Reid E, Morrison N, Barron L, Boyd E, Cooke A, Fielding D, Tolmie J L
Duncan Guthrie Institute of Medical Genetics, Yorkhill NHS Trust, Glasgow, UK.
J Med Genet. 1996 Mar;33(3):197-202. doi: 10.1136/jmg.33.3.197.
We present three cousins who have normal karyotypes, despite having clinical features of Wolf-Hirschhorn syndrome. Fluorescence in situ hybridisation techniques confirmed that all three relatives were monosomic for the distal short arm of chromosome 4 and that a cryptic translocation involving chromosomes 4 and 11 was segregating within the family. Segregation analysis indicated that the risk of an affected child being born to a parent carrying the translocation was 15%. Molecular analysis showed that loci D4S111 and D4S115 were not deleted in the proband, thus excluding these loci from the "Wolf-Hirschhorn critical region". Surprisingly, DNA studies also suggested that the translocation breakpoint on chromosome 4 was within the region of a preexisting paracentric inversion.
我们报告了三位表亲,尽管他们具有沃尔夫-赫希霍恩综合征的临床特征,但染色体核型正常。荧光原位杂交技术证实,这三位亲属的4号染色体短臂远端均为单体型,并且一种涉及4号和11号染色体的隐匿性易位在家族中进行分离。分离分析表明,携带这种易位的父母生育患病子女的风险为15%。分子分析显示,先证者中D4S111和D4S115位点未缺失,因此将这些位点排除在“沃尔夫-赫希霍恩关键区域”之外。令人惊讶的是,DNA研究还表明,4号染色体上的易位断点位于一个先前存在的臂间倒位区域内。