Mitomycin C effect on Robertsonian translocations

Centromeric breaks and dissociation of Robertsonian translocations have been suggested to be the cause of a few cases of mosaicism. One possible explanation for dissociation could be that the point of reunion of the two acrocentrics would be a structurally fragile site. Mitomycin C (MMC) treatment of lymphocyte cultures from 6 patients having a Robertsonian translocation showed that in cases 1 and 2, who were already mosaics, MMC induced a statistically significant increase of the number of cells with the dissociated translocation. In the remaining cases a preferential centromeric break on the translocation was observed, indicating instability of the region. The relationship of monocentric and dicentric translocations, the viability of the cells resulting from the dissociation, and the clinical implications are discussed.