PMID- 29441129 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220331 IS - 1755-8166 (Print) IS - 1755-8166 (Electronic) IS - 1755-8166 (Linking) VI - 11 DP - 2018 TI - Rare partial octosomy and hexasomy of 15q11-q13 associated with intellectual impairment and development delay: report of two cases and review of literature. PG - 15 LID - 10.1186/s13039-018-0365-5 [doi] LID - 15 AB - BACKGROUND: Small supernumerary marker chromosomes (sSMCs) are common structurally abnormal chromosomes that occur in 0.288% of cases of mental retardation. Isodicentric 15 (idic(15)) is common in sSMCs and usually leads to a rare chromosome disorder with distinctive clinical phenotypes, including early central hypotonia, developmental delay, epilepsy, and autistic behavior. It was previously shown that the partial tetrasomy 15q and partial hexasomy 15q syndromes are usually caused by one and two extra idic(15), respectively. Karyotypes containing a mosaic partial octosomy 15q resulting from three extra idic(15) have rarely been reported. CASE PRESENTATION: Two patients with profound intellectual impairment, development delay and hyperpigmentation were recruited for this study. The phenotype was relatively more severe in patient 1 than in patient 2. Conventional cytogenetic analysis of peripheral blood obtained from patients 1 and 2 revealed rare mosaic karyotypes containing sSMCs, i.e., mos 49,XX,+mar x 3[83]/48,XX,+mar x 2[7]/46,XX[10] and mos 48,XX,+mar x 2[72]/47,XX,+mar[28], respectively. The results of analyses of copy number variation (CNV) and fluorescence in situ hybridization (FISH) analyses, showed that the sSMCs were found to be idic(15) involving the Prader-Willi/Angelman Syndrome Critical Region (PWACR) genes and the P gene, with duplication sizes of 6.3 Mb and 9.7 Mb, respectively. DNA fingerprinting analysis of patient 1 showed a maternal origin for the idic(15). Both patients had mosaic idic(15) karyotypes: patient 1 had cells with a 15q partial octosomy (83%), and patient 2 had cells with a 15q partial hexasomy (72%). CONCLUSIONS: We detected two rare mosaic idic(15) karyotypes that were associated with congenital abnormalities, including a rare mosaic octosomy of 15q11-q13. Our cases further validate the notion that the phenotypic severity is correlated with the level of mosaicism and the dosage effect of related genes in the proximal 15q. FAU - Li, Haiyu AU - Li H AD - 1Institute of Reproduction and Stem Cell Engineering, Central South University, Changsha, Hunan 410078 People's Republic of China. ISNI: 0000 0001 0379 7164. GRID: grid.216417.7 FAU - Du, Juan AU - Du J AD - 1Institute of Reproduction and Stem Cell Engineering, Central South University, Changsha, Hunan 410078 People's Republic of China. ISNI: 0000 0001 0379 7164. GRID: grid.216417.7 AD - 2Reproductive and Genetic Hospital of CITIC-Xiangya, Changsha, Hunan 410078 People's Republic of China. ISNI: 0000 0004 1756 593X. GRID: grid.477823.d FAU - Li, Wen AU - Li W AD - 1Institute of Reproduction and Stem Cell Engineering, Central South University, Changsha, Hunan 410078 People's Republic of China. ISNI: 0000 0001 0379 7164. GRID: grid.216417.7 AD - 2Reproductive and Genetic Hospital of CITIC-Xiangya, Changsha, Hunan 410078 People's Republic of China. ISNI: 0000 0004 1756 593X. GRID: grid.477823.d FAU - Cheng, Dehua AU - Cheng D AD - 1Institute of Reproduction and Stem Cell Engineering, Central South University, Changsha, Hunan 410078 People's Republic of China. ISNI: 0000 0001 0379 7164. GRID: grid.216417.7 AD - 2Reproductive and Genetic Hospital of CITIC-Xiangya, Changsha, Hunan 410078 People's Republic of China. ISNI: 0000 0004 1756 593X. GRID: grid.477823.d FAU - He, Wenbin AU - He W AD - 1Institute of Reproduction and Stem Cell