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논문 기본 정보

자료유형
학술저널
저자정보
Park, Sang Hee (Genetic Laboratory, Fertility Center of CHA Gangnam Medical Center, CHA University) Shim, Sung Han (Genetic Laboratory, Fertility Center of CHA Gangnam Medical Center, CHA University) Jung, Yong Wook (Department of Obstetrics and Gynecology, CHA Gangnam Medical Center, CHA University) Kim, Da Hee (Department of Obstetrics and Gynecology, CHA Gangnam Medical Center, CHA University) Kang, Su Jin (Genetic Laboratory, Fertility Center of CHA Gangnam Medical Center, CHA University) Park, Sun Ok (Genetic Laboratory, Fertility Center of CHA Gangnam Medical Center, CHA University) Cha, Dong Hyun (Genetic Laboratory, Fertility Center of CHA Gangnam Medical Center, CHA University)
저널정보
대한의학유전학회 Journal of genetic medicine Journal of genetic medicine 제11권 제1호
발행연도
2014.1
수록면
16 - 21 (6page)

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A 31-year-old woman, who was pregnant with twins, underwent chorionic villus sampling because of increased nuchal translucency in one of the fetuses. Cytogenetic analysis showed a normal karyotype in the fetus with increased nuchal translucency. However, the other fetus, with normal nuchal translucency, had a derivative X chromosome (der(X)). For further analysis, fluorescence in situ hybridization (FISH) and additional molecular studies including fragile X analysis were performed. FISH analysis confirmed that the Y chromosome was the origin of extra segment of the der(X). The X-chromosome breakpoint was determined to be at Xq27 by FMR1 CGG repeat analysis, and the Y-chromosome breakpoint was determined to be at Yq11.23 by the Y chromosome microdeletion study. To predict the fetal outcome, the X-inactivation pattern was examined, and it revealed non-random X inactivation of the der(X). To the best of our knowledge, the identification of an unbalanced Xq;Yq translocation at prenatal diagnosis has never been reported. This study was performed to identify precise breakpoints and the X-inactivation pattern as well as to provide the parents with appropriate genetic counseling.

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