PMID- 37096267 OWN - NLM STAT- MEDLINE DCOM- 20230426 LR - 20230426 IS - 0578-1310 (Print) IS - 0578-1310 (Linking) VI - 61 IP - 5 DP - 2023 May 2 TI - [Clinical and genetic characteristic in patients with disorders of sex development caused by Y chromosome copy number variant]. PG - 459-463 LID - 10.3760/cma.j.cn112140-20221115-00965 [doi] AB - Objective: To investigate the clinical phenotype and genetic characteristics of disorders of sex development (DSD) caused by Y chromosome copy number variant (CNV). Methods: A retrospective analysis was performed on 3 patients diagnosed with DSD caused by Y chromosome CNV admitted to the First Affiliated Hospital of Zhengzhou University from January, 2018 to September, 2022. Clinical data were collected. Clinical study and genetic test were performed by karyotyping, whole exome sequencing (WES), low coverage whole genome copy number variant sequencing (CNV-seq), fluorescence in situ hybridization (FISH) and gonadal biopsy. Results: The 3 children, aged 12, 9, 9 years, the social gender were all female, presented with short stature, gonadal dysplasia and normal female external genital. No other phenotypic abnormality was found except for case 1 with scoliosis. The karyotype of all cases were identified as 46, XY. No pathogenic vraiants were found by WES. CNV-seq determined that case 1 was 47, XYY,+Y(2.12) and case 2 was 46, XY,+Y(1.6). FISH concluded that the long arm of Y chromosome was broken and recombined near Yq11.2, and then produced a pseudodicentric chromosome idic(Y). The karyotype was reinterpreted as mos 47, X, idic(Y)(q11.23)x2(10)/46, X, idic(Y)(q11.23)(50) in case 1. The karyotype was redefined as 45, XO(6)/46, X, idic(Y)(q11.22)(23)/46, X, del(Y)(q11.22)(1) in case 2. 46, XY, -Y(mos) was found by CNV-seq in case 3, and the karyotype of 45, XO/46, XY was speculated. Conclusions: The clinical manifestations of children with DSD caused by Y chromosome CNV are short stature and gonadal dysgenesis. If there is an increase of Y chromosome CNV detected by CNV-seq, FISH is recommended to classify the structural variation of Y chromosome. FAU - Xia, J K AU - Xia JK AD - Prenatal and Genetic Diagnosis Center, Department of Gynaecology and Obstetrics, the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China. FAU - Tian, F Y AU - Tian FY AD - Department of Pediatrics, the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China. FAU - Hou, Y Q AU - Hou YQ AD - Prenatal and Genetic Diagnosis Center, Department of Gynaecology and Obstetrics, the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China. FAU - Zhao, Y J AU - Zhao YJ AD - Prenatal and Genetic Diagnosis Center, Department of Gynaecology and Obstetrics, the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China. FAU - Kong, X D AU - Kong XD AD - Prenatal and Genetic Diagnosis Center, Department of Gynaecology and Obstetrics, the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China. LA - chi GR - 2018YFC1002203/National Key Research and Development Program of China/ GR - 2021KJHM0003/Science and Technology Huimin Project of Zhengzhou/ PT - English Abstract PT - Journal Article PL - China TA - Zhonghua Er Ke Za Zhi JT - Zhonghua er ke za zhi = Chinese journal of pediatrics JID - 0417427 SB - IM MH - Humans MH - Female MH - *DNA Copy Number Variations MH - In Situ Hybridization, Fluorescence MH - Retrospective Studies MH - Chromosomes, Human, Y MH - *Turner Syndrome EDAT- 2023/04/25 06:42 MHDA- 2023/04/26 06:41 CRDT- 2023/04/25 02:20 PHST- 2023/04/26 06:41 [medline] PHST- 2023/04/25 06:42 [pubmed] PHST- 2023/04/25 02:20 [entrez] AID - 10.3760/cma.j.cn112140-20221115-00965 [doi] PST - ppublish SO - Zhonghua Er Ke Za Zhi. 2023 May 2;61(5):459-463. doi: 10.3760/cma.j.cn112140-20221115-00965.