Queremel Milani Daniel A., Tadi Prasanna
Universidad de Los Andes, Bogotá, Colombia
Asram Medical College, Eluru, India
Genetic disorders traditionally fall into three main categories: single-gene defects, , and multifactorial conditions. A chromosomal abnormality, or chromosomal aberration, is a disorder characterized by a morphological or numerical alteration in single or multiple chromosomes, affecting autosomes, sex chromosomes, or both. The normal human karyotype contains approximately two meters of DNA organized into 46 chromosomes: 22 pairs of homologous autosomal chromosomes and a set of sex chromosomes that compromise two X chromosomes in females or an X and a Y chromosome in males. All the genetic necessary for growth and development derive from chromosomes (around 20 to 25 thousand genes). Chromosome abnormalities usually involve an error in cell division (mitosis or meiosis), which may occur in the prenatal, postnatal, or preimplantation periods. These alterations have significant clinical consequences, i.e., spontaneous abortions, stillbirths, neonatal death/hospitalization, malformations, intellectual disability, or an identifiable syndrome. Accurate identification of these chromosomal errors is essential for prevention strategies, genetic counseling, and appropriate treatment.
传统上,遗传疾病主要分为三大类:单基因缺陷、染色体异常和多因素疾病。染色体异常是一种以一条或多条染色体的形态或数量改变为特征的疾病,可影响常染色体、性染色体或两者。正常人类核型包含约两米长的DNA,这些DNA被组织成46条染色体:22对同源常染色体和一组性染色体,女性为两条X染色体,男性为一条X染色体和一条Y染色体。生长和发育所需的所有基因都来自染色体(约2万至2.5万个基因)。染色体异常通常涉及细胞分裂(有丝分裂或减数分裂)中的错误,这可能发生在产前、产后或植入前阶段。这些改变具有重大的临床后果,即自然流产、死产、新生儿死亡/住院、畸形、智力残疾或可识别的综合征。准确识别这些染色体错误对于预防策略、遗传咨询和适当治疗至关重要。