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Genetic Diagnosis and Clinical Features of Fetuses With Congenital Diaphragmatic Hernia.

Prenat Diagn

December 2024

Department of Obstetrics and Gynecology, National Clinical Research Center for Obstetric & Gynecologic Diseases, Peking Union Medical College Hospital, Chinese Academy of Medical Science & Peking Union Medical College, Beijing, China.

Objective: Congenital diaphragmatic hernia (CDH) is a rare abnormality with highly heterogeneous genetic causes. This study investigated chromosomal and monogenic abnormalities in fetal CDH patients and evaluated the efficacy of chromosomal microarray analysis (CMA) and whole-exome sequencing (WES) for genetic diagnosis. The clinical features of the patients were also evaluated.

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Maternal uniparental disomy of chromosome 14, upd(14)mat, leads to Temple syndrome (TS), an imprinting disorder characterized by pre- and postnatal growth retardation, hypotonia, motor delay, joint laxity, and precocious puberty. The occurrence of upd(14)mat is rare, and it may, in even rarer cases, co-occur with trisomy 14 mosaicism. To date, only 11 live-born cases have been reported in the literature.

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Neuropathology of trisomy 21 mosaicism in a case with early-onset dementia.

Alzheimers Dement

December 2024

Department of Pathology and Laboratory Medicine, University of California, Irvine, Irvine, California, USA.

Introduction: This study investigated the impact of trisomy 21 mosaicism (mT21) on Alzheimer's disease (AD) neuropathology in a well-characterized clinical case described by Ringman et al.

Methods: We describe AD neuropathology in mT21 including amyloid beta, phosphorylated tau, astrogliosis, microgliosis, α-synuclein, and TAR DNA-binding protein 43 (TDP-43) in cerebral cortex, hippocampal subregions, and amygdala using immunohistochemistry.

Results: We observed high AD neuropathologic change with a score of A3B3C3.

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Aplastic anemia, characterized by pancytopenia and hypoplastic bone marrow, is associated with various acquired cytogenetic abnormalities, including trisomy 8, in 4%-15% of patients. Constitutional mosaic trisomy 8 notably increases the risks for cytopenia and myeloid malignancies. Duplications near chromosome 8 centromere are associated with developmental delays, autism, and trisomy 8p11.

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Article Synopsis
  • Chromosomal trisomy syndrome can cause various issues, including intellectual disabilities, and partial trisomy of distal 17q is a rare variant with similar problems like growth deficits and facial differences.
  • This study describes three patients from two families with terminal trisomy 17q, including a child with a mosaic duplication on chromosome 17 and dizygotic twins with both a deletion on chromosome 15 and a duplication on chromosome 17.
  • The research highlights the genetic mechanisms of these abnormalities and offers valuable insights for diagnosing partial trisomy 17q, aiding in understanding genotype-phenotype links for better genetic counseling.
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