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Updated: Aug 14, 2026

FISH for Pre-implantation Genetic Diagnosis
Published on: February 24, 2011
Paternal reciprocal translocation t(11;16)(p13;q24.3) in a Silver-Russel syndrome patient
Vundinti Babu Rao1, Kerketta Lily, Korgaonkar Seema
1Institute of Immunohaematology (ICMR), 13th floor, New Multistoryed Building, K.E.M. Hospital Campus, Parel, Mumbai 400 012, India.
Insights
A child with Silver-Russell syndrome (SRS) had a rare reciprocal translocation between chromosomes 11 and 16. This genetic rearrangement in the father may have caused the child's SRS phenotype.
Area of Science:
- Genetics
- Pediatrics
- Developmental Biology
Background:
- Silver-Russell syndrome (SRS) is a rare genetic disorder characterized by intrauterine and postnatal growth retardation, with a variable phenotype.
- Diagnosis typically relies on clinical features, but genetic testing is crucial for identifying underlying causes.
- Reciprocal translocations are chromosomal abnormalities involving the exchange of segments between non-homologous chromosomes.
Observation:
- A 7-month-old male infant presented with key SRS features: low birth weight, short stature, macrocephaly, and clinodactyly.
- Cytogenetic analysis revealed a reciprocal translocation, t(11;16)(p13;q24.3), in the child.
- The mother had normal chromosomal analysis, while the phenotypically normal father carried the identical translocation.
Findings:
- Fluorescence in situ hybridization (FISH) confirmed the reciprocal translocation at the 11p13 and 16q24.3 breakpoints.
- The identified translocation disrupts potential growth factor genes located in the breakpoint regions of chromosomes 11 and 16.
- The father's asymptomatic carrier status suggests a complex inheritance pattern or variable expressivity of the translocation.
Implications:
- This case highlights a novel genetic mechanism potentially underlying Silver-Russell syndrome.
- Identifying the specific genes disrupted by the translocation is critical for understanding SRS pathogenesis.
- Further research into parental translocation carriers and their offspring is warranted to elucidate the role of such chromosomal rearrangements in developmental disorders.
Abstract:
We describe a 7-month-old male child with Silver-Russel syndrome (SRS) phenotype, presented with two major clinical features: low birth weight, short stature, and minor features, such as macrocephaly, clinodactyly, essential for the diagnosis of SRS. Routine cytogenetic studies with GTG-banding showed 46,XY,t(11;16)(p13;q24.3). Fluorescence in situ hybridisation (FISH) with single copy probes BAC (11p13) and PAC (16q24.3), showed a reciprocal translocation. Chromosomal analysis of the mother was normal and the phenotypically normal father had apparently identical translocation t(11;16)(p13;q24.3). The disruption of growth factor genes at 11p and 16q breakpoint regions due to reciprocal translocation in the father might have caused SRS phenotype in the child.
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