occlusal position
| male chromosome complement | The large majority of males have a 46, xy chromosome complement (46 chromosomes including an x and a y chromosome). A minority of males have other chromosome constitutions such as 47,xxy (47 chromosomes including two x chromosomes and a y chromosome) and 47,xyy (47 chromosomes including an x and two y chromosomes). (12 Dec 1998) |
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| marker chromosome | An abnormal chromosome that is distinctive in appearance but not fully identified. For example, the fragile x chromosome was once called the marker x. (12 Dec 1998) |
| p arm of a chromosome | The short arm of a chromosome (from the french petit meaning small). All human chromosomes have 2 arms: the p and q arms. (12 Dec 1998) |
| giant chromosome | <cell biology> Giant chromosomes produced by the successive replication of homologous pairs of chromosomes, joined together (synapsed) without chromosome separation or nuclear division. They thus consist of many up to 1000) identical chromosomes (strictly chromatids) running parallel and in strict register. The chromosomes remain visible during interphase and are found in some ciliates, ovule cells in angiosperms and in larval Dipteran tissue. The best known polytene chromosomes are those of the salivary gland of the larvae of Drosophila melanogaster which appear as a series of dense bands interspersed by light interbands, in a pattern characteristic for each chromosome. The bands, of which there are about 5,000 in Drosophila melanogaster, contain most of the DNA (ca 95%) of the chromosomes and each band roughly represents one gene. The banding pattern of polytene chromosomes provides a visible map to compare with the linkage map determined by genetic studies. Some segments of polytene chromosome show chromosome puffs, areas of high transcription. (18 Nov 1997) |
| Giemsa chromosome banding stain | <technique> A unique chromosome staining technique, used in human cytogenetics to identify individual chromosomes, which produces characteristic bands. It utilises acetic acid fixation, air drying, denaturing chromosomes mildly with proteolytic enzymes, salts, heat, detergents, or urea, and finally Giemsa stain; chromosome bands appear similar to those fluorochromed by Q-banding stain. Synonym: Giemsa chromosome banding stain. (05 Mar 2000) |
| metacentric chromosome | A chromosome with a centrally placed centromere that divides the chromosome into two arms of approximately equal length. (05 Mar 2000) |
| ring chromosome | A structurally abnormal chromosome in which the end of each chromosome arm has been lost and the broken arms have been reunited in ring formation. A ring chromosome is denoted by the symbol r. (12 Dec 1998) |
| Christchurch chromosome | An abnormal small acrocentric chromosome (no. 21 or 22) with complete or almost complete deletion of the short arm; found in cultured leukocytes in some cases of chronic lymphocytic leukaemia, also in some normal relatives of patients. (05 Mar 2000) |
| chromosome | <cell biology> The self-replicating genetic structures of cells containing the cellular DNA that bears in its nucleotide sequence the linear array of genes. The DNA of eukaryotes is subdivided into chromosomes, that consist of a number of chromosomes whose DNA is associated with various proteins. The chromosomes become more tightly packed at mitosis and become aligned on the metaphase plate. Each chromosome has a characteristic length and banding pattern. In prokaryotes, chromosomal DNA is circular, and the entire genome is carried on one chromosome. See: C banding, G banding. (10 Nov 1998) |
| chromosome 10 | 10q deletion occurs de novo and shows various malformations, high wide forehead with normocephaly, wide and bulbous tip of the nose, microretrognathia and severe mental retardation. This monosomy is rather rare and is reportedly associated with total colonic aganglionosis with small bowel involvement (TCSA), a variant of Hirschsprung disease. The clinical phenotype of 10p duplication, which is due to malsegregation of a familial translocation, includes severe postnatal growth retardation, profound mental retardation, several major and minor anomalies, dolichocephaly, harelip producing the appearance of a turtle's beak, cleft lip/palate in the absence of harelip, large low set ears, osteoarticular anomalies with hyperflexion of upper limbs and abduction-flexion of lower limbs, etc. Lethality