A case report of Pallister-Killian syndrome with an unusual mosaic supernumerary marker chromosome 12 with interstitial 12p13.1-p12.1 duplication
Pallister-Killian syndrome (PKS) is a rare inherited disease with multiple congenital anomalies, profound intellectual disability, and the presence in the karyotype of sSMC - i(12)(p10). The frequency of PKS may be underestimated due to problems with cytogenetic diagnosis caused by tissue-specific m...
Main Authors: | , , , , , , , , , , , , , , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Frontiers Media S.A.
2024-03-01
|
Series: | Frontiers in Genetics |
Subjects: | |
Online Access: | https://www.frontiersin.org/articles/10.3389/fgene.2024.1331066/full |
_version_ | 1797266434165833728 |
---|---|
author | T. V. Karamysheva T. V. Karamysheva I. N. Lebedev I. N. Lebedev L. I. Minaycheva L. P. Nazarenko L. P. Nazarenko A. A. Kashevarova D. A. Fedotov N. A. Skryabin M. E. Lopatkina A. D. Cheremnykh E. A. Fonova E. A. Fonova T. V. Nikitina E. A. Sazhenova M. M. Skleimova N. A. Kolesnikov G. V. Drozdov Y. S. Yakovleva Y. S. Yakovleva G. N. Seitova K. E. Orishchenko K. E. Orishchenko N. B. Rubtsov N. B. Rubtsov |
author_facet | T. V. Karamysheva T. V. Karamysheva I. N. Lebedev I. N. Lebedev L. I. Minaycheva L. P. Nazarenko L. P. Nazarenko A. A. Kashevarova D. A. Fedotov N. A. Skryabin M. E. Lopatkina A. D. Cheremnykh E. A. Fonova E. A. Fonova T. V. Nikitina E. A. Sazhenova M. M. Skleimova N. A. Kolesnikov G. V. Drozdov Y. S. Yakovleva Y. S. Yakovleva G. N. Seitova K. E. Orishchenko K. E. Orishchenko N. B. Rubtsov N. B. Rubtsov |
author_sort | T. V. Karamysheva |
collection | DOAJ |
description | Pallister-Killian syndrome (PKS) is a rare inherited disease with multiple congenital anomalies, profound intellectual disability, and the presence in the karyotype of sSMC - i(12)(p10). The frequency of PKS may be underestimated due to problems with cytogenetic diagnosis caused by tissue-specific mosaicism and usually a low percentage of peripheral blood cells containing sSMC. Such tissue-specific mosaicism also complicates a detailed analysis of the sSMC, which, along with the assessment of mosaicism in different tissues, is an important part of cytogenetic diagnosis in PKS. Unfortunately, a full-fledged diagnosis in PKS is either practically impossible or complicated. On the one hand, this is due to problems with the biopsy of various tissues (skin biopsy with fibroblast culture is most often used in practice); on the other - a low percentage of dividing peripheral blood cells containing sSMC, which often significantly complicates the analysis of its composition and organization. In the present study, a detailed analysis of sSMC was carried out in a patient with a characteristic clinical picture of PKS. A relatively high percentage of peripheral blood cells with sSMC (50%) made it possible to perform a detailed molecular cytogenetic analysis of de novo sSMC using chromosomal in situ suppression hybridization (CISS-hybridization), multicolor FISH (mFISH), multicolor chromosome banding (MCB), array CGH (aCGH), and quantitative real-time PCR (qPCR), and short tandem repeat (STR) - analysis. As a result, it was found that the sSMC is not a typical PKS derivative of chromosome 12. In contrast to the classical i(12)(p10) for PKS, the patient’s cells contained an acrocentric chromosome consisting of 12p material. Clusters of telomeric repeats were found at the both ends of the sSMC. Furthemore, the results of aCGH and qPCR indicate the presence of interstitial 8.9 Mb duplication at 12p13.1-p12.1 within the sSMC, which leads to different representations of DNA from different segments of 12p within cells containing sSMC. The obtained data raise the question of the instability of the sSMC and, as a consequence, the possible presence of additional rearrangements, which, in traditional cytogenetic analysis of patients with PKS, are usually described as i(12)(p10). |
