cytogenetic analysis

细胞遗传学分析
  • 文章类型: Case Reports
    在授精前对9岁的纯种母马进行了妇科检查,该母马具有正常的外生殖器和正常的发情症状。这项初步检查显示子宫发育不良和缺乏正常卵巢,因此,母马接受了更详细的诊断,包括内分泌学,遗传,和临床试验。超声和内窥镜检查的诊断成像证实了内部生殖器的发育不足。循环性激素的分析显示孕酮和雌二醇的浓度非常低。最后,细胞遗传学分析显示存在非镶嵌X三体(65,XXX),在马中很少发现的性染色体的非整倍性。这一发现也得到了分子方法的证实,包括高灵敏度液滴数字PCR(ddPCR)和微卫星标记基因分型。我们的研究揭示了对育巢进行妇科和遗传评估的必要性,即使他们的表型(包括发育的外生殖器和发情症状)没有显示出潜在异常的迹象。
    A 9-year-old Thoroughbred mare with normal external genitalia and regular oestrus symptoms was gynecologically examined prior to insemination. This primary examination revealed the presence of a hypoplastic uterus and the lack of normal ovaries, and the mare was therefore subjected to more detailed diagnostics, including endocrinological, genetic, and clinical tests. Diagnostic imaging with the use of ultrasonography and endoscopy confirmed the underdevelopment of internal genitalia. Analysis of circulating sex hormones revealed very low concentrations of progesterone and oestradiol. Finally, cytogenetic analysis showed the presence of non-mosaic X trisomy (65,XXX), an aneuploidy of sex chromosomes that is rarely detected in horses. This finding was also confirmed by molecular methods, including highly sensitive droplet digital PCR (ddPCR) and microsatellite markers genotyping. Our study reveals the need for gynaecological and genetic evaluation of broodmares, even if their phenotype (including developed external genitalia and oestrus symptoms) shows no signs of potential abnormalities.
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  • 文章类型: Case Reports
    颈项半透明度(NT)的增加导致胎儿结构异常的高风险。妊娠11至14周之间的测量是相关染色体异常的可靠标记。这里,我们介绍了1例33岁女性,在胎龄12周时,孤立的高NT为5.6mm.对她的染色体和结构异常进行了评估,并进行了细致的随访。所有测试均未显示任何染色体或明显的结构异常。胎儿超声心动图显示无结构性心脏缺陷。怀孕顺利,她通过下(子宫)段剖宫产术在足月分娩了一个健康的婴儿。女婴身体健康,没有任何发育异常。尽管NT增加存在染色体/结构缺陷的高风险,在没有彻底评估的情况下终止妊娠不是强制性的。
    Increased nuchal translucency (NT) leads to a higher risk of fetal structural abnormalities. The measurement between 11 and 14 weeks gestation is a reliable marker for associated chromosomal abnormalities. Here, we present the case of a 33-year-old female with isolated high NT in the range of 5.6 mm at 12 weeks of gestational age. She was evaluated for chromosomal and structural abnormality and followed up meticulously. None of the tests showed any chromosomal or obvious structural abnormality. Fetal echocardiography revealed no structural cardiac defect. The pregnancy was uneventful and she delivered a healthy baby at term through lower (uterine)-segment cesarean section. The baby girl is living in good health without any developmental abnormalities. Although there is a high risk of chromosomal/structural defects with increased NT, it is not mandatory to terminate the pregnancy without a thorough evaluation.
