What is meant by chromosome aberration

Definition - what are chromosomes?

The genetic makeup of a cell is in the form of the DNA (deoxyribonucleic acid) and their bases (adenine, thymine, guanine and cytosine). In all eukaryotic cells (animals, plants, fungi) this is present in the cell nucleus in the form of chromosomes. A chromosome consists of one single contiguous DNA molecule, which is associated with certain proteins.

The name chromosome is derived from Greek and can be roughly translated as "color body". This name comes from the fact that very early in the history of cytology (1888) scientists succeeded in staining them using special basic dyes and identifying them in a light microscope. However, they are only really visible at a certain point in the cell cycle, the Mitosis (in germ cells meiosis), if the chromosome is particularly dense (condensed).

How are chromosomes built?

If you would use the entire DNA double helix of a cell, i.e. around 3.4 x 109 Base pairs, linked together, would result in a length of over one meter. The total length of all chromosomes added is only about 115 µm. This difference in length is explained by the very compact structure of the chromosomes, in which the DNA several times in a very specific way wound or spiraled becomes.

Play it Histones, a special form of proteins, plays an important role. There are a total of 5 different histones: H1, H2A, H2B, H3 and H4. Two of the last four histones combine to form a cylindrical structure, the octamer, around which the double helix winds about twice (= super helix). H1 attaches itself to this structure in order to stabilize it.

This complex of DNA, octamer and H1 is called Nucleosome designated. Several of these nucleosomes are now “like a string of pearls” at relatively short intervals (10-60 base pairs) one behind the other. The sections between the chromosomes are known as spacer DNA. The individual nucleosomes now come into contact again via H1, which creates a further spiraling and thus also a compression.

The resulting strand, in turn, lies in grind that are stabilized by a backbone of acidic non-histone proteins, also known as hertones. These loops are in turn present in spirals stabilized by proteins, which results in the last stage of compression. However, this high degree of compression only occurs in the context of cell division during mitosis.

In this phase you can also see the characteristic shape of the chromosomes, which is composed of two chromatids. The place where these are connected is called the centromere. It divides each metaphase chromosome into two short and two long arms, also called p and q arms.
If the centromere lies roughly in the middle of the chromosome, it is called a metacentric chromosome, if it lies entirely at one of the ends of an acrocentric chromosome. The ones in between are called submetacentric chromosomes. These differences, which can already be seen under the light microscope, together with the length, allow an initial classification of the chromosomes.

What are the telomeres?

As Telomeres is called the Ends of chromosomescontaining repeating sequences (TTAGGG). These do not carry any relevant information, but rather serve to prevent the loss of more relevant DNA sections. Each time a cell divides, part of the chromosome is lost through the mechanism of DNA replication.

So the telomeres are, in a sense, a buffer that delays the point at which the cell loses important information by dividing. If the telomeres of a cell are less than 4,000 base pairs in length, programmed cell death (apoptosis) is initiated. This prevents the spread of faulty genetic material in the organism. A few cells have telomerases, i.e. enzymes that are able to lengthen the telomeres again.

In addition to the stem cells, from which all other cells arise, these are germ cells and certain cells of the immune system. In addition, telomerases are also found in cancer cells, which is why one speaks of immortalization of a cell in this context.

Read everything about the topic here: Telomeres - Anatomy, Function & Diseases

What is chromatin?

As Chromatin becomes the entire content of a Cell nucleus which can be stained basic. Therefore, in addition to DNA, the term also includes certain proteins, e.g. histones and hertones (see structure), as well as certain RNA fragments (hn and snRNA).

Depending on the phase in the cell cycle or depending on the genetic activity, this material is available in different densities. The denser form is called heterochromatin. To make it easier to understand, one could look at it as a “storage form” and here again differentiate between constitutive and facultative heterochromatin.

Constitutive heterochromatin is the densest form, which is present in its highest level of condensation in all phases of the cell cycle. It makes up about 6.5% of the human genome and is mostly near the centromeres and the ends of the chromosome arms (Telomeres) localized to a small extent but also in other places (mainly chromosomes 1, 9, 16, 19 and Y). In addition, most of the constitutive heterochromatin is located near the nuclear membrane, i.e. at the edges of the cell nucleus. The space in the middle is reserved for the active chromatin, the euchromatin.

