Mosaic Small Supernumerary Marker Chromosome Derived from Five Discontinuous Regions of Chromosome 8 in a Patient with Neutropenia and Oral Aphthous Ulcer

Small supernumerary marker chromosomes (sSMCs) are characterized as additional centric chromosome fragments which are too small to be classified by cytogenetic banding alone and smaller than or equal to the size of chromosome 20 of the same metaphase spread. Here, we report a patient who presented w...

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Veröffentlicht in:Cytogenetic and genome research 2020, Vol.160 (1), p.11-17
Hauptverfasser: Altiner, Sule, Kutlay, Nuket Yurur, Ruhi, Hatice Ilgin
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Ruhi, Hatice Ilgin
description Small supernumerary marker chromosomes (sSMCs) are characterized as additional centric chromosome fragments which are too small to be classified by cytogenetic banding alone and smaller than or equal to the size of chromosome 20 of the same metaphase spread. Here, we report a patient who presented with slight neutropenia and oral aphthous ulcers. A mosaic de novo sSMC, which originated from 5 discontinuous regions of chromosome 8, was detected in the patient. Formation of the sSMC(8) can probably be explained by a multi-step process beginning with maternal meiotic nondisjunction, followed by post-zygotic anaphase lag, and resulting in chromothripsis. Chromothripsis is a chromosomal rearrangement which occurs by breakage of one or more chromosomes leading to a fusion of surviving chromosome pieces. This case is a good example for emphasizing the importance of conventional karyotyping from PHA-induced peripheral blood lymphocytes and examining tissues other than bone marrow in patients with inconsistent genotype and phenotype.
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Here, we report a patient who presented with slight neutropenia and oral aphthous ulcers. A mosaic de novo sSMC, which originated from 5 discontinuous regions of chromosome 8, was detected in the patient. Formation of the sSMC(8) can probably be explained by a multi-step process beginning with maternal meiotic nondisjunction, followed by post-zygotic anaphase lag, and resulting in chromothripsis. Chromothripsis is a chromosomal rearrangement which occurs by breakage of one or more chromosomes leading to a fusion of surviving chromosome pieces. 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subjects Cell Biology
Child, Preschool
Chromosome Aberrations
Chromosome Disorders - genetics
Chromosomes, Human, Pair 8 - genetics
Chromosomes, Human, Pair 8 - ultrastructure
Cytogenetics
Female
Genetic Markers
Genetics & Heredity
Genotype
Humans
Karyotyping
Life Sciences & Biomedicine
Lymphocytes - metabolism
Metaphase
Mosaicism
Neutropenia - complications
Neutropenia - diagnosis
Neutropenia - genetics
Novel Insights from Clinical Practice
Oligonucleotide Array Sequence Analysis
Oral Ulcer - complications
Oral Ulcer - diagnosis
Oral Ulcer - genetics
Phenotype
Science & Technology
Stomatitis, Aphthous - complications
Stomatitis, Aphthous - diagnosis
Stomatitis, Aphthous - genetics
title Mosaic Small Supernumerary Marker Chromosome Derived from Five Discontinuous Regions of Chromosome 8 in a Patient with Neutropenia and Oral Aphthous Ulcer
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