2008 Barcelona - European Society of Human Genetics
2008 Barcelona - European Society of Human Genetics 2008 Barcelona - European Society of Human Genetics
Cytogenetics P02.101 case report: A case of a rare translocation of sRY region of the Y chromosome to the short arm of the X chromosome V. Radoi, L. Neagu, D. Mierla, D. Jardan; Life Memorial Hospital, Bucharest, Romania. The 46, XX karyotype male syndrome is a rare sex chromosome disorder occurring in less then 1 in 25 000 individuals . It mostly results from unequal crossing-over between the X and Y chromosomes during meiosis . Here we report a two weeks old boy with bilateral cryptorchidism and penile hypospadia . Chromosomal analysis revealed a 46, XX karyotype and the FISH test showed the presence of the SRY region of the Y chromosome translocated to the short arm of the X chromosome . SRY gene located in this region is the main gene responsible for gonadal differentiation in the male and it is essential for the normal development of male genitalia. This report confirms the value of karyotyping and FISH analysis in the cases of ambiguous genitalia . P02.102 mosaicism characterization in male with 46,XX SRY positive karyotype O. M. Khurs, A. D. Polityko, N. V. Rumyantseva, I. V. Naumchik; Republican Medical Center “Mother and сhild”, Minsk, Belarus. 46,XX “male syndrome” is rare chromosomal disorder in human that occurs at about 1 in 20 000 - 25 000 males . The SRY gene, located at p11 .3 chromosome Y, plays a key role in human sex determination and is responsible for the reproductive system morphogenesis . Most 46,XX male individuals with normal genitalia and karyotype 46,XX are SRY positive . This chromosomal aberration arises due to an unequal recombination between Xp and Yp terminal region during paternal meiosis . Here we present a case of an infertile (azoospermia) 32 years old male, who has normal masculinization of the external genitalia . A standard cytogenetic study revealed the karyotype 46,XX in 25 analyzed metaphases . FISH analysis using LSI SRY probe Spectrum Orange (Vysis) showed the presence of single SRY gene signal in 50 metaphases studied . The subsequent FISH using chromosome X WCP probe Spectrum Orange (Vysis) has demonstrated the localization of SRY signal on p-arm of chromosome X, and constitutional karyotype abnormality was interpreted as 46,XX .ish der(X)t(X;Y)(p22 .3;p11 .3)(SRY+) . Furthermore the analysis of 184 metaphases has allowed to ascertain the mosaic status of the karyotype in lymphocytes: 45,X .ish (wcpX×1)[4]/47,XXX . ish (wcpX×3)[3]/48,XXXX .ish (wcpX×4)[1}/46,XX .ish (wcpX×2)[176] . The results obtained demonstrate the advantage of FISH for detecting low-grade mosaicism in patients with anomalies of sex chromosomes . [Supported in parts by DAAD 325/2003, DFG WER 17/01/04] . P02.103 clinical, cytogenetic and molecular cytogenetic study of three XX male cases H. A. Hussein, I. I. Mazen; National Research Centre, Cairo, Egypt. 46,XX male is a rare disorder that occurs at about 1 in 20,000 males . It is due to accidental recombination between the short arm of the Y chromosome and the short arm of the X in paternal meiosis .This results in translocation of the SRY gene from the Y to the X chromosome . Aim of this study is to report and highlight the value of cytogenetics and (FISH) analysis for males with 46, XX Karyotype, since the phenotype dose not always correlate with the presence or absence of Y sequences in the genome . In this report we present clinical, cytogenetic and molecular cytogenetic data of three patients referred to human cytogenetics department from Clinical genetic department . Two patients presented with infertility with normal male external genitalia and one patient was presenting with ambiguous genitalia . Ultrasonography revealed no müllerian derivatives in the three patients . Cytogenetic results for the three cases revealed 46, XX karyotype . FISH analysis showed the presence of SRY gene on the short arm of X chromosome in cases numbers 1& 2 and it absence in case number 3 . Analysis of these results illustrated that combined conventional cytogenetic and FISH techniques are essential for