Persistent Mosaicism for 12p Duplication/Triplication Chromosome Structural Abnormality in Peripheral Blood

We present a rare case of mosaicism for a structural abnormality of chromosome 12 in a patient with phenotypic features of Pallister-Killian syndrome. A six-month-old child with dysmorphic features, exotropia, hypotonia, and developmental delay was mosaic for both a normal karyotype and a cell line...

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Main Authors: Amy L. Shackelford, Laura K. Conlin, Marybeth Hummel, Nancy B. Spinner, Sharon L. Wenger
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Case Reports in Genetics
Online Access:http://dx.doi.org/10.1155/2013/857926
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author Amy L. Shackelford
Laura K. Conlin
Marybeth Hummel
Nancy B. Spinner
Sharon L. Wenger
author_facet Amy L. Shackelford
Laura K. Conlin
Marybeth Hummel
Nancy B. Spinner
Sharon L. Wenger
author_sort Amy L. Shackelford
collection DOAJ
description We present a rare case of mosaicism for a structural abnormality of chromosome 12 in a patient with phenotypic features of Pallister-Killian syndrome. A six-month-old child with dysmorphic features, exotropia, hypotonia, and developmental delay was mosaic for both a normal karyotype and a cell line with 12p duplication/triplication in 25 percent of metaphase cells. Utilization of fluorescence in situ hybridization (FISH) identified three copies of probes from the end of the short arm of chromosome 12 (TEL(12p13) locus and the subtelomere (12p terminal)) on the structurally abnormal chromosome 12. Genome-wide SNP array analysis revealed that the regions of duplication and triplication were of maternal origin. The abnormal cell line in our patient was present at 25 percent at six months and 19 months of age in both metaphase and interphase cells from peripheral blood, where typically the isochromosome 12p is absent in the newborn. This may suggest that the gene(s) resulting in a growth disadvantage of abnormal cells in peripheral blood of patients with tetrasomy 12p may not have the same influence when present in only three copies.
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spelling doaj-art-660e82dc741b472dbe5e0beb302b83e92025-02-03T01:02:36ZengWileyCase Reports in Genetics2090-65442090-65522013-01-01201310.1155/2013/857926857926Persistent Mosaicism for 12p Duplication/Triplication Chromosome Structural Abnormality in Peripheral BloodAmy L. Shackelford0Laura K. Conlin1Marybeth Hummel2Nancy B. Spinner3Sharon L. Wenger4Department of Pathology, West Virginia University, Morgantown, WV 26506-9203, USADepartment of Human Genetics, University of Pennsylvania, Philadelphia, PA 19104, USADepartment of Pediatrics, West Virginia University, Morgantown, WV 26506-9214, USADepartment of Human Genetics, University of Pennsylvania, Philadelphia, PA 19104, USADepartment of Pathology, West Virginia University, Morgantown, WV 26506-9203, USAWe present a rare case of mosaicism for a structural abnormality of chromosome 12 in a patient with phenotypic features of Pallister-Killian syndrome. A six-month-old child with dysmorphic features, exotropia, hypotonia, and developmental delay was mosaic for both a normal karyotype and a cell line with 12p duplication/triplication in 25 percent of metaphase cells. Utilization of fluorescence in situ hybridization (FISH) identified three copies of probes from the end of the short arm of chromosome 12 (TEL(12p13) locus and the subtelomere (12p terminal)) on the structurally abnormal chromosome 12. Genome-wide SNP array analysis revealed that the regions of duplication and triplication were of maternal origin. The abnormal cell line in our patient was present at 25 percent at six months and 19 months of age in both metaphase and interphase cells from peripheral blood, where typically the isochromosome 12p is absent in the newborn. This may suggest that the gene(s) resulting in a growth disadvantage of abnormal cells in peripheral blood of patients with tetrasomy 12p may not have the same influence when present in only three copies.http://dx.doi.org/10.1155/2013/857926
spellingShingle Amy L. Shackelford
Laura K. Conlin
Marybeth Hummel
Nancy B. Spinner
Sharon L. Wenger
Persistent Mosaicism for 12p Duplication/Triplication Chromosome Structural Abnormality in Peripheral Blood
Case Reports in Genetics
title Persistent Mosaicism for 12p Duplication/Triplication Chromosome Structural Abnormality in Peripheral Blood
title_full Persistent Mosaicism for 12p Duplication/Triplication Chromosome Structural Abnormality in Peripheral Blood
title_fullStr Persistent Mosaicism for 12p Duplication/Triplication Chromosome Structural Abnormality in Peripheral Blood
title_full_unstemmed Persistent Mosaicism for 12p Duplication/Triplication Chromosome Structural Abnormality in Peripheral Blood
title_short Persistent Mosaicism for 12p Duplication/Triplication Chromosome Structural Abnormality in Peripheral Blood
title_sort persistent mosaicism for 12p duplication triplication chromosome structural abnormality in peripheral blood
url http://dx.doi.org/10.1155/2013/857926
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