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Phumelele Ndlovu
What is a chromosome?
   A chromosome is…

     A very long DNA molecule and associated
     proteins that carries portions of the hereditary
     information of an organism.

     They are composed of DNA and proteins that
     are located within the nucleus of our cells.
     Chromosomes determine everything from hair
     color and eye color to sex.
Chromosomes are described
with the following categories:
   Metacentric
     centromere is median or near median
     chromosome has two well defined arms with
     a length ratio varying from 1:1 to 2.5:1
   Submetacentric
     A chromosome whose centromere lies
     between its middle and its end but closer to
     the middle.
Chromosomes are described
with the following
categories:
   Acrocentric
     centromere is close to one end of the
      chromosome
     one arm is substantially smaller than the
      other and the arm ratio ranges from 3:1 to
      10:1
 Telocentric
     centromere is a strictly terminal entity and the
      chromosome is one armed
Chromosomes are described
with the following
categories:
Chromosomes are always
arranged with the short arm
on top:
   Short arm is labeled
    P (French for petit)
   Long arm is labeled
    Q
Human chromosomes are
divided into 7 groups & sex
chromosomes
   A 1-3 Large metacentric 1,2 or submetacentric
   B 4,5 Large submetacentric, all similar
   C 6-12, X Medium sized, submetacentric -
    difficult
   D 13-15 medium-sized acrocentric plus
    satellites
   E 16-18 short metacentric 16 or
    submetacentric 17,18
   F 19-20 Short metacentrics
   G 21,22,Y Short acrocentrics with satellites. Y
    no satellites.
Karyotype
   An individual's
    collection of
    chromosomes.
   It refers to the
    complement of
    chromosomes either
    at the species level, or
    of individuals.
   Is used to look for
    abnormal numbers or
    structures of
    chromosomes.
Karyotyping
 Also known as Karyotype Test
 A laboratory technique that produces an
  image of an individual's chromosomes.
 Is a test to identify and evaluate the
  size, shape, and number of
  chromosomes in a sample of body cells.
 Extra, missing, or abnormal positions of
  chromosome pieces can cause problems
  with a person's
  growth, development, and body
  functions.
Why Karyotyping is
done:
   Determine whether the chromosomes of an
    adult have an abnormality that can be
    passed on to a child.

   Determine whether a chromosome defect is
    preventing a woman from becoming
    pregnant or causing miscarriages.

   Determine whether a chromosome defect is
    present in a fetus.
Why Karyotyping is
done:
   Determine whether chromosomal problems may
    have caused a fetus to be stillborn.

   Determine the cause of a baby's birth defects or
    disability.

   Help determine the appropriate treatment for
    some types of cancer.

   Identify the sex of a person by determining the
    presence of the Y chromosome. This may be done
    when a newborn's sex is not clear.
Chromosomal
Aberrations
 Sex chromosome abnormalities occur as a result of
    chromosome mutations brought on by mutagens
    (like radiation) or problems that occur during
    meiosis.

   One type of mutation is caused by chromosome
    breakage. The broken chromosome fragment may
    be deleted, duplicated, inverted, or translocated to
    a non-homologous chromosome.

   Another type of mutation occurs during meiosis
    and causes cells to have either too many or not
    enough chromosomes.
Klinefelter Syndrome
(XXY) syndrome, also known as the XXY
 Klinefelter
    condition, is a term used to describe males who have an
    extra X chromosome in most of their cells. Instead of
    having the usual XY chromosome pattern that most
    males have, these men have an XXY pattern.

   Klinefelter syndrome is named after Dr. Henry
    Klinefelter, who first described a group of symptoms
    found in some men with the extra X chromosome.

   Scientists believe the XXY condition is one of the most
    common chromosome abnormalities in humans.
    About one of every 500 males has an extra X
    chromosome, but many don’t have any symptoms.
Klinefelter Syndrome
(XXY)
   Common Physical Characteristics:
     small testicles and penis
     Breast enlargement
     sterility
     infertile
Klinefelter Syndrome
(XXY)
Metafemale (XXX)
   A metafemale is a woman who has an extra X
    chromosome. It is a condition that is commonly
    referred to as Triple X Syndrome and it is thought
    to affect around 1 in every 1000 women.

   Triple X Syndrome results during division of a
    parent's reproductive cells.

