A boy with 47,X,del(X)(p11→q13::q21→q24),del(Y)(q11)

Summary A patient is described carrying a duplication 4p12pter due to a paternal translocation: 46,XY,t(4;16) (p12;p13). Involvement of chromosome No. 16 and the heterogeneity of the clinical picture in cases with dup (4p) are discussed.Postdoctoral fellow of the Deutsche Forschungsgemeinschaft.     

An XX male with a 46,XX/47,XX,+Y(q12→qter) karyotype

Summary We describe a male with the karyotype 46,XX/47, XX,+Y(q12qter), which may be interpreted as due to an insertion (Y;X)(Yq11Yq12;Xp22) or to mosaicism, 46,XX/47, XX,+Y(12qter). In any case, some of the H-Y determining genes may be located on the long arm of the Y chromosome.     

A girl with karyotype 46,XX,del(7) (qter→p15:)

Summary A girl with partial deletion of the short arms of one chromosome 7 is described. Among many other symptoms she has craniosynostosis. Early closure of cranio-sutures has previously been described in 2 of 3 patients with partial deletion 7. Investigation of a number of genetic marker systems shows that the HL-A, MN, AcP, and GPT loci are not located in the deleted segment.

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Zusammenfassung Es wird ein Mädchen mit teilweiser Deletion des kurzen Armes eines Chromosoms 7 beschrieben. Außer vielen anderen Symptomen hat sie eine Craniosynostose. Frühzeitiger Verschluß der Schädelnähte wurde auch bei 2 von 3 Patienten mit Deletion 7, die in der Literatur beschrieben sind, beobachtet. Untersuchung einer Reihe genetischer Markersysteme zeigt, daß die HL-A-, MN-, AcP- und GPT-loci nicht in dem deletierten Segment liegen.

     

Molecular characterization of a patient with del(1)(q23–q25)

Summary We report a patient (S.T.) with multiple congenital anomalies and developmental delay associated with an interstitial deletion of 1q23–1q25. Molecular analysis of the deletion was performed using DNA markers that map to 1q. Five DNA markers, MLAJ-1 (D1S61), CRI-L1054 (D1S42), HBI40 (D1S66), OS-6 (D1S75), and BH516 (D1S110), were demonstrated to be deleted. Informative polymorphisms demonstrated this to be a de novo deletion of the maternally derived chromosome. Deletion status was determined using restriction fragment length polymorphism (RFLP) analysis supplemented with densitometry in the experiments where RFLP analysis was not fully informative. Deletions were confirmed by Southern analysis using genomic DNA from a somatic cell hybrid retaining the del(1)(q23–q25) chromosome that was constructed from patient S.T. Flow karyotyping confirmed the deletion and estimated that the deletion encompassed 11,000–16,000 kb. The clinical and cytogenetic characteristics of S.T. are compared with those of ten previously described patients with monosomy 1q21–1q25.     

A phenotypic male with karyotype 45,X/45,X,ace+(?Yq-)

Summary A phenotypical normal 22-year-old male with the sex chromosome constitution 45,X/45,X,ace+(?Yq-) and an atypical endogenous depression has been studied. The chromosome aberration and the depression are most probably not aetiologically connected.The patient presented no physical signs of male Turner phenotype, except for short stature. His personality development was, however, in several ways similar to what is characteristic for females with Turner's syndrome and karyotype 45,X and he had some dermatoglyphic signs similar to females with Turner's syndrome.The cytogenetic findings in leucocytes as well as fibroblast cultures indicated that the small acentric chromosome fragment found in approximately half of the cells was made up of the short arms of a Y chromosome. The finding of only short arms Y chromosome in approximately half of the cells in a phenotypically normal male with testes of normal size supports indications from previous studies that the genes necessary for the development of testes are located in the short arms Y. The finding further indicates that if homologous gene loci for the short arms X are present in the Y chromosome, they must be located in the short arms, and deletion long arms Y is most probably not an aetiological factor in the development of the so-called male Turner phenotype.