Facultative heterochromatin is a little less tight and can be activated and deactivated as required or depending on the development stage. A good example of this is the second X chromosome in female karyotypes. Since one X chromosome is basically enough for the cell to survive, as is ultimately sufficient for men, one of the two is deactivated in the embryonic phase. the deactivated X chromosome is called Barr bodies.

Only during cell division, as part of the Mitosis, it condenses completely, reaching its highest compression in the metaphase. However, since the different genes are read differently - after all, not every protein is required in the same amount at all times - a distinction is made here between active and inactive euchromatin.

Read more about this underChromatin

Haploid chromosomes

Haploid (Greek haploos = single) means that all chromosomes of a cell individually, i.e. not in pairs (diploid) as usual. This is the natural state of all egg and sperm cells, in which the two identical chromatids are not initially separated in the course of the first meiosis, but instead all pairs of chromosomes are separated first.

As a result, the daughter cells have after the first meiosis in humans only 23 instead of the usual 46 chromosomes, which corresponds to half the haploid set of chromosomes. Since these daughter cells still have an identical copy of each chromosome consisting of 2 chromosomes, the second meiosis is required, in which the two chromatids are separated from each other.

Polytene chromosomes

A polytene chromosome is a chromosome off very many genetically identical chromatids. Since such chromosomes are easy to see even under a lower magnification, they are sometimes referred to as giant chromosomes. The prerequisite for this is endoreplication, in which the chromosomes within the cell nucleus are multiplied several times without cell division occurring.

What are the functions of the chromosomes?

The chromosome as the organizational unit of our genome primarily serves to ensure that the doubled genome is evenly distributed among the daughter cells during cell division. To do this, it is worth taking a closer look at the mechanisms of cell division or the cell cycle:

The cell spends the majority of the cell cycle in the interphase, which means the entire period of time in which the cell is not immediately about to divide. This in turn is divided into G1, S and G2 phases.

The G1 phase (G as in gap, i.e. gap) immediately follows cell division. Here the cell increases in size again and performs general metabolic functions.

From here it can also enter the G0 phase switch. This means that it changes to a stage that is no longer able to divide and, in normal cases, also changes greatly in order to fulfill a very specific function (cell differentiation). In order to fulfill these tasks, very specific genes are read more intensely, others less or not at all.

If a section of DNA is not needed for a long time, it is often located in the parts of the chromosomes that have been densely packed for a long time (see Chromatin). On the one hand, this has the purpose of saving space, but in addition to the other mechanisms of gene regulation, it is also an additional protection against being accidentally read. However, it has also been observed that, under very specific conditions, differentiated cells from the G0 phase can re-enter the cycle.

The G1 phase is followed by the S phase, i.e. the phase in which new DNA is synthesized (DNA replication). Here, all of the DNA has to be in its loosest form, so all chromosomes are complete uncoiled (see structure).

At the end of the synthesis phase, the entire genetic material is present in duplicate in the cell. Since the copy is still using the Centromere (see structure) depends on the original chromosome, one does not speak of one Duplication of chromosomes.

Each chromosome now consists of one instead of one two chromatidsso that later in mitosis it can take on the characteristic X-shape (strictly speaking, the X-shape only applies to metacentric chromosomes). In the subsequent G2 phase, the immediate preparation for cell division takes place. This also includes a detailed check for replication errors and strand breaks, which can be repaired if necessary.

There are basically two types of cell division: the Mitosisand the meiosis. All cells of an organism with the exception of the germ cells arise through Mitosiswhose only job is education two genetically identical daughter cells is.
The meiosis against it just makes sense genetically different cells to create:
In a first step, the corresponding (homologous) but not identical chromosomes are divided up. Only in the next step are the chromosomes, which consist of two identical chromatids, separated and again distributed to two daughter cells each, so that in the end, four germ cells with different genetic material arise from one precursor cell.