seems considerable. Most cases of trisomy 10qter result from a parental translocation or inversion. More severe clinical manifestations are reported for trisomy 10q24, owing to heart and renal malformations and profound mental retardation. Trisomy 10q25 lacks major malformations, the mental retardation is moderate and the prognosis is favourable. The clinical features include high protruding forehead, round, broad and flat face, fine and arched eyebrows, downward slanting palpebral fissures, blepharophimosis, hypertelorism, hypoplastic and pinched nasal bridge, a small and often beaked nose, cleft palate, ligamentary hyperlaxity, and hypotonia. Inner organ malformations are rare but mental deficiency is severe. 10q monosomy is quite rare and the main features are severe mental retardation, microcephaly, low birth weight, prominent nose bridge, long face, and anomalies of external genitalia. The phenotype of ring chromosome 10 is not very characteristic and includes cardiac and renal anomalies, small stature and moderate mental retardation. Prenatal diagnosis of trisomy 10 is reported. Dysmorphic features include foetal nuchal edema, cleft lip/palate, small lower jaw, rocker-bottom foot, polydactyly, hitch-hiker thumb, syndactyly and inner organ malformations. Genes on chromosome 10 include those encoding glutamate oxaloacetate transaminase, orithine amino transferase and hexokinase 1. Chromosome 10 shows 2 fragile sites in the long arm, 10q23 and 10q25, which probably accounts for its increased involvement in chromosomal anomalies. (05 Mar 2000) |
| chromosome 11 | 11p13 monosomy usually occurs de novo and is called the WAGR syndrome. The most constant anomaly is bilateral Aniridia with other ocular anomalies. It is also associated with mental and growth retardation, ambiguous genitalia, nephroblastoma (Wilms tumour) or gonadoblastoma. Familial Aniridia is described with cryptic inversion involving breakpoints within band 11p13. 11p trisomy involving segment 11p12 to 11p14 shows no characteristic ocular anomaly nor signs of malignancy but rather a high convex forehead, frontal upsweep of hair, wide nose bridge, hypertelorism, short wide beaked nose, round chubby cheeks, cleft lip/palate, hypotonia and severe mental retardation. 11p15 duplication shows features of Beckwith-Wiedemann syndrome, macrosomia, dysmorphic facies, cleft palate and mild mental retardation. 11q2 trisomy nearly always results from a malsegregation of a parental translocation. The phenotype includes long prominent philtrum, retracted lower lip, microretrognathia frequently accompanied by malformations of the palate and by glossoptosis, suggestive of Pierre Robin syndrome, preauricular pits and flexion contracture of the limbs. Mental retardation and inner organ malformations are severe. A specific translocation (11;22) involving most frequently breakpoints 11q23 and 22q11 leads to a trisomy with a phenotype very similar to that of 11q2 trisomy. Some additional features probably due to the associated 22 trisomy are preauricular tags, anal atresia or stenosis. The prognosis is characterised by high frequency of early deaths. 11q-syndrome with deletion 11q24 shows congenital heart defects and coarse facial features. The main clinical features of a terminal deletion 11q23 include trigonocephaly, hypertelorism, micrognathia and heart defects. The critical chromosome segment appears to be within the 11q24.1 segment. Considerable growth and mental retardation are usual. The deletion occurs de novo in the majority of cases. Ring chromosome 11 is rare and the phenotype includes mental retardation, failure to thrive/small stature, microcephaly and cafe-au-lait spots. Paracentric inversion inv(11)(q13q25) is associated with polysplenia syndrome including bilateral left sidedness sequence accompanied by complex cardiac malformations and failure of normal asymmetry in morphogenesis. Important genes are localised on chromosome 11, include those for non-alpha globins, whose mutations are responsible for sickle cell anaemia and |
