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Phenotypic heterogeneity and parental origin of extra chromosome 21 in Down syndrome
Mamta Muranjan1, Tejasvi Chaudhari, Babu Rao Vundinti
1Department of Pediatrics, Genetic Clinic, KEM Hospital, Parel, Mumbai, India. muranjanmamta@rediffmail.com
Abstract:
We compared the frequency of phenotypic features of 40 children with Down syndrome between individuals with a maternally or paternally derived extra chromosome 21, using quantitative FISH for comparing heteromorphisms of the nucleolar organizing region. Parental origin was determined in 90% of families. Hypotonia and craniofacial abnormalities were present in 90% or more individuals, irrespective of parental origin of chromosome 21. Congenital heart defects were more frequent in cases with a maternally derived extra chromosome 21. Imprinted gene(s) may contribute to the development of congenital heart defects in Down syndrome.
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