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Published in: Indian Journal of Pediatrics 5/2016

01-05-2016 | Original Article

Identification of Y-Chromosome Sequences in Turner Syndrome

Authors: Roseane Lopes da Silva-Grecco, Alessandra Bernadete Trovó-Marqui, Tiago Alves de Sousa, Lilian Da Croce, Marly Aparecida Spadotto Balarin

Published in: Indian Journal of Pediatrics | Issue 5/2016

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Abstract

Objectives

To investigate the presence of Y-chromosome sequences and determine their frequency in patients with Turner syndrome.

Methods

The study included 23 patients with Turner syndrome from Brazil, who gave written informed consent for participating in the study. Cytogenetic analyses were performed in peripheral blood lymphocytes, with 100 metaphases per patient. Genomic DNA was also extracted from peripheral blood lymphocytes, and gene sequences DYZ1, DYZ3, ZFY and SRY were amplified by Polymerase Chain Reaction.

Results

The cytogenetic analysis showed a 45,X karyotype in 9 patients (39.2 %) and a mosaic pattern in 14 (60.8 %). In 8.7 % (2 out of 23) of the patients, Y-chromosome sequences were found. This prevalence is very similar to those reported previously. The initial karyotype analysis of these patients did not reveal Y-chromosome material, but they were found positive for Y-specific sequences in the lymphocyte DNA analysis.

