PMID- 25752286 OWN - NLM STAT- MEDLINE DCOM- 20150625 LR - 20150406 IS - 1879-0038 (Electronic) IS - 0378-1119 (Linking) VI - 563 IP - 1 DP - 2015 May 25 TI - A very rare case of trisomy 4q32.3-4q35.2 and trisomy 21q11.2-21q22.11 in a patient with recombinant chromosomes 4 and 21. PG - 72-5 LID - S0378-1119(15)00271-1 [pii] LID - 10.1016/j.gene.2015.03.006 [doi] AB - We report the case of a patient with a clinical phenotype consistent with Down Syndrome (DS) who has a novel karyotypic abnormality. Karyotypic analyses were performed to investigate the cause of two spontaneous abortions. A balanced translocation between chromosomes 4 and 21 was identified, along with an additional abnormal chromosome 21. We performed high-resolution banding, comparative genomic hybridization (CGH), and FISH studies in both the patient and her mother to define the abnormality and determine its origin. CGH revealed a gain in copy number on the long arm of chromosome 4, spanning at least 24.4 Mb, and a gain in copy number on the long arm of chromosome 21, spanning at least 16.2 Mb. FISH analysis using a chromosome 21 centromere probe and chromosome 4 long arm telomere (4pter) probe confirmed the origin of the marker chromosome. It has been confirmed by the State Key Laboratory of Medical Genetics of China that this is the first reported instance of the karyotype 47,XX,t(4;21)(q31.3;q11.2),+der(21)t(4;21)mat reported in the world. CI - Copyright (c) 2015 Elsevier B.V. All rights reserved. FAU - Chen, Li-Sha AU - Chen LS AD - Aristogenesis Center, No. 202 Hospital of PLA, Shenyang 110003, PR China. FAU - Xue, Dan AU - Xue D AD - Aristogenesis Center, No. 202 Hospital of PLA, Shenyang 110003, PR China. FAU - Xi, Zuo-Ming AU - Xi ZM AD - Genetic disease laboratory, DongChang Maternal and Child Health Hospital, LiaoCheng 252000, PR China. FAU - Liu, Dan-Na AU - Liu DN AD - Aristogenesis Center, No. 202 Hospital of PLA, Shenyang 110003, PR China. FAU - Zou, Peng-Shu AU - Zou PS AD - Aristogenesis Center, No. 202 Hospital of PLA, Shenyang 110003, PR China. FAU - Ma, Ming AU - Ma M AD - Aristogenesis Center, No. 202 Hospital of PLA, Shenyang 110003, PR China. FAU - Xia, Ying AU - Xia Y AD - Aristogenesis Center, No. 202 Hospital of PLA, Shenyang 110003, PR China. FAU - Chen, Xia-Hui AU - Chen XH AD - Aristogenesis Center, No. 202 Hospital of PLA, Shenyang 110003, PR China. FAU - Qiu, Guang-Bin AU - Qiu GB AD - Department of Laboratory Medicine, No. 202 Hospital of PLA, Shenyang 110003, PR China. FAU - Cao, Dong-Hua AU - Cao DH AD - Aristogenesis Center, No. 202 Hospital of PLA, Shenyang 110003, PR China. Electronic address: dhcao427@sina.com. LA - eng PT - Case Reports PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20150306 PL - Netherlands TA - Gene JT - Gene JID - 7706761 RN - Chromosome 4, trisomy 4q SB - IM MH - Abortion, Spontaneous/genetics MH - Chromosomes, Human, Pair 4/genetics MH - Comparative Genomic Hybridization MH - Down Syndrome/*genetics MH - Female MH - Humans MH - In Situ Hybridization, Fluorescence MH - Intellectual Disability/*genetics MH - Karyotyping MH - Recombination, Genetic MH - Trisomy/*genetics MH - Young Adult OTO - NOTNLM OT - CGH OT - FISH OT - Trisomy 21q11.2-21q22.11 OT - Trisomy 4q32.3-4q35.2 EDAT- 2015/03/11 06:00 MHDA- 2015/06/26 06:00 CRDT- 2015/03/11 06:00 PHST- 2014/10/06 00:00 [received] PHST- 2015/01/15 00:00 [revised] PHST- 2015/03/04 00:00 [accepted] PHST- 2015/03/11 06:00 [entrez] PHST- 2015/03/11 06:00 [pubmed] PHST- 2015/06/26 06:00 [medline] AID - S0378-1119(15)00271-1 [pii] AID - 10.1016/j.gene.2015.03.006 [doi] PST - ppublish SO - Gene. 2015 May 25;563(1):72-5. doi: 10.1016/j.gene.2015.03.006. Epub 2015 Mar 6.