PMID- 35252057 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220502 IS - 2296-2360 (Print) IS - 2296-2360 (Electronic) IS - 2296-2360 (Linking) VI - 10 DP - 2022 TI - Case Report: Genetic Analysis of a Small Supernumerary Marker Chromosome in a Unique Case of Mosaic Turner Syndrome. PG - 799284 LID - 10.3389/fped.2022.799284 [doi] LID - 799284 AB - BACKGROUND: The aim of this study was to explore the source and morphology of a small supernumerary marker chromosome (sSMC) from karyotype analysis of a patient with a unique case of mosaic Turner syndrome. The study findings will provide technical reference and genetic counseling for similar cases. CASE PRESENTATION: A female patient with 46,X,+mar karyotype was diagnosed by genetic karyotype analysis. Genetic methods including fluorescence in situ hybridization (FISH) and copy number variation sequencing (CNV-seq) based on low-depth whole-genome sequencing were used to explore the source and morphology of sSMC. FISH technology showed that 56.5% of the cells were X and 43.5% of the cells were XY. CNV-seq detection found that the sSMC was chrY, implying that the patient's karyotype was mos 45,X[58.6%]/46,XY[41.4%]. Retrospective karyotype analysis indicated that the female patient's sSMC was inherited from her father's small chrY. Customized FISH probe of Yq12 microdeletion was positive, indicating that the sSMC was a del(Y)(q12). Based on the results of genetic diagnosis, the specialist doctor gave a comprehensive genetic consultation and ordered regular follow-up examinations. CONCLUSIONS: The findings of the current study showed that the chromosome description of the unique Turner case was mos 45,X[56.5%]/46,X,del(Y)(q12)[43.5%]. FISH technology played a key role in diagnosis of mosaicism. The terminal deletion of mosaic chrY provided a scientific and an accurate explanation for masculinity failure and abnormal sexual development of the current case. CI - Copyright (c) 2022 Li, Luo, Xiao, Yang, Ou, Zhang, Huang and Zhu. FAU - Li, Chao AU - Li C AD - Department of Prenatal Diagnosis, Foshan Women and Children Hospital Affiliated to Southern Medical University, Foshan, China. FAU - Luo, Weiyao AU - Luo W AD - Department of Pediatric, Foshan Women and Children Hospital Affiliated to Southern Medical University, Foshan, China. FAU - Xiao, Tingting AU - Xiao T AD - Department of Prenatal Diagnosis, Foshan Women and Children Hospital Affiliated to Southern Medical University, Foshan, China. FAU - Yang, Xingkun AU - Yang X AD - Department of Prenatal Diagnosis, Foshan Women and Children Hospital Affiliated to Southern Medical University, Foshan, China. FAU - Ou, Miaoling AU - Ou M AD - Department of Prenatal Diagnosis, Foshan Women and Children Hospital Affiliated to Southern Medical University, Foshan, China. FAU - Zhang, Linghua AU - Zhang L AD - Department of Prenatal Diagnosis, Foshan Women and Children Hospital Affiliated to Southern Medical University, Foshan, China. FAU - Huang, Xiang AU - Huang X AD - Department of Prenatal Diagnosis, Foshan Women and Children Hospital Affiliated to Southern Medical University, Foshan, China. FAU - Zhu, Xiaodan AU - Zhu X AD - Department of Prenatal Diagnosis, Foshan Women and Children Hospital Affiliated to Southern Medical University, Foshan, China. LA - eng PT - Case Reports DEP - 20220218 PL - Switzerland TA - Front Pediatr JT - Frontiers in pediatrics JID - 101615492 PMC - PMC8894671 OTO - NOTNLM OT - CNV-seq OT - FISH OT - Turner syndrome OT - del(Y)(q12) OT - sSMC COIS- The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. EDAT- 2022/03/08 06:00 MHDA- 2022/03/08 06:01 PMCR- 2022/02/18 CRDT- 2022/03/07 06:07 PHST- 2021/10/21 00:00 [received] PHST- 2022/01/10 00:00 [accepted] PHST- 2022/03/07 06:07 [entrez] PHST- 2022/03/08 06:00 [pubmed] PHST- 2022/03/08 06:01 [medline] PHST- 2022/02/18 00:00 [pmc-release] AID - 10.3389/fped.2022.799284 [doi] PST - epublish SO - Front Pediatr. 2022 Feb 18;10:799284. doi: 10.3389/fped.2022.799284. eCollection 2022.