DEFINITION OF CYTOGENETICS
Centromere
The two
chromatids
Telomere
Chromosome nomenclature
Two arms
p (petite) and q (follows p in alphabet)
X, Y = sex chromosomes
Metacentric -
centromere in middle
Submetacentric -
centromere distant
from middle
Acrocentric -
centromere at end
Clinical cytogenetics
looks at the morphology & organization of human
chromosomes
karyotyping important
white blood cells
block mitosis in metaphase
lyse the cells
fix
stain or use a probe
Clinical cytogenetics
situations where analysis is strongly recommended
problems with early growth & development
stillbirth & neonatal death
fertility problems
family history
neoplasia
pregnancy in older women
Chromosome staining
Q-banding quinacrine stain
G-banding giemsa stain
R-banding reverse banding
C-banding heterochromatin regions which remain
condensed
regions near centromere are heterochromatin
FISH fluorescence in situ hybridization
probes for specific genes or locations
probes tagged with fluorescent molecules
Spectral karyotyping
probes specific for each chromosome, different colors
chromosome identification
bands numbered from 1, starting near the centromere
short arm on the top, long arm on the bottom
centromere location key in identification
metacentric in center; arms about equal in length
submetacentric arms unequal
acrocentric centromere near one end
telocentric centromere at one end
acrocentric satellites on short arm
chromosome identification
G banding giemsa stain
unique staining pattern for each chromosome
p short arm,
on top
q long arm, on
bottom
special procedures
C banding staining of heterochromatin (condensed DNA)
region near centromere
High-resolution banding staining of less condensed
chromosome regions
non-staining regions on several chromosomes fragile
sites (fragile X mental retardation)
special procedures
FISH Fluorescence In Situ Hybridization
DNA probes for: specific chromosomes
specific regions
specific genes
detect chromosome rearrangements, abnormal numbers
THE HUMAN GENOME
HUMAN CHROMOSOMES
enlarged head
fusion of fingers & toes
malformations of mouth,
eyes & genitals
Chromosome abnormalities
tetraploid 4N or 92 chromosomes
present in ~5% of spontaneous abortions
Chromosome abnormalities
changes in number that are not a multiple of 23
addition or deletion of individual chromosomes
aneuploidy 45 or 47 chromosomes
monosomy 45 chromosomes
trisomy 47 chromosomes
aneuploidy
monosomy one of a pair missing (usually lethal)
karyotype: 45, XX -13 or 45, X
trisomy three of one chromosome (XXY; trisomy 21)
karyotype: 47, XY +13 or 47, XX +13
non-disjunction is cause
trisomy of autosomes
trisomy 13 Patau syndrome (47, +13)
1 in 15,000 live births
condition lethal
phenotype
facial malformations
eye defects
extra fingers or toes
malformations of brain & nervous
system
congenital heart defects
parental age is a factor
trisomy of autosomes
trisomy 18 Edwards syndrome (47, +18)
80% of live births are female
phenotype
small at birth, grow slowly
mentally retarded
clenched fists; 2nd & 5th fingers overlap 3rd & 4th
malformed feet; heart malformations common
parental age is
a factor
trisomy of autosomes
trisomy 21 Down syndrome (47, +21) most common trisomy
trisomy of autosomes
trisomy 21 Down syndrome (47, +21) most common trisomy
1 in 900 live births
leading cause of mental retardation and heart defects
phenotype
distinctive skin fold near eye epicanthic fold
spots in iris Brushfield spots
wide skull, flatter than normal at the back
tongue often furrowed and protruding
congenital heart defects in ~40% of cases
physical growth, behavior and mental development are
retarded
prone to respiratory infections
contract leukemia at higher rate than normal
parental age is a factor
CHROMOSOME ABNORMALITIES
2N
Second meiotic
division
Gametes N
Fertilization
Zygotes 2N
NORMAL ZYGOTE
First meiotic
division NONDISJUNCTION
Second meiotic
division
Gametes
Fertilization
Zygotes
Deletion
Ring chromosome
Duplication
Isochromosome
Inversion
paracentric & pericentric
Translocation
Robertsonian & reciprocal
Kelainan Struktur kromosom
Delesi
Duplikasi
Inversi
Translokasi
Deletion
Involves loss of part of a
chromosome
Results in monosomy of
that chromosomal
segment
Clinical effects due to
Insufficient gene products
Unmasking of mutant
alleles on normal Before After
chromosome deletion deletion
Two types of deletion
Terminal Interstitial
Wolf-Hirschhorn syndrome
deletion of
distal arm of
chromosome
4p
growth and
mental
retardation
seizures
Ring chromosome
Breaks occur in both arms of a chromosome.
The two broken ends anneal; the two acentric
fragments are lost.
