Karyotype Analysis In Cases Of Primary Male Infertility

Introduction: Infertility is a major health problem in 10-15% Indian couples affecting their psychological andsocial wellbeing. There is increasing recognition to the contribution of genetic abnormalities to the causation ofmale infertility. Genetics play a important role in infertility by controlling the physiological processes includinghormonal factors, spermatogenesis, and sperm quality. The aim of the study was to find out the Chromosomalabnormalities that play a major role in male infertility cases with non-obstructive azoospermia and oligospermia.The timely investigation to detect genetic abnormality gives better understanding about prognosis to the patientsand helps in providing genetic counseling with early intervention, management and also understanding risksinvolved in transmission of abnormality to future generations.Materials and methods: In present study total 30 male cases of primary infertility clinically diagnosed andconformed by semen analysis as unobstructed azoospermia and oligospermia were selected. Their karyotypeswere prepared and studied for chromosomal abnormalitiesResult: The Numerical chromosomal abnormality was found in 2 (6.66%) cases of azoospermic group in the formof Klinefelter syndrome (47,XXY). In cases of oligospermia 1 (3.34%) case had an abnormality in the form ofRobertsonian translocation involving 14:15 chromosome. The total 3 cases (10%) were found to have grosschromosomal abnormality by conventional cytogenetic method.Conclusion: In cases of Klinelfelter syndrome (47,XXY) due to altered karyotype or due to meiotic non-disjunction,the residual gametes may be extracted through Testicular / Epididymal Sperm Aspiration (TESA). It is necessarythat the diagnosis be made as soon as possible, so as to guarantee the cryopreservation of the semen beforecomplete infertility sets in.

A new species of Neotropical Drosophila (Diptera, Drosophilidae) belonging to the guarani group

Abstract Drosophila butantan sp. nov., a species belonging to the guarani group and closely related to Drosophila nigrifemur from Bolivia, is described based on a female, and some of its offspring, collected at the forest reserve of the Instituto de Biociências da Universidade de São Paulo, Cidade Universitária "Armando de Salles Oliveira", São Paulo City, state of São Paulo, Brazil. Although externally similar, the two apparently forest-dwelling species can be told apart by having distinct oviscapt valves and spermathecal introverts and tips. Accordingly, a proposal is made to also include D. nigrifemur, a previously unassigned species, in the guarani group. The two species seem to be also related to Drosophila alexandrei and Drosophila guaraja as indicated by their external morphology, their elongate spermathecae and the not so sharply pointed oviscapt valves. The karyotypes of the new species differ from those described for D. alexandrei and D. guaraja, while those of D. nigrifemur remain still unknown. Photomicrographs of the male and female imagines, in addition to drawings and photos of their terminalia, are also included.

The clinical characteristics, gene mutations and prognosis of chronic neutrophilic leukemia / 中华血液学杂志

Objective@#To investigate the clinical manifestation, cytogenetics, gene mutations and prognostic factors of chronic neutrophilic leukemia (CNL) .@*Methods@#16 CNL cases, according to WHO (2016) -definition, were reviewed retrospectively. Identifications of the CSF3R, ASXL1, SETBP1, CALR and MPL mutations were performed by direct sequencing. JAK2 V617F mutation was detected by AS-PCR.@*Results@#Of the 16 CNL patients, the median age was 64 (43-80) years with a male predominance of 75% (12/16) . The median hemoglobin was 114 (81-154) g/L, with median WBC of 41.20 (26.05-167.70) (109/L and median PLT of 238 (91-394) ×109/L.The median level of marrow fibrosis (MF) was 1 (0-3) degree. There was no other cytogenetic abnormalities except t (1;7) (p32;q11) , +21 and 14ps+ for each. All the 16 CNL patients harbored CSF3R T618I mutation. ASXL1 mutations were identified in 81% (13/16) , while SETBP1 mutations were confirmed in 63% (10/16) . The CALR K385fs*47 mutation was found. There was no mutation in JAK2 V617F or MPL in the above 16 patients. The median overall survival (OS) of patients presented with WBC≥50×109/L at diagnosis (11 months) was significantly shorter than of WBC<50×109/L (39 months, P=0.005) .@*Conclusion@#CSF3R T618I mutation was specific for CNL. The median OS of CNL patients was 24 months, and WBC≥50×109/L at diagnosis was an unfavorable prognostic factor.