The form and structure of the chromosomes are essential for both mechanisms: special “protein threads”, the so-called “protein threads”, are attached to the highly condensed chromosomes Spindle apparatus, and pull the chromosomes away from the in a finely regulated process Middle plane (Equatorial plane) to the eopposite poles of the cell to ensure an even distribution. Even small changes in the microstructure of the chromosomes can have serious consequences here.

In all mammals, the ratio of sex chromosomes X and Y also determines the sex of the offspring. Basically, it all depends on whether the sperm that unites with the egg cell has an X or a Y chromosome. Since both forms of sperm are always produced to the exact same extent, the probability is always balanced for both sexes. This random system guarantees a more even gender distribution than would be the case, for example, with environmental factors such as temperature.

Find out more about the topic: Cell nucleus division

How are the genetic makeup passed on via the chromosomes?

Today we know that traits are inherited via genes that are stored in the cells in the form of DNA. These are in turn divided into 46 chromosomes, on which the 25,000-30000 human genes are distributed.

In addition to the property itself, which is called Phenotype so there is still the genetic equivalent that one genotype is called. The place where a gene is on a chromosome is called a locus. Since humans have double every chromosome, every gene also occurs twice. The only exception to this are the X-chromosomal genes in men, as the Y-chromosome only carries a fraction of the genetic information found on the X-chromosome.

Different genes that are on the same locus are called Alleles designated. Often there are more than two different alleles at one locus. One then speaks of polymorphism. Such an allele can simply be a harmless variant (normal variant), but also pathological mutations that can be the trigger for a hereditary disease.

That is enough Mutation of a single gene to change the phenotype, one speaks of monogenic or Mendelian inheritance. Many of the inheritable traits will, however through several interacting genes inherited and therefore much more difficult to study.

Since mother and father each pass on one of their two genes to the child in a Mendelian inheritance, there are always four possible combinations in the next generation, whereby these can also be the same in relation to one property. If both alleles of an individual have the same effect on the phenotype, the individual is related to this characteristic homozygous and the feature is fully expressed accordingly.

Heterozygous have two different alleles, that can interact with each other in different ways: Is a Allele dominant compared to another, it completely suppresses its expression and that dominant trait becomes visible in the phenotype. The suppressed allele becomes recessive called.

At a codominant inheritance can express both alleles unaffected by each other, while with a intermediate inheritance a Mixture of both features is present. A good example of this is the AB0 blood group system, in which A and B are co-dominant with one another, but 0 are dominant over one another.

What is the normal set of chromosomes in humans?

Own human cells 22 gender-independent chromosome pairs (Autosomes) and two sex chromosomes (gonosomes), so total 46 chromosomesone Chromosome set.

Autosomes usually come in pairs. The chromosomes of a pair are similar in shape and sequence of genes and are therefore referred to as homologous. The two X chromosomes in women are also homologous, whereas men have an X and a Y chromosome. These differ in shape and number of the genes present in such a way that one can no longer speak of homology.

Germ cells, i.e. egg and sperm cells, have only half the chromosome set due to meiosis, namely 22 individual autosomes and one gonosome each. Since the germ cells fuse during fertilization and sometimes swap entire segments (crossover), a new combination of chromosomes (recombination) is created. All chromosomes together are referred to as the karyotype, which with a few exceptions (see chromosome aberrations) is identical in all individuals of the same sex.

Here you can find out everything about the topic: Mitosis - Simply Explained!

Why are there always pairs of chromosomes?

Basically, this question can be answered with one sentence: Because it has been shown to be beneficial. The presence of chromosome pairs and the principle of recombination are essential for inheritance in terms of sexual reproduction. In this way, a completely new individual can emerge from the genetic material of two individuals by chance.

This system increases the Variety of properties enormous within a species and ensures that it can adapt to changed environmental conditions much faster and more flexibly than would only be possible by means of mutation and selection.

The double set of chromosomes also has one protective effect: If a mutation of a gene would lead to a failure of the function, there is still a kind of "backup copy" in the second chromosome. This is not always enough for the organism to compensate for the malfunction, especially if the mutated allele is dominant, but it does increase the chance of it. In addition, this way the mutation is not automatically passed on to all offspring, which in turn protects the species from overly radical mutations.

