Abstract
Purpose
To evaluate the clinical, biochemical and cytogenetic analyses of a couple with reproductive failure.
Methods
A couple with a history of recurrent pregnancy loss was referred to the Institute of Genetics for cytogenetic evaluation. Chromosomal analysis of the phenotypically normal parents was done to ascertain the role of chromosomal abnormalities and offer appropriate genetic counseling. Further, advanced karyotype analysis by spectral karyotyping was also carried out in the couple and parents of the female partner.
Results
Clinical and hormonal profile of the couple revealed normal phenotypes. The ultrasound scan of the female showed normal uterus and ovaries. Chromosomal analysis of the couple revealed a normal 46, XY karyotype in the male spouse, and a unique balanced reciprocal translocation 46, XX, t(12;13) (q13;q33) + 15pstk+ chromosomal constitution in the female partner. Cytogenetic analysis of her parents revealed a similar translocation between chromosomes 12 and 13 in the father and 15pstk+ in the mother. Further, corroboration of the chromosome abnormalities was carried out by spectral karyotyping.
Conclusion
A unique and novel familial transmission of paternally derived balanced reciprocal translocation and maternally derived heteromorphism in a female with the history of recurrent pregnancy loss was reported as an original investigation.
References
Dudley DJ, Branch DW. New approaches to recurrent pregnancy loss. Clin Obstet Gynecol. 1989;32:520–32.
Sullivan AE, Silver RM, LaCoursiere DY, Porter TF, Branch DW. Recurrent fetal aneuploidy and recurrent miscarriage. Obstet Gynaecol. 2004;104:784–8.
Heritage DW, English SC, Young RB, Chen AT. Cytogenetics of recurrent abortions. Fertil Steril. 1978;29:414–7.
Del Porto G, D'Alessandro E, Grammatico P, Coghi IM, DeSanctis S, Giambenedetti M, et al. Chromosome heteromorphisms and early recurrent abortions. Hum Reprod. 1993;8:755–8.
Moorhead PS, Nowell PC, Mellman WJ, Battips DM, Hungerford DA. Chromosome preparations of leukocytes cultured from human peripheral blood. Exp Cell Res. 1960;20:613–6.
Seabright M. A rapid banding technique for human chromosomes. Lancet. 1971;2:971–2.
Schröck E, du Manoir S, Veldman T, Schoell B, Wienberg J, Ferguson-Smith MA, et al. Multicolor spectral karyotyping of human chromosomes. Science. 1996;273:494–7.
Abeysinghe SS, Chuzhanova N, Krawczak M, Ball EV, Cooper DN. Translocation and gross deletion breakpoints in human inherited disease and cancer I: Nucleotide composition and recombination associated motifs. Hum Mutat. 2003;22:229–44.
Higgins AW, Alkuraya FS, Bosco AF, Brown KK, Bruns GA, Donovan DJ, et al. Characterization of apparently balanced chromosomal rearrangements from the developmental genome anatomy project. Am J Hum Genet. 2008;82:712–22.
Van Dyke DL, Weiss L, Roberson JR, Babu VR. The frequency and mutation rate of balanced autosomal rearrangements in man estimated from prenatal genetic studies for advanced maternal age. Am J Hum Genet. 1983;35:301–8.
Warburton D. De novo balanced chromosome rearrangements and extra marker chromosomes identified at prenatal diagnosis: clinical significance and distribution of breakpoints. Am J Hum Genet. 1991;49:995–1013.
Gribble SM, Prigmore E, Burford DC, Porter KM, Ng BL, Douglas EJ, Fiegler H, Carr P, Kalaitzopoulos D, Clegg S, et al. The complex nature of constitutional de novo apparently balanced translocations in patients presenting with abnormal phenotypes. J Med Genet. 2005;42:8–16.
De Gregori M, Ciccone R, Magini P, Pramparo T, Gimelli S, Messa J, et al. Cryptic deletions are a common finding in “balanced” reciprocal and complex chromosome rearrangements: a study of 59 patients. J Med Genet. 2007;44:750–62.
Sismani C, Kitsiou-Tzeli S, Ioannides M, Christodoulou C, Anastasiadou V, Stylianidou G, et al. Cryptic genomic imbalances in patients with de novo or familial apparently balanced translocations and abnormal phenotype. Mol Cytogenet. 2008;21:1–15.
Tomoka U, Yuge Y, Shinsuke N, Mashako Z, Hidehiko M, Tsunoe M. Assessment of molecular cytogenetic methods for the detection of chromosomal abnormalities. Acta Med Okayama. 2006;60:279–87.
Wirth J, Wagner T, Meyer J, Pfeiffer RA, Tietze HU, Schempp W, et al. Translocation breakpoints in three patients with campomelic dysplasia and autosomal sex reversal map more than 130 kb from SOX9. Hum Genet. 1996;97:186–93.
Farcas S, Belengeanu V, Popa C, Stoicanescu D, Stoian M, Veliscu M, et al. Role of chromosomal translocations in recurrent spontaneous abortion. Timisoara Med J. 2007;2:117–21.
Sahin FI, Yilmaz Z, Yuregir OO, Bulakbasi T, Ozer O, Zeyneloglu HB. Chromosome heteromorphisms: an impact on infertility. J Assist Reprod Genet. 2008;25:191–5.
Acknowledgements
Financial support from Department of Biotechnology, New Delhi is acknowledged for the financial assistance. Technical help provided by Dr. Michael Kohler in analyzing the spectral karyotype is also acknowledged.
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A unique and novel familial transmission of paternally derived balanced reciprocal translocation and maternally derived heteromorphism in a female was associated with the history of recurrent pregnancy loss.
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Ananthapur, V., Avvari, S., Cingeetham, V. et al. A novel chromosomal translocation and heteromorphism in a female with recurrent pregnancy loss—a case study. J Assist Reprod Genet 29, 651–656 (2012). https://doi.org/10.1007/s10815-012-9756-4
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DOI: https://doi.org/10.1007/s10815-012-9756-4