Apparently balanced reciprocal translocation in fetuses resulting from a twin pregnancy

Authors

  • Hibo Moreno Massip Centro Provincial Genética Médica de Granma. Bayamo.
  • Niurka Cedeño Aparicio Centro Provincial Genética Médica de Granma. Bayamo.
  • Iliana Vargas Cruz Centro Provincial Genética Médica de Granma. Bayamo.

Keywords:

Genetic Translocation, Chromosomes.

Abstract

Introduction: structural chromosomal variations affect the linear sequence of genes resulting in loss, gain or rearrangement of hereditary material to other regions of the genome.
Case presentation: This report refers to a 38-year-old pregnant woman who presents with a non-consanguineal monocygotic monocystic twin-monocystic twin pregnancy. The cytogenetic prenatal study by advanced maternal age (AEM) was performed at 16 weeks gestation.

 Discussion: the result obtained for both fetuses was a seemingly balanced reciprocal translocation: 46, XY, t (4; 5) (q21; p15). The peripheral blood chromosome study was performed on both parents, identifying that the structural chromosomal rearrangement found in the prenatal study is of paternal origin.

Conclusions: the reciprocal translocations represent a challenge for the prenatal cytogenetic study since knowing their inherited or de novo nature, balanced nature and characteristics of the breakpoints is of vital importance for the realization of an accurate genetic advice to the pregnant woman and the family.

Downloads

Download data is not yet available.

References

1. Kaiser-Rogers K, Rao KW. Structural Chromosome Rearrangements. In: Gersen SL, Keagle MB, editors. The Principles of Clinical Cytogenetics. 3 ed. New York: Springer Science; 2013. p. 139-74.

2. Mills RE, Walter K, Stewart C, Handsaker RE, Chen K, Alkan C, et al. Mapping copy number variation by population scale genome sequencing. Nature 2011; 470: 59-65.

3. Paththinige CH, Sirisena ND, Kariyawasam UG, Dissanayake V. The Frequency and Spectrum of Chromosomal Translocations in a Cohort of Sri Lankans. BioMed Research International [Internet]. 2019 [citado 5/9/2019]. Disponible en: https://www.hindawi.com/journals/bmri/2019/9797104/

4. Song SH, Chiba K, Ramasamy R, Lamb DJ. Recent advances in the genetics of testicular failure. Asian J Androl 2016; 18(3): 350–5.

5. Shilova N. Evaluation of Risk Factors for the Birth of Children with Chromosomal Imbalance in Carriers of Autosomal Reciprocal Translocation. Russian Journal of Genetics 2019; 55(9): 1103–1112.

6. Arsham M, Barch M. The AGT Cytogenetics Laboratory Manual. 4ta Ed. [Internet]. Miley Blackwell: New Jersey; 2016. [citado 8/5/2019]. Disponible en: https://www.wiley.com/en-us/The+AGT+Cytogenetics+Laboratory+Manual%2C+4th+Edition-p-9781119061229

7. Bricker L. Optimal antenatal care for twin and triplet pregnancy: the evidence base. Best Pract Res Clin Obstet Gynaecol 2014; 28(2): 305-17.

8. Ananth CV, Chauhan SP. Epidemiology of twinning in developed countries. Semin Perinatol 2012; 36(3): 156-61.

9. Ikuma S, Sato T, Sugiura-Ogasawara M, Nagayoshi M, Tanaka A, Takeda S. Preimplantation genetic diagnosis and natural conception: a comparison of live birth rates in patients with recurrent pregnancy loss associated with translocation. PLoS One 2015; 10(6): e0129958.

10. Zhang HG, Wang RX, Li LL, Sun WT, Zang HY, Liu RZ. Male carriers of balanced reciprocal translocations in Northeast China: sperm count, reproductive performance, and genetic counseling. GMR 2015; 14(4): 18792–8.

11. Ventimiglia E, Capogrosso P, Boeri L, Pederzoli F, Cazzaniga W, Scano R, et al. When to perform karyotype analysis in infertile men? Validation of the European Association of Urology guidelines with the proposal of a new predictive model. Eur Urol 2016; 70(6): 920–3.

12. Zhang HG, Wang RX, Pan Y, Zhang H, Li LL, Zhu HB, Liu RZ. A report of nine cases and review of the literature of infertile men carrying balanced translocations involving chromosome 5. Molecular Cytogenetics [Internet]. 2018 [citado 5/8/2019]; 11(10). Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5785882/

13. Zhang M, Fan HT, Zhang QS, Wang XY, Yang X, Tian WJ, et al. Genetic screening and evaluation for chromosomal abnormalities of infertile males in Jilin Province, China. Genet Mol Res 2015; 14(4): 16178–84.

Published

2020-03-19

How to Cite

1.
Moreno Massip H, Cedeño Aparicio N, Vargas Cruz I. Apparently balanced reciprocal translocation in fetuses resulting from a twin pregnancy. RM [Internet]. 2020 Mar. 19 [cited 2025 Jun. 2];24. Available from: https://revmultimed.sld.cu/index.php/mtm/article/view/1868

Issue

Section

CASOS CLÍNICOS