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Related Experiment Videos

Recurrent trisomy 21: four cases in three generations.

J L Gair1, L Arbour, R Rupps

  • 1Department of Medical Genetics, University of British Columbia, Vancouver, BC, Canada.

Clinical Genetics
|October 7, 2005
PubMed
Summary

This study reports four cases of Down syndrome (free trisomy 21) across three generations in one family, suggesting a potential inherited genetic factor. Researchers identified a possible cryptic rearrangement on chromosome 21, increasing non-disjunction risk.

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Area of Science:

  • Genetics
  • Human Genetics
  • Reproductive Genetics

Background:

  • Recurrence of trisomy 21 (T21) is typically attributed to gonadal mosaicism in a single couple.
  • The occurrence of free T21 in multiple, unrelated individuals within a single family pedigree is rare.

Observation:

  • An unusual pedigree presented with four instances of Down syndrome (DS) due to free T21.
  • Affected individuals were born to four different mothers across three generations of the same family.
  • Mothers' ages at birth ranged from 18 to approximately 30 years.

Findings:

  • Microsatellite analysis excluded most of chromosome 21, identifying shared regions 21q11.1 and 21q22.3 among mothers.
  • Two family members, including a DS mother with a normal karyotype, possessed supernumerary alleles in the 21pter-21q11.1 region.

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  • FISH analysis ruled out cryptic centromeric translocations involving chromosome 21, except possibly with chromosome 13.
  • An unusually high level of meiotic recombination on chromosome 21 was observed in this family.
  • Implications:

    • A cryptic rearrangement in the 21q11.1 region is hypothesized to disrupt chromosome pairing.
    • This disruption may lead to an elevated risk of chromosome 21 non-disjunction within the family.
    • The findings highlight the potential for familial predisposition to trisomy 21 beyond gonadal mosaicism.