Chromosomal Aberrations
Mohsin Raza & Farrukh Ahmad
Types
Numerical - change in no.
Structural – change in structure
Monosomy
loss of single chromosome
Monosomy of autosomes is lethal
Turner syndrome XO i.e. loss of sex chr.
Cause : 1. non disjunction – one gamete receives 2 copies of
homologous chr. & other will have no copy
2. loss of chr. As it move towards pole of cell during anaphase .
Trisomy
Gain of homologous chr.
Trisomy 21 (down’s ) , trisomy 18 , klinefelter’s syndrome
(47 XXY)
Nondisjunction
Failure of bivalents to separate during meiosis 1 , the gametes get both
homologues of one chr pair
Sometimes in meiosis 2 when sister chromatids fail to separate - gets 2
copies of one of the homologues
It can also occur during early mitotic div. of zygote - there will be
presence of 2 or more cell lines
Nondisjunction
Causes
Aging effect on primary oocyte
Radiation
Delayed fertilization after ovulation
Effects – monosomy or trisomy
Polyploidy
Multiples of haploid no.
Triploidy or tetraploidy
Foetus does not survive
Cause -1. retention of polar body
2. Formation of diploid sperm
3. Dispermy – fertilization by 2 sperms
Triploidy
Structural Abnormalities
Rearrangement because of chr. Breakage & subsequent reunion in
a different configuration
Balanced – chr. Complement is complete
Unbalanced – when there is incorrect amount of genetic material
Structural Abnormalities
1. Translocations – reciprocal or robertsonian
2. Deletions
3. Insertions
4. Inversions – paracentric or pericentric
5. Ring chr.
6. Isochromosomes
Translocation
Transfer of genetic material from one chr to
another
Reciprocal – 2 chr break & exchange fragments
no. remains 46 unique to a particular family chr
imbalance during gamete formation
Robertsonian Translocation
Breakage of 2 acrocentric chr near centromeres
& fusion of long arms
Short arms lost – no importance they contain
genes for rRNA
Chr no. 45 , but no loss of genetic material
hence balanced
Robertsonian Translocation
Deletions
❑ Loss of part of chr.
• Deletions of larger portions are usually incompatible with life
• 10-15% are due to balanced translocations in one parent 85-90%
are true deletions
Deletions
Terminal – Cri – du chat syndrome ( 5p-)
Interstitial – 2 breaks & middle part is lost eg. prader villi syndrome
Microdeletions
Insertions
Rare nonreciprocal type of translocation
A segment of chr gets inserted into another chr
Inversion
2 break rearrangement
Segment is reversed
3. Pericentric – when centromere is involved
4. Paracentric – only one arm is involved
Ring Chromosomes
• Break occurs in each arm & the 2 sticky ends join
Distal fragments are lost
1/5 cases of turner’s syndrome
Philadelphia Chromosome
Involves translocation between long arm of
chr 22 & 9
There is shorter arm of chr 22 called
philadelphia chr
Found in chronic myelogenous leukemia
Indicates better out come
Philadelphia Chromosome
Down’s Syndrome
First identified by Dr Langdon Down in 1866
Trisomy 21
1in 700 live births
Associated with increased maternal age
Clinical Findings
Newborn – hypotonia , increased sleepiness ,excess nuchal skin
Mental retardation
Small stature
Craniofacial findings – brachycephaly ( flat occiput ) , epicanthic
folds , upward slanting eyes , protruding tongue, low set ears , flat
nose , low nasal bridge , high arched palate
Cont…..
❑Short broad hands
❑Clinodactyly ( incurving ) little finger
❑ASD,VSD , PDA
❑Anal duodenal atresia
❑Happy & affectionate
Down’s Syndrome
Edward’s Syndrome
Trisomy 18
Described by Edward in 1960
Rare to find live born
Do not live beyond few months
Features – mental retardation , failure to thrive , hypotonia ,
prominent occiput , low set ears , receding jaw , short sternum ,
clenched fists, rocker bottom feet.
Patau’s Syndrome
Trisomy 13
Die in a month
Growth & mental retardation
Sloping forehead , hypertelorism , microphthalmia , cleft lip ,
cleft palate , polydactyly , polycystic kidneys , bicornuate uterus
Turner’s Syndrome
X monosomy , 45 X
described by Turner in 1938
Phenotype is female
Short stature
Webbing of neck
Cubitus valgus
Low posterior hair line
Broad chest with widely spaced nipples
High arched palate
Coarctation of aorta
VSD
Horseshoe kidney
Renal hypoplasia
Streak gonads
Secondary sexual characters do not develop
Turner’s Syndrome
Klinefelter’s Syndrome
Harry klinefelter in 1942
47XXY
Male phenotype with sex chromatin positive
Patients are tall thin , eunuchoid
Poorly developed secondary sexual characters
Testis are small , scrotum & penis show hypoplasia
Pubic ,chin & axillary hair absent
Klinefelter’s Syndrome
❑Normal intelligence
❑Testicular biopsy shows hyalinisation of seminiferous tubules
❑Absent spermatogenesis
❑Low serum testosterone , high FSH & LH
5p- (cri-du-chat) Syndrome
❑deletion (the length of which may vary) on the
short arm of chromosome 5
❑small at birth, may have respiratory problems ,
the larynx doesn't develop correctly, which
causes the signature catlike cry.
❑microcephaly), an unusually round face, a small
chin, widely set eyes, folds of skin over their
eyes, and a small bridge of the
nose.
5p- (cri-du-chat) Syndrome
Chromosomal aberrations

Chromosomal aberrations

  • 1.
  • 2.
