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Updated: Jan 21, 2026

Micromanipulation of Chromosomes in Insect Spermatocytes
Published on: October 22, 2018
[Kleefstra syndrome 1 and ring chromosome 9 in a case]
Nan Lyu1, Dongxiao Li, Jingjie Li
1Rehabilitation Center, Children' s Hospital Affiliated to Zhengzhou University, Zhengzhou, Henan 450003, China. sqing1965@163.com.
Objective:
To analyze the clinical and molecular genetic characteristics of patient with Kleefstra syndrome 1.
Methods:
Clinical data, chromosomal karyotype and whole genome copy number variations (CNVs) of the patient were analyzed.
Results:
The patient was found to have a karyotype of 45,XX,-9[4]/46,XX,r(9)(p24q34)[56]. Whole-genome CNVs detection revealed that she has carried a heterozygous deletion of approximately 670 kb at 9q34.3, which encompassed the entire EHMT1 gene. The region is strongly associated with Kleefstra syndrome (1/9q telomere deletion). In addition, the patient also had heterozygous deletion of 9pter, which may predispose to formation of ring chromosome 9.
Conclusion:
The child was diagnosed with Kleefstra syndrome type 1 in conjunct with ring chromosome 9.
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