Complex rearranged small supernumerary marker chromosomes (sSMC), three new cases; evidence for an underestimated entity?

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Small supernumerary marker chromosomes (sSMC) are present ~2.6 × 10 6 human worldwide. sSMC are a heterogeneous group of derivative chromosomes concerning their clinical consequences as well as their chromosomal origin and shape. Besides the sSMC present in Emanuel syndrome, i.e. der(22)t(11;22)(q23;q11), only few so-called complex sSMC are reported. Results Here we report three new cases of unique complex sSMC. One was a de novo case with a dic(13 or 21;22) and two were maternally derived: a der(18)t(8;18) and a der(13 or 21)t(13 or 21;18). Thus, in summary, now 22 cases of unique complex sSMC are available in the literature. However, this special kind of sSMC might be under-diagnosed among sSMC-carriers. Conclusion More comprehensive characterization of sSMC and approaches like reverse fluorescence in situ hybridization (FISH) or array based comparative genomic hybridization (array-CGH) might identify them to be more frequent than only ~0.9% among all sSMC.
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01 janvier 2008

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Molecular Cytogenetics
BioMedCentral
Open Access Research Complex rearranged small supernumerary marker chromosomes (sSMC), three new cases; evidence for an underestimated entity? 1,2 3 4 5 Vladimir Trifonov , Simon Fluri , Franz Binkert , Adayapalam Nandini , 6 7 2 2 Jasen Anderson , Laura Rodriguez , Madeleine Gross , Nadezda Kosyakova , 2 2 2 2 Hasmik Mkrtchyan , Elisabeth Ewers , Daniela Reich , Anja Weise and 2 Thomas Liehr*
1 2 Address: Department of Clinical Veterinary Medicine, Madingley Road, Cambridge, CB3 OES, UK, Institut für Humangenetik und 3 4 Anthropologie, Kollegiengasse 10, D07743 Jena, Germany, Universitätskinderklinik, Inselspital, CH3010 Bern, Switzerland, MCL 5 Medizinische Laboratorien, Freiburgstr 634, 3127 Niederwangen, Switzerland, Department of Cytogenetics, Queensland Health Pathology 6 Services, Herston QLD 4029, Queensland, Australia, Department of Cytogenetics, Sullivan Nicolaides Pathology, Taringa QLD, Australia and 7 Estudio Colaborativo Español de Malformaciones Congénitas (ECEMC) del Centro de Investigación sobre Anomalías Congénitas (CIAC), Instituto de Salud Carlos III, Ministerio de Sanidad y Consumo, Madrid, Spain
Email: Vladimir Trifonov  vlad@bionet.nsc.ru; Simon Fluri  bif@mcl.ch; Franz Binkert  bif@mcl.ch; Adayapalam Nandini  Adayapalam_Nandini@health.qld.gov.au; Jasen Anderson  Jasen_Anderson@snp.com.au; Laura Rodriguez  laura@isciii.es; Madeleine Gross  mgross@mti.unijena.de; Nadezda Kosyakova  Nadezda.Kosyakova@mti.unijena.de; Hasmik Mkrtchyan  Hasmik.Mkrtchyan@mti.unijena.de; Elisabeth Ewers  Elisabeth.Ewes@mti.unijena.de; Daniela Reich  Daniela.Reich@mti.unijena.de; Anja Weise  aweise@mti.unijena.de; Thomas Liehr*  i8lith@mti.unijena.de * Corresponding author
Published: 15 April 2008 Received: 20 November 2007 Accepted: 15 April 2008 Molecular Cytogenetics2008,1:6 doi:10.1186/1755816616 This article is available from: http://www.molecularcytogenetics.org/content/1/1/6 © 2008 Trifonov et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract 6 Background:humanSmall supernumerary marker chromosomes (sSMC) are present ~2.6 × 10 worldwide. sSMC are a heterogeneous group of derivative chromosomes concerning their clinical consequences as well as their chromosomal origin and shape. Besides the sSMC present in Emanuel syndrome, i.e. der(22)t(11;22)(q23;q11), only few socalled complex sSMC are reported.
Results:Here we report three new cases of unique complex sSMC. One was ade novocase with a dic(13 or 21;22) and two were maternally derived: a der(18)t(8;18) and a der(13 or 21)t(13 or 21;18). Thus, in summary, now 22 cases of unique complex sSMC are available in the literature. However, this special kind of sSMC might be underdiagnosed among sSMCcarriers.
Conclusion:More comprehensive characterization of sSMC and approaches like reverse fluorescence in situ hybridization (FISH) or array based comparative genomic hybridization (array CGH) might identify them to be more frequent than only ~0.9% among all sSMC.
Background Small supernumerary marker chromosomes (sSMC) are a major problem in cytogenetic diagnostics and genetic counseling. sSMC are structurally abnormal chromo somes that cannot be identified or characterized unam
biguously by conventional banding cytogenetics alone, and are generally about the size of or smaller than a chro mosome 20 in the same metaphase spread. Molecular cytogenetic techniques are necessary for comprehensive sSMC characterization [1]. Cases with ade novosSMC, par
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