first_indexed | 2024-04-25T01:00:37Z |
format | Article |
id | doaj.art-88afa4cfc61a4a5da256eddbcc50ab10 |
institution | Directory Open Access Journal |
issn | 1664-8021 |
language | English |
last_indexed | 2024-04-25T01:00:37Z |
publishDate | 2024-03-01 |
publisher | Frontiers Media S.A. |
record_format | Article |
series | Frontiers in Genetics |
spelling | doaj.art-88afa4cfc61a4a5da256eddbcc50ab102024-03-11T05:03:12ZengFrontiers Media S.A.Frontiers in Genetics1664-80212024-03-011510.3389/fgene.2024.13310661331066A case report of Pallister-Killian syndrome with an unusual mosaic supernumerary marker chromosome 12 with interstitial 12p13.1-p12.1 duplicationT. V. Karamysheva0T. V. Karamysheva1I. N. Lebedev2I. N. Lebedev3L. I. Minaycheva4L. P. Nazarenko5L. P. Nazarenko6A. A. Kashevarova7D. A. Fedotov8N. A. Skryabin9M. E. Lopatkina10A. D. Cheremnykh11E. A. Fonova12E. A. Fonova13T. V. Nikitina14E. A. Sazhenova15M. M. Skleimova16N. A. Kolesnikov17G. V. Drozdov18Y. S. Yakovleva19Y. S. Yakovleva20G. N. Seitova21K. E. Orishchenko22K. E. Orishchenko23N. B. Rubtsov24N. B. Rubtsov25Institute of Cytology and Genetics, Siberian Branch of Russian Academy of Sciences (SB RAS), Novosibirsk, RussiaDepartment of Genetic Technologies, Novosibirsk State University, Novosibirsk, RussiaResearch Institute of Medical Genetics, Tomsk National Research Medical Center of the Russian Academy of Sciences, Tomsk, RussiaDepartment of Medical Genetics, Siberian State Medical University, Tomsk, RussiaResearch Institute of Medical Genetics, Tomsk National Research Medical Center of the Russian Academy of Sciences, Tomsk, RussiaResearch Institute of Medical Genetics, Tomsk National Research Medical Center of the Russian Academy of Sciences, Tomsk, RussiaDepartment of Medical Genetics, Siberian State Medical University, Tomsk, RussiaResearch Institute of Medical Genetics, Tomsk National Research Medical Center of the Russian Academy of Sciences, Tomsk, RussiaResearch Institute of Medical Genetics, Tomsk National Research Medical Center of the Russian Academy of Sciences, Tomsk, RussiaResearch Institute of Medical Genetics, Tomsk National Research Medical Center of the Russian Academy of Sciences, Tomsk, RussiaResearch Institute of Medical Genetics, Tomsk National Research Medical Center of the Russian Academy of Sciences, Tomsk, RussiaResearch Institute of Medical Genetics, Tomsk National Research Medical Center of the Russian Academy of Sciences, Tomsk, RussiaResearch Institute of Medical Genetics, Tomsk National Research Medical Center of the Russian Academy of Sciences, Tomsk, RussiaDepartment of Medical Genetics, Siberian State Medical University, Tomsk, RussiaResearch Institute of Medical Genetics, Tomsk National Research Medical Center of the Russian Academy of Sciences, Tomsk, RussiaResearch Institute of Medical Genetics, Tomsk National Research Medical Center of the Russian Academy of Sciences, Tomsk, RussiaResearch Institute of Medical Genetics, Tomsk National Research Medical Center of the Russian Academy of Sciences, Tomsk, RussiaResearch Institute of Medical Genetics, Tomsk National Research Medical Center of the Russian Academy of Sciences, Tomsk, RussiaResearch Institute of Medical Genetics, Tomsk National Research Medical Center of the Russian Academy of Sciences, Tomsk, RussiaResearch Institute of Medical Genetics, Tomsk National Research Medical Center of the Russian Academy of Sciences, Tomsk, RussiaDepartment of Medical Genetics, Siberian State Medical University, Tomsk, RussiaResearch Institute of Medical Genetics, Tomsk National Research Medical Center of the Russian Academy of Sciences, Tomsk, RussiaInstitute of Cytology and Genetics, Siberian Branch of Russian Academy of Sciences (SB RAS), Novosibirsk, RussiaDepartment of Genetic Technologies, Novosibirsk State University, Novosibirsk, RussiaInstitute of Cytology and Genetics, Siberian Branch of Russian Academy of Sciences (SB RAS), Novosibirsk, RussiaDepartment