Dismal outcome of therapy-related myeloid neoplasm associated with complex aberrant karyotypes and monosomal karyotype: a case report

Introduction: Individuals who are exposed to cytotoxic agents are at risk of developing therapyrelated myeloid neoplasms (t-MN). Cytogenetic findings of a neoplasm play an important role in stratifying patients into different risk groups and thus predict the response to treatment and overall survival. Case report: A 59-year-old man was diagnosed with acute promyelocytic leukaemia. Following this, he underwent all-trans retinoic acid (ATRA) based chemotherapy and achieved remission. Four years later, the disease relapsed and he was given idarubicin, mitoxantrone and ATRA followed by maintenance chemotherapy (ATRA, mercaptopurine and methotrexate). He achieved a second remission for the next 11 years. During a follow-up later, his full blood picture showed leucocytosis, anaemia and leucoerythroblastic picture. Bone marrow examination showed hypercellular marrow with trilineage dysplasia, 3% blasts but no abnormal promyelocyte. Fluorescence in-situ hybridisation (FISH) study of the PML/RARA gene was negative. Karyotyping result revealed complex abnormalities and monosomal karyotype (MK). A diagnosis of therapy-related myelodysplastic syndrome/myeloproliferative neoplasm with unfavourable karyotypes and MK was made. The disease progressed rapidly and transformed into therapy-related acute myeloid leukaemia in less than four months, complicated with severe pneumonia. Despite aggressive treatment with antibiotics and chemotherapy, the patient succumbed to the illness two weeks after the diagnosis. Discussion and Conclusion: Diagnosis of t-MN should be suspected in patients with a history of receiving cytotoxic agents. Karyotyping analysis is crucial for risk stratification as MK in addition to complex aberrant karyotypes predicts unfavourable outcome. Further studies are required to address the optimal management for patients with t-MN.

Distribution of common chromosomal karyotypes in patients with Turner syndrome and correlation between the mean age and height standard deviation scores on diagnosis / 中华实用儿科临床杂志

Objective To analyze the distribution of common chromosomal karyotypes of patients with Turner syndrome (TS), and to explore the correlation between the age and height standard deviation scores (HSDS) on diagnosis.Methods Retrospective investigation was performed for the data of age and HSDS on diagnosis in 273 TS girls(≤ 18.0 years old)diagnosed by chromosomal karyotypes.The main statistical methods were analyzed with t-test and Pearson correlation test by using the SPSS 18.0 statistical software.Results (1) There were 4 kinds of common chromosomal karyotypes in the TS :45, X (87/273 cases,31.9％),46, X, i (Xq) (43/273 cases, 15.7％) ,45, X/46, X, i (Xq) (36/273 cases, 13.2％) and 45, X/46, XX (23/273 cases, 8.4％), respectively, the adolescent TS all had delayed puberty.For the cases with 45, X karyotypes ,3 cases presented mental retardation and 2 cases with organs deformity.(2)The patients with 45 ,X/46,X,i(Xq) karyotypes or with 46,X,i(Xq) karyotypes had the maximum(12.56 age) or the minimum(9.70 age) mean age on diagnosis, respectively, there was a significant difference between 2 groups (t =3.019, P =0.004).The maximum deviation from normal height was found in the patients with karyotypes of 46, X,i (Xq) (HSDS =-4.04), and the minimum deviation was in the patients with karyotypes of 45,X/46, XX (HSDS =-3.16), and there was a significant difference between 2 groups (t =-2.95, P =0.004).(3) More than 75.7％ of TS patients was diagnosed when their heights deviated above 3 SD,and their mean age on diagnosis was 12.10 age,which was 3 years later than those patients within 2 SD.(4) There was a significant negative correlation between the age and HSDS on diagnosis in the groups of common chromosomal karyotypes[45,X、46,X,i(Xq) and 45,X/46,XX] (r =-0.551,-0.560,-0.622,all P ＜ 0.01), except for the group with the 45, X/46, X, i (Xq).Conclusions (1) In this study, the consti-tuent ratios of these 4 common chromosomal karyotypes were different from those in Europe and America's.(2)Patients with 45 ,X may have more severe symptoms than others.(3)The mean age on diagnosis was at least 3.0 years earlier when considered HSDS below-2.00 as an indicator for chromosomal karyotype screening,which would facilitate earlier diagnosis.

