Characterization of a ring chromosome 21 by FISH-technique

Ring chromosomes 21 that contain two copies of the Down syndrome critical region (DCR1), thereby contributing to trisomic dosage, have not been fully characterized by routine cytogenetic methods in the past. We therefore employed the fluorescence in situ hybridization (FISH) technique, using a battery of chromosome 21 probes and conclude that the ring resulted from a centromere to centromere and long arm to long arm fusion that contains alpha-satellite DNA and two copies of the D21S65 locus, but lacks beta-satellite DNA and telomeric DNA. Consequently, we suggest that the origin of the ring may be due to the misdivision of the centromere following the duplication of the long arm, forming a monocentric isochromosome followed by breakage in a region distal to the D21S65 locus and proximal to the telomeric sequences followed by reunion of the broken ends resulting in a monocentric ring. Different ring configurations or fragments were not detected, suggesting that the ring chromosome was highly stable. Apparently, the presence of two copies of Down syndrome loci within the ring chromosome, along with one copy on the normal homologue, caused the clinical consequences of Down syndrome.