2014, Number 1
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Revista Cubana de Obstetricia y Ginecología 2014; 40 (1)
Variants of heterochromatin and euchromatin in cytogenetic prenatal diagnosis
Soriano-Torres M, Morales RE, Rojas BI, Méndez RLA
Language: Spanish
References: 34
Page: 79-88
PDF size: 221.52 Kb.
ABSTRACT
Some changes in chromosome morphology, which are detected in cytogenetic diagnostics, are not associated with clinical defects presenting a dilemma for the genetic counsellor, especially during prenatal diagnosis; this is the reason why a proper discrimination between innocuous variants and true anomalies is crucial to allow precise counselling. Polymorphisms of heterochromatin are identified usually
by specific banding techniques and considered as Mendelian variations without a clinical significance. Likewise, it has been exposed in the literature the presence of variants in euchromatic regions that after a detailed analysis turns out to be of benign nature. Due to the current importance of this issue it is necessary to propose a protocol to follow in our laboratories every time a chromosome variant is
detected while performing a prenatal analysis and supported by experienced specialist in our field. The goal of this work is to present a review of the literature about how a finding of a chromosome variant is handled and the suggestions given for a more proper management.
REFERENCES
Wyandt H, Tonk V. Normal population studies. In: Wyandt H, Tonk V, eds. Atlas of Human Chromosome Heteromorphisms. Dordrecht, The Netherlands: Kluwer Academic Publishers; 2004:33-46.
Sahin FI, Yilmaz Z, Yuregir OO, Bulakbasi T, Ozer O, Zeyneloglu HB. Chromosome heteromorphisms: an impact on infertility. J. Assist. Reprod. Genet. 2008;25(5):191-5.
Barber JC: Directly transmitted unbalanced chromosome abnormalities and euchromatic variants. J Med Genet 2005;42:609-29.
Eun Hae Cho, You Sun Kang, Eun Hee Lee. Extra G-Positive Band at Chromosome 9Q13 As a Recurrent Heteromorphism in a Korean Population. Fetal and Pediatric Pathology. 2011;30:257-9.
Gardner RJM, Sutherland GR. Variant Chromosomes and Abnormalities of No Phenotypic Consequence. In: Gardner RJM, Sutherland GR, editors. Chromosome Abnormalities and Genetic Counseling. 3th ed. Oxford University Press, USA; 2004. p. 233-48.
Hagymási K, Tulassay Z. The Human Genome Project, genetic viability and genetic epidemiology. Orv Hetil. 2005;146:2575-80.
Joseph-George AM, He Y, Marshall CR, Wong RCC, MacDonald JR, Fahey CA, et al. Euchromatic 9q13-q21 duplication variants are tandem segmental amplifications of sequence reciprocal to 9q13-q21 deletions. J Med Genet. 2011;48(5):317-22.
Verma RS. Heterochromatin: molecular and structural aspects. New York: Cambridge University Press; 1988. p. 276-299.
Wojiski SA, Harker Rhodes C, Brodhurst CA, Mohandas TK, Park JP. The G positive band of the rare euchromatic 9qh variant is derived from 9p12. Appl Cyto. 1997;23:125-8.
Fernández JL, Pereira S, Campos A, Gosálvez J, Goyanes V. An extra band within the human 9qh+ region that behaves like the surrounding constitutive heterochromatin. J Med Genet. 1994;31:632-4.
Starke H, Seidel J, Henn W, Reichardt S, Volleth M, Stumm M, et al. Homologous sequences at human chromosome 9 bands p12 and q13q21.1 are involved in different patterns of pericentric rearrangements. Eur J Hum Genet. 2002;10:790-800.
Madon P. Polymorphic variants on chromosomes probably play a significant role in infertility. Reproductive BioMedicine Online. 2005 [citado 7 Jul 2013];II(6):726-32. Disponible en: http://www.rbmonline.com/Article/1898
Salo P, Ignatius J, Simola KOJ, Tahvanainen E, Kaariinen H. Clinical features of nine males with molecularly defined deletions of the Y chromosome long arm. J Med Genet. 1995;32:711-5.
Kowalczyk M, Srebniak M, Tomaszewska A. Chromosome abnormalities without phenotypic consequences. J Appl Genet. 2007;48(2):157-66.
Lugon AHAD, Morton CCSV, Bieber FRYE, Fletcher JAZZ, Goersch ABIS, Kantarjian Spmi, etta aldi. Reporting of Diagnostic Cytogenetic Results. Current Protocols Human Genetics. Estados Unidos: John Wiley & Sons, Inc; 2001.
Brothman AR, Schneider NR, Saikevych I, Cooley LD, Butler MG, Patil S, et al. Cytogenetic heteromorphisms: survey results and reporting practices of giemsaband regions that we have pondered for years. Arch Pathol Lab Med. 2006;(7):947- 9.