   In most cases there will be no unusual physical
    features or medical problems resulting from Triple
    X Syndrome. This is because in all female cells
    there is only one active X chromosome at any one
    time.
Metafemale (XXX)
   Common Physical Characteristics:
     Generally normal due to Barr Bodies
     Tall stature
     Behavioral problems
     Clumsiness and poor co-ordination
     Wide-set eyes
     Reduced muscle tone
     Ovarian failure
Metafemale (XXX)
Turner Syndrome (XO)
   Turner syndrome is a chromosomal condition that
    alters development in females.

   This condition occurs in about 1 in 2,500 female
    births worldwide, but is much more common
    among pregnancies that do not survive to term
    (miscarriages and stillbirths).

   Turner syndrome is a chromosomal condition
    related to the X chromosome

   Researchers have not yet determined which genes
    on the X chromosome are responsible for most
    signs and symptoms of Turner syndrome.
Turner Syndrome (XO)
   Common Physical Characteristics:
     extra skin on the neck (webbed neck)
     puffiness or swelling (lymphedema) of the
      hands and feet
     skeletal abnormalities
     heart defects
     kidney problems
Turner Syndrome (XO)
Jacobs Syndrome (XYY)
   Jacob's syndrome is a rare chromosomal
    disorder that affects males. It is caused by the
    presence of an extra Y chromosome. Males
    normally have one X and one Y chromosome.
    However, individuals with Jacob's syndrome
    have one X and two Y chromosome.
   Males with Jacob's syndrome, also called XYY
    males.
   Jacob's syndrome occurs when a male inherits
    two Y chromosomes from his father instead of
    one. He is an XYY male. Most males are XY.
   The exact cause of the XYY aberration is
    unknown.
Jacobs Syndrome (XYY)
   Common Physical Characteristics:
     With uncontrolled temper and antisocial
     Severe acne problems
     Tall and thin
     High testosterone levels
Jacobs Syndrome (XYY)
Autosomal Aberrations
   Syndrome or disorder of interest is
    pertaining to a chromosome that is NOT
    a sex chromosome, either X or Y but of
    body chromosomes.
Down Syndrome
(Trisomy 21)
   Down syndrome (also called Trisomy 21) is
    a genetic disorder that occurs in
    approximately 1 of 800 live births.

   Down syndrome is named after Doctor
    Langdon Down, who in 1866 first described
    the syndrome as a disorder.

   It is the leading cause of cognitive
    impairment.
Down Syndrome
(Trisomy 21)
   Common Physical Characteristics:
     Oblique eye features
     mild to moderate learning disabilities
     Developmental delays
     Characteristic facial features,
     Low muscle tone in early infancy.
     Epicanthal fold
     Simian crease
Down Syndrome
(Trisomy 21)
Edward Syndrome
(Trisomy 18)
 The Edward's syndrome, which got its
  name after the famous doctor, Dr. John
  Edward.
 A genetic chromosomal disorder caused by
  an error in cell division resulting on
  additional third chromosome 18.
 Edward's syndrome, a result of one of the
  genetic disorders and most common after
  Down syndrome, occurs in approximately
  one among 3000 to 6000 births.
Edward Syndrome
(Trisomy 18)
   Common Physical Characteristics:
     Upturned nose
     Growth Deficiency
     Abnormal skull shape and facial features
     Clenched hands
     Rocker bottom feet
     Cardiac and renal abnormalities
Edward Syndrome
(Trisomy 18)
Patau Syndrome
(Trisomy 13)
 Patau syndrome, also referred to
  as, 'Trisomy 13.
 A form of genetic disorder in which all or a
  portion of the person's chromosome
  thirteen appears three times instead of
  twice in the cells of their body.
 The extra material interferes with the
  person's regular process of
  development, which leads to severe
  intellectual disability and physical
  abnormalities in a number of parts of their
  body.
Patau Syndrome
(Trisomy 13)
   Common Physical Characteristics:
       Polydactyl and cleft palate
       Low-set ears
       Scalp defects
       Clenched hands
       Small lower jaw
       Mental retardation
       Single palmar crease
       Undescended testicle
       Skeletal abnormalities
       Close-set eyes - eyes may actually fuse together
Patau Syndrome
(Trisomy 13)
Angelman Syndrome
   A neuro-genetic disorder that it is usually
    caused by deletion or inactivation of genes on
    the maternally inherited chromosome 15 while
    the paternal copy, which may be of normal
    sequence, is imprinted and therefore silenced.
   AS is named after a British pediatrician, Dr.
    Harry Angelman, who first described the
    syndrome in 1965.
   People with AS are sometimes known as
    "angels", both because of the syndrome's name
    and because of their youthful, happy
    appearance.
Angelman Syndrome
   Common Physical Characteristics:
     Intellectual and developmental delay
     Sleep disturbance
     Seizures
     Jerky movements (especially hand-flapping)
     Frequent laughter or smiling
     Usually a happy demeanor.
Angelman Syndrome




