Detection of low level sex chromosome mosaicism in Ullrich-Turner syndrome patients

Anne E. Wiktor, Daniel L. Van Dyke

Research output: Contribution to journalArticle

31 Scopus citations

Abstract

Ullrich-Turner syndrome (UTS) is most commonly due to a 45,X chromosome defect, but is also seen in patients with a variety of X-chromosome abnormalities or 45,X/46,XY mosaicism. The phenotype of UTS patients is highly variable, and depends largely on the karyotype. Patients are at an increased risk of gonadoblastoma when a Y-derived chromosome or chromosome fragment is present. Since constitutional mosaicism is present in approximately 50% of UTS patients, the identification of minor cell populations is clinically important and a challenge to laboratories. We identified 50 females with a 45,X karyotype as the sole abnormality or as part of a more complex karyotype. Twenty two (44%) had a 45,X karyotype; mosaicism for a second normal or structurally abnormal X was observed in 24 (48%) samples, and mosaicism for Y chromosomal material in 4 (8%) cases. To further investigate the possibility of mosaicism in the 22 patients with an apparently non-mosaic 45,X karyotype, we performed FISH using centromere probes for the X and Y chromosomes. A minor XX cell line was identified in 3 patients, and the 45,X result was confirmed in 19 samples. No samples with XY mosaicism were identified. We describe our validation process for a FISH assay to be used in clinical practice to identify XX or XY mosaicism. FISH as an adjunct to karyotype analysis provides a sensitive and cost-effective technique to identify sex chromosome mosaicism in UTS patients.

Original languageEnglish (US)
Pages (from-to)259-261
Number of pages3
JournalAmerican Journal of Medical Genetics
Volume138 A
Issue number3
DOIs
StatePublished - Oct 15 2005

Keywords

  • Sex chromosome mosaicism
  • Ullrich-Turner syndrome mosaicism
  • XY mosaicism

ASJC Scopus subject areas

  • Genetics
  • Genetics(clinical)

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