The invasive spotted-wing Drosophila (Diptera, Drosophilidae) has been found in the city of São Paulo (Brazil)

The invasive spotted-wing Drosophila (Diptera, Drosophilidae) has been found in the city of São Paulo (Brazil). Drosophila suzukii (Matsumura, 1931), the cherry fly or spotted-wing Drosophila, a pest species from the Oriental and southeastern Palaearctic regions belonging to the melanogaster group, invaded the Nearctic and western countries of the Palaearctic regions late last decade (2008) and, more recently (2013), the southern Brazilian states of Rio Grande do Sul and Santa Catarina. Early in 2014 it was reared from blueberries produced in São Joaquim, state of Santa Catarina, that were bought at a São Paulo city grocery store. Despite being a cold-adapted species, after having arrived to the southeastern state of São Paulo, this invasive fly will probably expand its territory to other Brazilian states and South American countries through trade of cultivated soft skin small fruits, such as blueberries and strawberries, as well as naturally through the use of small wild fruits as breeding sites.

The relevance between chromosome karyotypes and prognosis in subtypes of myelodysplastic syndromes / 肿瘤研究与临床

Objective To investigate the characteristics of chromosome kayotypes and the relationship between the prognosis and chromosome karyotypes in subtypes of myelodysplastic syndromes (MDS).Methods The study retrospectively analyzed the characteristics of chromosome karyotype of initially diagnosed 151 MDS patients and investigated the rate and time of leukemia transformation and mortality,IPSS score,and compare the ethnic differences of Han and Uyghurs.Results Abnormal karyotype detection rate was 55.0 ％ (83/151),including simple abnormalities was 53.0 ％ (44/83),complex abnormalities was 47.0％ (39/83).h showed that common abnormal karyotype include-5/5q-,-7/7q-,+8,-20/20q-,-X/-Y,i(17q),9p-/9q-,+21.IPSS score had differences among subtypes (x2 =117.802,P ＜ 0.01).The detection rates of abnormal chromosome had significantly differences between each group,the abnormal karyotype detection rate in high-risk group was significantly higher than those in low risk group and moderate group(P ＜ 0.05).Followup 31 months (5-68 months) and found that the rates of leukemia transformation and mortality were 25.2 ％ (38/151) and 43.7 ％ (66/151),the rates of leukemia transformation and mortality in abnormal karyotype group were significantly higher than those in normal karyotype group (P ＜ 0.05).The median survival time in abnormal karyotype was shorter than that in normal one.The distribution of Han and Uyghur patients with MDS subtypes,the characteristics of abnormal karyotype,the rates of leukemia transformation and the rates of mortality had no statistical difference (all P ＞ 0.05).Conclusion Abnormal chromosome karyotype is important index for disease progression and prognosis of MDS patients.

Karyological analysis of Proechimys cuvieri and Proechimys guyannensis (Rodentia, Echimyidae) from central Amazon

The aim was to characterize the karyotype of rodents of the genus Proechimys from three localities in the central Brazilian Amazon, in the search for new markers that might shed light on our understanding of the taxonomy and evolutionary history of this taxon. Two karyotypes were found, viz., 2n = 28, FN = 46 in individuals from the NRSP (Cuieiras River) and REMAN (Manaus), and 2n = 46, FN = 50 in individuals from the Balbina Hydroelectric Plant. While individuals with the karyotype with 2n = 28 chromosomes were morphologically associated with Proechimys cuvieri, their karyotype shared similarities with those of the same diploid number in two other regions. Although three karyotypes are described for Proechimys cuvieri, no geographic distribution pattern that defined a cline could be identified. Based on the morphological examination of voucher specimens and additional results from molecular analysis, the karyotype with 2n = 46 and FN = 50 could be associated with P. guyannensis.

