ChromosOmics - Database

Icon by Leon Liehr                   

                                                  CHROMOSOME #18 -                                                 
UNCLEAR

Cases without clinical findings
Similar imbalances – no sSMC
Cases with clinical findings
Similar imbalances – no sSMC
Cases with isochromosome 18p
Cases without clear clinical correlation
Cases with discontinous sSMC
Cases with complex sSMC
Cases with UPD and sSMC
Cases with neocentromeres
Similar imbalances - no sSMC
Tumor
DISCLAIMER
In general 70% of sSMC carriers are clinically normal. The figures listed above

are based on the bias, that mainly clinically aberrant cases are studied and reported in literature!


UPD (uniparental disomy) cases: UPD(18)mat UPD(18)pat UPD(18)mat or pat

Cases with unclear clinical correlation (U)

case no.
gender/
age at diagnosis

studied
material

de novo/
inherited

GTG-banding result
grade of mosaicism

final result of the sSMC
test
methods

clinical symptoms
Reference
18-
U-
1
see mult 2-7 {1} case 35
18-
U-
2
male/
postnatal
PBL de novo 47,XY,+mar[100%?] min(18)(:p11.2 or p11.1q11.2) midi n.a. {15} case 6

18-
U-
3
see mult 2-12
18-
U-
4

female/
7y
PBL de novo 47,XX,add(18)(p11.2),+r[5]/
46,XX,add(18)(p11.2)[11]
inv dup(18)(qterp11.32::
q21.3qter),+r(18)(p11.32q21.3)
FISH with different YAC probes as specified in {27} see below {27} case 6
Born after uncomplicated pregnancy. Apgar score 8 at 1 min. Transient feeding difficulties in neonatal period. No growth delay during early months of life. Developmental milestones MR. At 7y short stature, MR, and multiple DYS
18-
U-
5

female/
10y
PBL de novo 47,XX,add(18)(p11.32),+r[40]/
46,XX,add(18)(p11.32)[60]
inv dup(18)(qterp11.32:
:p11.32p11.1::q21.3qter),+r(18)(p11.32q21.3)
FISH with different YAC probes as specified in {27} see below {27} case 7
Psychomotor retardation at since1y; Apgar score 5 at 1 min. During first 2 months lack of sucking reflex and frequent vomiting; needed gastric tube feeding; convergent strabismus. Clinical examination revealed multiple minor anomalies
18-
U-
6

female/
11y
PBL de novo 47,XX,r(18)(p11.3q23), +r[112]/
46,XX,r(18)(p11.3q23)[88]
r(18)(p11.22q12.2) midi see below {33}
unremarkable pregnancy, birth weight 3.1kg (25.-50. centile); facial dysmorphism and right club foot noted at birth; initially hyperactive, mild developmental delay, at 11y height at 10. centile, weight at 25. centile, OFC slightly below 50. centile; broad forehead, thick flaring eyebrows with mild synophrys, hypertelorism, upslanting palpebral fissures, bulbous tip of the nose, short philtrum, widely spaced nipples, bilateral clinodactyly of little fingers
18-
U-
7
male/
prenatal
n.a. n.a. 47,XY,+mar[mosaic] mar(18)
SKY
n.a., TOP {68}
18-
U-
8
male/
prenatal
AF de novo 47,XY,-18,+mar1,
+mar2[100%]
fis(18)(:p11.21p10:)
fis(18)(:q10
q21.31:)
both ring chromosomes
diff. FISH probes n.a. {69} case 2
18-
U-
9
see mult 2-18
18-
U-
10
see 18-Uc-3
18-
U-
11

to 12
female and male/
prenatal
AF de novo 47,XX,+mar[7]/
46,XX[8]
and
47,XY,+mar[7]/
46,XY[13]
mar(18) diff. FISH probes
AMA or parental anxiety; TOP in both cases
{86} cases 69-70
18-
U-
13
male/
prenatal
AF de novo 47,XY,+mar1[7]/
47,XY,+mar2[4]/
46,XY[4]
mar(18) diff. FISH probes AMA; TOP in both cases {86} case 110
18-
U-
14

to 15
n.a./
prenatal
AF n.a. 47,+mar[?%] mar(18) SKY no info available {97} 2 new cases
18-
U-
16
female/
prenatal
AF n.a. 47,XX,+mar[100%] r(18)(::p11.21q12.1::)
array: 11.19-23.60
cenM, subcenM,
aCGH
AMA; hyperechogenic bowel, borderline ventriulomegaly; TOP {0} provided from, Belgrad, Serbia
18-
U-
17