Note: The deletion in
Chromosome 15 is so small
and is almost not visible
Prader–Willi syndrome
   Is a rare genetic disorder in which seven genes
    (or some subset thereof) on chromosome 15 (q
    11–13) are deleted or unexpressed (chromosome
    15q partial deletion) on the paternal
    chromosome.

    It was first described in 1956 by Andrea Prader
    (1919–2001), Heinrich Willi (1900–1971), Alexis
    Labhart (1916), Andrew Ziegler, and Guido
    Fanconi of Switzerland.
Prader–Willi syndrome
   Common Physical Characteristics:
     Low muscle tone
     Short stature
     Incomplete sexual development
     Cognitive disabilities
     Problem behaviors
     Chronic feeling of hunger that can lead to
     excessive eating and life-threatening obesity
Prader–Willi syndrome
-The chromosome's structure is altered
Structural Aberrations
   Deletions
     A portion of the chromosome is missing or deleted.
      Known disorders in humans include Wolf-
      Hirschhorn syndrome, which is caused by partial
      deletion of the short arm of chromosome 4; and
      Jacobsen syndrome, also called the terminal 11q
      deletion disorder.
   Duplications
     A portion of the chromosome is duplicated, resulting
      in extra genetic material. Known human disorders
      include Charcot-Marie-Tooth disease type 1A which
      may be caused by duplication of the gene encoding
      peripheral myelin protein 22 (PMP22) on
      chromosome 17.
Structural Aberrations
   Translocations
     When a portion of one chromosome is
     transferred to another chromosome. There are
     two main types of translocations. In a reciprocal
     translocation, segments from two different
     chromosomes have been exchanged. In a
     Robertsonian translocation, an entire
     chromosome has attached to another at the
     Centromere - in humans these only occur with
     chromosomes 13, 14, 15, 21 and 22.
   Inversions
     A portion of the chromosome has broken
     off, turned upside down and
     reattached, therefore the genetic material is
     inverted.
Structural Aberrations
   Insertions
     A portion of one chromosome has been
     removed from its normal place and inserted into
     another chromosome.
   Rings
     A portion of a chromosome has broken off and
     formed a circle or ring. This can happen with or
     without loss of genetic material.
   Isochromosome
     Formed by the mirror image copy of a
     chromosome segment including the centromere.
Wolf-Hirschhorn
Syndrome
 A syndrome is due to a specific
  chromosomal deletion which is the cause of
  typical facial features and developmental
  delays.
 The anomalies are due to the lack of
  chromosomal material from the top of one
  of the number 4 chromosomes.
 This results in missing genes which
  account for the anomalies. The degree of
  deletions and scope of symptoms vary
  widely and reflect the amount of genetic
  material that is missing.
Wolf-Hirschhorn
Syndrome
   Common Physical Characteristics:
     Short philtrum
     Small head size (microcephaly)
     "Greek helmet like" nose shape
     Wide spaced eyes (hypertelorism)
     Mental retardation
Wolf-Hirschhorn
Syndrome
Cri-du-chat Syndrome
   Also known as chromosome 5p deletion
    syndrome, 5p minus syndrome or Lejeune’s
    syndrome
   A rare genetic disorder due to a missing part of
    chromosome 5. Its name is a French term (cat-
    cry or call of the cat) referring to the
    characteristic cat-like cry of affected children.
   It was first described by Jérôme Lejeune in
    1963. The condition affects an estimated 1 in
    50,000 live births, strikes all ethnicities, and is
    more common in females by a 4:3 ratio.
Cri-du-chat Syndrome
   Common Physical Characteristics:
     Excessive drooling
     Feeding problems because of difficulty
        swallowing and sucking.
       Low birth weight and poor growth
       Severe cognitive, speech, and motor delays
       Behavioral problems such as
        hyperactivity, aggression, tantrums, and
        repetitive movements.
       Unusual facial features which may change over
        time
Cri-du-chat Syndrome
Cat eye Syndrome
   A rare condition caused by the short arm (p) and a
    small section of the long arm (q) of human
    Chromosome 22 being present three (trisomic) or
    four times (tetrasomic) instead of the usual two
    times.
   The term "Cat Eye" syndrome was coined because of
    the particular appearance of the vertical colobomas
    in the eyes of some patients.
   However, over half of the CES patients in the
    literature do not present with this trait. There is no
    significant reduction in life expectancy in patients
    who are not afflicted with one of CES' life
    threatening abnormalities.
Cat eye Syndrome
   Common Physical Characteristics:
     Iris coloboma
     Anal atresia (abnormal obstruction of the anus)
     Unilateral or bilateral iris coloboma (absence of
        tissue from the colored part of the eyes)
       Palpebral fissures (downward slanting openings
        between the upper and lower eyelids)
       Preauricular pits/tags (small depressions/growths of
        skin on the outer ears)
       Cardiac defects (such as TAPVR)
       Kidney problems (missing, extra, or underdeveloped
        kidneys)
       Short stature
       Scoliosis/Skeletal problems
Cat eye Syndrome
Velo-Cardio-Facial
Syndrome
   Velocardiofacial syndrome is a genetic disorder
    that is present from birth and can be characterized
    by a variety (over thirty) different signs and
    symptoms.