Advances on gene mutations of adult acute myeloid leukemia with normal karyotypes / 白血病·淋巴瘤

Acute myeloid leukemia (AML) is a disease with marked heterogeneity in both response to therapy and survival. Numerous genetic mutations which cannot be identified by cytogenetic detection have been found including gene mutations in Fms-liketyrosine kinase 3 (FLT3), nucleophosmin 1 (NPM1), and CCAAT enhancer-binding protein-α (CEBPA).Furthermore,the panel of known molecular markers is continuously increasing,for example,considering the recently described isocitrate dehydrogenase (IDH1/2) and Wilms Tumour 1 gene (WT1)mutations. This review focuses on the structures and features of these gene mutations,as well as their influence on the prognosis of AML.

Cytogenetic and comorbidity profile of Down syndrome in Mansoura University Children's Hospital, Egypt.

BACKGROUND: Down syndrome (DS) is the most common chromosomal disorder. It has three chromosomal patterns. AIM: To determine the cytogenetic and comorbidity profiles of DS in the Genetic Unit of Mansoura University Children's Hospital, Mansoura, Egypt. MATERIALS AND METHODS: A retrospective analysis was performed on the case records of 712 cytogenetically diagnosed cases of DS at the Genetic Unit of Mansoura University Children's Hospital, Egypt, during a 10-year period. RESULTS: About 19% of the cases had one or more cardiac anomalies and about 8% were hypothyroid. Nondisjunction was the most common type of abnormality, followed by translocation and lastly mosaic: 96.1, 3.1, and 0.8%, respectively. Hypothyroidism was significantly more common in translocation and mosaic karyotypes than in the nondisjunction karyotypes. First and second birth orders were significantly higher in the translocation and mosaic groups than in the nondisjunction group. Mothers are significantly older at the index pregnancy in the nondisjunction group than in the other two groups. We compared our findings with those of previous studies. CONCLUSION: Knowing karyotype of DS will help in genetic counseling of the parents. Wide-scale national community-based survey with DS registry could help in estimating the size of the problem.

Changes in chromosomal polymorphism and global warming: the case of Drosophila subobscura from Apatin (Serbia)

In this study, chromosomal inversion polymorphism data for a natural population of Drosophila subobscura from a swampy region near the town of Apatin (Serbia) were compared with data for the same population collected approximately 15 years earlier. The pattern of chromosomal inversion polymorphism changed over time. There were significant increases in the frequency of characteristic southern latitude ("warm" adapted) chromosomal arrangements and significant decreases in the frequency of characteristic northern latitude ("cold" adapted) chromosomal arrangements in the O and U chromosomes. The chromosomal arrangements O3+4 and O3+4+22 (derived from the O3+4 arrangement) showed significant increases in 2008 and 2009 with regard to the 1994 sample. There was also a significant increase (~50 percent) in the U1+2 arrangement, while U1+8+2 (a typical southern arrangement) was detected for the first time. Since the Apatin swampy population of D. subobscura has existed for a long time in a stable habitat with high humidity that has not been changed by man our results indicate that natural selection has produced chromosomal changes in response to the increase in temperature that has occurred in the Balkan Peninsula of central southeastern European.