accurate diagnosis and proper genetic counseling . Therefore we recommend performing molecular cytogenetic (FISH) in cases of male infertility or male genital ambiguity . P02.104 A 14 bp deletion in the sry gene associated with xy sex reversal E. Margarit 1,2 , R. Queralt 1 , M. Guitart 3 , E. Gabau 3 , R. Corripio 3 , A. Soler 1,2 , A. Sánchez 1,2 ; 1 Biochemistry and Molecular Genetics.and IDIBAPS, Hospital Clínic, Barcelona, Spain, 2 Centro de Investigación Biomédica en Red de Enfermedades Raras (CIBERER), ISCIII, Barcelona, Spain, 3 Consorci Hospitalari Parc Taulí, Sabadell, Spain. Sex-reversed XY females can arise from different mechanisms . About 15% of the XY females with pure gonadal dysgenesis are found to have mutations in the testicular determinant gene SRY (Sex Reversal on chromosome Y), specially affecting the high mobility group conserved region HMG box . The SRY gene is located at Yp11 .31 and induces male sexual differentiation in human embryos from the 6 th week of gestation . The failure of this process cause gonadal dysgenesis in complete or incomplete form, depending of the presence or not of testicular tissue remnants . Here we present a female 15 years old with no pubertal development, hypergonadotropism, obesity and diabetes, showing a 46,XY karyotype . The existence of the SRY gene was confirmed by PCR. Sequencing of SRY revealed a deletion of 14 nucleotides in the coding sequence of the gene (2188delAAAGCTG- TAACTCT), located in the 5’ region upstream of the HMG box . The deletion of these nucleotides origins a stop codon that will give rise to a severely truncated protein . This defective SRY protein lacks the entire DNA-binding HMG domain and will therefore most likely be non-functional. Only four different deletions have been previously identified in the SRY gene (HMGD database) associated to XY sex-reversal . P02.105 molecular analysis of SRY identifies familial and de novo mutations in 46,XY females with different phenotypes of gonadal dysgenesis J. M. S. Goncalves 1 , D. Gomes 1 , J. Silva 1 , A. Parreira 1 , A. Medeira 2 , T. Kay 3 , T. Oliveira 4 , L. Cortez 5 , J. Cidade Rodrigues 6 ; 1 Instituto Nacional de Saúde, Centro de Genética Humana, Lisbon, Portugal, 2 Serviço de Genética Médica, Hospital de Stª Maria, Lisbon, Portugal, 3 Serviço de Genética Médica, Hospital de D Estefânia, Lisbon, Portugal, 4 Maternidade Júlio Dinis, Porto, Portugal, 5 Serviço de Endocrinologia, Hospital Curry Cabral, Lisbon, Portugal, 6 Hospital de Crianças Maria Pia, Porto, Portugal. In human males, normal testicular determination is firstly triggered by the action of the SRY protein, which is encoded by a single exon-gene (SRY) located on Yp11 .3 . SRY has a high-mobility group (HMG) domain, which is able to bind and bend DNA . De novo point mutations in SRY that arise mainly in the HMG box domain, were identified in 46,XY female patients with complete gonadal dysgenesis (CGD) . However, even very rarely, familial SRY mutations were already described . Here, we describe eight 46,XY female patients with mutations in the SRY gene, seven with CGD and one with ambiguous external genitalia . Molecular studies were performed using four sets of primers, from nucleotides -323 to +950 of the SRY. PCR amplified DNA fragments were analysed by SSCP or DHPLC, and subsequently sequenced when appropriate . In two patients with CGD, a microdeletion including all SRY coding region was found . In the remaining six patients the following point mutations were detected: c .53G>A(p .S18N); 89G>T(R30I); c .169C>T(E57X); 224G>T(p .P63A) . While the last two, were not described before, and are de novo mutations, c .53G>A(p .S18N) and 89G>T(R30I) were also found in both patient’s fathers . 89G>T(R30I) was also detected in a first degree cousin (phenotypically nomal) of one of the female patients with CGD . None of the above mutations were found in more than 100 phenotypically normal unrelated males . We evidence, that while some SRY mutations may be the cause of complete gonadal dysgenesis, others are associated with phenotypic heterogeneity, supporting the existence of modifier genes implicated in sex determination .