   Although the gene or genes that cause
    velocardiofacial syndrome have not been
    identified, most of the children who have been
    diagnosed with this syndrome are missing a small
    part of chromosome 22.
Velo-Cardio-Facial
Syndrome
   Common Physical Characteristics:
     cleft palate (opening in the roof of the
      mouth)
     heart defects, certain facial features
     minor learning problems
     speech and feeding problems
Velo-Cardio-Facial
Syndrome
Charcot-Marie-Tooth
Disease
   Also known also as Morbus Charcot-Marie-
    Tooth, Charcot-Marie-Tooth
    neuropathy, hereditary motor and sensory
    neuropathy (HMSN), hereditary sensorimotor
    neuropathy (HSMN), or peroneal muscular
    atrophy.
   An inherited disorder of nerves (neuropathy)
    that takes different forms.
   It is caused by duplication of the gene
    encoding peripheral myelin protein 22
    (PMP22) on chromosome 17.
Charcot-Marie-Tooth
Disease
   Common Physical Characteristics:
     Foot drop which is the dropping of the
      forefoot due to weakness, damage to the
      peroneal nerve or paralysis of the muscles
      in the anterior portion of the lower leg.
     Scoliosis
     Malformed hip sockets
     Gastrointestinal problems can be part of
      CMT, as can chewing, swallowing, and
      speaking (as vocal cords atrophy).
Charcot-Marie-Tooth
Disease

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Genetics 120315105011-phpapp01