What is a chromosome mutation?

Genetic defects can be caused by ionizing radiation (e.g. X-rays), chemical substances (e.g. benzopyrene in cigarette smoke), certain viruses (e.g.HP viruses) or, with a low probability, arise purely by chance. There are often several factors involved in its development. In principle, such changes can occur in all body tissues, but for practical reasons the analysis is usually limited to lymphocytes (a special type of immune cell), fibroblasts (connective tissue cells) and bone marrow cells.

A chromosome mutation is a major structural change in individual chromosomes. The absence or addition of whole chromosomes, on the other hand, would be a genome or ploidy mutation, while the term gene mutation refers to comparatively small changes within a gene. The designation Chromosomal aberration (Latin: aberrare = to deviate) is somewhat broader and includes all changes that can be detected with the light microscope.

Mutations can have very different effects:

  1. Silent mutations, i.e. mutations in which the change has no effect on the individual or their offspring, are rather atypical for chromosome aberrations and are more often found in the area of ​​gene or point mutations.
  2. One speaks of a loss-of-function mutation when the mutation results in a misfolded and therefore functionless protein or no protein at all.
  3. So-called gain-of-function mutations change the type of effect or the amount of proteins produced in such a way that completely new effects arise. On the one hand, this is a crucial mechanism for evolution and thus for the survival of a species or the emergence of new species, but on the other hand, as in the case of the Philadelphia chromosome, it can also make a decisive contribution to the development of cancer cells.

The best known of the different forms of chromosomal aberrations are probably the numerical aberrations, in which individual chromosomes are only simply (Monosomy) or three times (Trisomy) are available.

This just hits a single chromosome to, one speaks of Aneuploidy, is the entire set of chromosomes affected by Polyploidy (Tri- and tetraploidy). In most cases, this maldistribution arises in the course of germ cell development due to non-separation (nondisjunction) of the chromosomes during cell division (meiosis). This leads to an uneven distribution of the chromosomes among the daughter cells and thus to numerical aberration in the child.

Monosomies of non-sex chromosomes (= autosomes) are incompatible with life and therefore do not occur in living children. The autosomal trisomies also lead, apart from Trisomy 13, 18 and 21, almost always to a spontaneous miscarriage.

In any case, in contrast to the aberrations of the sex chromosomes, which can also be rather inconspicuous, it always occurs serious clinical symptoms and usually to more or less pronounced external abnormalities (Dysmorphism).

Such a maldistribution can also occur later in life with mitotic cell division (all cells except germ cells). Since there are also unchanged cells in addition to the affected cells, one speaks of a somatic mosaic. With somatic (Greek soma = body) are meant all cells that are not germ cells. Since only a small part of the body's cells is affected, the symptoms are usually much milder. Therefore, mosaic types often remain undetected for a long time.

Here you can find out everything about the topic: Chromosome mutation

What is chromosomal aberration?

The structural Chromosomal aberration basically corresponds to the definition of chromosome mutation (see above). If the amount of genetic material remains the same and is simply distributed differently, one speaks of a balanced aberration.

This is often done via translocation, i.e. the transfer of a chromosome segment to another chromosome. If it is an exchange between two chromosomes, one speaks of reciprocal translocation. Since only about 2% of the genome is required to produce proteins, the probability is very low that such a gene is at the breakpoint and thereby loses its function or is impaired in it. Therefore, such a balanced aberration often goes unnoticed and is passed on over several generations.

However, this can lead to a maldistribution of chromosomes during the development of the germ cells, which can lead to infertility, spontaneous miscarriages or offspring with an unbalanced aberration.

An unbalanced aberration can also occur spontaneously, i.e. without a family history. The likelihood that a child will be born alive with unbalanced aberration depends heavily on the chromosomes affected and varies between 0 and 60%. This leads to the loss (= deletion) or duplication (= duplication) of a chromosome segment. In this context, one also speaks of partial mono- and trisomies.

