping with microsatellite markers confirmed the monozygosity of the twins. We propose that the chromosome imbalance may be due to a mitotic non-allelic recombination occurring during blastomeric divisions of a normal zygote. Such event will result in three distinct cell populations, whose proportion in each embryo formed after separation from the zygote may differ, leading to discordant chromosomal anomalies between twins. We also discuss that the MYTL1L and the SNTG2 genes within the reported region could probably relate to the phenotypic discordance of the monozygotic twins. CI - (c) 2012 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd. FAU - Rio, M AU - Rio M AD - Departement de Genetique, Universite Paris Descartes, Hopital Necker-Enfants Malades, AP-HP, Paris, France. FAU - Royer, G AU - Royer G FAU - Gobin, S AU - Gobin S FAU - de Blois, M C AU - de Blois MC FAU - Ozilou, C AU - Ozilou C FAU - Bernheim, A AU - Bernheim A FAU - Nizon, M AU - Nizon M FAU - Munnich, A AU - Munnich A FAU - Bonnefont, J-P AU - Bonnefont JP FAU - Romana, S AU - Romana S FAU - Vekemans, M AU - Vekemans M FAU - Turleau, C AU - Turleau C FAU - Malan, V AU - Malan V LA - eng PT - Case Reports PT - Journal Article DEP - 20121104 PL - Denmark TA - Clin Genet JT - Clinical genetics JID - 0253664 RN - 0 (MYT1L protein, human) RN - 0 (Membrane Proteins) RN - 0 (Muscle Proteins) RN - 0 (Nerve Tissue Proteins) RN - 0 (SNTG2 protein, human) RN - 0 (Transcription Factors) SB - IM MH - Autistic Disorder/*genetics/physiopathology MH - Child, Preschool MH - *Chromosomes, Human, Pair 2 MH - Comparative Genomic Hybridization MH - Developmental Disabilities/*genetics/physiopathology MH - Diseases in Twins/*genetics/physiopathology MH - Female MH - Genotype MH - Humans MH - In Situ Hybridization, Fluorescence MH - Karyotyping MH - Membrane Proteins/*genetics MH - *Mosaicism MH - Muscle Proteins/*genetics MH - Nerve Tissue Proteins/*genetics MH - Phenotype MH - Recombination, Genetic MH - Transcription Factors/*genetics MH - Twins, Monozygotic/*genetics EDAT- 2012/10/16 06:00 MHDA- 2014/01/01 06:00 CRDT- 2012/10/16 06:00 PHST- 2012/07/03 00:00 [received] PHST- 2012/10/04 00:00 [revised] PHST- 2012/10/05 00:00 [accepted] PHST- 2012/10/16 06:00 [entrez] PHST- 2012/10/16 06:00 [pubmed] PHST- 2014/01/01 06:00 [medline] AID - 10.1111/cge.12036 [doi] PST - ppublish SO - Clin Genet. 2013 Jul;84(1):31-6. doi: 10.1111/cge.12036. Epub 2012 Nov 4.