Trisomy of
duplicated
segment
Direct Inverted
Isochromosome
Mirror image chromosome
Loss of one arm with duplication of other
Reciprocal
Robertsonian
Two types
Homologous acrocentrics involved
Non-Homologous acrocentrics involved
Homologous acrocentric, i.e. chromosome 14
lost
+ =
lost
+ =
Chromosome abnormalities in humans
Spermatozoa 10%
Mature oocytes 25%
Spontaneous miscarriage 50%
Live births 0.5-1%
Most due to maternal meiotic non
disjunction
Strongly related to maternal age
Natural selection at work
Chromosome abnormalities in miscarriages
Incidence
%
Trisomy 13 2
Trisomy 16 15
Trisomy 18 3
Trisomy 21 5
Other Trisomy 25
Monosomy X 20
Triploidy 15
Tetraploidy 5
Other 10
Chromosome abnormalities in newborns
Incidence / 10,000
births
Trisomy 13 2
Trisomy 18 3
Trisomy 21 15
45,X 1
47,XXX 10
47,XXY 10
47,XYY 10
Unbalanced 10
Balanced 30
Total 90
Chromosome abnormalities
95% miscarry
Trisomy 13
&18 80% miscarry
50% miscarry
Trisomy 21
1% at conception
Klinefelters 98% miscarry, probably mosaic survive
45X
Trisomi Autosom
Down Sindrom
Sindroma trisomi-13
/Sindroma Patau (47,+13)
Sindroma Edwards/trisomi-
18 (47,+18)
SINDROM DOWN
GAGAL PISAH
TRISOMI 21
PENOTIP:
Down Sindrom (Trisomi 21)
Mongolisme dengan perbandingan 1:600
dan semakin meningkat sesuai dengan usia
ibu
Sitologi :DS tripel 21(47,XY,+21) atau
translokasi :46,XY,t(14q21q)
Tanda :
1. Tubuh pendek dengan kaki atau lengan
bengkok
2. Wajah khas yaitu bulat dengan ujung lidah
yang besar, mulut selalu terbuka, hidung
lebar dan datar, epikantus, iris mata kadang
berbintik-bintik disebut Brushfield
3. Retardasi mental (25-70)
4. Biasanya memiliki kelainan jantung dan
tidak resisten pada penyakit
KROMOSOM 21
Trisomi 21
Tanda dari Down Sindrom
SIMIAN CREASE
NDJ Down Sindrom terjadi pada
saat oogenesis
ESTIMASI RISIKO S. DOWN BERDASARKAN
USIA MATERNAL
Sindroma Patau
Sindroma trisomi-13 /Sindroma
Patau (47,+13)
1. 1:20.000
2. Kematian pada usia yg sgt muda
(3 bln)
3. Tanda:cacat mental, tuli, celah
bibir dan palatum, polidaktili,
kelainan organ utama
SINDROM EDWARD
GAGAL PISAH:
E/ : TRISOMI 18
PENOTIP :
Sex chromosomes and
sex chromosome
abnormalities
Females = 46,XX
Males = 46,XY
X-chromosome
Length = 155 million base pair
Turner syndrome
1 in 1500 - 5000 live born females
Klinefelter syndrome
1 in 1000 live born males
Turner syndrome
Short stature
Webbed neck
Lack of secondary
sexual characteristics
Amenorrhea (failure to
menstruate)
Turner karyotype
45,X 55%
GENOTIP: 45,X
PENOTUP:
Monosomi (Sindroma
Turner )
Tall stature
Reduced secondary
sexual characteristics
Gynaecomastia
(male breasts)
Small testes/infertility
Klinefelter karyotype
47,XXY
GAGAL PISAH:
MITOSIS.MIOSIS I DAN
MIOSIS II
47,XXY
PENOTIP:
Sindroma Klinefelter
Terminal
deletion
5p15
Mental
retardation
Diagnosis of chromosome abnormalities
Child born
take blood and look at
lymphocytes
Unborn child
Prenatal Diagnosis
Chorionic villus sampling (CVS)
Amniocentesis (AF)
Ultrasound
FISH
Use DNA probes for specific chromosomes
Can paint metaphase
Useful for quick result and identifying small
areas
Eg deletions, ESACs
QF-PCR
Quantitative fluorescent PCR
Use polymorphic sites to define number of
copies present
Useful for quick result in prenatal diagnosis
Quantitative Fluorescent PCR
Hypervariable
region on
chromosome 21
amplified by F- Ratio: 1 : 1 :
PCR 1
Ratio: 1 : 2
Quick result from Amniocentesis
FISH
Use probes for 13,21 and X, Y, 18 on two different
slides
takes 24 hours
QF-PCR
Use polymorphic markers for chromosomes 13, 18,
21
Results in 24 hours
Becoming more common
MONOGENIK
Dominan Autosom
Resesif Autosom
Alel Ganda
Terangkai Kelamin
POLIGENIK
Symbol used in pedigree
DOMONANCE / RECESSIVE
DOMINANCE
RECESSIVE
HETEROZYGOUS
HETEROZYGOUS
a A
Aa A a
mutasi
HOMOZYGOUS HOMOZYGOUS
A A a
AA a
aa
AUTOSOMAL DOMINANT
Pola perkawinan
Heterozigot sakit dengan
individu normal
Heterozigot sakit dengan
heterozigot sakit
Homozigot sakit dengan
individu normal
Homozigot sakit dengan
heterozigot sakit mungkin
tidak pernah dijumpai
DOMINAN AUTOSOM
Fresh mutation
Seleksi alam
Ekspresivitas
Penetransi
Manisfestasi pada umur tua
Antisipasi
Pengaruh jenis kelamin
Imprinting gen
AUTOSOMAL RECESSIVE
*
TERANGKAI-Y