Hasegawa Akihiro, Samura Osamu, Sato Taisuke, Matsuoka Tomona, Ito Yuki, Kajiwara Kazuhiro, Aoki Hiroaki, Inage Yuka, Kobayashi Masahisa, Okamoto Aikou
Department of Obstetrics and Gynecology, The Jikei University School of Medicine, 3-25-8 Nishi-Shinbashi, Minato-ku, Tokyo 105-8461, Japan.
Department of Pediatrics, The Jikei University School of Medicine, 3-25-8 Nishi-Shinbashi, Minato-ku, Tokyo 105-8461, Japan.
Case Rep Obstet Gynecol. 2018 May 7;2018:2875241. doi: 10.1155/2018/2875241. eCollection 2018.
We present the characterization of a case with a small supernumerary marker chromosome (sSMC) detected prenatally derived from Xq28 and 14q11.2 maternal translocation. A 33-year-old Japanese woman, primigravida, underwent amniocentesis because of fetal growth restriction and fetal structural abnormality at 30 weeks of gestation. The fetal karyotype was identified as 47,XY,+mar. Additionally, the single nucleotide polymorphism array analysis revealed copy number gains at Xq28 and 14q11.2. A male infant, weighing 1,391 g, was delivered at term by cesarean section. Maternal and paternal karyotypes were 46,X,t(X; 14)(q28; q11) and 46,XY, respectively. These findings indicated that the sSMC might have originated from chromosome disjunction at a ratio of three to one. Here we describe a case with an sSMC derived from Xq28 and 14q11.2. Our findings suggest that this sSMC is most likely pathogenic. The collection of additional cases may be required.
我们报告了一例产前检测到的源自Xq28和14q11.2母源性易位的小额外标记染色体(sSMC)的特征。一名33岁的日本初产妇,因妊娠30周时胎儿生长受限和胎儿结构异常接受了羊膜穿刺术。胎儿核型被鉴定为47,XY,+mar。此外,单核苷酸多态性阵列分析显示Xq28和14q11.2存在拷贝数增加。一名体重1391克的男婴足月剖宫产出生。母本和父本核型分别为46,X,t(X; 14)(q28; q11)和46,XY。这些发现表明,sSMC可能源自染色体以三比一的比例分离。在此我们描述了一例源自Xq28和14q11.2的sSMC病例。我们的发现表明,这种sSMC很可能具有致病性。可能需要收集更多病例。