  • 2. What is a chromosome?  A chromosome is…  A very long DNA molecule and associated proteins that carries portions of the hereditary information of an organism.  They are composed of DNA and proteins that are located within the nucleus of our cells. Chromosomes determine everything from hair color and eye color to sex.
  • 3. Chromosomes are described with the following categories:  Metacentric  centromere is median or near median  chromosome has two well defined arms with a length ratio varying from 1:1 to 2.5:1  Submetacentric  A chromosome whose centromere lies between its middle and its end but closer to the middle.
  • 4. Chromosomes are described with the following categories:  Acrocentric  centromere is close to one end of the chromosome  one arm is substantially smaller than the other and the arm ratio ranges from 3:1 to 10:1  Telocentric  centromere is a strictly terminal entity and the chromosome is one armed
  • 5. Chromosomes are described with the following categories:
  • 6. Chromosomes are always arranged with the short arm on top:  Short arm is labeled P (French for petit)  Long arm is labeled Q
  • 7. Human chromosomes are divided into 7 groups & sex chromosomes  A 1-3 Large metacentric 1,2 or submetacentric  B 4,5 Large submetacentric, all similar  C 6-12, X Medium sized, submetacentric - difficult  D 13-15 medium-sized acrocentric plus satellites  E 16-18 short metacentric 16 or submetacentric 17,18  F 19-20 Short metacentrics  G 21,22,Y Short acrocentrics with satellites. Y no satellites.
  • 8.
  • 9. Karyotype  An individual's collection of chromosomes.  It refers to the complement of chromosomes either at the species level, or of individuals.  Is used to look for abnormal numbers or structures of chromosomes.
  • 10. Karyotyping  Also known as Karyotype Test  A laboratory technique that produces an image of an individual's chromosomes.  Is a test to identify and evaluate the size, shape, and number of chromosomes in a sample of body cells.  Extra, missing, or abnormal positions of chromosome pieces can cause problems with a person's growth, development, and body functions.
  • 11. Why Karyotyping is done:  Determine whether the chromosomes of an adult have an abnormality that can be passed on to a child.  Determine whether a chromosome defect is preventing a woman from becoming pregnant or causing miscarriages.  Determine whether a chromosome defect is present in a fetus.
  • 12. Why Karyotyping is done:  Determine whether chromosomal problems may have caused a fetus to be stillborn.  Determine the cause of a baby's birth defects or disability.  Help determine the appropriate treatment for some types of cancer.  Identify the sex of a person by determining the presence of the Y chromosome. This may be done when a newborn's sex is not clear.
  • 13.
  • 14. Chromosomal Aberrations  Sex chromosome abnormalities occur as a result of chromosome mutations brought on by mutagens (like radiation) or problems that occur during meiosis.  One type of mutation is caused by chromosome breakage. The broken chromosome fragment may be deleted, duplicated, inverted, or translocated to a non-homologous chromosome.  Another type of mutation occurs during meiosis and causes cells to have either too many or not enough chromosomes.
  • 15. Klinefelter Syndrome (XXY) syndrome, also known as the XXY  Klinefelter condition, is a term used to describe males who have an extra X chromosome in most of their cells. Instead of having the usual XY chromosome pattern that most males have, these men have an XXY pattern.  Klinefelter syndrome is named after Dr. Henry Klinefelter, who first described a group of symptoms found in some men with the extra X chromosome.  Scientists believe the XXY condition is one of the most common chromosome abnormalities in humans. About one of every 500 males has an extra X chromosome, but many don’t have any symptoms.
  • 16. Klinefelter Syndrome (XXY)  Common Physical Characteristics:  small testicles and penis  Breast enlargement  sterility  infertile
  • 18. Metafemale (XXX)  A metafemale is a woman who has an extra X chromosome. It is a condition that is commonly referred to as Triple X Syndrome and it is thought to affect around 1 in every 1000 women.  Triple X Syndrome results during division of a parent's reproductive cells.  In most cases there will be no unusual physical features or medical problems resulting from Triple X Syndrome. This is because in all female cells there is only one active X chromosome at any one time.
  • 19. Metafemale (XXX)  Common Physical Characteristics:  Generally normal due to Barr Bodies  Tall stature  Behavioral problems  Clumsiness and poor co-ordination  Wide-set eyes  Reduced muscle tone  Ovarian failure
  • 21. Turner Syndrome (XO)  Turner syndrome is a chromosomal condition that alters development in females.  This condition occurs in about 1 in 2,500 female births worldwide, but is much more common among pregnancies that do not survive to term (miscarriages and stillbirths).  Turner syndrome is a chromosomal condition related to the X chromosome  Researchers have not yet determined which genes on the X chromosome are responsible for most signs and symptoms of Turner syndrome.