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  • 文章类型: Case Reports
    在开发过程中,染色体13的短臂(q)的DNA缺失导致染色体异常,称为染色体13q缺失综合征。染色体13末端缺失很少见,可能会导致各种先天性残疾,文献中只报道了少数病例。染色体13q缺失综合征改变的程度缺乏一致的临床特征,到目前为止还没有记录到生殖器歧义的病例。我们报告了一个新生儿男性患者的情况,他的睾丸两侧都下降了;他的生殖器模棱两可,他的阴茎背面附着在阴囊上。异常核型(46,XY,缺失(13)q33)是通过使用从外围采集的血液样本中染色体的G带分析发现的,这揭示了前10个细胞末端的13号染色体缺失。通过在核型与染色体上发现的单倍体不足基因的独特表型之间建立更强的相关性,我们可以更好地表征染色体13q缺失。
    During development, the deletion of DNA from chromosome 13\'s short arm (q) causes a chromosomal abnormality known as chromosome 13q deletion syndrome. Chromosome 13 terminal deletions are rare and may cause various congenital disabilities, and only a few cases have been reported in the literature. The extent of chromosome 13q deletion syndrome changes lacks consistent clinical features, with no recorded cases of genital ambiguity until now. We report the case of a newborn male patient whose testes had descended on both sides; he had ambiguous genitalia, and the dorsal surface of his penis was attached to his scrotal sac. An abnormal karyotype (46, XY, deletion (13) q33) was discovered by using a G-banding analysis of chromosomes in a blood sample taken from the periphery, which revealed a deletion of chromosome 13 at the end of the first 10 cells. We can better characterize chromosome 13q deletions by establishing stronger correlations between karyotype and the distinctive phenotypes of haploinsufficient genes found on the chromosome.
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  • 文章类型: Case Reports
    复发性妊娠丢失是由许多病因引起的现象。这些原因中的大多数是染色体异常。在这个案例报告中,对咨询我们部门并抱怨复发性妊娠丢失的家庭进行了细胞遗传学分析。在女性(46,XX)中发现了正常的核型;然而,在雄性中检测到t(2;7)(p23;q35)易位。相互易位是一类常见的染色体异常,我们预计这种易位病例将成为复发性妊娠丢失的新原因。在分析中,检查了500条带水平的制剂,对至少20个中期区域进行了评估。从细胞遗传学和FISH(荧光原位杂交)分析的结果来看,我们确定男性有t(2;7)(p23;q35)染色体异常。探针结合患者的2p23区域在7号染色体的q末端发出信号;然而,另外两条染色体(2号和7号)正常。文献中没有关于这种情况的报道,涉及复发性妊娠流产。有了这个案子,这将是第一次报道,一个胚胎形成的配子携带不平衡的遗传物质的个体的核型46,XY,t(2;7)(p23;q35)与生命不相容。
    Recurrent pregnancy loss is a phenomenon caused by many etiologies. The majority of these causes are chromosomal anomalies. In this case report, cytogenetic analysis was performed on the family who consulted our department with the complaint of recurrent pregnancy loss. A normal karyotype was found in the female (46, XX); however, t(2;7)(p23;q35) translocation was detected in the male. Reciprocal translocations are a common class of chromosomal abnormalities, and we anticipate this case of translocation will be a new cause for recurrent pregnancy loss. In the analysis, preparations at the level of 500 bands were examined, and at least 20 metaphase areas were evaluated. From the results of cytogenetic and FISH (fluorescence in situ hybridization) analysis, we determined the male had t(2;7)(p23;q35) chromosomal anomaly. The probe binding the patient\'s 2p23 region signaled at the q-terminal of chromosome 7; however, the other two chromosomes (2 and 7) were normal. There is no report of such a case in the literature for recurrent pregnancy loss complaints. With this case, it will be reported for the first time that an embryo formed with the gametes carrying unbalanced genetic material of an individual with the karyotype 46, XY, t(2;7)(p23;q35) is incompatible with life.