| chromosome 12 | Deletion of the proximal short arm of chromosome 12 is rare and occurs de novo. Microcephaly, narrow forehead, pointed nose and micrognathia are present. Mental and growth retardation are significant but inner organ malformations are generally not present. 12p trisomy nearly always results from a familial translocation. The phenotype includes turricephaly with flat apex, high bulging forehead, flat rectangular face, pronounced hypertelorism, a very short nose with a broad and poorly defined bridge, a short neck with cutaneous folds, ear abnormalities, hypotonia, severe growth and mental retardation and signs of precocious aging in adolescents. Tetrasomy 12p is consistent with Pallister-Killian syndrome. The critical region appears to be confined to 12p11.2. 12q2 trisomy is uncommon and results most frequently from malsegregation of a parental translocation. The patients show a relatively large head with frontal bossing, rectangular face with chubby cheeks and short limbs, especially in the proximal segment. Mental retardation is severe and growth retardation variable. Among others, genes for lactate dehydrogenase B, phenylalanine hydroxylase and haemolytic anaemia due to glyceraldehyde -3-phosphate dehydrogenase deficiency are assigned to chromosome 12. (05 Mar 2000) |
| chromosome 13 | Trisomy 13 or Patau syndrome is characterised by urogenital, cardiac, craniofacial, central nervous system and growth abnormalities. Defects include mental retardation, bilateral harelip and cleft palate, uni- or bilateral hexadactyly, growth retardation, polycystic kidney, ocular abnormalities, congenital heart disease and holoprosencephaly. Over 95% of human trisomy-13 conceptions spontaneously abort. Viable births rarely have prolonged survival. Approximately 80% of the cases involve free 13 trisomy. In 20% of the cases, either a mosaic or trisomy due to a translocation is involved. In cases of mosaicism, the severity of the clinical features can be diminished. A translocation, almost always t(13qDq) and more expressly t(13q14q), can occur de novo or can be transmitted by one of the parents. Rarely, more complex rearrangements are observed. A number of observations of partial 13q trisomies are reported involving segments of variable length, with breakpoints occurring at different sites on 13q. One of the most frequent sites is the interface between q14 and q21. When the trisomy includes the q2 and q3 regions, it leads to a distinctive clinical syndrome. Facial dysmorphism resembles that of Cornelia de Lange syndrome. Respiratory distress and neonatal feeding difficulties are common. A small percentage of partial trisomies is due to de novo duplication. The majority are the result of a malsegregation of a parental rearrangement (a reciprocal translocation or a pericentric inversion). Either total or partial monosomy 13q3 includes rings and terminal deletions and intercalary deletions which include band q14 and are accompanied by a retinoblastoma. The classical "13q-" syndrome is associated with deletions in 13q32. The most distinctive sign is the absence of a defined nasal bridge producing a Greek profile. Microcephaly is often severe with brain malformations. Upper incisors set in a "rabbitlike" forward slant are highly characteristic. Hypoplasia or absence of the thumb, agenesis of the first metacarpal, fusion of the fourth and fifth metacarpals and syndactyly, eye malformations, bone and GI anomalies and considerable growth and mental retardation are frequently found. Deletions limited to bands more proximal to 13q32 are associated with growth retardation and moderate mental retardation, but not with major malformations. Deletions limited to bands distal to 13q32 have severe mental retardation without major malformations and usually without growth failure. The characterization of 13q14 monosomy is justified by the existence of retinoblastoma. From the cytogenetic standpoint, this is a very heterogeneous group, with the deletion capable of extending on both sides of q14, from q11 to q22. The deletion usually occurs de novo and can also result from a parental insertion. In ring 13, certain features of partial or complete 13 trisomy can be seen, due to partial duplication of the rings. The study of patients afflicted with del(13)-retinoblastoma allowed the precise assignment of the gene for esterase D to 13q14.11. Other important genes on chromosome 13 include those for Wilson disease and propionyl CoA-carboxylase. (05 Mar 2000) |