    Types Numerical - changein no. Structural – change in structure
  • 4.
    Monosomy loss of singlechromosome Monosomy of autosomes is lethal Turner syndrome XO i.e. loss of sex chr. Cause : 1. non disjunction – one gamete receives 2 copies of homologous chr. & other will have no copy 2. loss of chr. As it move towards pole of cell during anaphase .
  • 5.
    Trisomy Gain of homologouschr. Trisomy 21 (down’s ) , trisomy 18 , klinefelter’s syndrome (47 XXY)
  • 6.
    Nondisjunction Failure of bivalentsto separate during meiosis 1 , the gametes get both homologues of one chr pair Sometimes in meiosis 2 when sister chromatids fail to separate - gets 2 copies of one of the homologues It can also occur during early mitotic div. of zygote - there will be presence of 2 or more cell lines
  • 7.
  • 8.
    Causes Aging effect onprimary oocyte Radiation Delayed fertilization after ovulation Effects – monosomy or trisomy
  • 9.
    Polyploidy Multiples of haploidno. Triploidy or tetraploidy Foetus does not survive Cause -1. retention of polar body 2. Formation of diploid sperm 3. Dispermy – fertilization by 2 sperms
  • 10.
  • 11.
    Structural Abnormalities Rearrangement becauseof chr. Breakage & subsequent reunion in a different configuration Balanced – chr. Complement is complete Unbalanced – when there is incorrect amount of genetic material
  • 12.
    Structural Abnormalities 1. Translocations– reciprocal or robertsonian 2. Deletions 3. Insertions 4. Inversions – paracentric or pericentric 5. Ring chr. 6. Isochromosomes
  • 13.
    Translocation Transfer of geneticmaterial from one chr to another Reciprocal – 2 chr break & exchange fragments no. remains 46 unique to a particular family chr imbalance during gamete formation
  • 14.
    Robertsonian Translocation Breakage of2 acrocentric chr near centromeres & fusion of long arms Short arms lost – no importance they contain genes for rRNA Chr no. 45 , but no loss of genetic material hence balanced
  • 15.
  • 16.
    Deletions ❑ Loss ofpart of chr. • Deletions of larger portions are usually incompatible with life • 10-15% are due to balanced translocations in one parent 85-90% are true deletions
  • 17.
    Deletions Terminal – Cri– du chat syndrome ( 5p-) Interstitial – 2 breaks & middle part is lost eg. prader villi syndrome Microdeletions
  • 18.
    Insertions Rare nonreciprocal typeof translocation A segment of chr gets inserted into another chr
  • 19.
    Inversion 2 break rearrangement Segmentis reversed 3. Pericentric – when centromere is involved 4. Paracentric – only one arm is involved
  • 20.
    Ring Chromosomes • Breakoccurs in each arm & the 2 sticky ends join Distal fragments are lost 1/5 cases of turner’s syndrome
  • 21.
    Philadelphia Chromosome Involves translocationbetween long arm of chr 22 & 9 There is shorter arm of chr 22 called philadelphia chr Found in chronic myelogenous leukemia Indicates better out come
  • 22.
  • 23.
    Down’s Syndrome First identifiedby Dr Langdon Down in 1866 Trisomy 21 1in 700 live births Associated with increased maternal age
  • 24.
    Clinical Findings Newborn –hypotonia , increased sleepiness ,excess nuchal skin Mental retardation Small stature Craniofacial findings – brachycephaly ( flat occiput ) , epicanthic folds , upward slanting eyes , protruding tongue, low set ears , flat nose , low nasal bridge , high arched palate
  • 25.
    Cont….. ❑Short broad hands ❑Clinodactyly( incurving ) little finger ❑ASD,VSD , PDA ❑Anal duodenal atresia ❑Happy & affectionate
  • 26.
  • 27.
    Edward’s Syndrome Trisomy 18 Describedby Edward in 1960 Rare to find live born Do not live beyond few months Features – mental retardation , failure to thrive , hypotonia , prominent occiput , low set ears , receding jaw , short sternum , clenched fists, rocker bottom feet.
  • 28.
    Patau’s Syndrome Trisomy 13 Diein a month Growth & mental retardation Sloping forehead , hypertelorism , microphthalmia , cleft lip , cleft palate , polydactyly , polycystic kidneys , bicornuate uterus
  • 30.
    Turner’s Syndrome X monosomy, 45 X described by Turner in 1938 Phenotype is female Short stature Webbing of neck Cubitus valgus Low posterior hair line Broad chest with widely spaced nipples High arched palate
  • 31.
    Coarctation of aorta VSD Horseshoekidney Renal hypoplasia Streak gonads Secondary sexual characters do not develop Turner’s Syndrome
  • 32.
    Klinefelter’s Syndrome Harry klinefelterin 1942 47XXY Male phenotype with sex chromatin positive Patients are tall thin , eunuchoid Poorly developed secondary sexual characters Testis are small , scrotum & penis show hypoplasia Pubic ,chin & axillary hair absent
  • 33.
    Klinefelter’s Syndrome ❑Normal intelligence ❑Testicularbiopsy shows hyalinisation of seminiferous tubules ❑Absent spermatogenesis ❑Low serum testosterone , high FSH & LH
  • 34.
    5p- (cri-du-chat) Syndrome ❑deletion(the length of which may vary) on the short arm of chromosome 5 ❑small at birth, may have respiratory problems , the larynx doesn't develop correctly, which causes the signature catlike cry. ❑microcephaly), an unusually round face, a small chin, widely set eyes, folds of skin over their eyes, and a small bridge of the nose.
  • 35.