In some cases these occur together in two different regions, with partial monosomy usually being more decisive for the occurrence of clinical symptoms. These are prominent examples of a deletion Cat Scream Syndrome and the Wolf-Hirschhorn Syndrome.

One speaks of a microdeletion when the change can no longer be determined with the light microscope, i.e. when it is a matter of the loss of one or a few genes. This phenomenon is believed to be causal for that Prader-Willi Syndromeand the Angelman Syndrome and is strongly related to the development of retionoblastoma.

This is a special case Robertson translocation:
Two acrocentric chromosomes (13, 14, 15, 21, 22) unite at their centromere and form a single chromosome after the short arms have been lost (see structure). Although this results in a reduced number of chromosomes, this is referred to as a balanced aberration, as the loss of the short arms in these chromosomes can be easily compensated for. Here, too, the effects are often only noticeable in subsequent generations, as there is a very high probability of miscarriages or living children with a trisomy.

If there are two breaks within a chromosome, it can happen that the intermediate segment is rotated 180 ° and incorporated into the chromosome. This process, known as inversion, is only unbalanced if the break point lies within an active gene (2% of the total genetic material). Depending on whether the centromere is inside or outside the inverted segment, it is a peri- or paracentric inversion. These changes can also contribute to the uneven distribution of the genetic material on the germ cells.

In the paracentric inversion, in which the centromere is not in the inverted segment, germ cells with two or no centromere can also appear. As a result, the corresponding chromosome is lost during the very first cell divisions, which almost certainly leads to a miscarriage.

As Insertion is the name given to the incorporation of a chromosome fragment elsewhere. Here, too, the offspring are primarily affected in a similar way. A ring chromosome can occur in particular after deletion of the end pieces. The type and size of the sequences are decisive for the severity of the symptoms. In addition, this can lead to incorrect distributions and thus in turn to mosaic types within the body cells.

If the metaphase chromosome separates incorrectly during cell division, it can Isochromosomes come. These are two exactly the same chromosomes that consist of only long or only short arms. This can look like a in the case of the X chromosome Ulrich Turner Syndrome(Monosomy X) express.

Read more information on this topic: Chromosomal aberration

Trisomy 21

Trisomy 21, better known as Down syndrom, is probably the most common numeric Chromosomal aberration among live births, with the male gender being affected slightly more often (1.3: 1).

The probability of trisomy 21 occurring depends on various demographic factors, such as the average age at birth of the mothers, and varies slightly from region to region.

95% of the trisomy 21 arises as a result of a division error in the context of meiosis (germ cell division), namely nondisjunction, i.e. the failure to separate the sister chromatids.

These are known as free trisomies and arise 90% in the maternal, 5% in the paternal and another 5% in the embryonic genome.

Another 3% result from unbalanced translocations either on chromosome 14 or as 21; 21 translocation, creating a normal and a double chromosome 21. The remaining 2% are mosaic types in which the trisomy did not arise in germ cells and therefore does not affect all body cells. Mosaic types are often so mild that they can remain completely undetected for a long time.

In any case, a chromosome examination should be carried out in order to distinguish the symptomatically identical free trisomy from the possibly inherited translocation trisomy. A family history of the previous generations can then follow.

Do you have any further interest in this topic? Read the next article on thisTrisomy 21

Trisomy 13

Trisomy 13 or Patau Syndrome has a frequency of 1: 5000 and is much rarer than that Down syndrom. The causes (free trisomies, translocations and mosaic types) and their percentage distribution are largely identical.

In theory, almost all cases could be diagnosed prenatally using ultrasound or the PAPP-A test. Since the PAPP-A test is not necessarily part of the routine examinations, around 80% of cases in Central Europe are diagnosed before birth.

A growth residue, bilateral, can already be seen in the ultrasound Cleft lip and palate and detect unusually small eyes (microphthalmia). In addition, malformations of the forebrain and face of various degrees of severity are usually present (holoprosencephaly).