Lecce R, Murdolo M, Gelli G, Stindl K, Coppola L, Romano A, et al. The euchromatic 9p+ polymorphism is a locus-specific amplification caused by repeated copies of a small DNA segment mapping within 9p12. Hum Gene. 2006;118:760-6.
Browne CE, Dennis NR, Maher E, Long SL, Nicholson J, Sillibourne J, et al. Inherited interstitial duplications of proximal 15q: genotype-phenotype correlations. Am J Hum Genet. 1997;61:1342-52.
Barber JCK, Joyce CA, Collinson MN, Nicholson JC, Willatt LR, Dyson HM, et al. Duplication of 8p23.1: a cytogenetic anomaly with no established clinical signiûcance. J Med Genet. 1998;35:491-6.
Barber JCK, Hall V, Maloney VK, Huang S, Roberts AM, Brady AF, et al. 16p11.2 - p12.2 duplication syndrome; a genomic condition differentiated from euchromatic variation of 16p11.2. Eur J Hum Genet. 2013;21:182-9.
Hysert M, Bruyere H, Cote GB, Dawson AJ, Dolling JA, Fetni R, et al. Prenatal cytogenetic assessment and inv(2)(p11.2q13). Prenat Diagn. 2006;26:810-3.
Entesarian M, Carlsson B, Mansouri MR, Stattin E-L, Holmberg E, Golovleva I, et al. A chromosome 10 variant with a 12 Mb inversion [inv(10)(q11.22q21.1)] identical by descent and frequent in the Swedish population. Am J Med Genet Part A. 2009;149A:380-6.
Djalali M, Steinbach P, Bullerdiek J, Holmes-Siedle M, Verschraegen-Spae MR, Smith A. The signiûcance of pericentric inversions of chromosome 2. Hum Genet. 1986;72:32-6.
Fickelscher I, Liehr T, Watts K, Bryant V, Barber JCK, Simone Heidemann, et al. The Variant inv(2)(p11.2q13) Is a Genuinely Recurrent Rearrangement but Displays Some Breakpoint Heterogeneity. Am J Hum Genet. 2007;81:847-56.
Gilling M, Dullinger JS, Gesk S, Metzke-Heidemann S, Siebert R,Meyer T, et al. Breakpoint cloning and haplotype analysis indicate a single origin of the common Inv(10)(p11.2q21.2) mutation among northern Europeans. Am J Hum Genet. 2006;78:878-83.
Mrasek K, Krüger G, Bauer I, Müller-Navia J, Liehr T, Weise A. A new unbalanced chromosomal abnormality in 1q31.1 to 1q32 without phenotypic consequences. Cytogenetic and Genome Research. 2008;121:286-7.
Daniel A, Darmanian A, Peters G, Goodwin L, Hort JR. An innocuous duplication of 11.2 Mb at 13q21 is gene poor: Sub-bands of gene paucity and pervasive CNV characterize the chromosome anomalies. Am J Med Genet Part A. 2007;143A:2452-9.
Roos A, Elbracht M, Baudis M, Senderek J, Schönherr N, Eggermann T, et al. A 10.7 Mb interstitial deletion of 13q21 without phenotypic effect defines a further non-pathogenic euchromatic variant. Am J Med Genet A. 2008;146A(18):2417-20.
Filges I, Röthlisberger B, Noppen C, Boesch N, Wenzel F, Necker J, et al. Familial 14.5 Mb interstitial deletion 13q21.1-13q21.33: clinical and array-CGH study of a benign phenotype in a three-generation family. Am J Med Genet A. 2009;149A(2):237-41.
Liehr T, Stumm M, Wegner RD, Bhatt S, Hickmann P, Patsalis PC, et al. 10p11.2 to 10q11.2 is a yet unreported region leading to unbalanced chromosomal abnormalities without phenotypic consequences. Cytogenet. Genome Res. 2009;124(1):102-5.
Liehr T, Bartels I, Zoll B, Ewers E, Mrasek K, Kosyakova N, et al. Is there a yet unreported unbalanced chromosomal abnormality without phenotypic consequences in proximal 4p? Cytogenet. Genome Res. 2011;132(1-2):121-3.
Barber JCK, Zhang S, Friend N, Collins AL, Maloney VK, Hastings R, et al. Duplications of proximal 16q flanked by heterochromatin are not euchromatic variants and show no evidence of heterochromatic position effect. Cytogenet Genome Res. 2006;114:351-8.
Rodríguez L, Niebuhr E, García A, Martínez-Fernández ML, Peña Segura JL. Be careful with familial unbalanced chromosome abnormalities!. Am J Med Genet Part A. 2008;146A:2005-7.
Warburton D. De novo balanced chromosome rearrangements and extra marker chromosomes identiûed at prenatal diagnosis: clinical signiûcance and distribution of breakpoints. Am J Hum Genet. 1991;49:995-1013.