Hidden Y Chromosome Mosaicism in 48 Egyptian Patients with Turner's Syndrome

Background. The presence of Y chromosome material in Turner’s syndrome (TS) patients is a risk factor for the development of gonadoblastoma. Although conventional cytogenetic analysis is the definitive diagnosis of TS, low level Y chromosome mosaicism may be missed. Molecular analysis has demonstrat...

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Veröffentlicht in:Genetics Research International 2013-01, Vol.2013 (2013), p.48-52
Hauptverfasser: El-Eshmawy, Mervat M., Yahia, Sohier, El-Dahtory, Faeza A., Hamed, Sahar, El Hadidy, El Hadidy M., Ragab, Mohamed
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container_end_page 52
container_issue 2013
container_start_page 48
container_title Genetics Research International
container_volume 2013
creator El-Eshmawy, Mervat M.
Yahia, Sohier
El-Dahtory, Faeza A.
Hamed, Sahar
El Hadidy, El Hadidy M.
Ragab, Mohamed
description Background. The presence of Y chromosome material in Turner’s syndrome (TS) patients is a risk factor for the development of gonadoblastoma. Although conventional cytogenetic analysis is the definitive diagnosis of TS, low level Y chromosome mosaicism may be missed. Molecular analysis has demonstrated a higher proportion of mosaicism, but there is controversy regarding the prevalence of Y chromosome-derived material in those patients. Aim and Methods. This study was conducted to investigate the prevalence of hidden Y chromosome mosaicism in 48 TS Egyptian patients using polymerase chain reaction (PCR) for molecular DNA analysis of SRY gene and compare our results with those in the literature. Results. None of TS patients had a cytogenetically obvious Y chromosome; Y chromosome material was detected only at molecular analysis. SRY gene was found in 9 TS patients (18.75%) with the classical 45,X karyotype, whereas all other patients were SRY negative. Conclusion. Cytogenetically undetected Y chromosome mosaicism is common in TS patients; these data reinforce the need for adequate diagnosis of Y chromosome material in those patients. Molecular screening for Y chromosome-derived DNA should be routinely carried out in all TS patients.
doi_str_mv 10.1155/2013/463529
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The presence of Y chromosome material in Turner’s syndrome (TS) patients is a risk factor for the development of gonadoblastoma. Although conventional cytogenetic analysis is the definitive diagnosis of TS, low level Y chromosome mosaicism may be missed. Molecular analysis has demonstrated a higher proportion of mosaicism, but there is controversy regarding the prevalence of Y chromosome-derived material in those patients. Aim and Methods. This study was conducted to investigate the prevalence of hidden Y chromosome mosaicism in 48 TS Egyptian patients using polymerase chain reaction (PCR) for molecular DNA analysis of SRY gene and compare our results with those in the literature. Results. None of TS patients had a cytogenetically obvious Y chromosome; Y chromosome material was detected only at molecular analysis. SRY gene was found in 9 TS patients (18.75%) with the classical 45,X karyotype, whereas all other patients were SRY negative. Conclusion. Cytogenetically undetected Y chromosome mosaicism is common in TS patients; these data reinforce the need for adequate diagnosis of Y chromosome material in those patients. Molecular screening for Y chromosome-derived DNA should be routinely carried out in all TS patients.</description><identifier>ISSN: 2090-3154</identifier><identifier>ISSN: 2090-3162</identifier><identifier>EISSN: 2090-3162</identifier><identifier>DOI: 10.1155/2013/463529</identifier><identifier>PMID: 23984076</identifier><language>eng</language><publisher>Cairo, Egypt: Hindawi Limiteds</publisher><subject>Amenorrhea ; Cardiovascular disease ; Congenital diseases ; Cytogenetics ; Deoxyribonucleic acid ; Diagnosis ; DNA ; Females ; Genetic aspects ; Identification and classification ; Karyotypes ; Mosaicism ; Polymerase chain reaction ; Risk factors ; Sex chromosomes ; Turner syndrome ; Uterus ; Y chromosome ; Y chromosomes</subject><ispartof>Genetics Research International, 2013-01, Vol.2013 (2013), p.48-52</ispartof><rights>Copyright © 2013 Mervat M. El-Eshmawy et al.</rights><rights>COPYRIGHT 2013 John Wiley &amp; Sons, Inc.