
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
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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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