THE INCIDENCE AND TYPE OF CHROMOSOMAL TRANSLOCATIONS FROM PRENATAL DIAGNOSIS OF 3800 PATIENTS IN THE REPUBLIC OF MACEDONIA
Vasilevska M1,*, Ivanovska E1, Kubelka Sabit K1, Sukarova-Angelovska E2, Dimeska G3
*Corresponding Author: Marinela Vasilevska, M.Sc., Department of Diagnostic Laboratories, Clinical Hospital Acibadem-Sistine, Skupi 5A, 1000 Skopje, Republic of Macedonia; Tel.: +389-2-3099-511; Fax: +389-2- 3099-599; vasilevskam@acibademsistina.com.mk
page: 23

INTRODUCTION

Constitutive chromosome translocations are the most frequent structural chromosomal abnormalities in humans. There are Robertsonian translocations involving acrocentric chromosomes, reciprocal translocations between auto-some chromosomes or sex chromosome translocations. All types of translocations may be presented in balanced and unbalanced states. Mental and physical abnormalities can be expected when the translocation is in an unbalanced state. On the other hand, the phenotype of the balanced translocation carriers is usually normal and the transloca-tion may pass undetected through generations. The birth of a child with an unbalanced form of translocation or infertility in the carriers, usually reveals the existence of a familial chromosomal translocation [1]. Gametogenesis of the carries is affected by forming trivalents (Robertsonian translocations) or quadrivalents (reciprocal translocations) between translocated and normal chromosomes. The type of gametes produced in meiosis depends on the mode of chromosome segregation. Only alternate segregation can produce normal or gametes with translocations in a balanced state. All other modes can be classified as malseg-regation, because of production of unbalanced gametes [2]. Genetic counseling, risk estimation and prenatal cyto- genetic diagnosis are required for the carriers of known balanced chromosomal translocations.



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