Hong Bo, Zunich Janice, Openshaw Amanda, Toydemir Reha M
Department of Pathology, University of Utah, Salt Lake City, Utah.
ARUP Laboratories, Salt Lake City, Utah.
Am J Med Genet A. 2017 Jun;173(6):1681-1686. doi: 10.1002/ajmg.a.38194. Epub 2017 Mar 27.
Trisomy 12 mosaicism is a rare condition. Herein, we report a patient with mosaic trisomy 12 who was conceived by in vitro fertilization. She presented with mild dysmorphic features at birth, including down-slanting palpebral fissures, a depressed and creased nasal bridge, and mild rhizomelic shortening of the limbs. She had age-appropriate development at 6 months of age, but displayed slightly more dysmorphic features than at birth. Chromosome analysis on peripheral blood revealed a normal female karyotype in 50 metaphases. A concurrent genomic microarray analysis showed trisomy 12 in about 25% of the specimen, which was also confirmed by fluorescence in situ hybridization analysis with the CEP12 probe. Our findings further delineate the clinical features in trisomy 12 mosaicism in liveborns and demonstrate the utility of genomic microarray analysis in identification of mosaic aneuploidies.
12号染色体三体嵌合体是一种罕见的病症。在此,我们报告一例通过体外受精受孕的12号染色体三体嵌合体患者。她出生时具有轻度畸形特征,包括睑裂向下倾斜、鼻梁凹陷且有皱纹,以及四肢轻度近端短小。她在6个月大时发育与年龄相符,但畸形特征比出生时略多。外周血染色体分析显示50个中期细胞中有正常的女性核型。同时进行的基因组微阵列分析显示约25%的标本存在12号染色体三体,这也通过使用CEP12探针的荧光原位杂交分析得到证实。我们的研究结果进一步描绘了活产儿中12号染色体三体嵌合体的临床特征,并证明了基因组微阵列分析在鉴定嵌合非整倍体中的作用。