of Genetic Technologies, Novosibirsk State University, Novosibirsk, RussiaPallister-Killian syndrome (PKS) is a rare inherited disease with multiple congenital anomalies, profound intellectual disability, and the presence in the karyotype of sSMC - i(12)(p10). The frequency of PKS may be underestimated due to problems with cytogenetic diagnosis caused by tissue-specific mosaicism and usually a low percentage of peripheral blood cells containing sSMC. Such tissue-specific mosaicism also complicates a detailed analysis of the sSMC, which, along with the assessment of mosaicism in different tissues, is an important part of cytogenetic diagnosis in PKS. Unfortunately, a full-fledged diagnosis in PKS is either practically impossible or complicated. On the one hand, this is due to problems with the biopsy of various tissues (skin biopsy with fibroblast culture is most often used in practice); on the other - a low percentage of dividing peripheral blood cells containing sSMC, which often significantly complicates the analysis of its composition and organization. In the present study, a detailed analysis of sSMC was carried out in a patient with a characteristic clinical picture of PKS. A relatively high percentage of peripheral blood cells with sSMC (50%) made it possible to perform a detailed molecular cytogenetic analysis of de novo sSMC using chromosomal in situ suppression hybridization (CISS-hybridization), multicolor FISH (mFISH), multicolor chromosome banding (MCB), array CGH (aCGH), and quantitative real-time PCR (qPCR), and short tandem repeat (STR) - analysis. As a result, it was found that the sSMC is not a typical PKS derivative of chromosome 12. In contrast to the classical i(12)(p10) for PKS, the patient’s cells contained an acrocentric chromosome consisting of 12p material. Clusters of telomeric repeats were found at the both ends of the sSMC. Furthemore, the results of aCGH and qPCR indicate the presence of interstitial 8.9 Mb duplication at 12p13.1-p12.1 within the sSMC, which leads to different representations of DNA from different segments of 12p within cells containing sSMC. The obtained data raise the question of the instability of the sSMC and, as a consequence, the possible presence of additional rearrangements, which, in traditional cytogenetic analysis of patients with PKS, are usually described as i(12)(p10).https://www.frontiersin.org/articles/10.3389/fgene.2024.1331066/fullPallister-Killian syndrome (PKS)mosaic trisomy 12pa supernumerary marker of chromosome 12the chromosomal region 12pter-12q11chromosomal abnormalitiesduplication 12p13.33-p11.1 |
spellingShingle | T. V. Karamysheva T. V. Karamysheva I. N. Lebedev I. N. Lebedev L. I. Minaycheva L. P. Nazarenko L. P. Nazarenko A. A. Kashevarova D. A. Fedotov N. A. Skryabin M. E. Lopatkina A. D. Cheremnykh E. A. Fonova E. A. Fonova T. V. Nikitina E. A. Sazhenova M. M. Skleimova N. A. Kolesnikov G. V. Drozdov Y. S. Yakovleva Y. S. Yakovleva G. N. Seitova K. E. Orishchenko K. E. Orishchenko N. B. Rubtsov N. B. Rubtsov A case report of Pallister-Killian syndrome with an unusual mosaic supernumerary marker chromosome 12 with interstitial 12p13.1-p12.1 duplication Frontiers in Genetics Pallister-Killian syndrome (PKS) mosaic trisomy 12p a supernumerary marker of chromosome 12 the chromosomal region 12pter-12q11 chromosomal abnormalities duplication 12p13.33-p11.1 |
title | A case report of Pallister-Killian syndrome with an unusual mosaic supernumerary marker chromosome 12 with interstitial 12p13.1-p12.1 duplication |
title_full | A case report of Pallister-Killian syndrome with an unusual mosaic supernumerary marker chromosome 12 with interstitial 12p13.1-p12.1 duplication |
title_fullStr | A case report of Pallister-Killian syndrome with an unusual mosaic supernumerary marker chromosome 12 with interstitial 12p13.1-p12.1 duplication |