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Zusammenfassung Es wird ein phänotypisch normaler 22jähriger Mann mit der Geschlechtschromosomenkonstitution 45,X/45,X,ace+(?Yq-) und einer atypischen endogenen Depression beschrieben. Die Chromosomenaberration und die Depression stehen sehr wahrscheinlich in keinem ätiologischen Zusammenhang.Der Patient zeigte keine körperlichen Veränderungen im Sinne der männlichen Turner-Phänotype, mit Ausnahme von Kleinwuchs. Seine Persönlichkeitsentwicklung jedoch ließ sich in mehreren Punkten mit den Charakteristika, wie man sie bei Frauen mit Turner-Syndrom und der Karyotype 45,X sieht, vergleichen; und er hatte einige dermatoglyphische Zeichen, ähnlich wie bei Frauen mit Turner-Syndrom.Die cytogenetischen Untersuchungsergebnisse sowohl an Leukocyten als auch an Fibroblastenkulturen deuteten an, daß das kleine azentrische Chromosomenfragment, welches sich in ungefähr der Hälfte der Zellen fand, von den kurzen Armen des Y-Chromosoms gebildet wurde. Der Fund von lediglich den kurzen Armen des Y-Chromosoms in ungefähr der Hälfte der Zellen bei einem phänotypisch normalen Mann mit normaler Testisgröße unterstützt die Vermutungen vorangegangener Untersuchungen, daß die Gene, die für die Entwicklung der Testis notwendig sind, auf den kurzen Armen des Y-Chromosoms lokalisiert sind. Das Ergebnis der Untersuchung deutet weiterhin an, wenn homologe Genloci für die kurzen Arme X im Y-Chromosom vorhanden sind, diese auf den kurzen Armen lokalisiert sein müssen und daß eine Deletion der langen Arme des Y-Chromosoms sehr wahrscheinlich kein ätiologischer Faktor in der Entwicklung der sogenannten männlichen Turner-Phänotype ist.

     

A fragile X case with an amplification/deletion mosaic pattern

Fragile X syndrome is the most common cause of hereditary mental retardation. The FMR1 gene, which is involved in fragile X syndrome, contains a polymorphic CGG repeat, which expands in affected patients. Expanding triplet repeats have been shown to be a new type of mutation, termed "dynamic mutation", responsible for more than 12 genetic diseases. These mutations occur as multiple steps rather than as a single event. The first step leads to an unstable allele that then becomes increasingly unstable generally achieving further increases in copy or occasionally contraction. In this report, we describe a fragile X boy with both a hypermethylated full mutation and a deletion of 905 bp encompassing the CGG repeat. The upstream breakpoint is 438 bp 5' to the CGG repeat and the downstream breakpoint is 420 bp 3' of the triplet repeats. The deletion includes the ATG starting codon for translation of the FMR1 gene. This was confirmed by using FMRP immunocytochemistry both on blood smears and hair roots. The deleted region is flanked by a ccgg direct repeat next to the breakpoints; this may have had a critical role in the formation of a secondary DNA structure leading to the deletion.     

Interstitial deletion of the long arm of chromosome 7 46,XX,del(7)(pter→q2200::q3200→qter)

Summary We present a boy with the karyotype 46,XY,r3 and a phenotype with psychomotor and growth retardation, craniofacial anomalies, syndactyly of the toes, and edema of the feet. The karyotypes and phenotypes of both parents are normal.     