Distribution extension and sympatric occurrence of Gracilinanus agilis and G. microtarsus (Didelphimorphia, Didelphidae), with cytogenetic notes / Extensão da distribuição e ocorrência em simpatria de Gracilinanus agilis e G. microtarsus (Didelphimorphia, Didelphidae) com notas citogenéticas

Gracilinanus microtarsus, from the Atlantic Forest and G. agilis, widespread in central Brazil in the Cerrado and in the northeastern Caatinga are two small Neotropical arboreal opossum species not frequently recorded in simpatry. Here we report eight G. agilis specimens from three localities and 17 G. microtarsus, from 10 localities, all in Minas Gerais, Rio de Janeiro and Bahia states. Species proper identification followed diagnostic characters as appearance of dorsum pelage, ocular-mark, ears and tail lengths and size proportion of the posteromedial vacuities in cranium. Chromosomes in metaphases of five specimens were obtained for both species. Our records extend the previous known geographical distribution of G. microtarsus to Chapada Diamantina, in Bahia State and report the occurrence of both species in simpatry. G. microtarsus, in coastal area, was captured in dense ombrophilous and in semideciduous forests, in deciduous seasonal forest and Cerradão in Chapada Diamantina. G. agilis was recorded in gallery forests of Cerrado and very green and dense bush formation of Caatinga. Autosomal complement showed the same diploid and autosomal number already described for both species (2n = 14, NA = 24). Measurements are according to those given in literature and pelage characteristics were useful for the correct species identification. Here we report both G. agilis, described to be endemic to the Cerrado/Caatinga, in opposite to G. microtarsus, considered to be endemic to Atlantic Forest occurring in simpatry in two localities of the Cerrado. Such results indicates that long term trapping effort are necessary to a better definition of species taxonomy, distribution patterns along time and comprehensive understanding how anthropic environmental changes can be interfering in their evolutionary history.

Gracilinanus microtarsus, da Mata Atlântica e G. agilis, amplamente distribuído no Brasil central, tanto no Cerrado como na Caatinga são duas pequenas espécies de cuícas arbóreas. As duas espécies são raramente registradas em simpatria. Aqui registramos oito espécimes de G. agilis coletadas em três localidades e 17 G. microtarsus, de dez localidades, todas nos estados de Minas Gerais, Rio de Janeiro e Bahia. A correta identificação baseou-se nos caracteres diagnósticos como aparência da pelagem dorsal, marca escura na região óptica, comprimentos da orelha e cauda, bem como a proporção do tamanho das vacuidades posteromediais do crânio. Cromossomos metafásicos de cinco indivíduos foram obtidos. Nossos registros aumentam a distribuição geográfica previamente conhecida de G. microtarsus para a Chapada Diamantina, no estado da Bahia, e reporta a ocorrência de simpatria. G. microtarsus, na área costeira, foi capturado em florestas ombrófila densa e semidecidual em floresta estacional decidual e Cerradão na Chapada Diamantina. G. agilis foi registrado em matas de galeria do Cerrado, e formações densas de vegetação arbustiva verde na Caatinga. O complemento autossômico mostrou os mesmos números diplóides e autossômicos já registrados para as duas espécies (2n = 14, NA = 24). Medidas corpóreas estão de acordo com a literatura, e as características de pelagem foram ferramentas úteis para a correta identificação das espécies. Aqui registramos G. agilis, descrita como sendo uma espécie endêmica do Cerrado e da Caatinga, em oposição a G. microtarsus, considerada como endêmica da Mata Atlântica ocorrendo em simpatria em duas localidades do Cerrado. Tais resultados indicam que esforços continuados de coleta são necessários para uma melhor definição da taxonomia das espécies, dos padrões de distribuição ao longo do tempo e uma melhor compreensão de como as mudanças ambientais antrópicas estão interferindo em suas historias evolutivas.

Karyotype characterization and nucleolar organizer regions of marsupial species (Didelphidae) from areas of Cerrado and Atlantic Forest in Brazil