Conclusion

The PCR technique showed that 2 (8.7 %) of the patients with Turner syndrome had Y-chromosome sequences, both presenting marker chromosomes on cytogenetic analysis.
Literature
2.
go back to reference de Araújo C, Galera BB, Galera MF, de Medeiros SF. Clinical and cytogenetic aspects of the turner syndrome in the Brazilian western region. [Article in Portuguese]. Rev Bras Ginecol Obstet. 2010;32:381–5.CrossRefPubMed de Araújo C, Galera BB, Galera MF, de Medeiros SF. Clinical and cytogenetic aspects of the turner syndrome in the Brazilian western region. [Article in Portuguese]. Rev Bras Ginecol Obstet. 2010;32:381–5.CrossRefPubMed
3.
go back to reference Bispo AV, Dos Santos LO, Burégio-Frota P, et al. Effect of chromosome constitution variations on the expression of turner phenotype. Genet Mol Res. 2013;12:4243–50.CrossRefPubMed Bispo AV, Dos Santos LO, Burégio-Frota P, et al. Effect of chromosome constitution variations on the expression of turner phenotype. Genet Mol Res. 2013;12:4243–50.CrossRefPubMed
4.
go back to reference Carvalho AB, Guerra-Junior G, Baptista MT, Marques-de-Faria AP, Lemos-Marini SH, Maciel-Guerra AT. Turner syndrome: a pediatric diagnosis frequently made by non-pediatricians. J Pediatr. 2010;86:121–5. Carvalho AB, Guerra-Junior G, Baptista MT, Marques-de-Faria AP, Lemos-Marini SH, Maciel-Guerra AT. Turner syndrome: a pediatric diagnosis frequently made by non-pediatricians. J Pediatr. 2010;86:121–5.
5.
go back to reference Jung MP, Amaral JL, Fontes RG, Costa AT, Wuillaume SM, Cardoso MHCA. Diagnóstico da síndrome de turner: a experiência do instituto estadual de diabetes e endocrinologia – Rio de Janeiro, de 1970 a 2008. Rev Bras Mater Infant. 2010;10:117–24.CrossRef Jung MP, Amaral JL, Fontes RG, Costa AT, Wuillaume SM, Cardoso MHCA. Diagnóstico da síndrome de turner: a experiência do instituto estadual de diabetes e endocrinologia – Rio de Janeiro, de 1970 a 2008. Rev Bras Mater Infant. 2010;10:117–24.CrossRef
6.
go back to reference Lipay MV, Bianco B, Verreschi IT. Gonadal dysgenesis and tumors: genetic and clinical Features. [Article in Portuguese]. Arq Bras Endocrinol Metabol. 2005;49:60–70.CrossRefPubMed Lipay MV, Bianco B, Verreschi IT. Gonadal dysgenesis and tumors: genetic and clinical Features. [Article in Portuguese]. Arq Bras Endocrinol Metabol. 2005;49:60–70.CrossRefPubMed
7.
go back to reference Cortés-Gutiérrez EI, Cerda-Flores RM, Silva-Cudish JB, Dávila-Rodríguez MI, Hernández-Herrera R, Leal-Garza CH. Evaluation of sex chromosome aneuploidies in women with turner's syndrome by G-banding and FISH. A serial case study. J Reprod Med. 2003;48:804–8.PubMed Cortés-Gutiérrez EI, Cerda-Flores RM, Silva-Cudish JB, Dávila-Rodríguez MI, Hernández-Herrera R, Leal-Garza CH. Evaluation of sex chromosome aneuploidies in women with turner's syndrome by G-banding and FISH. A serial case study. J Reprod Med. 2003;48:804–8.PubMed
8.
go back to reference Patsalis PC, Hadjimarcou MI, Velissariou V, et al. Supernumerary marker chromosomes (SMCs) in turner syndrome are mostly derived from the Y chromosome. Clin Genet. 1997;51:184–90.CrossRefPubMed Patsalis PC, Hadjimarcou MI, Velissariou V, et al. Supernumerary marker chromosomes (SMCs) in turner syndrome are mostly derived from the Y chromosome. Clin Genet. 1997;51:184–90.CrossRefPubMed
9.
go back to reference Mazzanti L, Cicognani A, Baldazzi L, et al. Gonadoblastoma in turner syndrome and Y-chromosome-derived material. Am J Med Genet A. 2005;135:150–4.CrossRefPubMed Mazzanti L, Cicognani A, Baldazzi L, et al. Gonadoblastoma in turner syndrome and Y-chromosome-derived material. Am J Med Genet A. 2005;135:150–4.CrossRefPubMed
10.
go back to reference Cortés-Gutiérrez EI, Herrera-Bartolo R, Dávila-Rodríguez MI, Palacios-Saucedo GC, Vargas-Villarreal J, Romero-Villarreal JB. Molecular detection of cryptic Y-chromosomal material in patients with turner syndrome. Oncol Rep. 2012;28:1205–10.PubMed Cortés-Gutiérrez EI, Herrera-Bartolo R, Dávila-Rodríguez MI, Palacios-Saucedo GC, Vargas-Villarreal J, Romero-Villarreal JB. Molecular detection of cryptic Y-chromosomal material in patients with turner syndrome. Oncol Rep. 2012;28:1205–10.PubMed
11.
go back to reference Freriks K, Timmers HJLM, Netea-Maier RT, et al. Buccal cell FISH and blood PCR-Y detect high rates of X chromosomal mosaicism and Y chromosomal derivatives in patients with turner syndrome. Eur J Med Genet. 2013;56:497–501.CrossRefPubMed Freriks K, Timmers HJLM, Netea-Maier RT, et al. Buccal cell FISH and blood PCR-Y detect high rates of X chromosomal mosaicism and Y chromosomal derivatives in patients with turner syndrome. Eur J Med Genet. 2013;56:497–501.CrossRefPubMed
12.
go back to reference Bianco B, Nunes Lipay MV, Guedes AD, Verreschi IT. Clinical implications of the detection of Y-chromosome mosaicism in Turner's syndrome: report of 3 cases. Fertil Steril. 2008; 90:1197.e17-20. Bianco B, Nunes Lipay MV, Guedes AD, Verreschi IT. Clinical implications of the detection of Y-chromosome mosaicism in Turner's syndrome: report of 3 cases. Fertil Steril. 2008; 90:1197.e17-20.
13.
go back to reference Bianco B, Lipay M, Guedes A, Oliveira K, Verreschi IT. SRY gene increases the risk of developing gonadoblastoma and/or nontumoral gonadal lesions in turner syndrome. Int J Gynecol Pathol. 2009;28:197–202.CrossRefPubMed Bianco B, Lipay M, Guedes A, Oliveira K, Verreschi IT. SRY gene increases the risk of developing gonadoblastoma and/or nontumoral gonadal lesions in turner syndrome. Int J Gynecol Pathol. 2009;28:197–202.CrossRefPubMed
14.