Cytogenetics P02.106 Aneuploidy of chromosome 21 in the Alzheimer’s disease brain Y. B. Yurov 1,2 , I. Y. Iourov 1,2 , S. G. Vorsanova 1,2 , T. Liehr 3 ; 1 National Research Center of Mental Health, RAMS, Moscow, Russian Federation, 2 Institute of Pediatrics and Children Surgery, Rosmedtechnologii, Moscow, Russian Federation, 3 Institute of Human Genetics and Anthropology, Jena, Germany. Apart from single gene mutations, Alzheimer’s disease (AD) is suggested to be associated with mosaic aneuploidy of chromosome 21 . This hypothesis has been repeatedly supported by studies of AD blood lymphocytes and skin fibroblasts. However, the diseased brain has not been directly studied . We have performed molecular cytogenetic studies by interphase chromosome 21-specific multicolour banding on cells of AD brain samples derived from the cerebral cortex, hippocampus and cerebellum . The analysis was performed through evaluation of about 14000 intephase nuclei . Control samples exhibited mean rate of aneuploid cells to be about 0 .7% (all brain areas) . The average rate of aneuploidy achieved 4% in the AD hippocampus, 3 .5% _ in the AD cerebral cortex, and 0 .9% _ in the AD cerebellum . Aneuploidy manifested more frequently as chromosome 21 monosomy, but the proportion of cells with additional chromosome 21 was also significant. The monosomy-to-trisomy ratio was about 2:1. AD brain exhibited significant increase of chromosome 21 aneuploidy in the hippocampus and cerebral cortex . Interestingly, these two areas are known to be more affected by neurodegenerative processes featuring AD . Together, this suggests a correlation between molecular cytogenetic and neuropathology data . We hypothesize that increased aneuploidy rates in the AD hippocampus and cerebral cortex are the results of mitotic errors during adult neurogenesis. Our data shows that specific areas of the senecent brain can be selectively affected by acquired aneuploidy . Aneuploidization of specific brain areas is, therefore, a genetic process that is likely involved in the pathogenesis of AD . P02.107 Evaluation of micronuclei and nondisjunction frequencies in workers exposed to internal plutonium by cytokinesis-blocked binucleated cells assay S. A. Vasilyev, V. A. Timoshevskiy, I. N. Lebedev; Scientific Research Institute of Medical Genetics, Tomsk, Russian Federation. Damage or dysfunction of any component of mitotic segregation complex by mutagens can lead to mistakes in chromosome number . One of the most reliable methods of aneugenic influence detection is FISHanalysis of cytokinesis-blocked binucleated cells . Detection of micronuclei in these investigations is an indicator of clastogenic effects . We have tested abilities of this approach on a group of Siberian Chemical Plant (SCP) workers exposed to internal plutonium . We have formed groups of exposed individuals - SCP workers with incorporated plutonium (10-276 nCi) - 70 individuals, and control set - people living in Seversk and not exposed of nuclear-chemical agents - 50 individuals . In preliminary analysis we have demonstrated that missegregation frequencies for chromosomes 7 and 12 was 0 .2% for each chromosome in cells of 27 SCP workers, and 0 .1% and 0 .075% in 8 individuals from control group, respectively. Significantly increased frequency of nondisjunction in exposed group was noted for chromosome 12 only (p=0 .03) . However, tendency to increase of missegregation of chromosome 7 (p=0.06) was observed. Significant differences in frequencies of micronuclei in exposed and control groups (0 .77 and 0 .74 %, respectively) were not found . Since we have carried out only a preliminary study of abnormal chromosome number frequency it is early to make conclusion about aneugenic influence of incorporated plutonium. However, we can suggest that this approach is sufficiently informative and sensitive for frequency detection of abnormalities which lead to genomic mutations . Subsequent analysis of segregation abnormalities provides some clues to the quantitative features of aneuploidy induction by internal plutonium . P02.108 cytogenetic effects of doxazosina a alpha-blocker antihypertensive drug: sister chromatid exchanges and micronuclei frequencies before and after