The karyotypes of 23 specimens belonging to 16 species from nine genera of Brazilian marsupials (family Didelphidae) were studied. The animals were collected in eight localities of Cerrado or Atlantic Forest biomes in the states of Goiás, Tocantins and São Paulo. The karyotypes were analyzed after conventional Giemsa staining and silver staining of the nucleolus organizer regions (Ag-NORs). New karyotypic data were obtained for Gracilinanus microtarsus (2n = 14, FN = 24),Marmosops paulensis (2n = 14, FN = 24), Micoreus paraguayanus (2n = 14, FN = 20) and Monodelphis rubida (2n = 18, FN = 32) and are discussed in detail. The karyotypes of G. microtarsus, M. paulensis and M. paraguayanus include three large pairs of submetacentrics (pairs 1, 2 and 3) and a medium-sized metacentric or submetacentric pair 4. Pairs 5 and 6 are small submetacentrics in G. microtarsus and M. paulensis and acrocentrics in M. paraguayanus. M. paulensis presented a single Ag-NOR in pair 6 (6p6p), while M. paraguayanus exhibited multiple Ag-NORs in pairs 5 and 6 (5pq5pq6p6p). There was variation in size and morphology of the sex chromosomes among these species. Monodelphis rubida presented a karyotype with 2n = 18 and FN = 32 composed of a large submetacentric pair 1, a medium-sized metacentric pair 2 and six pairs of submetacentrics (pairs 3 through 8). The X was a small acrocentric and the Y was dot-like. A single Ag-NOR bearing pair (5p5p) characterized M. rubida. Relevant karyotypic information was obtained for 19 specimens belonging to 12 species collected in areas sampled for the first time [Caluromys lanatus and C. philander (2n = 14, FN = 20), Gracilinanus emiliae (2n = 14, FN = 24), Marmosa murina, Metachirus nudicaudatus and Micoureus demerarae (2n = 14, FN = 20), Monodelphis americana (2n = 18, FN = 32) and M. domestica (2n = 18, FN = 20), and Didelphis marsupialis, Philander frenata, P. opossum and P. sp (2n = 22, FN = 20)]. Although the karyotypes...

Patterns of ribosomal DNA distribution in hylid frogs from the Hypsiboas faber and H. semilineatus species groups

We performed a comparative analysis of the nucleolus organizer region (NOR) distribution in the karyotypes of hylid frogs from two different taxonomic groups, Hypsiboas faber and H. semilineatus. Silver nitrate staining of NORs (Ag-NORs) and fluorescence in situ hybridization (FISH) with a rDNA probe were used to investigate the chromosomal location of rDNA loci in two species. The karyotype of H. semilineatus and the Ag-NORs distribution of the four species are presented herein for the first time. After conventional staining, the four species presented very similar karyotypes with 2n = 24, but Ag-NORs analyses revealed species-specific characteristics. H. albomarginatus, H. faber and H. semilineatus had one pair of interstitial Ag-NORs in the short arm of pairs 2, 11, and in the long arm of pair 7, respectively. H. pardalis presented telomeric NORs in the long arm of pair 11. Ag-NORs were heteromorphic in three of the species (H.pardalis, H. semilineatus and H. albomarginatus) and FISH confirmed the differential activity of rDNA genes in H. semilineatus. In the present study, 2n = 24 karyotypes could be distinguished by their Ag-NORs distribution. Our results further the knowledge about the cytogenetics of hylids from Brazil.

A cytogenetic study of couples with recurrent spontaneous abortions and infertile patients with recurrent IVF/ICSI failure.

PURPOSE: This study was conducted to determine the frequency and contribution of chromosomal abnormalities in miscarriages and in couples with recurrent in vitro fertilization/intra cytoplasmic sperm injection (IVF/ICSI) failure. MATERIALS and METHODS: A total of 221 individuals; 79 with three or more recurrent spontaneous abortions and 142 with at least three IVF/ICSI failures. Chromosomal analysis from peripheral blood lymphocytes was performed according to standard cytogenetic methods using G-banding technique. RESULTS: Abnormal karyotype was found in 21 (9.50%) individuals. Of these 21 subjects, 4 (19.04%) exhibited sex chromosomal abnormalities and 17 (80.96%) had autosomal abnormalities. Male partners had significantly higher chromosomal abnormalities (5.88%) than of females (3.61%). These abnormalities were also higher in patients with recurrent spontaneous abortions than with IVF/ICSI failure (P < 0.05). CONCLUSIONS: These data may be indicative that chromosomal abnormalities are involved more in spontaneous abortions than in recurrent IVF/ICSI failure. Cytogenetic analysis could be valuable for these couples when clinical data fail to clarify the cause.

