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Double Trisomy as a Mosaic. Case History (48,XYY,+21/47,XY,+21) and Survey of the Literature of Mixed Autosomal-Gonosomal Trisomies

Published online by Cambridge University Press:  01 August 2014

G. Schwanitz*
Affiliation:
Department of Human Genetics and Anthropology, University of Erlangen City Pediatric Hospital, Regensburg, GFR
M. Hagner
Affiliation:
Department of Human Genetics and Anthropology, University of Erlangen City Pediatric Hospital, Regensburg, GFR
*
Institut für Humangenetik und Anthropologie, Bismarckstrasse 10, 8520 Erlangen, GFR

Abstract

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The case of a boy is reported showing the typical symptoms of Down's syndrome, in whom the chromosome analysis revealed a mosaic karyotype: 50% 48,XYY,+21/50% 47,XY,+2l. Findings of 92 cases from the literature are summarized to show the frequencies of double gonosome-autosome aneuploidies compared with single trisomies. Referring to the different chromosomes involved, the aneuploid cell formation, the frequencies of combinations, as well as the tendency to mosaic formation are analyzed. The age of parents at the time of birth and the life expectancy are described as well as the clinical symptoms. Theories concerning the origin of double aneuploidies are discussed.

Type
Research Article
Copyright
Copyright © The International Society for Twin Studies 1978

