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Journal of Medical Genetics 2000;37:121-124; doi:10.1136/jmg.37.2.121
Copyright © 2000 by the BMJ Publishing Group Ltd.
J Med Genet 2000;37:121-124 ( February )

A supernumerary marker chromosome originating from two different regions of chromosome 18

Benno Röthlisbergera, Krystyna Chrzanowskab, Damina Balmera, Mariluce Riegela, Albert Schinzela

a Institut für Medizinische Genetik, Universität Zürich, Rämistrasse 74, CH-8001 Zürich, Switzerland, b The Children's Memorial Health Institute, 04-36 Warsaw, Poland

Correspondence to: Dr Röthlisberger

Revised version received 2 September 1999; Accepted for publication 23 September 1999

By random amplification of a microdissected chromosome using the degenerate oligonucleotide primed polymerase chain reaction (DOP-PCR) and forward painting (microFISH), we characterised an extra structurally abnormal chromosome (ESAC) or supernumerary marker chromosome in a mentally retarded girl with a pattern of dysmorphic features. It could be clearly shown that the small marker chromosome originates from two different regions of chromosome 18, 18p11.1right-arrow18q11.1 and 18q12.3right-arrow18q21.1 respectively. Maternal origin of the de novo ESAC and biparental origin of the normal homologues of chromosome 18 were shown by PCR of several highly polymorphic microsatellites. In this case, application of microFISH was a prerequisite for rapid and precise characterisation of an ESAC. A definite identification of this discontinuous supernumerary marker chromosome would not have been possible using FISH with centromere specific probes or multicolour FISH approaches.


Keywords: supernumerary marker chromosome; microdissection; FISH; chromosome 18


© 2000 by J Med Genet

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