A new sympatric region for distinct karyotypic forms of Hoplias malabaricus (Pisces, Erythrinidae)

Specimens of Hoplias malabaricus from Lagoa Carioca, an isolated lake of the Rio Doce State Park (state of Minas Gerais, Brazil), were cytogenetically studied. The diploid number was found to be constant, i.e., 2n = 42 chromosomes, although two karyotypic forms were found: karyotype A, characterized by 22M + 20SM chromosomes, observed only in a male specimen, and karyotype B, characterized by 24M + 16SM + 2ST and 24M + 17SM + 1ST chromosomes in female and male specimens, respectively. This sex difference found in karyotype B is related to an XX/XY sex chromosome system. Another female specimen of H. malabaricus, also carrying karyotype A, had previously been found in the same lake. The available data indicate that two sympatric cytotypes of H. malabaricus exist in the Lagoa Carioca, with cytotype A occurring at a lower frequency and differing from cytotype B by undifferentiated sex chromosomes.

Foram analisados, cromossomicamente, espécimes de Hoplias malabaricus provenientes da Lagoa Carioca, localizada no Parque Estadual do Rio Doce (Minas Gerais, Brasil). O número diplóide de cromossomos foi constante, 2n = 42, mas duas formas cariotípicas distintas foram encontradas: cariótipo A, caracterizado por 22M + 20SM, presente em apenas um dos exemplares machos e cariótipo B, caracterizado por 24M + 16SM + 2ST e 24M + 17SM + 1ST em fêmeas e machos, respectivamente, diferença esta devida a um sistema de cromossomos sexuais do tipo XX/XY. Contudo, um outro exemplar fêmea, apresentando também o cariótipo A, foi previamente detectado nessa mesma lagoa, o que permite caracterizar o cariótipo A como portador de 2n = 42 cromossomos, mas sem um sistema diferenciado de cromossomos sexuais. Os dados disponíveis evidenciam que dois citótipos distintos (A e B) são encontrados em simpatria e sintopia na Lagoa Carioca, tendo o citótipo A uma freqüência reduzida.

Congenital Cardiovascular Malformations in Patients with Turner Syndrome

PURPOSE: Turner syndrome is recognized to be a disorder in which cardiovascular malformations are common. The aim of our study was to identify the prevalence of cardiovascular malformations in females with Turner syndrome and analyze possible associations with the various karyotypes in Korean patients. METHODS: The subjects were seventy seven females diagnosed as karyotype-proven Turner syndrome in Asan Medical Center. Complete chromosome analysis was available in all cases. The following data was collected; clinical examination, simple chest radiography, electrocardiography, echocardiography including Doppler, and/or aortic CT. RESULTS: The distribution of the various karyotypes was 45,X, 35%; mosaic monosomy X, 44%; and structural abnormalities of sex chromosome, 21%. In 15 (19.8%) of the patients cardiovascular malformations were found; bicuspid aortic valve abnormality (40%) and aortic coarctation (33.3%) were common. There was a significant difference in the prevalence of cardiovascular malformations between 45,X and the other karyotype groups (33.3% versus 12%, P=0.024). CONCLUSION: Missing X chromosome may be related to determine cardiac defects in Turner syndrome. All patients with Turner syndrome should receive full cardiologic evaluations. In particular, as to the presence of structural cardiac malformations or hypertension, repeated echocardiography or radiologic imaging is required to follow aortic root diameters.