References

LITERATURE

Abrisqueta, T.A. 1966. Chromosome study of different phenotypical deviations. Hum. Chrom. Newsl., 18: 4.Google Scholar
Al-Aish, M.S., Dodson, W.E., Plato, Ch. C. 1971. Down's syndrome with XYY: 48,XYY,G+. Amer. J. Dis. Child., 121: 444446.Google Scholar
Bach, Ch., Toublanc, J.E., Gautier, M. 1973. Une observation de double aneuploïdie chromosomique: Trisomie 18 et XXY. Ann. Genet., 16: 6166.Google Scholar
Baguena Candela, R., Forteza Bover, G., Amat Aguirre, E. 1965. Un nuevo tipo de aberración cromosómica: el mosaico normal/trisomia G-monosomia XO. Med. Española, 54: 256.Google Scholar
Baguena Candela, R., Forteza Bover, G., Ortiz Hernandez, M.D., Comin Ferrer, J. 1966. Un caso con estigmas del sindrome de Bonnevie-Ullrich y de mongolismo y cariotipo 45/XO-trisomia G. Med. Española, 55: 454461.Google Scholar
Barakat, B.Y., Der Kaloustian, V.M. 1973. Combined autosomal — sex chromosomal mosaicism in a newborn female with mongolism. (4th Int. Conf. Birth Def., Vienna). Excerpta Medica, Amsterdam, 297.Google Scholar
Borgaonkar, D.S. and others 1969. Pers. comm. in Laxova R. et al. 1971.Google Scholar
Cohen, M.M., Bumbalo, T.S. 1967. Double aneuploidy. Trisomy 18 and Klinefelter's syndrome. Amer. J. Dis. Child., 113: 483486.Google Scholar
Cohen, M.M., Davidson, R.G. 1972. Double aneuploidy (47,XX,21+/45,X) arising through simultaneous double non-disjunction. J. Med. Genet., 9: 242244.CrossRefGoogle Scholar
Court Brown, W.M., Harnden, D.G., Jacobs, P.A., Maclean, N., Mantle, D.J. 1964. Med. Res. Counc. Spec. Rep., 305: 1239.Google Scholar
Day, R.W., Wright, S.W., Koons, A., Quigley, M. 1963. XXX 21-trisomy and retinoblastoma. Lancet, II: 154155.CrossRefGoogle Scholar
Dekaban, A. 1965. Twins, probably monozygotic: one mongoloid with 48 chromosomes, the other normal. Cytogenet., 4: 227239.Google Scholar
Dhadial, R.K. 1970. New human double trisomy or tetrasomy. J. Med. Genet., 7: 7576.Google Scholar
Dhom, G. 1960. Über Gonadendysgenesie beim Neugeborenen und jungen Säugling mit chromatinnegativem Kernbefund. Acta endocrin., 34: 105.Google Scholar
Duilio, M.T., Serra, G. 1969. Trisomia 21 associata a mosaicismo gonosomico. Min. Pediat, 21: 21962201.Google Scholar
Ebbin, A.J., Chu Lim, R., Towner, J.W., Wilson, M.G. 1972. A double aneuploid mosaic: Trisomy 13 and XXY. J. Med. Genet., 9: 365367.CrossRefGoogle ScholarPubMed
Edgren, J., de la Chapelle, A., Kääriäinen, R. 1966. Cytogenetic study of seventy-three patients with Down's syndrome. J. ment. Defic. Res., 10: 4762.Google Scholar
Efinski, D., Duma, H., Apostolovski, B., Sofijanov, N., Ristevski, B., Darkovski, S. 1974. Klinefelter's and Down's syndrome in an adolescent with abnormal EEG. Clin. Genet., 5: 8185.CrossRefGoogle Scholar
Engel, E., Haddow, J.E., Lewis, J.F., Tipton, R.E., Overall, J.C., McGee, B.J., Levrat, O.J., Engel-de-Montmollin, M. 1967. Three unusual patterns in children. Amer. J. Dis. Child., 113: 322328.Google Scholar
Erdtmann, B., Gomes De Freitas, A.A., De Souza, R.P., Salzano, F.M. 1971. Klinefelter's syndrome and G trisomy. J. Med. Genet., 8: 364368.Google Scholar
Feiertag-Koppen, C.C.M., Anders, G.J.P.A., Stronk, M.G., Boevé, H.J. 1966. Mosaicism of X and G chromosomes. Lancet, I: 1271.Google Scholar
Ford, C.E., Jones, K.W., Miller, O.J., Mittwoch, U., Penrose, L.S., Ridler, M., Shapiro, A. 1959. The chromosomes in a patient showing both mongolism and Klinefelter syndrome. Lancet, I: 709710.CrossRefGoogle Scholar
France, N.E., Evison, P.G.H., Butler, L.J., Snodgrass, G.J.A.I., Crome, L., Keith, C.G. 1967. Trisomy D1 (13-15) associated with XO/XY mosaicism. J. Med. Genet., 4: 134138.Google Scholar
Grosse, K.-P., Hopfengärtner, F., Schwanitz, G. 1971. Doppelte Aneuploidie: 46,XX/45,XO/47,XX,G+. Humangenetik, 13: 333337.Google Scholar
Grouchy, J. de, Emerit, I., Gennes, J.-L. de, Vernant, P. 1965. Syndrome de Klinefelter chez un garçon trisomique 21 âgé de six ans. Presse méd., 73: 12091212.Google Scholar
Gustavson, K.-H., Ivemark, B.I., Zetterquist, P., Böök, J.A. 1962. Postmortem diagnosis of a new double-trisomy associated with cardiovascular and other anomalies. Acta paediat., 51: 686697.Google Scholar
Haas, L., Lewis, F.J.W. 1966. Double trisomy: trisomy 17-18 with triple X in a female infant. J. Pediat., 69: 660662.Google Scholar
Hall, B. 1963. Two cases, pers. comm. in Laxova R. et al. 1971.Google Scholar