While the cerebral hemispheres are almost completely separated in the lobar form and lateral ventricles are created, in the semi-lobar form often only the rear part of the brain is separated and the lateral ventricles are missing. In the most severe form, the alobar form, there is no separation of the cerebral hemispheres.

Infants with a semi- or alobar shape usually die immediately after birth. After one month, the mortality rate is around 50% of live births. Up to the age of 5, the mortality rate from trisomy 13 increases to 90%. Due to the malformations in the brain, in most cases sick people remain bedridden for life and cannot speak, which is why they are dependent on full care. In addition, there can also be extensive physical manifestations of Trismoie 13.

Read more on the subject at:Trisomy 13 in the unborn child

Trisomy 16

Basically, trisomy 16 is the most common trisomy (around 32% of all trisomies), but living children with trisomy 16 are very rare. In general, live births only occur in partial trisomies or mosaic types. Among the trisomies, however, it is most frequently responsible for stillbirths: 32 out of 100 miscarriages due to chromosomal aberrations can be traced back to this form of trisomy.

Therefore, mainly prenatal, i.e. prenatal, identifiable characteristics have been documented. Noteworthy here are various heart defects, slowed growth, a single umbilical artery (otherwise double) and increased neck transparency, which is explained by fluid accumulation due to the not yet fully developed lymph system and the increased elasticity of the skin in this area. In addition, the physiological one often forms Umbilical hernia, i.e. the intermittent displacement of a large part of the intestine through the navel outwards, does not return properly, which is known as an omphalocele or umbilical cord break.

A flexion contracture with crossed fingers can also often be detected on ultrasound. The few live births are generalized Hypotonia, so a general muscle weakness, noticeable. This leads to drinking weakness and can ensure that the infant has to be fed artificially. The four-finger furrow that is so characteristic of trisomies also often occurs. Here, too, the frequency of occurrence of the trisomy is directly related to the age of the mother.

Trisomy 18

Edwards syndrome, i.e. trisomy 18, occurs with a frequency of 1: 3000. The prenatal diagnosis is the same as with the Patau syndrome: Here, too, the same examinations would allow all patients to be found completely before birth. The causes and their distributions can be compared with other trisomies (see trisomy 21).

Also come with trisomy 18 too partial trisomies which, like the mosaic types, lead to much milder clinical courses. The associated dysmorphisms are also extremely characteristic of Edwards syndrome: At birth, patients have a greatly reduced body weight of 2 kg (normal: 2.8-4.2 kg), a receding broad forehead, a generally underdeveloped lower half of the face with a small mouth opening , narrow eyelid slits and rotated, shape-changed ears (faun's ear). The back of the head, which is unusually strong for a newborn, is also noticeable. The ribs are unusually narrow and fragile. Newborns also have a permanent tension (tone) of the entire musculature, which, however, regresses in the survivors after the first few weeks.

Another characteristic feature is the crossing of the 2nd and 5th fingers over the 3rd and 4th with the total number of fingers hammered in, while the feet are unusually long (elapsed), have a particularly pronounced heel, stunted toenails and a set back big toe.

Serious organ malformations are common and usually occur in combination: heart and kidney defects, malfolding (malrotation) of the intestine, adhesions of the peritoneum (mesenterium commune), an occlusion of the esophagus (esophageal atresia) and many more.

Because of these malformations, the mortality rate is around 50% within the first 4 days, only around 5-10% live to be over a year old. Survival into adulthood is the absolute exception. In any case, an intellectual disability is very pronounced and cannot speak, are bedridden and incontinent, so completely dependent on outside help.

For more detailed information on trisomy 18, please also read our detailed article on the subject:

Trisomy X

Trisomy X is the most inconspicuous form of the numerical Chromosomal aberration, the appearance of those affected, who are logically all female, does not differ greatly from other women. Some stand out because they are particularly tall and have somewhat “plump” facial features. Mental development can also be largely normal, ranging from borderline normal to mild mental disability.

However, this intelligence deficit is somewhat more serious than with the other trisomies of the sex chromosomes (XXY and XYY). With a frequency of 1: 1000 it is basically not that rare, but since the trisomy is usually not associated with clinically significant symptoms, the majority of women with the disease will probably never be diagnosed for their entire life.