to 20
n.a./
n.a.
n.a. n.a. 47,+mar[?%] mar(18) wcp probes no info available {112} 4 cases
18-
U-
21
ale/
prenatal
AF n.a. 47,XY,+mar[67%]/
46,XY[33%]
r(18)(::p11.1q11.2::)[7]/
min(18)(:p11.1
q11.2:)[8]
cep probes; subcenM AMA;, no info available {0} provided from Germany
18-
U-
22
female/
prenatal
AF n.a. 47,XX,+mar[30%]/
46,XX[70%]
min(18)(:p11.1
q11.1~11.2:)
cep probes; subcenM AMA;couple opted for TOP, fetus normal by visual inspection; no autopsy performed {0} provided by Dr. Nehama Israel
18-
U-
23
male/
prenatal
AF de novo 47,XY,+mar[15] min(18)(:p11.1q11.1:) cenM;
subcenM; UPD-test
AMA; hygroma colli detected in ultrasound, TOP {1} case 26
{2} case 1
18-
U-
24
see 18-Uc-4
18-
U-
25
female/
prenatal
AF n.a. 47,XX,+mar[?%]/
46,XX[?%]
min(18)(:p11.1q11.1:) ceps;
subcenM
no info available {0} provided from Istanbul, Turkey
18-
U-
26
female/
prenatal
chord blood n.a. 47,XX,+mar[95%]/
46,XX[5?%]
min(18)(:p11.1q11.1:) ceps;
subcenM
no info available {0} provided from Berlin, Germany
18-
U-
27
female/
1y
PBL de novo 47,XX,+mar[100%] min(18)(:p11.1q11.1:)* different FISH-probes; aCGH see below {46} case 10
global DD, occipital encephalocele, severe cerebellar hypoplasia, mild pontine and brainstem hypoplasia, a bicuspid aortic valve, atent ductus arteriosus, a duplicated left kidney
18-
U-
28
female/
prenatal
AF n.a. 47,XX,+mar[8]/
46,XX[7]
mar(18) SKY no info available {151} case F077572
18-
U-
29
n.a./
prenatal
AF/
PBL
de novo 47,XX,+18[5%]/
47,XY,+mar[50%]/
46,XX[45%]
mar(18) QF-PCR no info available apart from the fact that child is born {154}
18-
U-
30
male/
20y
PBL n.a. 47,XY,+mar[65%]/
46,XY[25%]
47,XY,+r(18)(::p11.21q11.1::)[10]/
47,XY,+r(18)(::q11.1
p11.21::p11.21q11.1::)[5]/
47,XY,+der(18)(:p11.21
q11.1:)[2]/
47,XY,+der(18)(:q11.1
p11.21::p11.21q11.1:)[2]/
46,XY[7]
cenM, subcenM DD in childhood {0} provided from  Hannover, Germany
18-
U-
31
male/
prenatal
AF n.a. 47,XY,+mar[20] min(18)(:p11.21q11.2:)
array: 14.74-19.47
aCGH
AMA, TOP
{160} case 23
18-
U-
32
female/
prenatal
AF de novo 47,XX,+mar[46%]/
46,XX[54%]
min(18)(:p11.1q11.2:)
array: 17.23-17.65
aCGH AMA, n.a. {169}
18-
U-
33
male/
prenatal
chorion n.a. 47,XY,+mar[17]/
46,XX[3]
del(18)(q21.2:)
array: ~26Mb
aCGH AMA, normal baby born; no sSMC detected {180} 1 case
18-
U-
34
male/
prenatal
AF n.a. 47,XY,+mar[30%]/
46,XY[70%]
min(18)(:p11.1q11.1:) cep; subcenM AMA; n.a. {0} providedfrom Neu-Ulm, Germany
18-
U-
35
see 18-Uc-5
18-
U-
36
female/
prenatal
chorion n.a. 47,XX,+mar[100%] del(18)(q12q22) cep, pcp, subtel, MCB Singulary umbilical cord artery, enhanced nuchal transluciency, TOP {0} provided from Hannover, Germany
18-
U-
37
female/
prenatal
AF
n.a.  47,XX,+mar[21]
46,XX[29]
min(18)(:p11.1q11.2:) subcenM
NIPT showed trisomy 18
{0} provided from Essen, Germany

