PMID- 37906155 OWN - NLM STAT- MEDLINE DCOM- 20231101 LR - 20231101 IS - 1003-9406 (Print) IS - 1003-9406 (Linking) VI - 40 IP - 11 DP - 2023 Nov 10 TI - [Genetic analysis of a rare case with Disorder of sex development due to structural rearrangement of Y chromosome]. PG - 1430-1435 LID - 10.3760/cma.j.cn511374-20210715-00598 [doi] AB - OBJECTIVE: To explore the genetic basis for a rare case with Disorder of sex development. METHODS: Clinical data of the patient was collected. Chromosomal karyotyping, SRY gene testing, whole exome sequencing (WES), low-coverage massively parallel copy number variation sequencing (CNV-seq), fluorescence in situ hybridization (FISH), and whole genome sequencing (WGS) were carried out. RESULTS: The patient, a 14-year-old female, had manifested short stature and dysplasia of second sex characteristics. She was found to have a 46,XY karyotype and positive for the SRY gene. No pathogenic variant was found by WES, except a duplication at Yp11.32q12. The result of CNV-seq was 47,XYY. FISH has confirmed mosaicism for a dicentric Y chromosome. A 23.66 Mb duplication on Yp11.32q11.223 and a 5.16 Mb deletion on Yq11.223q11.23 were found by WGS. The breakpoint was mapped at chrY: 23656267. The patient's karyotype was ultimately determined as 46,X,psu idic(Y)(q11.223)/46,X,del(Y)(q11.223). CONCLUSION: The combination of multiple methods has facilitated clarification of the genetic etiology in this patient, which has provided a reference for the clinical diagnosis and treatment. FAU - Mi, Manli AU - Mi M AD - Department of Medical Genetics and Prenatal Diagnosis, Luoyang Maternal and Child Health Care Hospital, Luoyang, Henan 471000, China. kongxd@263.net. FAU - Xia, Junke AU - Xia J FAU - Hou, Yaqin AU - Hou Y FAU - Dai, Peng AU - Dai P FAU - Wang, Yanan AU - Wang Y FAU - Kong, Xiangdong AU - Kong X LA - chi PT - Case Reports PT - English Abstract PT - Journal Article 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 - Female MH - Humans MH - Adolescent MH - *DNA Copy Number Variations MH - In Situ Hybridization, Fluorescence MH - *Y Chromosome MH - Sexual Development MH - Mosaicism EDAT- 2023/10/31 12:42 MHDA- 2023/11/01 12:45 CRDT- 2023/10/31 11:12 PHST- 2023/11/01 12:45 [medline] PHST- 2023/10/31 12:42 [pubmed] PHST- 2023/10/31 11:12 [entrez] AID - 940640245 [pii] AID - 10.3760/cma.j.cn511374-20210715-00598 [doi] PST - ppublish SO - Zhonghua Yi Xue Yi Chuan Xue Za Zhi. 2023 Nov 10;40(11):1430-1435. doi: 10.3760/cma.j.cn511374-20210715-00598.