Carriers are mostly discovered by chance during a family check-up or during prenatal diagnostics. The Fertility can be lowered easily and the rate of sex chromosome aberrations in the next generation may be slightly higher, so that genetic counseling is recommended if you want to have children.

As with the other trisomies, trisomy X most often develops as a free trisomy, i.e. due to a lack of division (nondisjunction) of the sister chromatids. Here, too, it usually arises during the maturation of the maternal egg cells, although the probability increases with age.

Fragile X Syndrome

The Fragile X Syndrome or Martin Bell Syndrome is preferred in men, as they only have one X chromosome and are therefore more affected by the change.

Among the live male births in one year, it occurs with a frequency of 1:1250 and is therefore the most common form of unspecific mental retardation, i.e. all mental handicaps that cannot be described by a special syndrome with typical signs.

The Fragile X Syndrome can usually also occur in girls in a somewhat weaker form, which is the case with the accidental inactivation of one of the X chromosomes lies. The higher the proportion of the switched off healthy X chromosome, the stronger the symptoms.

Most of the time, however, women are carriers of the premutation, which does not yet produce any clinical symptoms, but massively increases the likelihood of full mutation in their sons.In very rare cases, men can also be the carriers of the premutation, which they can then only pass on to daughters who, however, are usually clinically healthy (Sherman paradox).

The syndrome is triggered by an extremely increased number of CGG triplets (a certain base sequence) in the FMR gene (fragile-site-mental-retardation); instead of 10-50 copies, the premutation 50-200, when fully developed 200-2000 copies.

Under the light microscope, this looks like a break in the long arm, which is what gave the syndrome its name. This leads to the deactivation of the affected gene, which in turn causes the symptoms.

Affected show a slowed language and movement development and can show behavioral problems that point towards hyperactivity, as well autism can go. Purely external abnormalities (signs of dysmorphism) are a long face with a prominent chin and protruding ears. With puberty, the testicles are often greatly enlarged (macroorchidia) and facial features coarsen. There is a slight accumulation of psychological abnormalities and a particularly early menopause among female carriers of the premutation.

What is a chromosome analysis?

A chromosome analysis is a process in cytogenetics with the numerical or structural chromosomal aberrationscan be proven.

Such an analysis would be used, for example, if there is an immediate suspicion of a chromosomal syndrome, i.e. in the case of malformations (dysmorphism) or intellectual disability (retardation), but also in the case of infertility, regular miscarriages (abortions) and also certain Cancers (e.g. Lymphoma or Leukemias) deploy.

For this you usually need Lymphocytes, a special type of immune cell obtained from the patient's blood. Since only a comparatively small amount can be obtained in this way, the cells are stimulated to divide with phytohemagglutinin and the lymphocytes can then be cultivated in the laboratory.

In some cases, samples (biopsies) are taken from the skin or the spinal cord instead, with a similar procedure. The goal is as much as possible DNA material to win, which is currently in the middle of cell division. In the metaphase, all chromosomes are arranged in one plane approximately in the middle of the cell, so that they can be drawn to the opposite sides (poles) of the cell in the next step, the anaphase.

At this point in time, the chromosomes are particularly tightly packed (highly condensed). The spindle poison colchicine is added, which works precisely in this phase of the cell cycle, so that the metaphase chromosomes accumulate. They are then isolated and stained using special staining methods.

The most common is the GTG banding, in which the chromosomes with Trypsin, a digestive enzyme, and the Giemsa dye. The particularly densely packed regions and those rich in adenine and thymine are shown dark.

The resulting G-bands are characteristic of each chromosome and, in simplified terms, are considered to be the regions with fewer genes. A picture of the chromosomes stained in this way is taken at a thousandfold magnification and a karyogram is created with the help of a computer program. In addition to the band pattern, the size of the chromosome and the position of the centromere are used to help arrange the chromosomes accordingly. But there are also other methods of banding that can have very different advantages.

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Quality assurance by: Dr. Nicolas Gumpert | Last change: 15.04.2021