López Pajares I, Villa O, Salido M, Mori M A, Gonzalez A, Lapunzina P, De Torres M L, Vallcorba I, Palomares M, Fernández L, Delicado A
Department of Medical Genetics, Hospital Universitario La Paz, Madrid, Spain.
Prenat Diagn. 2006 Jun;26(6):535-8. doi: 10.1002/pd.1454.
Euchromatic imbalances at the cytogenetic level are usually associated with phenotypic consequences. Among the exceptions are euchromatic variants of chromosome 16 (16p+) with normal phenotype. There is a growing list of euchromatic duplications and deletions involving both G-positive and G-negative bands that seem to be phenotypically neutral, but these euchromatic variants are rare.
The aim of this report is to describe a new familial case of euchromatic variant 16p+ and to emphasise the misinterpretation of these rare euchromatic variants particularly when ascertained at prenatal diagnosis.
Fluorescence in situ hybridisation with clone RP11-261A7 showed an amplified signal in the larger chromosome 16. This clone contains FLJ43855 gene, similar to sodium- and chloride-dependent creatine transporter.
So, this 16p+ variant that involves amplification of pseudogenetic sequences is considered a polymorphism in normal individuals.
细胞遗传学水平上的常染色质失衡通常与表型后果相关。例外情况包括具有正常表型的16号染色体常染色质变异(16p+)。涉及G阳性和G阴性带的常染色质重复和缺失越来越多,这些似乎在表型上是中性的,但这些常染色质变异很少见。
本报告旨在描述一例新的家族性常染色质变异16p+病例,并强调对这些罕见的常染色质变异的错误解读,尤其是在产前诊断时确定的情况。
用克隆RP11-261A7进行荧光原位杂交显示,在较大的16号染色体上有一个扩增信号。该克隆包含FLJ43855基因,类似于钠和氯依赖性肌酸转运蛋白。
因此,这种涉及假基因序列扩增的16p+变异被认为是正常个体中的一种多态性。