PMID- 8365720 OWN - NLM STAT- MEDLINE DCOM- 19931001 LR - 20190722 IS - 0340-6717 (Print) IS - 0340-6717 (Linking) VI - 92 IP - 1 DP - 1993 Aug TI - The origin of cytologically unidentifiable chromosome abnormalities: six cases ascertained by targeted chromosome-band painting. PG - 1-5 AB - De novo chromosome structural abnormalities cannot always be diagnosed by the use of standard cytogenetic techniques. We applied a previously developed chromosome-band-specific painting method to the diagnosis of such rearrangements. The diagnostic procedures consisted of microdissection of an aberrant chromosomal region of a given patient, polymerase chain reaction (PCR) amplification of the dissected chromosomal DNA, and subsequent competitive fluorescence in situ hybridization (FISH) using the PCR products as a probe pool on metaphase chromosomes from the patient and/or a karyotypically normal person. With this strategy, we studied 6 de novo rearrangements (6p+, 6q+, 9p+, 17p+, +mar, and +mar) in 6 patients. These rearrangements had been seen by conventional banding but their origin could not be identified. In all 6 patients, we successfully ascertained the origin. Using an aberrant region-specific probe pool, FISH signals appeared on both the aberrant region and a region of another specific chromosome pair. A reverse probe pool that was generated through the microdissection of normal chromosomes at a candidate region for the origin of the aberration hybridized with both the aberrant and the candidate regions. We thus diagnosed one patient with 17p+ as having trisomy for 14q32-qter, one with 9p+ as having trisomy for 12pter-p12, one with 6q+ as having a tandem duplication (trisomy) of a 6q23-q25 segment, one with 6p+ as having a tandem duplication (trisomy) of a 6p23-q21.3 segment, one with a supernumerary metacentric marker chromosome as having tetrasomy for 18pter-cen, and the last with an additional small marker chromosome as having trisomy for 18p11.1 (or p11.2)-q11.2. The present targeted chromosome-band-painting method provides the simple and rapid preparation of a probe pool for region-specific FISH, and is useful for the diagnosis of chromosome abnormalities of unknown origin. FAU - Ohta, T AU - Ohta T AD - Department of Human Genetics, Nagasaki University School of Medicine, Japan. FAU - Tohma, T AU - Tohma T FAU - Soejima, H AU - Soejima H FAU - Fukushima, Y AU - Fukushima Y FAU - Nagai, T AU - Nagai T FAU - Yoshiura, K AU - Yoshiura K FAU - Jinno, Y AU - Jinno Y FAU - Niikawa, N AU - Niikawa N LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - Germany TA - Hum Genet JT - Human genetics JID - 7613873 RN - 9007-49-2 (DNA) SB - IM MH - Base Sequence MH - Child MH - *Chromosome Aberrations/diagnosis/*genetics MH - Chromosome Banding/*methods MH - *Chromosome Disorders MH - DNA MH - Female MH - Humans MH - In Situ Hybridization, Fluorescence MH - Karyotyping MH - Male MH - Molecular Sequence Data EDAT- 1993/08/01 00:00 MHDA- 1993/08/01 00:01 CRDT- 1993/08/01 00:00 PHST- 1993/08/01 00:00 [pubmed] PHST- 1993/08/01 00:01 [medline] PHST- 1993/08/01 00:00 [entrez] AID - 10.1007/BF00216136 [doi] PST - ppublish SO - Hum Genet. 1993 Aug;92(1):1-5. doi: 10.1007/BF00216136.