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Published on: February 3, 2012
Ring chromosome 2 in a child with growth failure and few congenital abnormalities
Insights
A rare ring chromosome 2 mosaic was identified in a newborn female experiencing severe growth issues. Despite the chromosomal abnormality, her psychomotor development remained normal up to 19 months old.
Area of Science:
- Genetics
- Developmental Biology
- Human Chromosome Research
Background:
- Mosaicism involving ring chromosomes can lead to variable clinical presentations.
- Ring chromosome 2 is a rare chromosomal abnormality.
- Understanding the origin and impact of mosaic chromosomal abnormalities is crucial for genetic counseling.
Observation:
- A newborn female presented with severe intrauterine growth retardation (IUGR) and postnatal growth failure.
- She exhibited minor physical abnormalities.
- A mosaic karyotype of 46,XX/46,XX,r(2)(p25q37) was detected, with the ring chromosome 2 present in 77.8% of cells.
Findings:
- G- and R-banding confirmed the breakpoints of the ring chromosome 2 at p25 and q37.
- The ring chromosome 2 was de novo, absent in parents and sibling.
- The presence of a normal cell line (46,XX) suggested the abnormality occurred post-conception.
Implications:
- This case highlights the occurrence of ring chromosome 2 mosaicism and its association with significant growth deficits.
- The normal psychomotor development in the infant suggests that the impact of this specific ring chromosome 2 mosaicism may vary.
- Further research is needed to elucidate the long-term outcomes and developmental trajectory in individuals with ring chromosome 2 mosaicism.
Abstract:
A ring chromosome 2 mosaic [46,XX/46,XX,r(2)(p25q37)] was found in a newborn female with severe intrauterine growth retardation (IUGR), postnatal growth failure, and a few minor abnormalities. Psychomotor development has been normal to 19 months old. A ring chromosome 2 is present in 77.8% of the nuclei examined and is not found in the parents or a sibling. G- and R-banding reveal the break points to be p25q37. The presence of a normal cell line indicates that the chromosome abnormality arose after conception.
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