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  • 文章类型: Case Reports
    背景:细胞遗传学结果与染色体微阵列分析(CMA)结果之间的差异常常导致对产前诊断的遗传咨询的混淆。
    方法:在妊娠21周时,先天性心脏病(CHD)胎儿的产前超声检查结果显示了心内膜垫缺损,冠状静脉窦和左上腔静脉的永久性扩张。细胞遗传学分析,CMA,使用胎儿脐带血样品的荧光原位杂交(FISH)和多重连接依赖性探针扩增(MLPA)来检测遗传病因。常规G结合细胞遗传学分析显示胎儿和父母血液样本中的核型正常。CMA结果表明,如通过MLPA测定所证实的,在Xp22.33-p11.22处存在53.973-Mb复发性CNV。
    结论:此处,我们描述了Xp22.33-p11.22的六个重复的CNV和通过常规细胞遗传学方法在胎儿脐带血样本中未发现的53.973Mb重复的CNV,CMA和MLPA证实了这一点。我们的新发现将为胎儿CHD的产前诊断和遗传咨询提供有用的信息。
    BACKGROUND: The discrepancy between the results of cytogenetics and the results of chromosome microarray analysis (CMA) has often led to confusion over genetic counselling for prenatal diagnosis.
    METHODS: The prenatal ultrasound results of a congenital heart defect (CHD) foetus displayed an apartial endocardial pad defect and permanently dilated coronary sinus and left superior vena cava at 21 weeks of gestation. Cytogenetic analysis, CMA, fluorescent in situ hybridization (FISH) and multiplex ligation-dependent probe amplification (MLPA) with foetal cord blood samples were used to detect the genetic aetiology. Routine G-binding cytogenetic analysis showed normal karyotypes in both the foetus\' and parents\' blood samples. CMA results demonstrated that there were 53.973-Mb recurrent CNVs at Xp22.33-p11.22, as confirmed by MLPA assay.
    CONCLUSIONS: Herein, we described the CNV of six duplications at Xp22.33-p11.22 and the 53.973 Mb duplication CNV that was not found in foetal cord blood samples by conventional cytogenetic methods, and it was confirmed by CMA and MLPA. Our novel findings will provide helpful information for prenatal diagnosis and genetic counselling for foetal CHDs.
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  • 文章类型: Journal Article
    研究了C.rupestris和C.salonitana的天然野生种群,以确定挥发油(VO)组成与倍性水平之间的可能关系。使用GC/MS技术研究了挥发油的化学组成。二倍体和四倍体C.salonitana的VO的主要成分是十六烷酸和α-亚油酸,而在C.rupestris中,它们是一个种群中的germacreneD和β-石竹烯,以及庚烷和germacreneD,在另一个。核DNA数量(2CDNA),通过流式细胞术确定,C.rupestris为3.54pg,二倍体为3.39pg,四倍体为6.79pg。没有发现倍性程度仅影响C.salonitana精油的化学成分的证据。所提供的结果是有关克罗地亚研究的Centaurea种群的DNA含量的第一批数据,以及对盐渍挥发油的化学成分。
    Natural wild populations of C. rupestris and C. salonitana were studied to determine possible relationships between the volatile oil (VO) composition and ploidy level. The chemical composition of the volatile oil was investigated using the GC/MS technique. The predominant components of the VO of diploid and tetraploid C. salonitana were hexadecanoic acid and α-linoleic acids, while in C. rupestris they were germacrene D and β-caryophyllene in one population and heptacosane and germacrene D, in another. The nuclear DNA amounts (2 C DNA), determined by flow cytometry, were 3.54 pg for C. rupestris, 3.39 pg for the diploid and 6.79 pg for the tetraploid population of C. salonitana. Evidence that the degree of ploidy solely influences the chemical composition of the essential oil of C. salonitana was not found. The results presented are the first data to be reported on the DNA content of the studied Centaurea populations from Croatia, as well as on the chemical composition of C. salonitana volatile oil.