pharmacological treatment I. Arrieta Saez 1 , O. Peñagarikano 2 , M. Télez 1 , M. Barasoain 1 , I. Huerta 1 , J. Ramírez 1 , B. Criado 3 , P. Flores 4 , A. González 5 ; 1 Dpto Genetica, Antropología Fisica y Fisiologia animal Facultad de Ciencia y Tecnología, Bilbao, Spain, 2 Emory University School of Medicine, Atlanta, GA, United States, 3 High School Da Maia, CESPU, Porto, Portugal, 4 Dpto de enfermería, Escuela de Enfermería, Bilbao, Spain, 5 Dpto Medicina Interna, Facultad de Medicina, Bilbao, Spain. Arterial hypertension is a health problem representing one of the most frequent diagnoses in the population at large in terms of prevalence and incidente . Drug treatment of hypertension may last for decades . Long-term treatment require documentation of long-term safety and efficacy, including sensitive indices of genotoxic damage. In our previous works Sister Chromatid Exchange (SCE) and Micronuclei (MN) assays were aplied to asses the genotoxicity of atenolol a beta-blocker antihypertensive drug and nimodipine a calcium antagonist antihypertensive in culture peripheral lymphocytes of treated patientes and control individuals . The results showed no genotoxic effect of nimodipine, however a statistical significant increase in the frequency of MN was detected in patients treated with atenolol . Aplication of FISH with an alphoid stellite probe revealed also a statistical significant higher percentage of centromere positive MN . We report here our data from a study of the genotoxic potential of Doxazosina The pharmacological aplication of the antihypertensive Doxazosina is due to their ability to blocker alpha receptors . This antihypertensive was tested for its ability to induced SCE and MN in cultured human peripheral blood lymphocytes of patients before and after pharmacological treatment, so that the patient is control himself . The results of the study revealed that the frequency of SCE did not show significant differences. However a statistical significant increase in the frecuency of centromere positive MN was detected, thus indicating more frequent envolvement of aneuploidy phenomena in the origin of Doxazosina-induce MN . P02.109 chromosome instability in the ataxia telangiectasia cerebellum I. Y. Iourov 1,2 , S. G. Vorsanova 1,2 , T. Liehr 3 , A. D. Kolotii 2 , Y. B. Yurov 1 ; 1 National Research Center of Mental Health, RAMS, Moscow, Russian Federation, 2 Institute of Pediatrics and Children Surgery, Rosmedtechnologii, Moscow, Russian Federation, 3 Institute of Human Genetics and Anthropology, Jena, Germany. Ataxia-telangiectasia (AT) is a chromosome instability (CIN) syndrome associated with progressive neuronal degeneration affecting exclusively the cerebellum . Molecular basis of cerebellar neurodegeneration in AT is unknown, but hypothesized to be closely linked to the loss of genome integrity in the cerebellar neural cells manifesting as CIN . Here, we monitored CIN in the AT brain by interphase chromosomespecific multicolour banding allowing analysis of interphase chromosomes in their integrity . We found stable 2-4-fold increase of stochastic aneuploidy involving whole chromosomes 7 and 14 in the cerebellum of the AT brain as to controls . Additionally, dramatic 5-40-fold increase of CIN involving chromosome 14 (aneuploidy (including supernumerary rearranged chromosomes) and non-random chromosome breaks) as to other brain areas has been revealed . The latter was found to progress with the age of patients . Paradoxically, the longevity of AT patients was in direct proportion to CIN levels in the cerebellum . We hypothesize that aneuploidization and acquired CIN may result from autoactivation of aberrant processes triggered in response to progressive neuronal degeneration . Newly generated neural cells, being genetically abnormal, nevertheless, partially substitute the loss of cells in the cerebellum and play an ameliorative role in stabilization of the diseased brain homeostasis . We suggest CIN in the AT cerebellum to be involved in processes that mediate either neurodegeneration or endogenous neuroprotection . The way CIN is progressed, can be, therefore, proposed as definitive for the course of neurodegeneration and for cerebellar dysfunction in AT patients .