罕见的45,X/46,XX/47,XX, t(Y;Y)的两性畸形一例报告

由性染色体异常引起的性畸形较为常见。无论是性染色体数目异常、结构异常,纯一的、还是嵌合体,核型多样,临床变异很大。1977年Jean de Grouchy在其总结的人类染色体异常中,罗列有47,XX,i(Yq)/46,XX/45,X的真两性畸形,但与本例45,X/46,XX/47,XX, t(Y;Y)核型和临床表现均不相同。现将其临床和细胞遗传学研究以及病理检查结果报告如下。     

Assignment of the apolipoprotein A-I gene to 11q23 based on RFLP in a case with a partial deletion of chromosome 11, del(11)(q23.3→qter)

Summary The XmnI genotype at the apolipoprotein A-I locus was heterozygous in a boy with partial deletion of the long arm of chromosome 11, del(11)(q23.3qter). The apolipoprotein A-I gene, previously assigned to chromosome region 11q23q24, has been more specifically localized to 11q23 by excluding the region 11q24qter.     

A newborn child with karyotype 47,XX,+der(12) (12pter→12q12::8q24→8qter),t(8;12) (q24;q12) pat

Summary A case of Meckel or Gruber syndrome is reported, together with a survey of the relevant literature of recent years (1971–1977), in reference to a probably autosomal recessive inheritance of this malformation.     

A point mutation,R59G,within the HMG-SRY box in a female 45,X/46,X,psu dic(Y)(pter→q11::q11→pter)

We report a molecular and cytogenetic investigation of a psu dic(Yp) chromosome identified in blood and ovarian tissue from a female with mosaic karyotype 45,X/46,X,+ psu dic(Yp). FISH analysis showed that the psu dic(Yp) has two copies of the short arm, two centromeres and two copies of the proximal long arm. PCR analysis also confirmed the presence of the SRY gene and the Y centromere, and also confirmed the deletion of the Y-heterochromatic region. Because of the possibility of a mutation, a fragment of 609 bp of the SRY gene was sequenced from independent PCR products. The analysis of the sequence indicated the presence of two different copies of the gene: one presented a point mutation, R59G, within the HMG-box; the other had a sequence identical to that already published. Both sequences were found at a proportion of 1:1. The absence of a 46,XY cell line suggests that the rearrangement took place during gametogenesis or during the first division after fertilization. Also, the existence of different sequences of the SRYgene in the same Y chromosome suggests that the formation of the dicentric took place prior to the mutation of the SRY gene. To our knowledge, this is the first time that a mutation has been described in codon 59 within the HMG- SRY box, and also the first case of a psu dic(Yp) chromosome that displays two different copies of the SRY gene.     

Bisatellited dicentric chromosome: A report on a case with karyotype 47,XY,+psu dic(22)t(22;22)(22pter→cen→22q11::22q11→22pter)

Summary A 12-year-old boy with mental retardation and congenital anomalies was found to have a supernumerary small marker chromosome. This marker chromosome was proved to be bisatellited and dicentric by G-, C-, R-banding and the silverstaining technique.     

Mosaicism for an additional partial chromosome 8: 46,XX/47,XX+der(8)(p21→qter)

Summary Report on mosaicism of an additional deleted chromosome 8 in a 12-year-old girl. She exhibits several typical but minor features of the trisomy-8 syndrome. Her IQ is 77 (Hawik).     

The constitutional fragility of chromosome 12 in a case of 46,XX,var(12)(qh′,RHG,GAG,CBG)

Summary The constitutional fragility of chromosome no. 12 in a female infant with unspecific clinical signs is described. RHG, GAG, and CBG methods were used to localize the fragile point. The breaks seem to be in 12q1.3, and always within an R band. A possible correlation between the phenotypic modifications and the chromosome variant is discussed.     

Center for barr body condensation. A case of Turner's syndrome with 45,X/46,X,dic(X) (Xqter→ p22::p22→qter)

Summary An 11-year-old girl with karyotype 45,X/46,X,dic(X) (Xqterp22::p22qter) is presented. The abnormal X is always found to be the inactive and late replicating X, and according to previous investigations by Therman et al. (1974) part of the cells are seen to have bipartite Barr bodies.     

