1. Situs ambiguus in a female fetus with balanced (X;21) translocation-evidence for functional nullisomy of the ZIC3 gene?
- Author
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Fritz, Barbara, Kunz, Jürgen, Knudsen, Gun Peggy Strømstad, Louwen, Frank, Kennerknecht, Ingo, Eiben, Bernd, Orstavik, Karen Helene, Friedrich, Ursula, and Rehder, Helga
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GENES ,FETAL abnormalities ,CARDIOVASCULAR system abnormalities ,HUMAN chromosome abnormalities ,GENETIC disorders ,HUMAN genetics - Abstract
The human ZIC3 gene has been mapped to Xq26.2, the visceral heterotaxy locus HTX1, and has been shown to be mutated in X-linked situs ambiguus and/or complex heart defects. We report on a female fetus with situs ambiguus, asplenia and corrected transposition of the great arteries, displaying a (X;21) translocation. The balanced state of the t(X;21)(q26;p13) was verified by FISH on metaphase chromosomes of the fetus using DOP-PCR products of the microdissected der(21) and Xq-subtelomere specific sequences, and by PRINS withß-satellite specific sequences. Examination with polymorphic markers flanking ZIC3 on DOP-PCR products of the microdissected der(21) chromosome evidenced that the complete copy of the ZIC3 gene was translocated to chromosome 21. Mutations in the fetal and parental ZIC3 genes were excluded by sequencing. Paternal origin of the der(X) and der(21) chromosomes was confirmed by use of polymorphic microsatellite markers from chromosome 21 and from the chromosomal region Xq26, respectively. X chromosome inactivation analysis using a PCR of a polymorphic (CAG)
n repeat in the first exon of the androgen receptor gene showed a completely skewed X inactivation pattern with the paternal X as the active X chromosome, thus excluding functional disomy of distal Xq. A positional effect caused by the balanced (X;21) translocation may be responsible for functional nullisomy of ZIC3 and thus explain the situs and cardiac abnormalities in the fetus.European Journal of Human Genetics (2005) 13, 34-40. doi:10.1038/sj.ejhg.5201213 Published online 06 October 2004 [ABSTRACT FROM AUTHOR]- Published
- 2005
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