Prenatal detection and characterization of a psu idic(8)(p23.3) which likely derived from nonallelic homologous recombination between two MYOM2-repeats

• Published in: Journal of the Formosan Medical Association Vol. 114; no. 1; pp. 81 - 87
• Main Authors: Li, Yueh-Chun, Chien, Shu-Chin, Setlur, Sunita R., Lin, Wei-De, Tsai, Fuu-Jen, Lin, Chyi-Chyang
• Format: Journal Article
• Language: English
• Published: Singapore Elsevier B.V 01.01.2015; Elsevier
• Subjects: Abnormalities, Multiple - diagnosis; Adult; Chromosomes, Human, Pair 8; Cytogenetic Analysis; dicentric chromosome 8p; Female; Gestational Age; Homologous Recombination - genetics; Humans; In Situ Hybridization, Fluorescence; Magnetic Resonance Imaging; Mosaicism; non-allelic recombination; Pregnancy; Prenatal Diagnosis; segmental duplication; Trisomy - diagnosis; Uniparental Disomy - diagnosis; dicentric chromosome 8p; segmental duplication; non-allelic recombination; prenatal diagnosis
• ISSN: 0929-6646; 1876-0821
• DOI: 10.1016/j.jfma.2011.05.015

Mosaicism with an isodicentric 8 with a breakpoint at p23.3 [idic(8)(p23.3)] is very rare. We report the first prenatal case on a male fetus, in which obstetric ultrasound revealed multiple congenital anomalies at 28 weeks of gestation. Cytogenetic analysis of amniocytes showed mos 45,XY,-8,psu idic(8)(p23.3)[16]/46,XY,psu idic(8)(p23.3)[4], and that of cord blood lymphocytes revealed mos 46,XY, psu idic(8)(p23.3)[37]/45,XY,-8,psu idic(8)(p23.3)[13]. Fluorescence in situ hybridization studies revealed that the break-reunion occurred at the cytoband 8p23.3 within the physical position 2.08 Mb from the 8p telomere. Chromosomal microarray analyses further assigned the duplication/deletion breakpoint at 2.16 Mb (Agilent 244K) and at 2.19 Mb (Affymetrix SNP6.0). Analysis of microsatellite DNA indicated that the psu idic(8)(p23.3) was derived from the maternal chromosome 8. Together, these findings indicate that the fetus was nullisomic for ∼2.2 Mb from 8pter, trisomic for the rest of chromosome 8 in mosaic condition, and likely had breaks in MYOM2 repeats of the maternal chromosome 8.