Monosomy, with the presence of only one chromosome (instead of the typical two in humans) from a pair, which affects chromosome 14. Fetuses with monosomy 14 are not viable.[1] Only mosaic cases exist and these usually present with severe symptoms such as intellectual disability, ocular colobomata, microcephaly, and seizures. Organ malformations are also associated due to the chromosome 14 having several genes for organ development, including heart defects, and brain problems. In full monosomy 14 in all cells, the total amount of chromosomes is 45 instead of 46. Many are stillborn if the pregnancy does progress to term. The prognosis is generally poor and the symptoms include intellectual disability, small head, ocular problems, seizures, and heart malformations. Monosomy 14 is not just the only lethal monosomy, several other monosomies(except Turner syndrome) are lethal. They may have kidney issues, ventricular underdevelopment, or brain defects. Their eyes, heart, brain, and head is far less developed than fetuses with two copies of chromosome 14. The severe gene dosage imbalance is common in these fetuses.[2][3]
References
edit- ^ Ginsburg, David; Gelehrter, Thomas D.; Collins, Francis S. (1998). Principles of medical genetics. Baltimore: Williams & Wilkins. pp. 169. ISBN 0-683-03445-6.
- ^ McConnell V, Derham R, McManus D, Morrison PJ (July 2004). "Mosaic monosomy 14: clinical features and recognizable facies". Clin. Dysmorphol. 13 (3): 155–60. doi:10.1097/01.mcd.0000126137.29572.59. PMID 15194951. S2CID 22523296.
- ^ Cantú ES, Thomas IT, Frias JL (September 1989). "Unusual cytogenetic mosaicism involving chromosome 14 abnormalities in a child with an MR/MCA syndrome and abnormal pigmentation". Clin. Genet. 36 (3): 189–95. doi:10.1111/j.1399-0004.1989.tb03187.x. PMID 2676269. S2CID 40718643.