Cases with complex sSMC (Uc)

case no.
gender/
age at diagnosis

studied
material

de novo/
inherited

GTG-banding result
grade of mosaicism

final result of the sSMC
test
methods

clinical symptoms
Reference
18-
Uc-
1
male or female/
various
PBL familial 47,+mar der(18)t(18;21 or 22) n.a. MR,and different DYS as described in detail by the authors {10; 166}
18-
Uc-
2
see 18-Wi-264
18-
Uc-
3

male/
prenatal
AF, PBL
(EKF-
cellbank)
maternal 47,XY,+mar[100%] der(18)t(8;18)(p23.2~23.1;q11.1)
array: 8pter to 6,359,643 MB and 18pter to 17,112,922 MB
all wcp probes, subcenM, MCB, flow sorting, subtel 8p see below {95} case 10
{108} case 13
{158} case Sc-2
{166}
Third child of not consanguineous couple; the pregnancy was complicated by hyperemesis gravidarum treated with metoclopramid and there was a mild exposure to tobacco (3 cigarettes a day) and to alcohol (1 unit per month). No abnormalities noted prenatally; at birth weight and OFC at 10th centile and length at 50-90 centile but no apparent congenital abnormalities were found. At 1y failure to thrive and markedly psychomotor development delay (Griffith General Intelligence Quotient of 63). Neurological examination revealed slight muscular hypotonia but otherwise no abnormalities. MRI of the brain was normal. Laboratory analyses were unsuggestive for any metabolic disorder.[nbsp] The mother was treated for attention-deficit/hyperactivity problems during her adolescence and her IQ seems to be borderline.
18-
Uc-
4
female/
newborn
PBL de novo 47,XX,+mar[22]/
46,XX[8]
der(18)t(2;18)(p23.1;q11.1) aCGH IUGR; OFC >90th centile due to scalp edema, OFC became afterwards 10.-25. centile; DYS, congenital heart defect; at 7 m: growth retardation; weight ~3rd centile, DD, MR {130; 166}
18-
Uc-
5
male/
prenatal
AF paternal t(4;18) (p15.2q11.2) 47,XY,+der(18)t(4;18) (p15.2q11.2) n.a. FISH
aCGH
IUGR; cardiac abnormalities {187}
18-
Uc-
6
female/
36y
PBL n.a.
47,XY,t(17;18)(q11.1;q11.2), +mar mar(18)
karyotype balanced
may be sSMC after meioses
SKY normal female; repeated abortions {131}
{171} case 18-3
18-
Uc-
7
male/
postnatal
PBL maternal t(12;18) 47,XY,+der(18)t(12;18) (p13;q12) n.a. FISH
wcps
DYS, DD {200}
18-
Uc-
8
n.a./
prenatal
placenta
paternal t(4;18) 47,XN,+mar +der(18)t(4;18)(p15.2;q11.2)  NIPT n.a. {220} case 1
18-
Uc-
9
female/
4y
PBL
de novo? 47,XY,+r[24]/46,XY[6] r(18)t(8;18)(::18p11.3218q12.1:
:8q24.13
8q24.23::)
 arr[GRCh37] 8q24.13q24.23(124,278,508_138,456,262)x3,
18p11.32q12.1(464,868_29,779,547)x3
FISH, aCGH DD, microcephaly, cerebalar dysplasia {0} provided from Köln, Germany

Cases with discontinous sSMC (Ud)

case no.
gender/
age at diagnosis

studied
material

de novo/
inherited

GTG-banding result
grade of mosaicism

final result of the sSMC
test
methods

clinical symptoms
Reference
18-
Ud-
1

female/
13y
PBL de novo
47,XX,+mar[70%]/
46,XX[30%]
see below midi; UPD-test see below {27} {0}
born after normal pregnancy; weight: 3600g, length: 56cm (>90. centile); OFC 35cm (25.-50. centile); at 11y normal length and weight; but hypertelorism with inner and outer canthal distance (3.7cm, 9.8cm) [gt]97th centile; bilateral epicantic folds, upward slanting palpebral fissures; short, upturned nose, long philtrum, short neck, widely spaced nipples, shirt 5th fingers, cubitus valgus, 3 hyperpigmented areas on abdomen. pubertal development at Tanner stage 3; IQ 76, hyperactive, suffers from dyslasia

min(18)(:p11.1q11.1: :q12.3q21.1:) orientation of fragments not clear sSMC derived from a maternal normal chromosome 18
seq[GRCh37] +min(18)(:q11.1→q11.1::q12.3→q21.2:)chr18:g.[cen_18520343_18594804::41472065_49040431:
:alphoid DNA L1.84]add

-
-
-
-
-
-
-
-
-

Cases with UPD (Uu)

case no.
gender/
age at diagnosis

studied
material

de novo/
inherited

GTG-banding result
grade of mosaicism

final result of the sSMC
test
methods

clinical symptoms
Reference
18-
Uu-
1
female/
prenatal
AF de novo 47,XX,+mar[16]/
47,XX,+18[2]
min(18)(:p11.1q11.1:)*
UPD(18)mat
NIPT, cep 18 AMA, no sonographic signs; TOP; no external abnormalities {197}