Sublocalization of von Willebrand factor pseudogene to 22q11.22–q11.23 by in situ hybridization in a 46,X,t(X;22)(pter;q11.21) translocation

Summary The von Willebrand factor pseudogene, previously mapped to chromosome 22, was sublocalized by in situ hybridization using as probe a von Willebrand factor cDNA fragment completely contained in the pseudogenic region. Chromosome spreads were from a patient carrying a unique balanced de novo translocation 46,X,t(X;22)(pter;q11.21). Silver grain analysis indicated that the human von Willebrand factor pseudogene is located on 22q11.22–q11.23, a region relevant for several somatic and constitutional chromosomal alterations.     

A case of hyperlipidemia with homozygous apolipoprotein E5 (Glu3→Lys)

In this study, we present clinical feature of a novel case with homozygous apolipoprotein (apo) E5.The patient was a 53-year-old Japanese woman. She was from a small island off the coast of Kagoshima Prefecture, Japan. Her parents were first degree cousins. No corneal opacification, xanthomatosis, lymphadenopathy, or hepatosplenomegaly was observed. There have been no signs of clinically overt atherosclerosis to date. Her serum total cholesterol, triglycerides (TG) and high-density lipoprotein (HDL)-cholesterol levels were 11.6, 6.1 and 1.2 mmol/l, respectively, and apo A-I, A-II, B, C-II, C-III and E levels were 121, 34.8, 269, 10.4, 25.7 and 10.3 mg/dl, respectively. Serum lipoprotein profile analyzed by agarose gel electrophoresis and differential staining revealed markedly increased cholesterol and TG in both β and preβ-migrated lipoproteins, whereas α-migrated lipoprotein showed decreased cholesterol. Her apo E isoform analyzed by isoelectric focusing (IEF) was found to be homozygous apo E5.Polymerase chain reaction restriction fragment length polymorphism (PCR-RFLP) analysis of her apo E and lipoprotein lipase (LPL) genes revealed that she had a homozygous apo E (Glu³→Lys) and heterozygous LPL variant Ser⁴⁴⁷ to Ter. Her son and daughter, both of whom had hyperlipidemia, were found to have apo E3/5 phenotype. Direct sequencing analysis of her apo E gene confirmed a homozygous one nucleotide change: G to A at nucleotide position of 2836 in the exon 3, resulting in Glu³→Lys mutation.This is the first report of lipids and lipoprotein profiles in patients with homozygous apo E5 (Glu³→Lys).     

A girl with mosaicism for a dicentric X chromosome (45,X/46,X,dic(X) (Xqter→p22::p22→qter))

Summary A 12-year-old girl was examined for growth retardation and a few very discrete dysmorphologic stigmata of Turner's syndrome; the genitalia were infantile yet both ovaries possessed functioning follicles. R- and C-banding techniques and Brdu treatment demonstrated a 45,X formula in 95% of lymphocytes, with 5% presenting a 46,X,dic(X) formula. Cytogenetic and clinical problems raised by this observation are discussed in relation to data from the literature.This work was supported by grants from the Institut National de la Santé et de la Recherche Médicale (C.R.L. 75-10-42-24) and from the C.R.E.M.A.G.     

A comparison of induction of parturition with dexamethasone or with an analog of prostaglandin F2α (A-PGF) in cattle

A comparison between dexamethasone and an analog of PGF_2α has been done for induction of calving in Normand or Charolais cows treated about one week before the mean term of each breed. Parturition was induced 32.58 hr (± 9.6 hr) after dexamethasone (16 mg) in 9 of 10 animals; with A-PGF given intramuscularly at various doses (4 to 10 mg), this mean interval was equal to 29.30 hr (12 hr ± 10), whereas it was 38.30 hr (± 6.40 hr) with a combination of the two products. Plasma progesterone measured by radioimmunoassay in two cows treated with A-PGF (4 mg) decreased before calving indicating regression of the corpus luteum. The most noticable side effect was the high number of placenta retention observed in each lot.