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  • 文章类型: Journal Article
    (9;22)(q34;q11)易位出现在90%以上的慢性粒细胞白血病患者中,而在几乎5%至8%的慢性粒细胞白血病(CML)阳性病例中观察到变异/复杂易位。格列卫(甲磺酸伊马替尼)是首选断点簇区(BCR)/ABL靶向口服治疗,几乎在71%至80%的CML患者中产生完全反应。在诊断过程中对37例患者进行了全血细胞计数(CBC),然而,只有21个显示异常的CBC值被选择用于研究。使用骨髓样本进行核型分析研究21例CML患者的构象为9;22,然而,采用荧光原位杂交技术检测15例患者的BCR-ABL融合基因.在21名患者中,有17名患者出现Ph阳性(9;22)(q34;q11)易位。16例CML患者表现出标准易位,但只有CML患者表现出具有六个额外染色体的三向变异/复杂易位,52XX,t(1;9;22)(q23.3;q34;q11),+6,+8,i(9)(q10;q10),+18、+19、+21+der22t(9;22)(q34;q11))。在这里,我们报告了一个新的病例,6个额外的染色体与52XX的三向易位,t(1;9;22)(q23.3;q34;q11),+6,+8,i(9)(q10;q10),爆炸阶段+18、+19、+21+der22t(9;22)(q34;q11)。
    (9;22) (q34; q11) translocation is appear in above ninety percent of chronic myelogenous leukemia patients while variant/complex translocations were observed in almost 5% to 8% chronic myelogenous leukemia (CML) positive cases. Gleevec (Imatinib Mesylate) is the first choice breakpoint cluster region (BCR)/ABL targeted oral therapy that produced a complete response almost in 71% to 80% of patients affected with CML. A complete blood count (CBC) of 37 patients was done during diagnosis, however only 21 showed abnormal CBC values which were selected for the study. Karyotyping study using bone marrow samples was performed on 21 CML patients for the conformation of 9;22, however, fluorescence in situ hybridisation was performed for the detection of the BCR-ABL fusion gene of 15 patients. Out of 21, 17 patients showed Ph-positive (9;22) (q34; q11) translocation. Sixteen CML patients showed standard translocation however only CML patients showed a three-way variant/complex translocation with six additional chromosomes, 52XX, t(1;9;22) (q23.3;q34;q11),+6,+8, i(9)(q10;q10), +18,+19,+21 + der22 t(9;22)(q34;q11)). Here we report we report a novel case of six additional chromosomes with the three-way translocation of 52XX, t(1;9;22) (q23.3;q34;q11),+6,+8, i(9)(q10;q10), +18,+19,+21 + der22 t(9;22)(q34;q11) in blast phase.
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  • 文章类型: Case Reports
    罗伯逊易位是染色体异常的最常见形式,特别涉及肢端染色体。染色体13,14和14,21之间的罗伯逊易位是最常见的报道。不育在这些易位的遗传平衡携带者中很常见,他们的观念更有可能出现不平衡。在这里,我们报道了一例18岁女性,主诉原发性闭经。细胞遗传学分析显示,家族性遗传的罗伯逊易位(rob(13;14)(q10;q10))影响了所有兄弟姐妹。特别是在家族病例中,建议进行遗传咨询和基因检测,因为携带者是正常的,但可能导致下一代的几种遗传疾病。
    Robertsonian translocations are the most common form of chromosomal abnormalities that specifically involve the acrocentric chromosomes. Robertsonian translocation between chromosomes 13,14 and 14,21 are the most frequently reported. Infertility is common in genetically balanced carriers of these translocations, and their conceptions are more likely to have imbalances. Here we have reported a case of an 18-year-old female presenting with a complaint of primary amenorrhea. Cytogenetic analysis revealed a familial case of maternally inherited Robertsonian translocation (rob(13;14)(q10;q10)) affecting all the siblings. Genetic counseling and genetic testing are recommended especially in familial cases as the carriers are normal but can lead to several genetic disorders in their future generation.
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  • 文章类型: Case Reports
    当病例同时符合伴有骨髓增生异常相关变化(AML-MRC)的急性髓性白血病和混合表型急性白血病的标准时,就会出现罕见但临床上重要的诊断困境。尤其是那些从骨髓增生异常综合征演变而来的.我们描述了一名56岁的男性患者,该患者患有血细胞减少症,最初被诊断为患有单谱系发育不良的骨髓增生异常综合征。将近一年后,这个病人进展为急性白血病,他的胚细胞同时表达T淋巴和髓样抗原。细胞遗传学分析显示20q缺失,下一代测序显示ASXL1,NRAS,PHF6、RUNX1、TP53和PIGA。根据最新的世界卫生组织指南,他被诊断出患有混合T/髓样表型的AML-MRC。根据AML-MRC的治疗原则,我们选择了一个AML-like方案四个周期,但患者没有达到缓解。最后,我们坚持混合表型急性白血病的治疗原则,他在一个疗程的ALL样方案化疗后获得缓解.
