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Chromosomal Abnormalities · Changes

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Update Chromosomal Abnormalities authored Mar 13, 2023 by Andrew R Jackson's avatar Andrew R Jackson
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Chromosomal-Abnormalities.md
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## Genome Variation - Chromosomal Aberrations & Others ## Genome Variation - Chromosomal Aberrations & Others
​
### Examples with proposed descriptors ### Examples with proposed descriptors
<table> <table>
...@@ -81,7 +79,7 @@ ...@@ -81,7 +79,7 @@
</div></td> </div></td>
<td> <td>
<span dir="">GRCh38 (chr21q10;chr14q10) - \[Down syndrome, unbalanced thus partial trisomy 21\]<br>GRCh38 (chr21q;chr14q10),(chr21:del),(chr14:del) - \[Variant for balanced carrier\]</span> <span dir="">GRCh38 (chr21q10::chr14q10) - \[Down syndrome, unbalanced thus partial trisomy 21\]<br>GRCh38 (chr21q::chr14q10),(chr21:del),(chr14:del) - \[Variant for balanced carrier\]</span>
</td> </td>
<td> <td>
...@@ -111,7 +109,7 @@ ...@@ -111,7 +109,7 @@
</div></td> </div></td>
<td> <td>
<span dir="">GRCh38 (chrXq10;chrXq10),(chrXp:del) - \[form of Turner syndrome, p-arm loss of chrX\]</span> <span dir="">GRCh38 (chrXq10::chrXq10),(chrXp:del) - \[form of Turner syndrome, p-arm loss of chrX\]</span>
</td> </td>
<td>Other - Isochromosome</td> <td>Other - Isochromosome</td>
<td> <td>
...@@ -127,7 +125,7 @@ ...@@ -127,7 +125,7 @@
</div></td> </div></td>
<td> <td>
<span dir="">GRCh38 (chr14p;chr14q) - \[associated with epilepsy and mental retardation\]</span> <span dir="">GRCh38 (chr14p::chr14q) - \[associated with epilepsy and mental retardation\]</span>
</td> </td>
<td>Other - Ring chromosome</td> <td>Other - Ring chromosome</td>
<td> <td>
...@@ -163,7 +161,7 @@ ...@@ -163,7 +161,7 @@
* Assembly doesn't really matter for these * Assembly doesn't really matter for these
* Employ composition * Employ composition
* Based on genomic variation, not resulting condition name(s) * Based on genomic variation, not resulting condition name(s)
* `;` for fusion * `::` for fusion
* Employ composition where the variation requires * Employ composition where the variation requires
* Coordinates provided as cytobands "necessary" (accepted; possibly preferred) in some cases * Coordinates provided as cytobands "necessary" (accepted; possibly preferred) in some cases
- `q10` is 0-length centromere (this is a genotyping standard) from q side and can be used for arm-fusions - `q10` is 0-length centromere (this is a genotyping standard) from q side and can be used for arm-fusions
...@@ -210,12 +208,12 @@ Easy ​ ...@@ -210,12 +208,12 @@ Easy ​
W.L.O.G. ​ From descriptor of a human genomic variant, must consider the balanced healthy (as far as we know now) carrier from the variation that can lead to another kind of Down Syndrome ​ W.L.O.G. ​ From descriptor of a human genomic variant, must consider the balanced healthy (as far as we know now) carrier from the variation that can lead to another kind of Down Syndrome ​
* `GRCh38 (chr21q;chr14q10),(chr21:del),(chr14:del)` - Look, it's simple: fusion of long arms of 21 and 14 at their centromeres, combined with loss of normal chr21 and normal chr14 in the haploid set to complete the Robertsonian translocation for a _balanced_ carrier. * `GRCh38 (chr21q::chr14q10),(chr21:del),(chr14:del)` - Look, it's simple: fusion of long arms of 21 and 14 at their centromeres, combined with loss of normal chr21 and normal chr14 in the haploid set to complete the Robertsonian translocation for a _balanced_ carrier.
* `GRCh38 (chr21q;chr14q10),(chr21p10;chr14p10),(chr21:del),(chr14:del)` - Here the balanced carrier has ALSO retained the fusion fragment of the two p arms \[rare, mainly for illustration here\] * `GRCh38 (chr21q::chr14q10),(chr21p10::chr14p10),(chr21:del),(chr14:del)` - Here the balanced carrier has ALSO retained the fusion fragment of the two p arms \[rare, mainly for illustration here\]
* `GRCh38 (chr21q10;chr14q10)` - But the `:del` are missing, meaning the haploid set has both chr21 and chr14 as well! * `GRCh38 (chr21q10::chr14q10)` - But the `:del` are missing, meaning the haploid set has both chr21 and chr14 as well!
- UNbalanced case. - UNbalanced case.
- Down Syndrom due to effective \[partial\] trisomy 21 actually caused by the UNbalanced Robertsonian translocation - Down Syndrom due to effective \[partial\] trisomy 21 actually caused by the UNbalanced Robertsonian translocation
- Also considered more explicit: `GRCh38 (chr21q10;chr14q10):add` for this additional case - Also considered more explicit: `GRCh38 (chr21q10::chr14q10):add` for this additional case
* This is a class of arm-fusion that is covered this way. Robertsonian is just one case. ​ * This is a class of arm-fusion that is covered this way. Robertsonian is just one case. ​
### Others ### Others
...@@ -226,15 +224,15 @@ W.L.O.G. ​ From descriptor of a human genomic variant, must consider the balan ...@@ -226,15 +224,15 @@ W.L.O.G. ​ From descriptor of a human genomic variant, must consider the balan
​ ​
* `GRCh38 (chrXq10;chrXq10),(chrXp:del)` - This one causes a form of Turner syndrome due to the _partial_ loss of the p-arm of chrX. * `GRCh38 (chrXq10::chrXq10),(chrXp:del)` - This one causes a form of Turner syndrome due to the _partial_ loss of the p-arm of chrX.
- The isochromosome `(chrXq10;chrXq10)` is two chrX q arms fused at the centromere. The p arms are lost \[causing a form of Turner\] - The isochromosome `(chrXq10::chrXq10)` is two chrX q arms fused at the centromere. The p arms are lost \[causing a form of Turner\]
- A class. This is just an example that is connected to Turner syndrom as well as `GRCh38 (chrX:del)` ​ - A class. This is just an example that is connected to Turner syndrome as well as `GRCh38 (chrX:del)` ​
#### Ring chromosome #### Ring chromosome
​ ​
* `GRCh38 (chr14p;chr14q)` - Ring chromosome. The end of chr14 p arm is fused to the end of chr14 q arm. * `GRCh38 (chr14p::chr14q)` - Ring chromosome. The end of chr14 p arm is fused to the end of chr14 q arm.
- We need no further banding information for this since the other end is the p10 / q10 0-length "band" used for centromeric fusions. - We need no further banding information for this since the other end is the p10 / q10 0-length "band" used for centromeric fusions.
- This ring chr14 is likely pathogenic for Epilepsy and mental retardation. Many ring chr have been encountered, with pathogenicities; although rare. ​ - This ring chr14 is likely pathogenic for Epilepsy and mental retardation. Many ring chr have been encountered, with pathogenicities; although rare. ​
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