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.

Annales De Genetique
|December 9, 2003
PubMed

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.

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