sSMC derived from unknown acrocentric chromosome

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Cases without
clinical findings
6 Cases with
unclear clinical correlation
Cases with 
neocentromeres
2

Here not all available older SMC-cases identified in the pre-FISH era are included!

In general 70% of sSMC carriers are clinically normal. The figures here are based partially on the bias, that mainly clinically aberrant cases are reported in literature!

Abbreviations and FISH-methods

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Cases without clinical findings (O):

case no. 

gender

age at diagnosis

studied 
material

de novo/ 
inherited

GTG-banding result
grade of mosaicism

final FISH result of the sSMC

FISH
methods

UPD
result

clinical symptoms

reference

acro-
O-1
male 39y PBL n.a. 47,XY,+mar (bisatellited) n.a. n.a. n.a. five consecutive spontaneous abortions of partner and no live born children {1} case 1
acro-
O-2
male 31y PBL familial
(3 generations)
47,XY,+mar (bisatellited) n.a. n.a. n.a. 9 years of infertility in partnership before first child {1} case 2
acro-
O-3
female 27y PBL n.a. 47,XX,+mar (metacentric) rev ish. acrop++ midi n.a. normal woman - a child was lost  a week 16 due to a karyotype 46,X,+mar {8} case 2
acro-
O-4
moved to acro-N-mar/2
acro-
O-5
male 29y PBL n.a. 47,XY,+mar (metacentric)[25%]/
46,XY[75%]
inv dup (acro)(p10) cenM, M-FISH, acro-cenM n.a. normal phenotype and no children in connection with OAT III syndrome {9} case 111
acro-
O-6
male 23y PBL n.a. 47,XY,+mar (metacentric)[80%]/
46,XY[25%]
inv dup (acro)(p10)* M-FISH n.a. normal phenotype with fertility problems and azoospermia {10}
acro-
O-7
n.a. pranatal AF maternal 47,+mar [?%] inv dup (acro)(p10)* n.a. n.a. normal phenotype in mother, child normal in sonography {11}

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Cases with unclear/insufficient characterization of the sSMC itself (C):

case no. 

gender

age at diagnosis

studied 
material

de novo/ 
inherited

GTG-banding result
grade of mosaicism

final FISH result of the sSMC

FISH
methods

UPD
result

clinical symptoms

reference

acro-
C-1 to acro-
C-5
various

prenatal

AF familial or de novo 47,+mar n.a. n.a. n.a. none or n.a. {2}
acro-
C-6 to acro-
C-15
various

prenatal or postnatal

AF or PBL familial or de novo 47,+mar n.a. n.a. n.a. none or n.a. {3}
acro-
C-16 to acro-
C-79
various

prenatal or postnatal

AF or PBL familial or de novo 47,+mar n.a. n.a. n.a. none or n.a. review of literature before 1983 {3}
acro-
C-80
various

postnatal

 PBL familial  47,+mar (#15 was excluded) n.a. n.a. n.a. none or n.a.  {4}
acro-
C-81 to acro-
C-111
various

prenatal and postnatal

 AF and PBL familial or de novo 47,+mar  n.a. n.a. n.a. none or n.a.  {5}
acro-
C-111 to acro-
C-118
various

prenatal and postnatal

 AF and PBL familial or de novo 47,+mar  n.a. n.a. n.a. none or n.a.  {6}
acro-
C119
female n.a. PBL familial 47,XX,+mar n.a. n.a. n.a. none in family; index case with Sturge-Weber syndrome {7}

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Cases with an sSMC with neo-centromere (N):

case no. 

gender

age at diagnosis

studied 
material

de novo/ 
inherited

GTG-banding result
grade of mosaicism

final FISH result of the sSMC

FISH
methods

UPD
result

clinical symptoms

reference

acro-N-mar/1 male

27y

PBL de novo 47,XY,+mar[100%] neo inv dup (acro)(p11) acro cenM; CENPB and CENP C n.a. see below {0} case provided by Dr. Polityko, Minsk, Belarus

normal phenotype - fertility problems

acro-N-mar/2 male

40y

PBL n.a. 47,XY,+mar (metacentric)[39]/
46,XY[11]
neo inv dup (acro)(p11) acro-cenM; midi; acro cenM; CENPB and CENP C n.a. see below {9} case 110

normal man; planed ICSI

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References 

  1. Martin RH, Hildebrand KA, Yamamoto J, Peterson D, Rademaker AW, Taylor P, Lin CC.
    The meiotic segregation of human sperm chromosomes in two men with accessory marker chromosomes.
    Am J Med Genet. 1986 Oct;25(2):381-388.

  2. Benn PA, Hsu LY.
    Incidence and significance of supernumerary marker chromosomes in prenatal diagnosis.
    Am J Hum Genet. 1984 Sep;36(5):1092-1102.

  3. Steinbach P, Djalali M, Hansmann I, Kattner E, Meisel-Stosiek M, Probeck HD, Schmidt A, Wolf M.
    The genetic significance of accessory bisatellited marker chromosomes.
    Hum Genet. 1983;65(2):155-164.

  4. Bartsch HD, de Azevedo Moreira LM, Rohrborn G, Claussen U, Gebauer HJ.
    Possible origin of a small bisatellited additional chromosome.
    Hum Genet. 1980;54(3):319-322.

  5. Buckton KE, Spowart G, Newton MS, Evans HJ.
    Forty four probands with an additional "marker" chromosome.
    Hum Genet. 1985;69(4):353-730.

  6. Abbo G, Zellweger H.
    The syndrome of the metacentric microchromosome.
    Helv Paediatr Acta. 1970 Jan;25(1):83-94.

  7. de Gutierrez AC, Salamanca F, Lisker R, Segovia A.
    Supernumerary bisatellited chromosome in a family ascertained through a patient with Sturge-Weber syndrome.
    Ann Genet. 1975 Mar;18(1):45-49.

  8. Thangavelu M, Pergament E, Espinosa R 3rd, Bohlander SK.
    Characterization of marker chromosomes by microdissection and fluorescence in situ hybridization.
    Prenat Diagn. 1994 Jul;14(7):583-588.

  9. Manvelyan M, Riegel M, Santos M, Fuster C, Pellestor F, Mazauric ML, Schulze B, Polityko A, Tittelbach H, Reising-Ackermann G, Belitz B, Hehr U, Kelbova C, Volleth M, Gödde E, Anderson J, Küpferling P, Köhler S, Duba HC, Dufke A, Aktas D, Martin T, Schreyer I, Ewers E, Reich D, Mrasek K, Weise A, Liehr T.
    32 new cases with small supernumerary marker chromosomes (sSMC) detected in connection with fertility problems - detailed molecular cytogenetic characterization and review of the literature.
    Int J Mol Med 2008, 21(6):705-714.

  10. Wang W, Hu Y, Zhu H, Li J, Zhu R, Wang YP.
    A case of an infertile male with a small supernumerary marker chromosome negative for M-FISH and containing only heterochromatin.
    J Androl. 2009, 30(3):233-9.

  11. Tihy F, Oprea L, Lemyre E.
    Extra structurally abnormal chromosomes: experience of a prenatal diagnostic laboratory during 11 years.
    ASHG 2009; abstract only online, information from poster.

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