PMID- 28878823 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20201001 IS - 1755-8166 (Print) IS - 1755-8166 (Electronic) IS - 1755-8166 (Linking) VI - 10 DP - 2017 TI - A de novo complex chromosome rearrangement associated with multisystematic abnormalities, a case report. PG - 32 LID - 10.1186/s13039-017-0332-6 [doi] LID - 32 AB - BACKGROUND: Complex chromosomal rearrangements (CCRs) are constitutional structural rearrangements that involve three or more chromosomes or that have more than two breakpoints. CASE PRESENTATION: Here, we describe a four-way CCR involving chromosomes 4, 5, 6 and 8. The patient had mild multisystematic abnormalities during his development, including defects in his eyes and teeth, exomphalos and asthenozoospermia. His wife had two spontaneous abortions during the first trimester. The translocations in 4q27, 5q22, 6q22.3, and 8p11.2 were diagnosed by conventional cytogenetic analysis and confirmed by fluorescence in situ hybridization(FISH). After analysis using a SNP array, we defined three microdeletions, including 0.89 Mb on chromosome 4, 5.39 Mb on chromosome 5 and 0.43 Mb on chromosome 8. His mother had a chimera karyotype of 47, XXX[5]/45, X[4]/46, XX[91]; the other chromosomes were normal. After one cycle of in vitro fertility (IVF) treatment followed by preimplantation genetic diagnosis (PGD), they obtained two embryos, but neither was balanced. CONCLUSIONS: The patient's phenotype resulted from the CCR and microdeletion of chromosomes 4, 5 and 8. The couple decided to use artificial insemination by donor (AID) technology. FAU - Tian, Chan AU - Tian C AD - Center for Reproductive Medicine, Department of Obstetrics and Gynecology, Peking University Third Hospital, Beijing, 100191 China. ISNI: 0000 0004 0605 3760. GRID: grid.411642.4 AD - Key Laboratory of Assisted Reproduction, Ministry of Education and Beijing Key Laboratory of Reproductive Endocrinology and Assisted Reproductive Technology, Beijing, 100191 China. FAU - Li, Dan AU - Li D AD - Center for Reproductive Medicine, Department of Obstetrics and Gynecology, Peking University Third Hospital, Beijing, 100191 China. ISNI: 0000 0004 0605 3760. GRID: grid.411642.4 FAU - Liu, Ping AU - Liu P AD - Center for Reproductive Medicine, Department of Obstetrics and Gynecology, Peking University Third Hospital, Beijing, 100191 China. ISNI: 0000 0004 0605 3760. GRID: grid.411642.4 AD - Key Laboratory of Assisted Reproduction, Ministry of Education and Beijing Key Laboratory of Reproductive Endocrinology and Assisted Reproductive Technology, Beijing, 100191 China. FAU - Jiao, Liping AU - Jiao L AD - Center for Reproductive Medicine, Department of Obstetrics and Gynecology, Peking University Third Hospital, Beijing, 100191 China. ISNI: 0000 0004 0605 3760. GRID: grid.411642.4 FAU - Gao, Xuefeng AU - Gao X AD - Center for Reproductive Medicine, Department of Obstetrics and Gynecology, Peking University Third Hospital, Beijing, 100191 China. ISNI: 0000 0004 0605 3760. GRID: grid.411642.4 FAU - Qiao, Jie AU - Qiao J AD - Center for Reproductive Medicine, Department of Obstetrics and Gynecology, Peking University Third Hospital, Beijing, 100191 China. ISNI: 0000 0004 0605 3760. GRID: grid.411642.4 AD - Key Laboratory of Assisted Reproduction, Ministry of Education and Beijing Key Laboratory of Reproductive Endocrinology and Assisted Reproductive Technology, Beijing, 100191 China. LA - eng PT - Case Reports DEP - 20170902 PL - England TA - Mol Cytogenet JT - Molecular cytogenetics JID - 101317942 PMC - PMC5581479 OTO - NOTNLM OT - AID OT - CCR OT - FISH OT - Microdeletion OT - Rearrangement OT - SNP-array COIS- ETHICS APPROVAL AND CONSENT TO PARTICIPATE: This study was approved by the Ethics Committee of Peking University Third Hospital. The committee's reference number is 2016S2-021. The patient gave his consent for participation in this study. CONSENT FOR PUBLICATION: Informed written consent for publication of the clinical details was obtained from the patient. A copy of the consent form is available for inspection by the editors. COMPETING INTERESTS: The authors declare that they have no competing interests. PUBLISHER'S NOTE: Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. EDAT- 2017/09/08 06:00 MHDA- 2017/09/08 06:01 PMCR- 2017/09/02 CRDT- 2017/09/08 06:00 PHST- 2017/03/20 00:00 [received] PHST- 2017/08/10 00:00 [accepted] PHST- 2017/09/08 06:00 [entrez] PHST- 2017/09/08 06:00 [pubmed] PHST- 2017/09/08 06:01 [medline] PHST- 2017/09/02 00:00 [pmc-release] AID - 332 [pii] AID - 10.1186/s13039-017-0332-6 [doi] PST - epublish SO - Mol Cytogenet. 2017 Sep 2;10:32. doi: 10.1186/s13039-017-0332-6. eCollection 2017.