PMID- 36585012 OWN - NLM STAT- MEDLINE DCOM- 20230103 LR - 20230103 IS - 1003-9406 (Print) IS - 1003-9406 (Linking) VI - 40 IP - 1 DP - 2023 Jan 10 TI - [Genetic features of a case with mosaic ring chromosome 4 and a review of the literature]. PG - 105-109 LID - 10.3760/cma.j.cn511374-20210424-00358 [doi] AB - OBJECTIVE: To explore the genetic basis, clinical phenotype and pathogenesis for a child with mosaicism ring chromosome 4. METHODS: Clinical data of the child was collected. Peripheral blood chromosomal karyotype G banding analysis, chromosomal microarray analysis (CMA), fluorescence in situ hybridization (FISH) were carried out for the child, in addition with a review of the literature. RESULTS: The child was born full-term with low birth weight, facial dysmorphism, patent ductus arteriosus and ventricular septal defect. His karyotype was determined as mos46,XY,r(4)(p16.3q35.2)[259]/45,XY,-4[25]/47,XY,r(4)(p16.3q35.2), +r(4)(p16.3q35.2)[8]/46,XY,der(4)del(4)(p16.3)inv(4)(p16.3q31.1)[6]/46,XY,dic?r(4;4)(p16.3q35.2;p16.3q35.2)[4]/48,XY,r(4)(p16.3q35.2),+r(4)(p16.3q35.2)x2[3]/46,XY,r(4)(p1?q2?)[2]; CMA result was arr[GRCH37]4p16.3(68 345-2 981 614)x1; FISH result was 45,XY,-4[12]/45,XY,-4x2,+mar1.ish r1(4)(WHS-,D4Z1+)[1]/ 46,XY,-4,+mar1.ishr1(4)(WHS-,D4Z1+)[73]/46,XY,-4,+mar2.ishr2(4)(WHS-,D4Z1++)[1]/47,XY,-4,+mar1x2.ishr1(4) (WHS-, D4Z1+)x2[4]/46,XY,del(4)(p16.3).ish del(4)(p16.3)(WHS-,D4Z1+)[9]. CONCLUSION: In this case, the ring chromosome 4 as a de novo variant has produced a number of cell lines during embryonic development and given rise to mosaicism. The clinical phenotype of ring chromosome 4 is variable. The instability of the ring chromosome itself, presence of mosaicism, chromosome breakpoint and range of deletion and/or duplication may all affect the ultimate phenotype. FAU - Ma, Canling AU - Ma C AD - Department of Laboratory Medicine, Tengzhou Maternal and Child Health Care Hospital, Tengzhou, Shandong 277599, China. jyf690629@163.com. FAU - Wang, Yingying AU - Wang Y FAU - Zhen, Na AU - Zhen N FAU - Shao, Changxi AU - Shao C FAU - Zhang, Daoling AU - Zhang D FAU - Jiang, Yan AU - Jiang Y FAU - Du, Yu AU - Du Y FAU - Jia, Yifang AU - Jia Y LA - chi PT - English Abstract PT - Journal Article PT - Review PL - China TA - Zhonghua Yi Xue Yi Chuan Xue Za Zhi JT - Zhonghua yi xue yi chuan xue za zhi = Zhonghua yixue yichuanxue zazhi = Chinese journal of medical genetics JID - 9425197 SB - IM MH - Humans MH - Pregnancy MH - Female MH - *Ring Chromosomes MH - In Situ Hybridization, Fluorescence MH - Karyotyping MH - Karyotype MH - Mosaicism EDAT- 2022/12/31 06:00 MHDA- 2023/01/04 06:00 CRDT- 2022/12/30 20:12 PHST- 2022/12/30 20:12 [entrez] PHST- 2022/12/31 06:00 [pubmed] PHST- 2023/01/04 06:00 [medline] AID - 940640022 [pii] AID - 10.3760/cma.j.cn511374-20210424-00358 [doi] PST - ppublish SO - Zhonghua Yi Xue Yi Chuan Xue Za Zhi. 2023 Jan 10;40(1):105-109. doi: 10.3760/cma.j.cn511374-20210424-00358.