Derivation of two functional X chromosome centromeres from a single break bisecting the centromere of origin: Implications for centromere structure
- George Washington Univ. Medical Center, Washington, DC (United States)
The precise nature of the functional human centromeric sequences remains a matter of some controversy. Evidence has accumulated over the past several years that directly implicates alphoid repeats as a critical component. We report a child with dysmorphic features consistent with the recently described small ring X syndrome, with a constitutional karyotype that addresses this issue. At 5 1/2 months, the patient was a small, hypotonic, delayed female with brachycephaly, a broad forehead, prominent nasal root, synophorous, small mouth, and cup-shaped ears with prominent lobules, as well as microcornea, and pendular nystagmus. Hand abnormalities included single palmar creases and short tapered fingers. In addition to mosaicism for a small ring chromosome derived from the proximal short arm of the X, the proband has, in all cells, a monocentric isochromosome for the long arm of the X. The karyotype is interpreted as 46,X,iso(Xq)/47,X,iso(Xq),r(Xp11cen). We present routine karyotypic and FISH analysis of the rearranged X chromosomes. We propose that the only mechanism consistent with this karyotype is that of a two-break rearrangement with one break bisecting a centromere in such a way as to retain functional centromeric activity in each of the separated regions. The second break, proximal in the short arm, allows for ring chromosome formation with the bisected centromere. The iso(Xq) arises by the classical mechanism of post-replication sister-reunion. The formation of two functional centromeres by a single break through the {open_quotes}parental{close_quotes} centromere indicates that the functional activity must be in a repeated component of the centromeric DNA and argues strongly against the requirement for any single gene in cis orientation.
- OSTI ID:
- 133752
- Report Number(s):
- CONF-941009--
- Journal Information:
- American Journal of Human Genetics, Journal Name: American Journal of Human Genetics Journal Issue: Suppl.3 Vol. 55; ISSN AJHGAG; ISSN 0002-9297
- Country of Publication:
- United States
- Language:
- English
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