Hall, B. 1964. Mongolism in newborns. A clinical and cytogenetic study. Acta paediat. Suppl. 154.Google Scholar
Hamerton, J.L., Jagiello, G.M., Kirman, B.H. 1962. Sex-chromosome abnormalities in a population of mentally defective children. Brit. med. J., I: 220223.CrossRefGoogle Scholar
Hamerton, J.L., Giannelli, F., Polani, P.E. 1965. Cytogenetics of Down's syndrome (mongolism) I. Data on a consecutive series of patients referred for genetic counselling and diagnosis. Cytogenet., 4: 171185.Google Scholar
Harnden, D.G., Miller, O.J., Penrose, L.S. 1960. The Klinefelter-mongolism type of double aneuploidy. Ann. Hum. Genet., 24: 165169.Google Scholar
Haylock, J., Dennett, X., Fitzgerald, M. 1963. Two cases of the 18 trisomy syndrome, one in combination with an XXY karyotype. Hum. Chrom. Newsl., 9: 15.Google Scholar
Hecht, F., Nievaard, J.E., Duncanson, N., Miller, J.R., Higgins, J.V., Kimberling, W.J., Walker, F.A., Smith, G.S., Thuline, H.C., Tischler, B. 1969. Double aneuploidy: the frequency of XXY in males with Down's syndrome. Amer. J. hum. Genet., 21: 352359.Google Scholar
Hsu, L.Y.F., Strauss, L. Alter, A.V., Kim, H.J., Hirschhorn, K. 1975. Prenatal diagnosis of double trisomy. Amer. J. Dis. Child., 129: 381382 Google Scholar
Hustinx, T.W., Eberle, P., Geerts, S.J., Brink, J.T., Woltring, L.M. 1961. Mongoloid twins with 48 chromosomes (AA + A21XXY). Ann. Hum. Genet., 25: 111115.Google Scholar
Hustinx, T.W.J., Ter Haar, B.G.A., Scheres, J.M.J.C., Rutten, F.J. 1974. Autosomal/heterosomal mixoploidy: a report on two patients, a female with a 45,X/47,XX,+21 and a male with a 45,X/47, XY,+21 chromosome constitution. Ann. Génét., 17: 225234.Google Scholar
Lanman, J.T., Sklarin, O.S., Cooper, H.L., Hirschhorn, K. 1960. Klinefelter's syndrome in a ten-month-old mongolian idiot: report of a case with chromosome analysis. New Engl. J. Med., 263: 887890.Google Scholar
Laxova, R., McKeown, J.A., Saldaña, P., Timothy, J.A.D. 1971. A case of XYY Down's syndrome confirmed by autoradiography. J. Med. Genet., 8: 215219.Google Scholar
Leary, P.M., Webb, P.M., Melzer, C.W., Close, H.G. 1975. Down's syndrome with additional XYY aneuploidy. Clin. Genet., 8: 5558.Google Scholar
Lehmann, O., Forssman, H. 1960. Klinefelter's syndrome and mongolism in the same person. Acta paediat., 49: 536539.Google Scholar
Lewis, F.W.J., Haas, L. 1965. Group E trisomy in a triple X female infant. Hum. Chrom. Newsl., 16: 21.Google Scholar
Maclean, N., Mitchell, J.M., Harnden, D.G., Williams, J., Jacobs, P.A., Buckton, K.A., Baikie, A.G., Court Brown, W.M., McBride, J.A., Strong, J.A., Close, H.G., Jones, D.C. 1962. A survey of sex-chromosome abnormalities among 4514 mental defectives. Lancet, I: 293296.Google Scholar
Madahar, D.P., Dosik, H., Wexler, I. 1974. 48,XXX, + 18 double trisomy. J. Med. Genet., 11: 309311.Google Scholar
Mailhes, J.B., Moore, Ch. M., Gershanik, J.J. 1977. A case of double trisomy in a liveborn infant: 48,XXY, + 13. Clin. Genet., 11: 147150.CrossRefGoogle Scholar
Medenis, R., Forbes, A., Rosenthal, I.M. 1962. Mosaicism associated with mongolism. Abstracted Soc. Pediat. Res., 572.Google Scholar
Migeon, B.R. 1965, G1 trisomy in a XYY male. Hum. Chrom. Newsl., 17: 16.Google Scholar
Milcou, S., Maicanesco, M. 1963. Syndrome de Klinefelter associé au mongolisme et à l'ectopie testiculaire bilatérale. Path. Biol., 11: 12471250.Google Scholar
Murken, J.D., Lippoldmüller, E., Spiess, H. 1972. XYY-Syndrom und Trisomie 21 (48,XYY,21 +). Mschr. Kinderheilk., 120: 469471.Google Scholar
Murken, J.D. et al. 1972. 48,XXY,+21. Pers. comm. in Murken J.D. et al. 1972.Google Scholar
Neu, R.L., Scheuer, A.Q., Garnder, L.I. 1971. A cause of 48,XYY,21 + in an infant with Down's syndrome. J. Med. Genet., 8: 533535.Google Scholar
Nielsen, J., Veitner, M., Holm, V., Askjaer, A.A., Reske-Nielsen, E., Žižka, J. 1978. Klinefelter's syndrome and trisomy 18 in a newborn boy. Clin. Genet., 13: 259264.Google Scholar
Osztovics, M., Ivády, G., Bühler, E.M. 1971. XYY chromosomal complement, proven by fluorescence, in a child with trisomy 21: 48,XYY,21 +. Humangenetik, 13: 144150.Google Scholar
Pergament, E., Kadotani, T. 1965. A new double aneuploid: XXY D-trisomy. Lancet, II: 695.Google Scholar
Pfeiffer, R.A. 1964. Doppelte Aneuploidie (Trisomie 21 und XXY) bei einem Säugling. Arch. Kinderheilk., 171: 6979.Google Scholar
