Cited by 68Genetic and Clinical Aspects of Sex Determination and Chromosomal AbnormalitiesSexual Differentiation and DisordersGenomic variations and chromosomal abnormalities

Familial Turner syndrome with an X;Y translocation mosaicism: implications for genetic counseling

Portnoï, Marie-France, Chantot-Bastaraud, Sandra, Christin-Maitre, Sophie, Carbonne, Bruno, Beaujard, Marie-Paule, Keren, Boris, Lévy, Jonathan, Dommergues, Marc +3 more·2012·European Journal of Medical Genetics

Abstract

Spontaneous fertility is rare among patients with Turner syndrome and is most likely in women with mosaicism for a normal 46,XX cell line. We report an unusual case of familial Turner syndrome with mosaicism for a novel X;Y translocation involving Xp and Yp. The chromosomal analysis was carried out through cytogenetics and molecular karyotyping using a SNP array platform. The mother, a Turner syndrome woman, diagnosed in midchildhood because of short stature, was found to have a 45,X/46,X,der(X)t(X;Y)(p11.4;p11.2) karyotype, with a predominant 45,X cell line. Her parents decided against prophylactic gonadectomy, generally recommended at an early age when Y chromosome has been identified, because at age 13, she had spontaneous puberty and menarche. She reached a final height of 154 cm after treatment with growth hormone. At age 24, she became spontaneously pregnant. She had a mild aortic coarctation and close follow-up cardiac evaluation, including cardiac magnetic resonance imaging, had been performed during her pregnancy, which progressed uneventfully, except for intra-uterine growth retardation. Prenatal diagnosis revealed a female karyotype, with transmission of the maternal translocation with an unexpected different mosaic:47,X,der(X)t(X;Y)x2/46,X,der(X)t(X;Y) karyotype. This complex and unusual karyotype, including a mosaic partial trisomy X and a non-mosaic Xpter-Xp11.4 monosomy, results in transmission of Turner syndrome from mother to daughter. At birth, the girl had normal physical examination except for growth retardation. This family illustrates the complexity and difficulties, in term of patient counseling and management in Turner syndrome, in determining ovarian status, fertility planning, risks associated with pregnancies, particularly when mosaicism for Y material chromosome is identified.

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Crossref · 10.1016/j.ejmg.2012.07.001

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Authors
Portnoï, M.-F., Chantot-Bastaraud, S., Christin-Maitre, S., Carbonne, B., Beaujard, M.-P., Keren, B., Lévy, J., Dommergues, M., Cabrol, S., Hyon, C., & Siffroi, J.-P.
Affiliations
  • Hôpital Armand-Trousseau (FR)
  • Assistance Publique – Hôpitaux de Paris (FR)
Corresponding author
Portnoï, Marie-France
Venue
European Journal of Medical Genetics
Publisher
Elsevier BV
Published
2012-11
Volume
55
Issue
11
Pages
635-640
ISSN
1769-7212 (ISSN-L)
OpenAlex
W2084143766
Cited by
68
References
27
Citations by year
2026: 4 · 2024: 5 · 2023: 3 · 2022: 3 · 2021: 1 · 2019: 3 · 2018: 33 · 2016: 6 · 2015: 2 · 2014: 3 · 2013: 4
FWCI
1.73
Type
journal article
Language
en
Open access
closed
Locations
  • European Journal of Medical Genetics (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genetic and Clinical Aspects of Sex Determination and Chromosomal Abnormalities
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Sexual Differentiation and Disorders
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genomic variations and chromosomal abnormalities
Keywords
Turner syndrome, X, Y translocation, mosaicism, genetic counseling, prenatal diagnosis, ovarian function, pregnancy risk, coarctation of the aorta, fetal growth restriction, growth hormone therapy
MeSH terms
Adult, Female, Genetic Counseling, Humans, Infant, Newborn, Mosaicism, Pregnancy, Translocation, Genetic, Turner Syndrome, Polymorphism, Single Nucleotide, Chromosomes, Human, X, Chromosomes, Human, Y

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