Libotte Francesco, Fabiani Marco, Margiotti Katia, Carpineto Lorena Sonia, Monaco Francesca, Raffio Raffaella, Mesoraca Alvaro, Giorlandino Claudio
Human Genetics Laboratory, Fetal-Maternal Medical Centre, ALTAMEDICA, 00198 Rome, Italy.
Department of Prenatal Diagnosis, Fetal-Maternal Medical Centre, ALTAMEDICA, 00198 Rome, Italy.
Exp Ther Med. 2023 Jan 16;25(2):100. doi: 10.3892/etm.2023.11799. eCollection 2023 Feb.
Chromosome 3q syndrome is a well-known genetic condition caused by interstitial deletion in the long arm of chromosome 3. The phenotype of this syndrome is variable and the great variability in the extent of these deletions leads to a wide spectrum of clinical manifestations. Terminal 12p deletion represents one of the rarest subtelomeric imbalances; patients with distal monosomy 12p present different phenotypes ranging from muscular hypotonia to autism spectrum disorders. The present study reported a prenatal diagnosis of a male fetus presenting ultrasound evidence of corpus callosum dysplasia and ventriculomegaly showing a 3q13q21.2 deletion and a 12p13.33 microdeletion paternally inherited. Among several features previously attributed to the terminal deletion of 3q, corpus callosum dysplasia and ventriculomegaly have rarely been reported together. As the 12p13.33 microdeletion in the father was associated only with muscular hypotonia and joint laxity, the involvement of terminal 12p deletions in the clinical features of the fetus was not possible to verify during the prenatal period. The present case report may provide a reference for prenatal diagnosis and genetic counseling in patients who present 3q13q21.2 deletions and 12p13.33 microdeletion.
3q染色体综合征是一种由3号染色体长臂间质性缺失引起的著名遗传疾病。该综合征的表型具有多样性,这些缺失范围的巨大差异导致了广泛的临床表现。12p末端缺失是最罕见的亚端粒失衡之一;12p远端单体型患者表现出从肌张力减退到自闭症谱系障碍等不同的表型。本研究报告了一例男性胎儿的产前诊断,该胎儿超声显示胼胝体发育不全和脑室扩大,存在父系遗传的3q13q21.2缺失和12p13.33微缺失。在先前归因于3q末端缺失的几个特征中,胼胝体发育不全和脑室扩大很少同时被报道。由于父亲的12p13.33微缺失仅与肌张力减退和关节松弛有关,在产前无法确定末端12p缺失与胎儿临床特征的关联。本病例报告可为出现3q13q21.2缺失和12p13.33微缺失的患者的产前诊断和遗传咨询提供参考。