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Updated: Aug 18, 2026

FISH for Pre-implantation Genetic Diagnosis
Published on: February 23, 2011
An unusual reciprocal translocation detected by subtelomeric FISH: interstitial and not terminal
Mariluce Riegel1, Alessandra Baumer, Jochen Süss
1Institute of Medical Genetics, University of Zürich, Schorenstrasse 16, CH-8603 Schwerzenbach, Switzerland. riegel@medgen.unizh.ch
Insights
This study investigates a child
Area of Science:
- Genetics
- Molecular Biology
- Developmental Biology
Background:
- Karyotype-phenotype correlation is crucial for understanding genetic disorders.
- Chromosomal abnormalities can lead to a range of congenital anomalies and developmental issues.
Observation:
- An 11-month-old boy presented with dysmorphic signs, congenital heart defects (atrial septal defect), inguinal hernia, undescended testes, urinary reflux, renal dysplasia, and developmental delay.
- Initial karyotype revealed an abnormal chromosome 11 with additional material of unknown origin on the long arm.
Findings:
- Maternal karyotype showed a translocation t(2;11)(q35;q24.2), initially suggesting a reciprocal exchange with 2q duplication and 11q deletion.
- Subtelomeric fluorescence in situ hybridization (FISH) and microsatellite marker analysis revised the interpretation, indicating an unusual interstitial translocation and redefining the deleted and duplicated segments.
Implications:
- The revised genetic findings necessitate a re-evaluation of the initial karyotype-phenotype correlation.
- Accurate characterization of chromosomal breakpoints and segments is essential for genetic counseling and understanding disease mechanisms.
Abstract:
An 11-month-old boy with a pattern of dysmorphic signs, an atrial septal defect, right inguinal hernia, bilateral undescended testes, bilateral urinary reflux, right renal dysplasia, and developmental delay had an abnormal chromosome 11 with additional material of unknown origin attached to the long arm in his karyotype. The paternal karyotype was normal 46,XY, while the mother's karyotype was 46,XX,t(2;11)(q35;q24.2). Thus, a reciprocal terminal exchange was assumed resulting in duplication of distal 2q material and a small subterminal 11q deletion. However, application of subtelomeric fluorescence in situ hybridization (FISH) probes indicated that the translocation was not a terminal reciprocal exchange, but was interstitial at least for one of the chromosomes, which would be highly unusual since most interstitial translocations are non-reciprocal. Based on the results of FISH and microsatellite marker examinations, the designation of the breakpoints and thus of the deleted and duplicated segments had to be revised. The findings have implications for karyotype-phenotype correlation.
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