Engineering, Central South University, Changsha, Hunan 410078 People's Republic of China. ISNI: 0000 0001 0379 7164. GRID: grid.216417.7 AD - 2Reproductive and Genetic Hospital of CITIC-Xiangya, Changsha, Hunan 410078 People's Republic of China. ISNI: 0000 0004 1756 593X. GRID: grid.477823.d FAU - Yi, Duo AU - Yi D AD - 2Reproductive and Genetic Hospital of CITIC-Xiangya, Changsha, Hunan 410078 People's Republic of China. ISNI: 0000 0004 1756 593X. GRID: grid.477823.d FAU - Xiong, Bo AU - Xiong B AD - 2Reproductive and Genetic Hospital of CITIC-Xiangya, Changsha, Hunan 410078 People's Republic of China. ISNI: 0000 0004 1756 593X. GRID: grid.477823.d FAU - Yuan, Shimin AU - Yuan S AD - 2Reproductive and Genetic Hospital of CITIC-Xiangya, Changsha, Hunan 410078 People's Republic of China. ISNI: 0000 0004 1756 593X. GRID: grid.477823.d FAU - Tu, Chaofeng AU - Tu C AD - 1Institute of Reproduction and Stem Cell Engineering, Central South University, Changsha, Hunan 410078 People's Republic of China. ISNI: 0000 0001 0379 7164. GRID: grid.216417.7 FAU - Meng, Lanlan AU - Meng L AD - 2Reproductive and Genetic Hospital of CITIC-Xiangya, Changsha, Hunan 410078 People's Republic of China. ISNI: 0000 0004 1756 593X. GRID: grid.477823.d FAU - Luo, Aixiang AU - Luo A AD - 1Institute of Reproduction and Stem Cell Engineering, Central South University, Changsha, Hunan 410078 People's Republic of China. ISNI: 0000 0001 0379 7164. GRID: grid.216417.7 FAU - Lin, Ge AU - Lin G AD - 1Institute of Reproduction and Stem Cell Engineering, Central South University, Changsha, Hunan 410078 People's Republic of China. ISNI: 0000 0001 0379 7164. GRID: grid.216417.7 AD - 2Reproductive and Genetic Hospital of CITIC-Xiangya, Changsha, Hunan 410078 People's Republic of China. ISNI: 0000 0004 1756 593X. GRID: grid.477823.d FAU - Lu, Guangxiu AU - Lu G AD - 1Institute of Reproduction and Stem Cell Engineering, Central South University, Changsha, Hunan 410078 People's Republic of China. ISNI: 0000 0001 0379 7164. GRID: grid.216417.7 AD - 2Reproductive and Genetic Hospital of CITIC-Xiangya, Changsha, Hunan 410078 People's Republic of China. ISNI: 0000 0004 1756 593X. GRID: grid.477823.d FAU - Tan, Yue-Qiu AU - Tan YQ AUID- ORCID: 0000-0002-8359-4654 AD - 1Institute of Reproduction and Stem Cell Engineering, Central South University, Changsha, Hunan 410078 People's Republic of China. ISNI: 0000 0001 0379 7164. GRID: grid.216417.7 AD - 2Reproductive and Genetic Hospital of CITIC-Xiangya, Changsha, Hunan 410078 People's Republic of China. ISNI: 0000 0004 1756 593X. GRID: grid.477823.d LA - eng PT - Case Reports DEP - 20180205 PL - England TA - Mol Cytogenet JT - Molecular cytogenetics JID - 101317942 PMC - PMC5799895 OTO - NOTNLM OT - Developmental delay OT - Hyperpigmentation OT - Isodicentric 15 OT - Mental retardation OT - P gene OT - Partial octosomy of 15q COIS- This study was approved by the Institutional Ethics Committee of the Reproductive and Genetic Hospital of Citic-Xiangya, and written informed consent was obtained from all the participants prior to the genetic study.Written informed consent was obtained from the parents of the patients for the publication of this case report.The authors declare that they have no competing interests.Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. EDAT- 2018/02/15 06:00 MHDA- 2018/02/15 06:01 PMCR- 2018/02/05 CRDT- 2018/02/15 06:00 PHST- 2017/08/28 00:00 [received] PHST- 2018/01/29 00:00 [accepted] PHST- 2018/02/15 06:00 [entrez] PHST- 2018/02/15 06:00 [pubmed] PHST- 2018/02/15 06:01 [medline] PHST- 2018/02/05 00:00 [pmc-release] AID - 365 [pii] AID - 10.1186/s13039-018-0365-5 [doi] PST - epublish SO - Mol Cytogenet. 2018 Feb 5;11:15. doi: 10.1186/s13039-018-0365-5. eCollection 2018.