    A rare but clinically important diagnostic dilemma arises when cases meet the criteria for both acute myeloid leukemia with myelodysplasia-related changes (AML-MRC) and mixed phenotype acute leukemia, especially those that evolve from myelodysplastic syndrome. We describe a 56-year-old male patient who presented with cytopenias and was initially diagnosed with myelodysplastic syndrome with single lineage dysplasia. Nearly 1 year later, this patient progressed to acute leukemia, and his blast cells simultaneously expressed T-lymphoid and myeloid antigens. Cytogenetic analysis showed a 20q deletion, and next-generation sequencing showed mutations of ASXL1, NRAS, PHF6, RUNX1, TP53, and PIGA. He was diagnosed with AML-MRC with blasts of the mixed T/myeloid phenotype according to the latest World Health Organization guidelines. In accordance with the treatment principles of AML-MRC, we chose an AML-like regimen for four cycles, but the patient did not achieve remission. Finally, we adhered to the treatment principles of mixed phenotype acute leukemia, and he achieved remission after a course of ALL-like regimen chemotherapy.
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  • 文章类型: Case Reports
    目的:我们报告了一例产前男性胎儿2q13缺失和Xq27.3q28重复,超声检查显示鼻骨发育不良。并且我们比较了由相似的2q缺失和Xq重复组成的病例的临床特征的相似性。
    方法:一名30岁女性在妊娠24周时被转诊进行产前诊断和遗传咨询。产前超声显示胎儿鼻骨发育不良。羊膜穿刺术显示胎儿的核型为46,XY,染色体微阵列分析结果为arr[GRCh37]2q13(110467258-111370025)x1,arr[GRCh37]Xq27.3q28(144050780-149748782)x2。父母都有正常的核型。这对夫妇选择继续怀孕,并最终在怀孕39周时分娩了一名男婴。他的体重为2850克,身长为50厘米。新生儿的体格检查没有明显的异常。直到男孩一岁,他的生长发育没有异常。对健康婴儿进行长期随访直至成年是必要的。
    结论:CMA的发展在未发现的染色体异常的产前诊断和遗传咨询中起着至关重要的作用。更多的临床信息和对这些异常患者的进一步研究将确定涉及基因的致病性,并提高对表型-基因型相关性的理解。
    OBJECTIVE: We report a prenatal case of male fetus with a 2q13 deletion and an Xq27.3q28 duplication, presenting nasal bone dysplasia by ultrasound examination. And we compare the similarities of clinical features of cases consisting of similar 2q deletion and Xq duplication.
    METHODS: A 30-year-old woman was referred for prenatal diagnosis and genetic counseling at 24 weeks of gestation. Prenatal ultrasound showed nasal bone dysplasia of the fetus. Amniocentesis revealed the karyotype of the fetus as 46, XY and the results of chromosomal microarray analysis was arr[GRCh37] 2q13(110467258-111370025)x1, arr[GRCh37]Xq27.3q28(144050780-149748782)x2. The parents both have normal karyotypes. The couple chose to continue the pregnancy and finally delivered a male infant at 39 weeks of gestation. His weight was 2850 g and length was 50 cm. Physical examination of the newborn revealed no apparent anomalies. Until the boy was one year old, there was no abnormalities in his growth and development. The long-term follow-up till adulthood for the healthy infant is necessary.
    CONCLUSIONS: The development of CMA plays a critical role in prenatal diagnosis and genetic counseling for unidentified chromosomal anomalies. More clinical information and further studies of patients with these anomalies will identify the pathogenicity of the involving genes and improve the understanding of the phenotype-genotype correlation.
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