
REPORT OF A NEW CASE WITH PENTASOMY X
AND NOVEL CLINICAL FINDINGS Demirhan O, Tanriverdi N, Yilmaz MB, Kocaturk-Sel S,
Inandiklioglu N, Luleyap U, Akbal E, Comertpay G,Tufan T, Dur O *Corresponding Author: Professor Dr. Osman Demirhan, Department of Medical Biology and Genetics, Faculty
of Medicine, Çukurova University, 01330 Saricam, Adana, Turkey. Tel: +90-322-338-7140. Fax: +90-322-
338-6572. E-mail: osdemir@cu.edu.tr page: 85
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RESULTS
In this study, the mother had three previous
pregnancies that resulted in the delivery of healthy
children. In the present pregnancy, all of the infant
cells analyzed had an abnormal karyotype of
49,XXXXX, and some cells have structural abnormalities
such as del(13)(q22-p2), chromatin break
(3q) and rosette formation (Figure 2). There was no
evidence of mosaicism. The phenotypically normal
siblings, mother and father all had normal karyotypes
(46,XX or 46,XY) (Figure 3). In this study, 11
gender STR markers were amplified: chromosome
X specific; SBMA, DXS6803, DXS6809, DXS8377
and HPRT; both chromosomes X- and Y-specific;
AMXY, DXYS218, X22, DXYS267 and DXYS156;
chromosome Y-specific, SRY and chromosomes 3-
and X-specific TAF9L. The TAF9L region was used
for the determination of the numbers of chromosomes
X and 3 to compare somatic vs. sex chromosomes.
When the peak areas of AMXY and DXYS218 of the
child, mother, and father were compared, it can be
seen that there is an imbalance of the X chromosome
in the child. This condition indicates the penta X
condition of the child. As it was seen in Figure 3, all
the chromosome X specific STR markers of the child
inherited from the mother (origin of the aneuploidy
is maternal) and heterozygosity was retained in all regions (proximal, medial and distal regions) of the
four X chromosomes, this is the expected condition of
non disjunction in both meiosis I and meiosis II. This
showed that four of the X chromosomes of the child
originated from the mother, and revealed a de novo
tetrasomy of maternal chromosome X. The other X
chromosome originated from the father.
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