2003
DOI: 10.1002/ajmg.a.10164
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Mechanism of intrachromosomal triplications 15q11‐q13: A new clinical report

Abstract: We describe here a patient with intrachromosomal triplication 15q11-q13, a rare chromosomal event associated with severe mental retardation and intractable epilepsy. Cytogenetic studies including FISH on interphasic nuclei showed that the middle segment of the triplication was inverted in orientation. Molecular analyses demonstrated that the rearrangement was of maternal origin. Based on these cytogenetic and molecular data and those of the nine cases reported in the literature, we discuss the mechanistic orig… Show more

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Cited by 30 publications
(44 citation statements)
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“…There are several reports of triplications on chromosomes 2, 5, 7, 9, 10, 13, 15, and 16 [Wang et al, 1999;Reddy and Logan, 2000;Vailard et al, 2003]. To our knowledge, the authors always described an inverted middle repeat, as found in this family.…”
Section: Discussionmentioning
confidence: 56%
“…There are several reports of triplications on chromosomes 2, 5, 7, 9, 10, 13, 15, and 16 [Wang et al, 1999;Reddy and Logan, 2000;Vailard et al, 2003]. To our knowledge, the authors always described an inverted middle repeat, as found in this family.…”
Section: Discussionmentioning
confidence: 56%
“…In most of the triplications analysed to date, the parental origin has been maternal but this is likely to reflect the high proportion of 15q11 ] q13 triplications among which maternal interchomosomal origin predominates (Wang et al, 1999;Ungaro et al, 2001;Roberts et al, 2002;Vialard et al, 2003). Paternal interchomosomal origin, as in this present case, has been described for triplications of e.g.…”
Section: Parental Origin and Possible Mechanism Of Rearrangementmentioning
confidence: 59%
“…It has been argued that, in the absence of a predisposing rearrangement in a parent, the most likely mechanism by which triplications are generated is a three chromatid event involving one interchromosomal U-type exchange and one intrachromosomal U-type exchange at meiosis 1 (Vialard et al, 2003). This mechanism results in one normal chromosome, one triplicated chromosome and a third dicentric chromosome that would be unstable and eventually lost.…”
Section: Parental Origin and Possible Mechanism Of Rearrangementmentioning
confidence: 99%
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“…Alternatively, the triplications could form by U-type exchanges between three chromatids. [26][27][28][29] One exchange between homologous chromatids would take place at the distal breakpoint region, the other at the proximal breakpoint region, between either sister chromatids or homologous chromosomes. Brewer et al 23 proposed a replicationbased mechanism, supported by yeast observations, involving the generation of a dimeric inverted circular intermediate.…”
Section: Discussionmentioning
confidence: 99%