Ward P, Packman S, Loughman W, Sparkes M, Sparkes R, McMahon A, Gregory T, Ablin A
J Med Genet. 1984 Apr;21(2):92-5. doi: 10.1136/jmg.21.2.92.
Retinoblastoma occurs with increased frequency in children born with a deletion of the long arm of chromosome 13. Recent reviews have noted that the region 13q14 is consistently deleted in documented cases. Prometaphase and late prophase banding allowed Yunis and Ramsay to determine that a deletion in one patient included the sub-bands q14 . 12, q14 . 13, and q14 . 2, and a portion of q14 . 11 and q14 . 3. We report the results of similar cytogenetic techniques applied in the case of a 26 month old Caucasian female with unilateral retinoblastoma, moderate developmental delay, and subtle dysmorphology. Prometaphase banding of cultured skin fibroblasts revealed the karyotype: mos46,XX/46,XX,del(13)(q13 . 1q14 . 11). Only the sub-band q14 . 11 is deleted in both our patient and that of Yunis and Ramsay. The results are consistent with the localisation of the retinoblastoma susceptibility gene(s) in the sub-band 13q14 . 11. Electrophoretic analysis and activity assays of red blood cell esterase D are consistent with hemizygous expression of that marker in our proband. Comparison with published esterase D analyses in families with retinoblastoma permits the assignment of the esterase D locus to that same sub-band, 13q14 . 11.
视网膜母细胞瘤在出生时13号染色体长臂缺失的儿童中发病率增加。最近的综述指出,在已记录的病例中,13q14区域一直存在缺失。前中期和晚前期显带技术使尤尼斯和拉姆齐能够确定,一名患者的缺失包括q14.12、q14.13和q14.2亚带,以及q14.11和q14.3的一部分。我们报告了对一名26个月大的患有单侧视网膜母细胞瘤、中度发育迟缓及轻微畸形的白种女性应用类似细胞遗传学技术的结果。培养的皮肤成纤维细胞的前中期显带显示核型为:mos46,XX/46,XX,del(13)(q13.1q14.11)。在我们的患者以及尤尼斯和拉姆齐的患者中,只有q14.11亚带缺失。这些结果与视网膜母细胞瘤易感基因定位于13q14.11亚带一致。红细胞酯酶D的电泳分析和活性测定结果与我们先证者中该标志物的半合子表达一致。与已发表的视网膜母细胞瘤家系中酯酶D分析结果的比较,使酯酶D基因座也定位于同一亚带13q14.11。