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8号染色体部分重复和缺失的新机制:一例报告。

New mechanism of partial duplication and deletion of chromosome 8: A case report.

作者信息

Jiang Yan, Tang Shuang, He Fang, Yuan Jue-Xin, Zhang Zhu

机构信息

Office of Prenatal Diagnosis, Mianyang People's Hospital, Mianyang 621000, Sichuan Province, China.

Department of Obstetrics, Mianyang People's Hospital, Mianyang 621000, Sichuan Province, China.

出版信息

World J Clin Cases. 2021 Aug 26;9(24):7139-7145. doi: 10.12998/wjcc.v9.i24.7139.

Abstract

BACKGROUND

During meiosis, the recombination of homologous chromosomes produces some new heritable mutations, which are the basis of biological evolution and diversity. However, when there is pericentric inversion of chromosomes, unbalanced gametes will be formed in the process of germ cell meiosis.

CASE SUMMARY

A 23-year-old pregnant woman at 25 wk of gestation wanted to terminate her pregnancy due to fetal chromosomal abnormalities. She had no exposure to toxic or hazardous substances before and during pregnancy, no history of medication usage during pregnancy, and she underwent cystectomy of ovarian cysts in 2017. On the second day of the 16 week of gestation, non-invasive prenatal testing showed chromosome 8 copy number variation. Following genetic counseling, her pregnancy was terminated.

CONCLUSION

Recombinant offspring chromosome is rarely seen when the inversion segment is shorter than one-third of the chromosome length. In terms of the mechanism of chromosome 8 duplication/deletion occurrence, attention should be paid to the production of unbalanced gametes by the pairing of homologous chromosome during meiosis, and the possibility of mitotic recombination exchange as well.

摘要

背景

在减数分裂过程中,同源染色体的重组会产生一些新的可遗传突变,这是生物进化和多样性的基础。然而,当染色体发生臂间倒位时,生殖细胞减数分裂过程中会形成不平衡配子。

病例摘要

一名23岁孕25周的孕妇因胎儿染色体异常想要终止妊娠。她在孕前及孕期未接触过有毒有害物质,孕期无用药史,2017年曾行卵巢囊肿切除术。孕16周第2天时,无创产前检测显示8号染色体拷贝数变异。经过遗传咨询后,她终止了妊娠。

结论

当倒位片段短于染色体长度的三分之一时,重组后子代染色体少见。就8号染色体重复/缺失发生机制而言,应注意减数分裂过程中同源染色体配对产生不平衡配子的情况,以及有丝分裂重组交换的可能性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0827/8409188/7ef754b28d1b/WJCC-9-7139-g001.jpg

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