Cariotipos fetales mediante amniocentesis y cordocentesis en Costa Rica

Objetivo: Identificar cromosomopatía fetal en embarazos de alto riesgo, así como brindar adecuada atención obstétrica, pediátrica y asesoramiento genético. Material y métodos: En 290 embarazadas se obtuvieron células fetales mediante amniocentesis, realizadas desde enero de 2000 hasta agosto de 2003 inclusive, en hospitales de la seguridad social y en la consulta privada. La indicación de las punciones fue por examen ultrasonográfico anormal en 44% de los casos y por edad materna avanzada en 39%. El 91% de los estudios se realizaron en el segundo trimestre del embarazo. Se utilizó el sistema cerrado de histocultivo y la cosecha por suspensión. El resultado final se obtuvo en 16 días (mediana). Durante el mismo periodo se estudiaron 18 embarazos mediante cordocentesis y cariotipo fetal. La indicación en todos los casos, excepto uno, fue examen ultrasonográfico anormal. Las cordocentesis se realizaron desde la semana 17 hasta la 35. Resultados: Los 230 cariotipos fetales obtenidos en muestras de líquido amniótico fueron anormales en 28 casos (12%). Se encontró concordancia entre el cariotipo y el fenotipo del feto o recién nacido, al igual que entre el diagnóstico ultrasonográfico fetal y la condición del neonato. El cariotipo en muestras de sangre fetal fue anormal en el 27% de los estudios. Conclusiones: La cromosomopatía fetal es la responsable de un buen número de alteraciones sonográficas durante el embarazo y de desenlaces obstétricos desfavorables. Conviene su detección precoz para tratar de minimizar el daño asociado a estos defectos citogenéticos.

Objective: The identification of fetal abnormal chromosomes to allow proper pediatric and obstetric management of the cases as well as genetic counseling. Material and methods: The results of 290 genetic amniocentesis from January 2000 to August 2003, are reported. There were two main reasons for referral: abnormal ultrasound assessment (44% of cases) and advanced maternal age (39%). Most procedures (91%) were performed during the second trimester of pregnancy. Fetal cells were closed cultured and suspension harvested. Turn around time was 16 days median. G banded (300-400 bands resolution) chromosomes from 20 cells provided by two independent cultures were karyotyped in each case. The results of 18 genetic percutaneous umbilical cord samplings from January 2002 to August 2003, are also reported. Almost all procedures were performed due to abnormal ultrasound findings from gestational week 17 to 35. Results: In 230 fetal karyotypes obtained from amniotic fluid, 27 (12%) were abnormal, due to 12 autosomal trisomies , three cases of monosomy X, three mosaics involving chromosome X, three triploid karyotypes, two balanced translocations of maternal origin, one structurally abnormal chromosome and three other defects of sexual chromosomes in males. Prenatal cytogenetic and sonographic findings correlated with the fetal or newborn phenotype in all cases available for follow-up. Fetal abnormal chromosomes obtained from fetal blood were: two cases of trisomy 13, one fetus with trisomy 18, and one case of trisomy 21. Conclusion: Chromosome defects are an important reason for ultrasonographic fetal abnormalities and adverse pregnancy outcomes. Normal results provided reassurance to the parents.

El diagnóstico prenatal de defectos cromosómicos en Costa Rica: [revisión] / Prenatal diagnosis of chromosomic defects in Costa Rica: [review]

This is an historical overview of prenatal cytogenetic diagnosis in Costa Rica. It started in 1984 at the Institute for Health Research of the University of Costa Rica. This is the only fetal cytogenetic diagnosis facility in the country and serves social security as well as private patients. Perinatologists send amniotic fluid and fetal blood samples from high risk pregnancies, mainly due to abnormal ultrasound assessment, sonographic markers of aneuploidy and advanced maternal age. Second and third trimester diagnosis allows the development of coping strategies for the families of affected fetuses, since pregnancy interruption is not permitted. Normal fetal cytogenetic results provide reassurance to the parents.

Pasado, presente y futuro de la citogenética en Costa Rica: [review] / Past, present and future of cytogenetics in Costa Rica: [review]

This is an overview of the past, present and future of human Cytogenetics in Costa Rica. It started in 1965 at the University of Costa Rica where it has been developed slowly but steadily. There is only one overloaded clinical cytogenetic laboratory in the social security system. The tests currently performed are peripheral blood and blood marrow karyotypes, prenatal cytogenetic diagnosis (amniotic fluid and fetal blood) and less frequently skin biopsies. The task now is to standardize molecular cytogenetic techniques, we are actually working with PRINS in order to study submicroscopic subtelomeric rearrangements associated with mental retardation and other microdeletion syndromes as well.