Skip to main content
Log in

Recurrent Down's syndrome due to maternal ovarian trisomy 21 mosaicism

  • Case Reports
  • Published:
Archives of Gynecology and Obstetrics Aims and scope Submit manuscript

Abstract

A family with three children who had Down's syndrome and one healthy child is reported. Cytogenetic studies of the peripheral blood revealed trisomy 21 in the affected children, and normal karyotypes in both the parents and the healthy child. However, a biopsy of the mother's right ovary showed a mosaic trisomy 21 cell line (8/20 cells). By DNA polymorphism analysis, segregation of trisomy oogonia appeared to be the cause of recurrent trisomy 21.[/p]

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

References

  1. Daniel A, Stewart L, Saville T, Brookwell R, Paull H, Purvis-Smith S, Lam-Po-Tang PR (1982) Prenatal diagnosis in 3000 women for chromosome, X-linked and metabolic disorders. Am J Med Genet 11: 61–75

    Article  CAS  PubMed  Google Scholar 

  2. Harris DJ, Begleiter ML, Chamberlin J, Hankins L, Magenis RE (1982) Parental trisomy 21 mosaicism. Am J Hum Genet 34:125–133

    CAS  PubMed  Google Scholar 

  3. Hsu LYF, Gertner M, Leiter E, Hirschhorn K (1971) Paternal trisomy 21 mosaicism and Down's syndrome. Am J Hum Genet 23: 592–601

    CAS  PubMed  Google Scholar 

  4. UchidaIA, Freeman VCP (1985) Trisomy 21 Down syndrome: parental mosaicism. Hum Genet 70:246–248

    Article  CAS  PubMed  Google Scholar 

  5. Nielsen KG, Poulsen H, Mikkelsen M, Steuber E (1988) Multiple recurrence of trisomy 21 Down syndrome. Hum Genet 78: 103–105

    CAS  PubMed  Google Scholar 

  6. Sachs ES, Jahoda MGJ, Los FJ, Pijpers L, Wladimiroff JW (1990) Trisomy 21 mosaicism in gonads with unexpectedly high recurrence risks. Am J Med Genet 7: 186–188

    CAS  Google Scholar 

  7. Pangalos CG, Talbot CC, Lewis JG, Adelsberger PA, Petersen MB, Serre JL, Rethoré MO, de Blois MC, Parent P, Schinzel AA, Binkert F, Bone J, Corbin E, Croquette MF, Gilgenkrantz S, de Grouchy J, Bertheas MF, Prieur M, Raoul O, Serville F, Siffroi JP, Thepot F, Leieune J, Antonarakis SE (1992) DNA polymorphism analysis in families with recurrence of free trisomy 21. Am J Hum Genet 51: 1015–1027

    CAS  PubMed  Google Scholar 

  8. Antonarakis SE, and the Down syndrome collaborative group (1991) Parental origin of the extra chromosome in trisomy 21 as indicated by analysis of DNA polymorphisms. N Engl J Med 324: 872–876

    CAS  PubMed  Google Scholar 

  9. Antonarakis SE, Petersen MB, McInnis MG, Adelsberger PA, Schinzel AA, Binkert F, Pangalos C, Raoul O, Slaugenhaupt SA, Hafez M, Cohen MM, Roulson D, Schwartz S, Mikkelsen M, Tranebjaerg L, Greenberg F, Hoar DI, Rudd NL, Warren AC, Metaxotou C, Bartsocas C, Chakravarti A (1992) The meiotic stage of nondisjunction in trisomy 21: determination by using DNA polymorphisms. Am J Hum Genet 50:544–550

    CAS  PubMed  Google Scholar 

  10. Blouin JL, Avramopoulos D, Pangalos C, Antonarakis SE (1993) Normal phenotype with paternal uniparental isodisomy for chromosome 21. Am J Hum Genet 53: 1074–1078

    CAS  PubMed  Google Scholar 

  11. Giraud F, Mattei JF (1975) Aspects epidemiologues de la trisomy 21. J Genet Hum 23: 130

    Google Scholar 

  12. Hassold TJ, Jacobs PA (1984) Trisomy in man. Ann Rev Genet 18:69–97

    CAS  PubMed  Google Scholar 

  13. Palka G, Ciecotelli M, Sabatino G, Calabrese G, Franchi PG, Stuppia L, Parruti G, Virgilio CD, Sante OD (1990) Cytogenetic study of the heterochromatic polymorphisms in 100 subjects with Down syndrome and their parents. Am J Med Genet 7:201–203

    CAS  Google Scholar 

  14. Richards BW (1974) Investigation of 142 mosaic mongols and mosaic parents of mongols; cytogenetic analysis and maternal age at birth. J Ment Defic Res 18: 199–208

    CAS  PubMed  Google Scholar 

  15. Walker FA, Ising R (1969) Mosaic Down's syndrome in a father and daughter. Lancet 1: 374

    CAS  PubMed  Google Scholar 

  16. Werner W, Herrmann FH, John B (1982) Cytogenetic studies of a family with trisomy 21 mosaicism in two successive generations as the cause of Down's syndrome. Hum Genet 60: 202–204

    Article  CAS  PubMed  Google Scholar 

  17. Niikawa N, Kajii T (1984) The origin of mosaic Down syndrome: four cases with chromosome markers. Am J Hum Genet 36:123–130

    CAS  PubMed  Google Scholar 

  18. Antonarakis SE, Avramopoulos D, Blouin JL, Talbot CC Jr, Schinzel AA (1993) Mitotic errors in somatic cells cause trisomy 21 in about 4.5% of cases and are not associated with advanced maternal age. Nature Genet 3: 146–149

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Tseng, L.H., Chuang, S.M., Lee, T.Y. et al. Recurrent Down's syndrome due to maternal ovarian trisomy 21 mosaicism. Arch Gynecol Obstet 255, 213–216 (1994). https://doi.org/10.1007/BF02335088

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02335088

Key words

Navigation