Semilobar holoprosencephaly prenatal diagnosis: an unexpected complex rearrangement in a de novo apparently balanced reciprocal translocation on karyotype |
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| Authors: | S Kanafani A Aboura E Pipiras L Carbillon A C Tabet C Largillière C Garel P Gressens M Bucourt I Cedrin-Durnerin E Lachassinne C Roumegoux M Uzan J N Hugues J P Wolf B Benzacken |
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| Institution: | 1. Service d'Histologie-Embryologie et Cytogénétique, Biologie de la Reproduction, Hôpital Jean Verdier, AP-HP, Bondy, France;2. UFR-SMBH, Paris XIII, France;3. Unité Fonctionnelle de Cytogénétique, Hôpital Robert Debré, AP-HP, Paris, France;4. Service de Gynécologie Obstétrique, Hôpital Jean Verdier, AP-HP, Bondy, France;5. Université Paris XIII, France;6. Unité de Radiologie, Hôpital Robert Debré, AP-HP, Paris, France;7. Unité INSERM 676, Hôpital Robert Debré, AP-HP, Paris, Université Paris VII, France;8. Service d'Anatomo-Pathologie, Hôpital Jean Verdier, AP-HP, Bondy, France;9. Service d'Aide Médicale à la Procréation, Hôpital Jean Verdier, AP-HP, Bondy, France;10. Service de Pédiatrie, Hôpital Jean Verdier, AP-HP, Bondy, France |
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| Abstract: | We report a semilobar holoprosencephaly (HPE) in a post-intracytoplasmic-sperm-injection pregnancy. It was suggested by ultrasonography (US), documented on karyotype, identified with magnetic resonance imaging (MRI), established after birth and confirmed on post-mortem autopsy. An amniocentesis revealed a de novo apparently balanced reciprocal translocation 46,XY, t(7;8) (q31.3;q12). Fluorescence in situ hybridization (FISH) identified a deletion in the region of the Sonic Hedgehog gene (SHH) on der(8); nevertheless, the subtelomeric regions for chromosomes 7 and 8 were present. The parents decided to continue the pregnancy; a boy was born and survived for 3 days. The brain autopsy confirmed the semilobar HPE previously noted on US and MRI. Further, band-specific FISH revealed, in addition to SHH deletion, the presence of an inversion in the 7q translocated material on der(8). The parents' karyotypes were normal. An unexpected complex rearrangement was present in a de novo apparently balanced reciprocal translocation in a semilobar HPE. Copyright © 2007 John Wiley & Sons, Ltd. |
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| Keywords: | prenatal diagnosis apparently balanced rearrangement FISH Sonic Hedgehog gene holoprosencephaly |
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