Pfeiffer, R.A. 1964. Chromosome abnormalities in children with congenital malformations. Hum. Chrom. Newsl., 12: 10.Google Scholar
Pfeiffer, R.A. 1964. Pers. comm. in Pfeiffer R.A. 1964.Google Scholar
Prieur, M., Dutrillaux, B., Carpentier, S., Berger, R., Raoul, O., Rethoré, M.-O., Lejeune, J. 1972. Mosaique 45,X/47,XY,+21. Ann. Génét., 15:195196.Google Scholar
Prieur, M., Dutrillaux, B., Lafourcade, J., Roy, C., Lejeune, J. 1976. Mosaique 45,X/47,XY, + 13, chez une fille agée de 19 ans. Ann. Génét., 19: 199202.Google Scholar
Ricci, N., Borgatti, L. 1963. XXX 18-trisomy. Lancet, II: 12761277.Google Scholar
Root, A.W., Bongiovanni, A.M., Breibart, S., Mellman, W.J. 1964. Double aneuploidy: Trisomy 21 and XO/XX sex chromosome mosaicism. J. Pediat., 65: 937939.Google Scholar
Schinzel, A., Schmid, W., Prader, A. 1974. Turner phenotype: mosaic 45,X/47,XY, + 18. J. Mcd. Genet., 11: 101104.Google Scholar
Sénèze, J., Lafourcade, J., Lejeune, J., Thoyer-Rozat, J. 1964. Double aneuploïdie: trisomie-21 et syndrome de Klinefelter chez un couple de jumeaux monozygotes. Bull. Fédér. Soc. Gyn., 16: 529535.Google Scholar
Sever, L.E. Turner phenotype: mosaic 45,X/47,XY, + 18. Pers. comm.Google Scholar
Shapiro, A., Ridler, M.A.C. 1960. The incidence of Klinefelter's syndrome in a mental deficiency hospital. J. ment. Defic. Res., 4: 4850 and pers. comm. to Hamerton 1962 in Hamerton et al. 1965.Google Scholar
Smith, G.S., Delay, M.R. 1965. Human chromosome patterns in mentally retarded individuals. Hum. Chrom. Newsl., 16: 27.Google Scholar
Stoll, C, Frey, D., Willard, D., Messer, J. 1976. Down's syndrome with XYY additional aneuploidy. Hum. Genet., 34: 8588.Google Scholar
Taylor, A.I., Moores, E.C. 1967. A sex chromatin survey of newborn children in two London hospitals. J. Med. Genet., 4: 258259.Google Scholar
Taylor, A.I. 1968. Autosomal trisomy syndromes: A detailed study of 27 cases of Edwards' syndrome and 27 cases of Patau's syndrome. J. Med. Genet., 5: 227252.Google Scholar
Taylor, A.I. 1970. Further observations of cell selection in vivo in normal/G trisomic mosaics. Nature (Lond.), 227: 163164.Google Scholar
Toublanc, M. 1971. A propos d'une observation d'une double aneuploïdie chromosomique: trisomie 18 et XXY. Thèse, Paris.Google Scholar
Townes, Ph. L., White, M.R., Stiffler, S.J., Goh, K. 1975. Double aneuploidy. Amer. J. Dis. Child., 129: 10621065.Google Scholar
Turpin, R., Thoyer-Rozat, J., Lafourcade, J., Lejeune, J., Caille, B., Kesseler, A. 1964. Coincidence de mongolisme et de syndrome de Klinefelter chez l'un et l'autre jumeaux d'une paire monozygote. Pédiatrie, 19: 4352.Google Scholar
Tsukino, R., Sasaki, M., Moriguchi, O. 1971. A case of Turner-Down mosaicism with 45,X/46,X,G + constitution. Chromosome Inf. Serv., 12: 2122.Google Scholar
Uchida, I.A., Bowman, J.M. 1961. XXX 18-trisomy. Lancet, II: 1094.Google Scholar
Uchida, I.A., Lewis, A.J., Bowman, J.M., Wang, H.C. 1962. A case of double trisomy: Trisomy No. 18 and triplo-X. J. Pediat., 60: 498502.Google Scholar
Uchida, I.A., Ray, M., Duncan, B.P. 1966. 21 trisomy with an XYY sex chromosome complement. J. Pediat., 69: 295298.Google Scholar
Van Gelderen, H.H., Hustinx, T.W.J. 1961. Combinatie van het Klinefelter-syndroom met mongolisme. Ned. T. Geneesk., 105: 19251928.Google Scholar
Van Gelderen, H.H., Gaillard, J.L.J., Schaberg, A. 1967. Trisomy G/normal mosaics in non-mongoloid mentally deficient children. Acta paediat. Scand., 56: 517525.Google Scholar
Van Wijck, J.A.M., Blankenborg, G.J., Stolte, L.A.M. 1964. XO/XX mosaicism and mongolism in the same person. Lancet, I: 171.Google Scholar
Verresen, H., van den Berghe, H. 1965. 21-trisomy and XYY. Lancet, 1: 609.Google Scholar
Vignetti, P., Ferrante, E., Capotorii, L. 1965. Un caso di trisomia 21 (mongolismo) associata a triplo X. Acta Paediat. Lat. (Reggio Emilia), 18: 40.Google Scholar
Yunis, J.J., Hook, E.B., Alter, M. 1964. XXX 21-trisomy. Lancet, I: 437438.Google Scholar
Zellweger, H., Abbo, G. 1965. Familial mosaicism attributable to a new gene. Lancet, I: 455457.Google Scholar
Zellweger, H., Abbo, G. 1967. Double trisomy and double trisomic mosaicism. Amer. J. Dis. Child., 113: 329337.Google Scholar
Zergollern, L., Hoefnagel, D. 1964. X-chromosome mosaicism with trisomy-21. Lancet, I: 11081109.CrossRefGoogle Scholar