</rights><rights>Copyright © 2013 Mervat M. El-Eshmawy et al. This work is licensed under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>Copyright © 2013 Mervat M. El-Eshmawy et al. 2013</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-a488t-8692eca35952ff10524628b606f14df89a78d340ece833033859e2d94853b76e3</cites><orcidid>0000-0002-6847-6553</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3745850/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3745850/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23984076$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Li, Biaoru</contributor><contributor>Biaoru Li</contributor><creatorcontrib>El-Eshmawy, Mervat M.</creatorcontrib><creatorcontrib>Yahia, Sohier</creatorcontrib><creatorcontrib>El-Dahtory, Faeza A.</creatorcontrib><creatorcontrib>Hamed, Sahar</creatorcontrib><creatorcontrib>El Hadidy, El Hadidy M.</creatorcontrib><creatorcontrib>Ragab, Mohamed</creatorcontrib><title>Hidden Y Chromosome Mosaicism in 48 Egyptian Patients with Turner's Syndrome</title><title>Genetics Research International</title><addtitle>Genet Res Int</addtitle><description>Background. The presence of Y chromosome material in Turner’s syndrome (TS) patients is a risk factor for the development of gonadoblastoma. Although conventional cytogenetic analysis is the definitive diagnosis of TS, low level Y chromosome mosaicism may be missed. Molecular analysis has demonstrated a higher proportion of mosaicism, but there is controversy regarding the prevalence of Y chromosome-derived material in those patients. Aim and Methods. This study was conducted to investigate the prevalence of hidden Y chromosome mosaicism in 48 TS Egyptian patients using polymerase chain reaction (PCR) for molecular DNA analysis of SRY gene and compare our results with those in the literature. Results. None of TS patients had a cytogenetically obvious Y chromosome; Y chromosome material was detected only at molecular analysis. SRY gene was found in 9 TS patients (18.75%) with the classical 45,X karyotype, whereas all other patients were SRY negative. Conclusion. Cytogenetically undetected Y chromosome mosaicism is common in TS patients; these data reinforce the need for adequate diagnosis of Y chromosome material in those patients. 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The presence of Y chromosome material in Turner’s syndrome (TS) patients is a risk factor for the development of gonadoblastoma. Although conventional cytogenetic analysis is the definitive diagnosis of TS, low level Y chromosome mosaicism may be missed. Molecular analysis has demonstrated a higher proportion of mosaicism, but there is controversy regarding the prevalence of Y chromosome-derived material in those patients. Aim and Methods. This study was conducted to investigate the prevalence of hidden Y chromosome mosaicism in 48 TS Egyptian patients using polymerase chain reaction (PCR) for molecular DNA analysis of SRY gene and compare our results with those in the literature. Results. None of TS patients had a cytogenetically obvious Y chromosome; Y chromosome material was detected only at molecular analysis. SRY gene was found in 9 TS patients (18.75%) with the classical 45,X karyotype, whereas all other patients were SRY negative. Conclusion. Cytogenetically undetected Y chromosome mosaicism is common in TS patients; these data reinforce the need for adequate diagnosis of Y chromosome material in those patients. Molecular screening for Y chromosome-derived DNA should be routinely carried out in all TS patients.</abstract><cop>Cairo, Egypt</cop><pub>Hindawi Limiteds</pub><pmid>23984076</pmid><doi>10.1155/2013/463529</doi><tpages>5</tpages><orcidid>https://orcid.org/0000-0002-6847-6553</orcidid><oa>free_for_read</oa></addata></record>
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source Wiley Online Library Open Access; EZB-FREE-00999 freely available EZB journals; PubMed Central; Alma/SFX Local Collection; PubMed Central Open Access
subjects Amenorrhea
Cardiovascular disease
Congenital diseases
Cytogenetics
Deoxyribonucleic acid
Diagnosis
DNA
Females
Genetic aspects
Identification and classification
Karyotypes
Mosaicism
Polymerase chain reaction
Risk factors
Sex chromosomes
Turner syndrome
Uterus
Y chromosome
Y chromosomes
title Hidden Y Chromosome Mosaicism in 48 Egyptian Patients with Turner's Syndrome
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