title_full_unstemmed | A case report of Pallister-Killian syndrome with an unusual mosaic supernumerary marker chromosome 12 with interstitial 12p13.1-p12.1 duplication |
title_short | A case report of Pallister-Killian syndrome with an unusual mosaic supernumerary marker chromosome 12 with interstitial 12p13.1-p12.1 duplication |
title_sort | case report of pallister killian syndrome with an unusual mosaic supernumerary marker chromosome 12 with interstitial 12p13 1 p12 1 duplication |
topic | Pallister-Killian syndrome (PKS) mosaic trisomy 12p a supernumerary marker of chromosome 12 the chromosomal region 12pter-12q11 chromosomal abnormalities duplication 12p13.33-p11.1 |
url | https://www.frontiersin.org/articles/10.3389/fgene.2024.1331066/full |
work_keys_str_mv | AT tvkaramysheva acasereportofpallisterkilliansyndromewithanunusualmosaicsupernumerarymarkerchromosome12withinterstitial12p131p121duplication AT tvkaramysheva acasereportofpallisterkilliansyndromewithanunusualmosaicsupernumerarymarkerchromosome12withinterstitial12p131p121duplication AT inlebedev acasereportofpallisterkilliansyndromewithanunusualmosaicsupernumerarymarkerchromosome12withinterstitial12p131p121duplication AT inlebedev acasereportofpallisterkilliansyndromewithanunusualmosaicsupernumerarymarkerchromosome12withinterstitial12p131p121duplication AT liminaycheva acasereportofpallisterkilliansyndromewithanunusualmosaicsupernumerarymarkerchromosome12withinterstitial12p131p121duplication AT lpnazarenko acasereportofpallisterkilliansyndromewithanunusualmosaicsupernumerarymarkerchromosome12withinterstitial12p131p121duplication AT lpnazarenko acasereportofpallisterkilliansyndromewithanunusualmosaicsupernumerarymarkerchromosome12withinterstitial12p131p121duplication AT aakashevarova acasereportofpallisterkilliansyndromewithanunusualmosaicsupernumerarymarkerchromosome12withinterstitial12p131p121duplication AT dafedotov acasereportofpallisterkilliansyndromewithanunusualmosaicsupernumerarymarkerchromosome12withinterstitial12p131p121duplication AT naskryabin acasereportofpallisterkilliansyndromewithanunusualmosaicsupernumerarymarkerchromosome12withinterstitial12p131p121duplication AT melopatkina acasereportofpallisterkilliansyndromewithanunusualmosaicsupernumerarymarkerchromosome12withinterstitial12p131p121duplication AT adcheremnykh acasereportofpallisterkilliansyndromewithanunusualmosaicsupernumerarymarkerchromosome12withinterstitial12p131p121duplication AT eafonova acasereportofpallisterkilliansyndromewithanunusualmosaicsupernumerarymarkerchromosome12withinterstitial12p131p121duplication AT eafonova acasereportofpallisterkilliansyndromewithanunusualmosaicsupernumerarymarkerchromosome12withinterstitial12p131p121duplication AT tvnikitina acasereportofpallisterkilliansyndromewithanunusualmosaicsupernumerarymarkerchromosome12withinterstitial12p131p121duplication AT easazhenova acasereportofpallisterkilliansyndromewithanunusualmosaicsupernumerarymarkerchromosome12withinterstitial12p131p121duplication AT mmskleimova acasereportofpallisterkilliansyndromewithanunusualmosaicsupernumerarymarkerchromosome12withinterstitial12p131p121duplication AT nakolesnikov acasereportofpallisterkilliansyndromewithanunusualmosaicsupernumerarymarkerchromosome12withinterstitial12p131p121duplication AT gvdrozdov acasereportofpallisterkilliansyndromewithanunusualmosaicsupernumerarymarkerchromosome12withinterstitial12p131p121duplication AT ysyakovleva acasereportofpallisterkilliansyndromewithanunusualmosaicsupernumerarymarkerchromosome12withinterstitial12p131p121duplication AT ysyakovleva acasereportofpallisterkilliansyndromewithanunusualmosaicsupernumerarymarkerchromosome12withinterstitial12p131p121duplication AT gnseitova acasereportofpallisterkilliansyndromewithanunusualmosaicsupernumerarymarkerchromosome12withinterstitial12p131p121duplication AT keorishchenko acasereportofpallisterkilliansyndromewithanunusualmosaicsupernumerarymarkerchromosome12withinterstitial12p131p121duplication AT keorishchenko