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Cytogenetics<br />
P02.106<br />
Aneuploidy <strong>of</strong> chromosome 21 in the Alzheimer’s disease brain<br />
Y. B. Yurov 1,2 , I. Y. Iourov 1,2 , S. G. Vorsanova 1,2 , T. Liehr 3 ;<br />
1 National Research Center <strong>of</strong> Mental Health, RAMS, Moscow, Russian Federation,<br />
2 Institute <strong>of</strong> Pediatrics and Children Surgery, Rosmedtechnologii, Moscow,<br />
Russian Federation, 3 Institute <strong>of</strong> <strong>Human</strong> <strong>Genetics</strong> and Anthropology, Jena,<br />
Germany.<br />
Apart from single gene mutations, Alzheimer’s disease (AD) is suggested<br />
to be associated with mosaic aneuploidy <strong>of</strong> chromosome 21 .<br />
This hypothesis has been repeatedly supported by studies <strong>of</strong> AD blood<br />
lymphocytes and skin fibroblasts. However, the diseased brain has<br />
not been directly studied . We have performed molecular cytogenetic<br />
studies by interphase chromosome 21-specific multicolour banding on<br />
cells <strong>of</strong> AD brain samples derived from the cerebral cortex, hippocampus<br />
and cerebellum . The analysis was performed through evaluation<br />
<strong>of</strong> about 14000 intephase nuclei . Control samples exhibited mean rate<br />
<strong>of</strong> aneuploid cells to be about 0 .7% (all brain areas) . The average rate<br />
<strong>of</strong> aneuploidy achieved 4% in the AD hippocampus, 3 .5% _ in the AD<br />
cerebral cortex, and 0 .9% _ in the AD cerebellum . Aneuploidy manifested<br />
more frequently as chromosome 21 monosomy, but the proportion<br />
<strong>of</strong> cells with additional chromosome 21 was also significant. The<br />
monosomy-to-trisomy ratio was about 2:1. AD brain exhibited significant<br />
increase <strong>of</strong> chromosome 21 aneuploidy in the hippocampus and<br />
cerebral cortex . Interestingly, these two areas are known to be more<br />
affected by neurodegenerative processes featuring AD . Together, this<br />
suggests a correlation between molecular cytogenetic and neuropathology<br />
data . We hypothesize that increased aneuploidy rates in the<br />
AD hippocampus and cerebral cortex are the results <strong>of</strong> mitotic errors<br />
during adult neurogenesis. Our data shows that specific areas <strong>of</strong> the<br />
senecent brain can be selectively affected by acquired aneuploidy . Aneuploidization<br />
<strong>of</strong> specific brain areas is, therefore, a genetic process<br />
that is likely involved in the pathogenesis <strong>of</strong> AD .<br />
P02.107<br />
Evaluation <strong>of</strong> micronuclei and nondisjunction frequencies in<br />
workers exposed to internal plutonium by cytokinesis-blocked<br />
binucleated cells assay<br />
S. A. Vasilyev, V. A. Timoshevskiy, I. N. Lebedev;<br />
Scientific Research Institute <strong>of</strong> Medical <strong>Genetics</strong>, Tomsk, Russian Federation.<br />
Damage or dysfunction <strong>of</strong> any component <strong>of</strong> mitotic segregation complex<br />
by mutagens can lead to mistakes in chromosome number . One<br />
<strong>of</strong> the most reliable methods <strong>of</strong> aneugenic influence detection is FISHanalysis<br />
<strong>of</strong> cytokinesis-blocked binucleated cells . Detection <strong>of</strong> micronuclei<br />
in these investigations is an indicator <strong>of</strong> clastogenic effects . We<br />
have tested abilities <strong>of</strong> this approach on a group <strong>of</strong> Siberian Chemical<br />