  • 22. Turner Syndrome (XO)  Common Physical Characteristics:  extra skin on the neck (webbed neck)  puffiness or swelling (lymphedema) of the hands and feet  skeletal abnormalities  heart defects  kidney problems
  • 24. Jacobs Syndrome (XYY)  Jacob's syndrome is a rare chromosomal disorder that affects males. It is caused by the presence of an extra Y chromosome. Males normally have one X and one Y chromosome. However, individuals with Jacob's syndrome have one X and two Y chromosome.  Males with Jacob's syndrome, also called XYY males.  Jacob's syndrome occurs when a male inherits two Y chromosomes from his father instead of one. He is an XYY male. Most males are XY.  The exact cause of the XYY aberration is unknown.
  • 25. Jacobs Syndrome (XYY)  Common Physical Characteristics:  With uncontrolled temper and antisocial  Severe acne problems  Tall and thin  High testosterone levels
  • 27.
  • 28. Autosomal Aberrations  Syndrome or disorder of interest is pertaining to a chromosome that is NOT a sex chromosome, either X or Y but of body chromosomes.
  • 29. Down Syndrome (Trisomy 21)  Down syndrome (also called Trisomy 21) is a genetic disorder that occurs in approximately 1 of 800 live births.  Down syndrome is named after Doctor Langdon Down, who in 1866 first described the syndrome as a disorder.  It is the leading cause of cognitive impairment.
  • 30. Down Syndrome (Trisomy 21)  Common Physical Characteristics:  Oblique eye features  mild to moderate learning disabilities  Developmental delays  Characteristic facial features,  Low muscle tone in early infancy.  Epicanthal fold  Simian crease
  • 32. Edward Syndrome (Trisomy 18)  The Edward's syndrome, which got its name after the famous doctor, Dr. John Edward.  A genetic chromosomal disorder caused by an error in cell division resulting on additional third chromosome 18.  Edward's syndrome, a result of one of the genetic disorders and most common after Down syndrome, occurs in approximately one among 3000 to 6000 births.
  • 33. Edward Syndrome (Trisomy 18)  Common Physical Characteristics:  Upturned nose  Growth Deficiency  Abnormal skull shape and facial features  Clenched hands  Rocker bottom feet  Cardiac and renal abnormalities
  • 35. Patau Syndrome (Trisomy 13)  Patau syndrome, also referred to as, 'Trisomy 13.  A form of genetic disorder in which all or a portion of the person's chromosome thirteen appears three times instead of twice in the cells of their body.  The extra material interferes with the person's regular process of development, which leads to severe intellectual disability and physical abnormalities in a number of parts of their body.
  • 36. Patau Syndrome (Trisomy 13)  Common Physical Characteristics:  Polydactyl and cleft palate  Low-set ears  Scalp defects  Clenched hands  Small lower jaw  Mental retardation  Single palmar crease  Undescended testicle  Skeletal abnormalities  Close-set eyes - eyes may actually fuse together
  • 38. Angelman Syndrome  A neuro-genetic disorder that it is usually caused by deletion or inactivation of genes on the maternally inherited chromosome 15 while the paternal copy, which may be of normal sequence, is imprinted and therefore silenced.  AS is named after a British pediatrician, Dr. Harry Angelman, who first described the syndrome in 1965.  People with AS are sometimes known as "angels", both because of the syndrome's name and because of their youthful, happy appearance.
  • 39. Angelman Syndrome  Common Physical Characteristics:  Intellectual and developmental delay  Sleep disturbance  Seizures  Jerky movements (especially hand-flapping)  Frequent laughter or smiling  Usually a happy demeanor.
  • 40. Angelman Syndrome Note: The deletion in Chromosome 15 is so small and is almost not visible
  • 41. Prader–Willi syndrome  Is a rare genetic disorder in which seven genes (or some subset thereof) on chromosome 15 (q 11–13) are deleted or unexpressed (chromosome 15q partial deletion) on the paternal chromosome.  It was first described in 1956 by Andrea Prader (1919–2001), Heinrich Willi (1900–1971), Alexis Labhart (1916), Andrew Ziegler, and Guido Fanconi of Switzerland.
  • 42. Prader–Willi syndrome  Common Physical Characteristics:  Low muscle tone  Short stature  Incomplete sexual development  Cognitive disabilities  Problem behaviors  Chronic feeling of hunger that can lead to excessive eating and life-threatening obesity
  • 45. Structural Aberrations  Deletions  A portion of the chromosome is missing or deleted. Known disorders in humans include Wolf- Hirschhorn syndrome, which is caused by partial deletion of the short arm of chromosome 4; and Jacobsen syndrome, also called the terminal 11q deletion disorder.  Duplications  A portion of the chromosome is duplicated, resulting in extra genetic material. Known human disorders include Charcot-Marie-Tooth disease type 1A which may be caused by duplication of the gene encoding peripheral myelin protein 22 (PMP22) on chromosome 17.