acasereportofpallisterkilliansyndromewithanunusualmosaicsupernumerarymarkerchromosome12withinterstitial12p131p121duplication AT nbrubtsov acasereportofpallisterkilliansyndromewithanunusualmosaicsupernumerarymarkerchromosome12withinterstitial12p131p121duplication AT nbrubtsov acasereportofpallisterkilliansyndromewithanunusualmosaicsupernumerarymarkerchromosome12withinterstitial12p131p121duplication AT tvkaramysheva casereportofpallisterkilliansyndromewithanunusualmosaicsupernumerarymarkerchromosome12withinterstitial12p131p121duplication AT tvkaramysheva casereportofpallisterkilliansyndromewithanunusualmosaicsupernumerarymarkerchromosome12withinterstitial12p131p121duplication AT inlebedev casereportofpallisterkilliansyndromewithanunusualmosaicsupernumerarymarkerchromosome12withinterstitial12p131p121duplication AT inlebedev casereportofpallisterkilliansyndromewithanunusualmosaicsupernumerarymarkerchromosome12withinterstitial12p131p121duplication AT liminaycheva casereportofpallisterkilliansyndromewithanunusualmosaicsupernumerarymarkerchromosome12withinterstitial12p131p121duplication AT lpnazarenko casereportofpallisterkilliansyndromewithanunusualmosaicsupernumerarymarkerchromosome12withinterstitial12p131p121duplication AT lpnazarenko casereportofpallisterkilliansyndromewithanunusualmosaicsupernumerarymarkerchromosome12withinterstitial12p131p121duplication AT aakashevarova casereportofpallisterkilliansyndromewithanunusualmosaicsupernumerarymarkerchromosome12withinterstitial12p131p121duplication AT dafedotov casereportofpallisterkilliansyndromewithanunusualmosaicsupernumerarymarkerchromosome12withinterstitial12p131p121duplication AT naskryabin casereportofpallisterkilliansyndromewithanunusualmosaicsupernumerarymarkerchromosome12withinterstitial12p131p121duplication AT melopatkina casereportofpallisterkilliansyndromewithanunusualmosaicsupernumerarymarkerchromosome12withinterstitial12p131p121duplication AT adcheremnykh casereportofpallisterkilliansyndromewithanunusualmosaicsupernumerarymarkerchromosome12withinterstitial12p131p121duplication AT eafonova casereportofpallisterkilliansyndromewithanunusualmosaicsupernumerarymarkerchromosome12withinterstitial12p131p121duplication AT eafonova casereportofpallisterkilliansyndromewithanunusualmosaicsupernumerarymarkerchromosome12withinterstitial12p131p121duplication AT tvnikitina casereportofpallisterkilliansyndromewithanunusualmosaicsupernumerarymarkerchromosome12withinterstitial12p131p121duplication AT easazhenova casereportofpallisterkilliansyndromewithanunusualmosaicsupernumerarymarkerchromosome12withinterstitial12p131p121duplication AT mmskleimova casereportofpallisterkilliansyndromewithanunusualmosaicsupernumerarymarkerchromosome12withinterstitial12p131p121duplication AT nakolesnikov casereportofpallisterkilliansyndromewithanunusualmosaicsupernumerarymarkerchromosome12withinterstitial12p131p121duplication AT gvdrozdov casereportofpallisterkilliansyndromewithanunusualmosaicsupernumerarymarkerchromosome12withinterstitial12p131p121duplication AT ysyakovleva casereportofpallisterkilliansyndromewithanunusualmosaicsupernumerarymarkerchromosome12withinterstitial12p131p121duplication AT ysyakovleva casereportofpallisterkilliansyndromewithanunusualmosaicsupernumerarymarkerchromosome12withinterstitial12p131p121duplication AT gnseitova casereportofpallisterkilliansyndromewithanunusualmosaicsupernumerarymarkerchromosome12withinterstitial12p131p121duplication AT keorishchenko casereportofpallisterkilliansyndromewithanunusualmosaicsupernumerarymarkerchromosome12withinterstitial12p131p121duplication AT keorishchenko casereportofpallisterkilliansyndromewithanunusualmosaicsupernumerarymarkerchromosome12withinterstitial12p131p121duplication AT nbrubtsov casereportofpallisterkilliansyndromewithanunusualmosaicsupernumerarymarkerchromosome12withinterstitial12p131p121duplication AT nbrubtsov casereportofpallisterkilliansyndromewithanunusualmosaicsupernumerarymarkerchromosome12withinterstitial12p131p121duplication |