Challenges in classifying human chromosomal heteromorphisms using banding cytogenetics: From controversial guidelines to the need for a universal scoring system

Abstract Chromosomal heteromorphisms (CHs) are morphological variations predominantly found in constitutive heterochromatic regions of the genome, primarily composed of tandemly repetitive sequences of satellite DNA. Although not completely devoid of genes, these regions are typically not transcribe...

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Main Authors: Sílvia Pires, Paula Jorge, Thomas Liehr, Natália Oliva-Teles
Format: Article
Language:English
Published: Nature Publishing Group 2024-10-01
Series:Human Genome Variation
Online Access:https://doi.org/10.1038/s41439-024-00295-8
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author Sílvia Pires
Paula Jorge
Thomas Liehr
Natália Oliva-Teles
author_facet Sílvia Pires
Paula Jorge
Thomas Liehr
Natália Oliva-Teles
author_sort Sílvia Pires
collection DOAJ
description Abstract Chromosomal heteromorphisms (CHs) are morphological variations predominantly found in constitutive heterochromatic regions of the genome, primarily composed of tandemly repetitive sequences of satellite DNA. Although not completely devoid of genes, these regions are typically not transcribed into proteins and lack obvious phenotypic impact. Nonetheless, their clinical importance is increasingly under scrutiny, with several studies aiming to assess their influence on human diseases and susceptibilities, especially as they are seemingly part of the long noncoding RNAs in certain tissues. This article summarizes the classification methods of human heterochromatic CHs documented in the literature over the last two decades. Multiple scoring systems have been identified, and previous approaches for CH assessment and reporting in genetic diagnosis have shown inconsistencies. Owing to the current heterogeneity in the classification of CHs, data analysis may be biased, impacting the quality of clinical reports and human genetic research. This review highlights the need for a universal scoring system, which is essential for scientific reproducibility and the accurate identification and clinical evaluation of human CHs.
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institution Kabale University
issn 2054-345X
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publishDate 2024-10-01
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series Human Genome Variation
spelling doaj-art-1b6cd479731042bc8e3f809ef43c7f812025-01-19T12:15:53ZengNature Publishing GroupHuman Genome Variation2054-345X2024-10-011111610.1038/s41439-024-00295-8Challenges in classifying human chromosomal heteromorphisms using banding cytogenetics: From controversial guidelines to the need for a universal scoring systemSílvia Pires0Paula Jorge1Thomas Liehr2Natália Oliva-Teles3Centro Hospitalar Universitário de Santo António, Unidade Local de Saúde de Santo AntónioUnit for Multidisciplinary Research in Biomedicine, Institute of Biomedical Sciences Abel Salazar, University of PortoJena University Hospital, Friedrich Schiller University, Institute of Human GeneticsCentro Hospitalar Universitário de Santo António, Unidade Local de Saúde de Santo AntónioAbstract Chromosomal heteromorphisms (CHs) are morphological variations predominantly found in constitutive heterochromatic regions of the genome, primarily composed of tandemly repetitive sequences of satellite DNA. Although not completely devoid of genes, these regions are typically not transcribed into proteins and lack obvious phenotypic impact. Nonetheless, their clinical importance is increasingly under scrutiny, with several studies aiming to assess their influence on human diseases and susceptibilities, especially as they are seemingly part of the long noncoding RNAs in certain tissues. This article summarizes the classification methods of human heterochromatic CHs documented in the literature over the last two decades. Multiple scoring systems have been identified, and previous approaches for CH assessment and reporting in genetic diagnosis have shown inconsistencies. Owing to the current heterogeneity in the classification of CHs, data analysis may be biased, impacting the quality of clinical reports and human genetic research. This review highlights the need for a universal scoring system, which is essential for scientific reproducibility and the accurate identification and clinical evaluation of human CHs.https://doi.org/10.1038/s41439-024-00295-8
spellingShingle Sílvia Pires
Paula Jorge
Thomas Liehr
Natália Oliva-Teles
Challenges in classifying human chromosomal heteromorphisms using banding cytogenetics: From controversial guidelines to the need for a universal scoring system
Human Genome Variation
title Challenges in classifying human chromosomal heteromorphisms using banding cytogenetics: From controversial guidelines to the need for a universal scoring system
title_full Challenges in classifying human chromosomal heteromorphisms using banding cytogenetics: From controversial guidelines to the need for a universal scoring system
title_fullStr Challenges in classifying human chromosomal heteromorphisms using banding cytogenetics: From controversial guidelines to the need for a universal scoring system
title_full_unstemmed Challenges in classifying human chromosomal heteromorphisms using banding cytogenetics: From controversial guidelines to the need for a universal scoring system
title_short Challenges in classifying human chromosomal heteromorphisms using banding cytogenetics: From controversial guidelines to the need for a universal scoring system
title_sort challenges in classifying human chromosomal heteromorphisms using banding cytogenetics from controversial guidelines to the need for a universal scoring system
url https://doi.org/10.1038/s41439-024-00295-8
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