go back to reference Barros BA, Maciel-Guerra AT, De Mello MP, et al. A inclusão de novas técnicas de análise citogenética aperfeiçoou o diagnóstico cromossômico da síndrome de turner. Arq Bras Endocrinol Metabol. 2009;53:1137–42.CrossRefPubMed Barros BA, Maciel-Guerra AT, De Mello MP, et al. A inclusão de novas técnicas de análise citogenética aperfeiçoou o diagnóstico cromossômico da síndrome de turner. Arq Bras Endocrinol Metabol. 2009;53:1137–42.CrossRefPubMed
15.
go back to reference Bianco B, Oliveira KC, Guedes AD, Barbosa CP, Lipay MV, Verreschi IT. OCT4 gonadal gene expression related to the presence of Y-chromosome sequences in turner syndrome. Fertil Steril. 2010;94:2347–9.CrossRefPubMed Bianco B, Oliveira KC, Guedes AD, Barbosa CP, Lipay MV, Verreschi IT. OCT4 gonadal gene expression related to the presence of Y-chromosome sequences in turner syndrome. Fertil Steril. 2010;94:2347–9.CrossRefPubMed
16.
go back to reference Sallai A, Sólyom J, Dobos M, et al. Y-chromosome markers in turner syndrome: screening of 130 patients. J Endocrinol Investig. 2010;33:222–7.CrossRef Sallai A, Sólyom J, Dobos M, et al. Y-chromosome markers in turner syndrome: screening of 130 patients. J Endocrinol Investig. 2010;33:222–7.CrossRef
17.
go back to reference Barros BA, Moraes SG, Coeli FB, et al. OCT4 immunohistochemistry may be necessary to identify the real risk of gonadal tumors in patients with turner syndrome and Y chromosome sequences. Hum Reprod. 2011;26:3450–5.CrossRefPubMed Barros BA, Moraes SG, Coeli FB, et al. OCT4 immunohistochemistry may be necessary to identify the real risk of gonadal tumors in patients with turner syndrome and Y chromosome sequences. Hum Reprod. 2011;26:3450–5.CrossRefPubMed
18.
go back to reference Araujo C, Galera MF, Galera BB, Silvestre FG, Medeiros SF. Molecular identification of chromosome Y sequences in Brazilian patients with turner syndrome. Gynecol Endocrinol. 2008;24:713–7.CrossRefPubMed Araujo C, Galera MF, Galera BB, Silvestre FG, Medeiros SF. Molecular identification of chromosome Y sequences in Brazilian patients with turner syndrome. Gynecol Endocrinol. 2008;24:713–7.CrossRefPubMed
19.
go back to reference Bispo AV. Burégio-frota P, Oliveira dos santos L, et al. Y chromosome in turner syndrome: detection of hidden mosaicism and the report of a rare X;Y translocation case. Reprod Fertil Dev. 2014;26:1176–82.CrossRefPubMed Bispo AV. Burégio-frota P, Oliveira dos santos L, et al. Y chromosome in turner syndrome: detection of hidden mosaicism and the report of a rare X;Y translocation case. Reprod Fertil Dev. 2014;26:1176–82.CrossRefPubMed
20.
go back to reference Saenger P, Wikland KA, Conway GS, et al. Recommendations for the diagnosis and management of turner syndrome. J Clin Endocrinol Metab. 2001;86:3061–9.PubMed Saenger P, Wikland KA, Conway GS, et al. Recommendations for the diagnosis and management of turner syndrome. J Clin Endocrinol Metab. 2001;86:3061–9.PubMed
21.
go back to reference Frías JL. Davenport ML; Committee on genetics and section on endocrinology. Health supervision for children with turner syndrome. Pediatrics. 2003;111:692–702.CrossRefPubMed Frías JL. Davenport ML; Committee on genetics and section on endocrinology. Health supervision for children with turner syndrome. Pediatrics. 2003;111:692–702.CrossRefPubMed
22.
go back to reference Hook EB, Warburton D. Turner syndrome revisited: review of new data supports the hypothesis that all viable 45,X cases are cryptic mosaics with a rescue cell line, implying an origin by mitotic loss. Hum Genet 2014;133:417–424. Hook EB, Warburton D. Turner syndrome revisited: review of new data supports the hypothesis that all viable 45,X cases are cryptic mosaics with a rescue cell line, implying an origin by mitotic loss. Hum Genet 2014;133:417–424.
23.
go back to reference Hook EB. Exclusion of chromosomal mosaicism: tables of 90 %, 95 % and 99 % confidence limits and comments on use. Am J Hum Genet. 1977;29:94–7.PubMedPubMedCentral Hook EB. Exclusion of chromosomal mosaicism: tables of 90 %, 95 % and 99 % confidence limits and comments on use. Am J Hum Genet. 1977;29:94–7.PubMedPubMedCentral
24.
go back to reference Bondy CA; Turner syndrome study group. Care of girls and women with Turner syndrome: a guideline of the Turner syndrome study group. J Clin Endocrinol Metab. 2007;92:10–25. Bondy CA; Turner syndrome study group. Care of girls and women with Turner syndrome: a guideline of the Turner syndrome study group. J Clin Endocrinol Metab. 2007;92:10–25.
25.
go back to reference Wolff DJ. Van dyke DL, Powell CM; Working group of the ACMG laboratory quality assurance committee. Laboratory guideline for turner syndrome. Genet Med. 2010;12:52–5.CrossRefPubMed Wolff DJ. Van dyke DL, Powell CM; Working group of the ACMG laboratory quality assurance committee. Laboratory guideline for turner syndrome. Genet Med. 2010;12:52–5.CrossRefPubMed
26.
go back to reference Oliveira RM, Verreschi IT, Lipay MV, Eça LP, Guedes AD, Bianco B. Y chromosome in turner syndrome: review of the literature. Sao Paulo Med J. 2009;127:373–8.CrossRefPubMed Oliveira RM, Verreschi IT, Lipay MV, Eça LP, Guedes AD, Bianco B. Y chromosome in turner syndrome: review of the literature. Sao Paulo Med J. 2009;127:373–8.CrossRefPubMed
Metadata
Title
Identification of Y-Chromosome Sequences in Turner Syndrome
Authors
Roseane Lopes da Silva-Grecco
Alessandra Bernadete Trovó-Marqui
Tiago Alves de Sousa
Lilian Da Croce
Marly Aparecida Spadotto Balarin
Publication date
01-05-2016
Publisher
Springer India
Published in
Indian Journal of Pediatrics / Issue 5/2016
Print ISSN: 0019-5456
Electronic ISSN: 0973-7693
DOI
https://doi.org/10.1007/s12098-015-1929-6

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