Rodovalho-Doriqui M J, Freitas P L, Pinho J D, Cavalli L R, Pereira S R F
Laboratório de Genética e Biologia Molecular, Departamento de Biologia, Universidade Federal do Maranhão, São Luís, MA, Brasil.
Genet Mol Res. 2013 Jul 24;12(3):2562-6. doi: 10.4238/2013.July.24.7.
We examined a girl presenting neuropsychomotor developmental delay and multiple malformations including antenatal and postnatal growth retardation, congenital heart defect, and facial dysmorphisms. Cytogenetic analysis was performed on peripheral blood lymphocytes with the GTG-banding technique, which revealed an unbalanced translocation: 46,XX,der(13)(13pter→13q34::3p24→3pter)pat. Karyotype analysis of the father demonstrated a balanced translocation, 46,XY,t(3;13)(p24;q34), indicating the inheritance of the derivative chromosome 13. The mother karyotype was normal. We suggest that most of the structural malformations seen in this patient are due to the 3p trisomy, while the neuropsychomotor alterations are a consequence of both chromosome aberrations.
我们检查了一名患有神经精神运动发育迟缓及多种畸形的女孩,这些畸形包括产前和产后生长发育迟缓、先天性心脏病以及面部畸形。采用GTG显带技术对外周血淋巴细胞进行了细胞遗传学分析,结果显示存在一种不平衡易位:46,XX,der(13)(13pter→13q34::3p24→3pter)pat。对父亲的核型分析显示为平衡易位,46,XY,t(3;13)(p24;q34),表明13号衍生染色体是遗传而来。母亲的核型正常。我们认为该患者所见的大多数结构畸形是由于3号染色体短臂三体所致,而神经精神运动改变则是两种染色体畸变共同作用的结果。