Plant (SCP) workers exposed to internal plutonium . We have formed<br />
groups <strong>of</strong> exposed individuals - SCP workers with incorporated plutonium<br />
(10-276 nCi) - 70 individuals, and control set - people living in<br />
Seversk and not exposed <strong>of</strong> nuclear-chemical agents - 50 individuals .<br />
In preliminary analysis we have demonstrated that missegregation frequencies<br />
for chromosomes 7 and 12 was 0 .2% for each chromosome<br />
in cells <strong>of</strong> 27 SCP workers, and 0 .1% and 0 .075% in 8 individuals<br />
from control group, respectively. Significantly increased frequency <strong>of</strong><br />
nondisjunction in exposed group was noted for chromosome 12 only<br />
(p=0 .03) . However, tendency to increase <strong>of</strong> missegregation <strong>of</strong> chromosome<br />
7 (p=0.06) was observed. Significant differences in frequencies<br />
<strong>of</strong> micronuclei in exposed and control groups (0 .77 and 0 .74 %, respectively)<br />
were not found . Since we have carried out only a preliminary<br />
study <strong>of</strong> abnormal chromosome number frequency it is early to<br />
make conclusion about aneugenic influence <strong>of</strong> incorporated plutonium.<br />
However, we can suggest that this approach is sufficiently informative<br />
and sensitive for frequency detection <strong>of</strong> abnormalities which lead to<br />
genomic mutations . Subsequent analysis <strong>of</strong> segregation abnormalities<br />
provides some clues to the quantitative features <strong>of</strong> aneuploidy induction<br />
by internal plutonium .<br />
P02.108<br />
cytogenetic effects <strong>of</strong> doxazosina a alpha-blocker<br />
antihypertensive drug: sister chromatid exchanges and<br />
micronuclei frequencies before and after pharmacological<br />
treatment<br />
I. Arrieta Saez 1 , O. Peñagarikano 2 , M. Télez 1 , M. Barasoain 1 , I. Huerta 1 , J.<br />
Ramírez 1 , B. Criado 3 , P. Flores 4 , A. González 5 ;<br />
1 Dpto Genetica, Antropología Fisica y Fisiologia animal Facultad de Ciencia y<br />
Tecnología, Bilbao, Spain, 2 Emory University School <strong>of</strong> Medicine, Atlanta, GA,<br />
United States, 3 High School Da Maia, CESPU, Porto, Portugal, 4 Dpto de enfermería,<br />
Escuela de Enfermería, Bilbao, Spain, 5 Dpto Medicina Interna, Facultad<br />
de Medicina, Bilbao, Spain.<br />
Arterial hypertension is a health problem representing one <strong>of</strong> the most<br />
frequent diagnoses in the population at large in terms <strong>of</strong> prevalence<br />
and incidente . Drug treatment <strong>of</strong> hypertension may last for decades .<br />
Long-term treatment require documentation <strong>of</strong> long-term safety and<br />
efficacy, including sensitive indices <strong>of</strong> genotoxic damage.<br />
In our previous works Sister Chromatid Exchange (SCE) and Micronuclei<br />
(MN) assays were aplied to asses the genotoxicity <strong>of</strong> atenolol a<br />
beta-blocker antihypertensive drug and nimodipine a calcium antagonist<br />
antihypertensive in culture peripheral lymphocytes <strong>of</strong> treated patientes<br />
and control individuals . The results showed no genotoxic effect<br />
<strong>of</strong> nimodipine, however a statistical significant increase in the frequency<br />
<strong>of</strong> MN was detected in patients treated with atenolol . Aplication <strong>of</strong><br />
FISH with an alphoid stellite probe revealed also a statistical significant<br />