| chromosome 14 | Trisomy 14 occurs de novo and is due to mosaicism. The distinct phenotype includes postnatal growth retardation, psychomotor retardation, prominent forehead, broad nose, dysmorphic ears, cleft or high arched palate, wide mouth, micrognathia, congenital heart disease, a short neck, asymmetry, abnormal skin pigmentation and hypertelorism. Proximal 14 trisomy (14q1 trisomy) is almost always due to a malsegregation from a parental translocation. Growth and mental retardation are severe and the nose is prominent with broad nasal bridge, the upper lip is long with poorly defined philtrum, the mouth resembles the arc of a circle and the Cupid's bow is replaced by a medial notch. The commissures do not form an acute angle but are ovalised by the sagging of the external portions of the lower lip. Hypotelorism is present and anomalies of the limbs are frequent but longevity is generally not impaired. 14q32 trisomy shows macroglossia, mid-face hypoplasia, hypertelorism, umbilical hernia, hepatomegaly, cardiomegaly and moderately delayed psychomotor development. Seizures are reported. Deletion 14(q11.1q13) is associated with hypotelorism, lack of nasal bridge, flattened nasal tip with no visible septum, wide midline cleft of lip and hard palate, ptosis of upper eyelid and semilobar holoprosencephaly. Ring chromosome 14 shows seizures, mild facial dysmorphism, developmental and moderate growth delay. Chromosome 14 carries the family of genes which encode the heavy chain of immunoglobulins. (05 Mar 2000) |
| chromosome 15 | Mosaic trisomy 15 is reported with no major or visible dysmorphia and severe inner organ defect. Duplication in the 15q11-13 region is also reported, although rarely, and can be associated with Prader-Willi syndrome. The phenotype includes developmental delay, particularly concerning acquisition of speech, ataxic gait with similarities to Angelman syndrome and seizures. Craniofacial dysmorphism includes oval face, high cheekbones and deep orbits. The trisomy can result from a malsegregation of a parental translocation, or can occur de novo with the presence of a supernumerary acrocentric chromosome of the size of a G-group chromosome or a supernumerary chromosome carrying satellites at both extremities. The latter rearrangement causes partial 15 tetrasomy results from an inverted duplication of chromosome 15. Patients with inv dup(15) show normal growth, moderate to severe mental retardation, seizures, poor motor coordination, behavioural problems, autism and mild dysmorphic features. Triplication in the same 15q11-13 region is also reported. Clinically, the patients present with hypotonia, developmental delay, visual impairment and minor dysmorphic features. 15q2 trisomy results from malsegregation of a parental translocation and shows a highly characteristic craniofacial dysmorphism including microdolichocephaly, narrow palpebral fissures, protuberant philtral borders and micrognathia. Various osteoarticular anomalies are observed. Inner organ malformations include heart disease. Mental retardation is severe. Prader-Willi syndrome and Angelman syndrome are distinct mental retardation disorders which result from paternal and maternal deficiency, respectively, for chromosome 15q11-q13. Approximately half of the patients with Prader-Willi syndrome show microscopically detectable paternally derived deletions, duplications and other chromosomal rearrangements of 15q11.2, or maternal uniparental disomy for chromosome 15. In contrast, Angelman syndrome can result from either maternally inherited deletions of this region or paternal uniparental disomy for chromosome 15. Major features of Prader-Willi syndrome include neonatal hypotonia with feeding difficulties, poor spontaneous movement, spells of cyanosis, a weak or absent cry, hypogonadism with cryptorchidism, mental retardation, obesity, hyperphagia and short stature. Features of Angelman syndrome include severe mental deficiency, ataxic (puppet-like) gait, prognathia and wide mouth, seizures and paroxysmal laughter. The phenotype of an interstitial deletion 15q13 includes gross congenital anomalies consisting of large fontanelles and sutures, midface hypoplasia, flat ears with thin cartilage, prominent eyes, anteverted nostrils, cleft palate, positional deformation of hands and feet, hypertonia and inner organ malformations. The phenotype shows few overlapping features with Prader-Willi syndrome or Angelman syndrome. Ring chromosome 15 is a rare cytogenetic disorder characterised by growth retardation, microcephaly, triangular facies, hypertelorism, brachydactyly, variable mental retardation and speech delay. Gene assignments to chromosome 15 include the gene coding for hexosaminidase-A, whose mutation causes Tay-Sachs disease, and the major gene for Marfan syndrome. (05 Mar 2000) |