  • 46. Structural Aberrations  Translocations  When a portion of one chromosome is transferred to another chromosome. There are two main types of translocations. In a reciprocal translocation, segments from two different chromosomes have been exchanged. In a Robertsonian translocation, an entire chromosome has attached to another at the Centromere - in humans these only occur with chromosomes 13, 14, 15, 21 and 22.  Inversions  A portion of the chromosome has broken off, turned upside down and reattached, therefore the genetic material is inverted.
  • 47. Structural Aberrations  Insertions  A portion of one chromosome has been removed from its normal place and inserted into another chromosome.  Rings  A portion of a chromosome has broken off and formed a circle or ring. This can happen with or without loss of genetic material.  Isochromosome  Formed by the mirror image copy of a chromosome segment including the centromere.
  • 48. Wolf-Hirschhorn Syndrome  A syndrome is due to a specific chromosomal deletion which is the cause of typical facial features and developmental delays.  The anomalies are due to the lack of chromosomal material from the top of one of the number 4 chromosomes.  This results in missing genes which account for the anomalies. The degree of deletions and scope of symptoms vary widely and reflect the amount of genetic material that is missing.
  • 49. Wolf-Hirschhorn Syndrome  Common Physical Characteristics:  Short philtrum  Small head size (microcephaly)  "Greek helmet like" nose shape  Wide spaced eyes (hypertelorism)  Mental retardation
  • 51. Cri-du-chat Syndrome  Also known as chromosome 5p deletion syndrome, 5p minus syndrome or Lejeune’s syndrome  A rare genetic disorder due to a missing part of chromosome 5. Its name is a French term (cat- cry or call of the cat) referring to the characteristic cat-like cry of affected children.  It was first described by Jérôme Lejeune in 1963. The condition affects an estimated 1 in 50,000 live births, strikes all ethnicities, and is more common in females by a 4:3 ratio.
  • 52. Cri-du-chat Syndrome  Common Physical Characteristics:  Excessive drooling  Feeding problems because of difficulty swallowing and sucking.  Low birth weight and poor growth  Severe cognitive, speech, and motor delays  Behavioral problems such as hyperactivity, aggression, tantrums, and repetitive movements.  Unusual facial features which may change over time
  • 54. Cat eye Syndrome  A rare condition caused by the short arm (p) and a small section of the long arm (q) of human Chromosome 22 being present three (trisomic) or four times (tetrasomic) instead of the usual two times.  The term "Cat Eye" syndrome was coined because of the particular appearance of the vertical colobomas in the eyes of some patients.  However, over half of the CES patients in the literature do not present with this trait. There is no significant reduction in life expectancy in patients who are not afflicted with one of CES' life threatening abnormalities.
  • 55. Cat eye Syndrome  Common Physical Characteristics:  Iris coloboma  Anal atresia (abnormal obstruction of the anus)  Unilateral or bilateral iris coloboma (absence of tissue from the colored part of the eyes)  Palpebral fissures (downward slanting openings between the upper and lower eyelids)  Preauricular pits/tags (small depressions/growths of skin on the outer ears)  Cardiac defects (such as TAPVR)  Kidney problems (missing, extra, or underdeveloped kidneys)  Short stature  Scoliosis/Skeletal problems
  • 57. Velo-Cardio-Facial Syndrome  Velocardiofacial syndrome is a genetic disorder that is present from birth and can be characterized by a variety (over thirty) different signs and symptoms.  Although the gene or genes that cause velocardiofacial syndrome have not been identified, most of the children who have been diagnosed with this syndrome are missing a small part of chromosome 22.
  • 58. Velo-Cardio-Facial Syndrome  Common Physical Characteristics:  cleft palate (opening in the roof of the mouth)  heart defects, certain facial features  minor learning problems  speech and feeding problems
  • 60. Charcot-Marie-Tooth Disease  Also known also as Morbus Charcot-Marie- Tooth, Charcot-Marie-Tooth neuropathy, hereditary motor and sensory neuropathy (HMSN), hereditary sensorimotor neuropathy (HSMN), or peroneal muscular atrophy.  An inherited disorder of nerves (neuropathy) that takes different forms.  It is caused by duplication of the gene encoding peripheral myelin protein 22 (PMP22) on chromosome 17.
  • 61. Charcot-Marie-Tooth Disease  Common Physical Characteristics:  Foot drop which is the dropping of the forefoot due to weakness, damage to the peroneal nerve or paralysis of the muscles in the anterior portion of the lower leg.  Scoliosis  Malformed hip sockets  Gastrointestinal problems can be part of CMT, as can chewing, swallowing, and speaking (as vocal cords atrophy).