Frequency of turner syndrome: findings from a tertiary healthcare diagnostic laboratory of India
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20174854Keywords:
Karyotype, Monosomy, Mosaic, Metropolis healthcare Ltd, Turner’s syndrome, IndiaAbstract
Background: Turner syndrome (TS) is the most common chromosomal abnormality reported in the females. Objective of this retrospective study was to determine the frequency of turner Syndrome and its various cytogenetic types in samples suspected to be of turner syndrome, received in the Department of Cytogenetics, Metropolis Healthcare laboratory, Mumbai, Maharashtra, India.
Methods: The current study was performed on 935 clinically suspected samples with Turner Syndrome within the age group of 01-16 years. Peripheral blood (2-3 ml) in Sodium heparin Vacutainers was collected from all the patients, the cultures were set & analysed by GTG–banding at 450-550 band level Results were reported as per the guidelines of the International System for Human Cytogenomic Nomenclature (ISCN) and The College of American Pathologists (CAP) and National Accreditation Board for Testing and Calibration Laboratories (NABL).
Results: In our study, out of the total 935 samples referred to Metropolis Healthcare Ltd, about 348 had cytogenetically turner or Turner variant findings. Further, out of 348 cases, 69 cases were detected to have presence of single X chromosome (19.83%), mosaic pattern in 116 cases (33.33%), presence of Y chromosome in 63 cases (18.10%) polymorphic variation in 58 cases (16.67%), presence of only isochromosome Xq in 9 cases (2.59%) and 33 cases (9.48%) with other or additional abnormalities.
Conclusions: The cytogenetic confirmation and pattern of chromosomal aberration is very important as early detection may help to improve the quality of life especially in patients with cytogenetically Turner variant pattern with presence of Y chromosome.
References
Venkateshwari A, Srimanjari K, Srilekha A, Begum A, Sujatha M, Sunitha T, et al. Mosaic triple X syndrome in a female with primary amenorrhea. Indian J Hum Genet. 2012;18:246–9.
Renna MD, Pisani P, Conversano F, Perrone E, Casciaro E, Renzo GC, et al. Sonographic markers for early diagnosis of fetal malformations. World J Radiol. 2013;28:356–71.
Peccoz P, Persani L. Premature ovarian failure. Orphanet J Rare Dis. 2006;1: 9.
Turner CL. Adaptations for viviparity in embryos and ovary of Anableps Anableps. Journal of Morphology. 1938;62:323-49.
Elsheikh M, Dunger DB, Conway GS, Wass JAH. Turner’s Syndrome in Adulthood. Endocrine Reviews. 2002;23:120–40.
Yorifuji T, Muroi J, Mamada M. Analysis of the SRY gene in Turner syndrome patients with Y chromosomal material. Journal of Medical Genetics. 2001;38:41.
Oliveira RM, Verreschi IT, Lipay MV, Eça LP, Guedes AD, Bianco B. Y chromosome in Turner syndrome: review of the literature. Sao Paulo Medical Journal. 2009;127:373-8.
Sybert VP, McCauley E. Turner's Syndrome. N Engl J Med. 2004;351:1227-38.
Chen PC, Chien SC. Prenatal Sonographic Features of Turner Syndrome. Journal of Medical Ultrasound. 2007;15:251-7.
Fonkalsrud EW, Coulson WF. Management of congenital lymphedema in infants and children. Ann Surg. 1973;177:280–5.
Zhong Q, Layman LC. Genetic Considerations in the Patient with Turner Syndrome—45,X with or without Mosaicism. Fertil Steril. 2012;98:775–9.
Mozdarani H, Meybodi AM, Karimi H. Impact of pericentric inversion of Chromosome 9 [inv (9) (p11q12)] on infertility. Indian J Hum Genet. 2007;13:26–9.
Hong Y, Zhou YW, Tao J, Wang SX, Zhao XM. Do polymorphic variants of chromosomes affect the outcome of in vitro fertilization and embryo transfer treatment? Hum Reprod. 2011;26:933–40.
Dong Y, Jiang YT, Du RC, Zhang HG, Li LL, Liu RZ. Impact of chromosomal heteromorphisms on reproductive failure and analysis of 38 heteromorphic pedigrees in Northeast China. J Assist Reprod Genet. 2013;30:275–81.