Zheng Huiling, Zheng Lin, Huang Zhi, Li Guangping, Tang Daili, Yang Xue, Tian Tian
Department of Eugenic Genetics Guiyang Maternal and Child Health Care Hospital Guiyang Guizhou China.
Clin Case Rep. 2024 Nov 29;12(12):e9611. doi: 10.1002/ccr3.9611. eCollection 2024 Dec.
Chromosomal trisomy syndrome is associated with diverse clinical phenotypes, including intellectual disability. Partial trisomy of the distal 17q is a rare anomaly with similar clinical features, including psychomotor and growth deficits, facial dysmorphism, and microcephaly. Here, we describe three patients from two unrelated families with terminal trisomy 17q. We performed G-banding karyotype and chromosomal microarray analyses. The child in Family 1 had a 31.3 Mb mosaic duplication on chromosome 17. Family 2 comprised dizygotic twins with a 263 kb deletion on chromosome 15 and a 9.2 Mb duplication on chromosome 17; however, normal karyotyping results were obtained for both parents. We also analyzed the genetic mechanisms underlying the occurrence of these chromosomal aberrations and summarized the literature describing known genotype-phenotype correlations. Given the rarity of partial trisomy of terminal 17q, these cases will provide new insights into the diagnosis of this condition and genotype-phenotype correlations, which can aid in the detection of such conditions and genetic counseling.
染色体三体综合征与多种临床表型相关,包括智力残疾。17q远端部分三体是一种罕见的异常情况,具有相似的临床特征,包括精神运动和生长发育迟缓、面部畸形以及小头畸形。在此,我们描述了来自两个无亲缘关系家庭的三名患有17q末端三体的患者。我们进行了G显带核型分析和染色体微阵列分析。家族1中的患儿在17号染色体上有一个31.3 Mb的嵌合重复。家族2是一对异卵双胞胎,15号染色体上有一个263 kb的缺失,17号染色体上有一个9.2 Mb的重复;然而,父母双方的核型分析结果均正常。我们还分析了这些染色体畸变发生的遗传机制,并总结了描述已知基因型-表型相关性的文献。鉴于17q末端部分三体的罕见性,这些病例将为该病症的诊断以及基因型-表型相关性提供新的见解,有助于此类病症的检测和遗传咨询。