higher percentage <strong>of</strong> centromere positive MN .<br />
We report here our data from a study <strong>of</strong> the genotoxic potential <strong>of</strong><br />
Doxazosina The pharmacological aplication <strong>of</strong> the antihypertensive<br />
Doxazosina is due to their ability to blocker alpha receptors . This antihypertensive<br />
was tested for its ability to induced SCE and MN in cultured<br />
human peripheral blood lymphocytes <strong>of</strong> patients before and after<br />
pharmacological treatment, so that the patient is control himself .<br />
The results <strong>of</strong> the study revealed that the frequency <strong>of</strong> SCE did not<br />
show significant differences. However a statistical significant increase<br />
in the frecuency <strong>of</strong> centromere positive MN was detected, thus indicating<br />
more frequent envolvement <strong>of</strong> aneuploidy phenomena in the origin<br />
<strong>of</strong> Doxazosina-induce MN .<br />
P02.109<br />
chromosome instability in the ataxia telangiectasia cerebellum<br />
I. Y. Iourov 1,2 , S. G. Vorsanova 1,2 , T. Liehr 3 , A. D. Kolotii 2 , Y. B. Yurov 1 ;<br />
1 National Research Center <strong>of</strong> Mental Health, RAMS, Moscow, Russian Federation,<br />
2 Institute <strong>of</strong> Pediatrics and Children Surgery, Rosmedtechnologii, Moscow,<br />
Russian Federation, 3 Institute <strong>of</strong> <strong>Human</strong> <strong>Genetics</strong> and Anthropology, Jena,<br />
Germany.<br />
Ataxia-telangiectasia (AT) is a chromosome instability (CIN) syndrome<br />
associated with progressive neuronal degeneration affecting exclusively<br />
the cerebellum . Molecular basis <strong>of</strong> cerebellar neurodegeneration<br />
in AT is unknown, but hypothesized to be closely linked to the loss<br />
<strong>of</strong> genome integrity in the cerebellar neural cells manifesting as CIN .<br />
Here, we monitored CIN in the AT brain by interphase chromosomespecific<br />
multicolour banding allowing analysis <strong>of</strong> interphase chromosomes<br />
in their integrity . We found stable 2-4-fold increase <strong>of</strong> stochastic<br />
aneuploidy involving whole chromosomes 7 and 14 in the cerebellum<br />
<strong>of</strong> the AT brain as to controls . Additionally, dramatic 5-40-fold increase<br />
<strong>of</strong> CIN involving chromosome 14 (aneuploidy (including supernumerary<br />
rearranged chromosomes) and non-random chromosome breaks)<br />
as to other brain areas has been revealed . The latter was found to<br />
progress with the age <strong>of</strong> patients . Paradoxically, the longevity <strong>of</strong> AT<br />
patients was in direct proportion to CIN levels in the cerebellum . We<br />
hypothesize that aneuploidization and acquired CIN may result from<br />
autoactivation <strong>of</strong> aberrant processes triggered in response to progressive<br />
neuronal degeneration . Newly generated neural cells, being genetically<br />
abnormal, nevertheless, partially substitute the loss <strong>of</strong> cells<br />
in the cerebellum and play an ameliorative role in stabilization <strong>of</strong> the<br />
diseased brain homeostasis . We suggest CIN in the AT cerebellum<br />
to be involved in processes that mediate either neurodegeneration<br />
or endogenous neuroprotection . The way CIN is progressed, can be,<br />
therefore, proposed as definitive for the course <strong>of</strong> neurodegeneration<br />
and for cerebellar dysfunction in AT patients .