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© 2009 NHS National Genetics Education and Development Centre Genetics and Genomics for Healthcare www.geneticseducation.nhs.uk Karyotype images This PowerPoint file contains a number of images of karyotypes that may be useful for teaching of genetics concepts. You may use these slides and their contents for non- commercial educational purposes.

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Page 1: © 2009 NHS National Genetics Education and Development CentreGenetics and Genomics for Healthcare  Karyotype images This PowerPoint

© 2009 NHS National Genetics Education and Development Centre

Genetics and Genomics for Healthcarewww.geneticseducation.nhs.uk

Karyotype images

This PowerPoint file contains a number of images of karyotypes that may be useful for teaching of genetics concepts.

You may use these slides and their contents for non-commercial educational purposes.

Page 2: © 2009 NHS National Genetics Education and Development CentreGenetics and Genomics for Healthcare  Karyotype images This PowerPoint

© 2009 NHS National Genetics Education and Development Centre

Genetics and Genomics for Healthcarewww.geneticseducation.nhs.uk

total number of chromosomes, sex chromosome constitution,

anomalies/variants.

46,XY47,XX,+2147,XXX69,XXY45,XX,der(13;14)(q10;q10)46,XY,t(2;4)(p12;q12)46,XX,del(5)(p25)46,XX,dup(2)(p13p22)46,XY,inv(11)(p15q14)46,XY,fra(X)(q27.3)46,XY/47,XXY

The Karyotype: an international description

Page 3: © 2009 NHS National Genetics Education and Development CentreGenetics and Genomics for Healthcare  Karyotype images This PowerPoint

© 2009 NHS National Genetics Education and Development Centre

Genetics and Genomics for Healthcarewww.geneticseducation.nhs.uk

total number of chromosomes, sex chromosome constitution,

anomalies/variants.

46,XY47,XX,+21 Trisomy 21 (Down syndrome)47,XXX Triple X syndrome69,XXY Triploidy

45,XX,der(13;14)(p11;q11) Robertsonian translocation

46,XY,t(2;4)(p12;q12) Reciprocal translocation

46,XX,del(5)(p25) Deletion tip of chromosome 546,XX,dup(2)(p13p22) Duplication of part of

short arm Chr 246,XY,inv(11)(p15q14) Pericentric inversion

chromosome 1146,XY,fra(X)(q27.3) Fragile X syndrome46,XY/47,XXY Mosaicism normal/Klinefelter

syndrome

The Karyotype: an international description

Page 4: © 2009 NHS National Genetics Education and Development CentreGenetics and Genomics for Healthcare  Karyotype images This PowerPoint

© 2009 NHS National Genetics Education and Development Centre

Genetics and Genomics for Healthcarewww.geneticseducation.nhs.uk

Fig. 2.5 ©Scion Publishing LtdRedrawn from ISCN 2005 with permission from S. Karger AG, Basel.

Nomenclature of cytogenetic bands.

The ideograms show ideal G-banding patterns at 550 band resolution. Major bands are labelled 1,2,3, etc., going from centromere to telomere.

Major band 11q1 (11q means the long arm of chromosome 11, 11p the short arm) is divided into sub-bands 11q11 – 11q14, and at the highest resolution 11q14 splits into 11q14.1 – 11q14.3.

Page 5: © 2009 NHS National Genetics Education and Development CentreGenetics and Genomics for Healthcare  Karyotype images This PowerPoint

© 2009 NHS National Genetics Education and Development Centre

Genetics and Genomics for Healthcarewww.geneticseducation.nhs.uk

Fig. 2.9 ©Scion Publishing Ltd

Page 6: © 2009 NHS National Genetics Education and Development CentreGenetics and Genomics for Healthcare  Karyotype images This PowerPoint

© 2009 NHS National Genetics Education and Development Centre

Genetics and Genomics for Healthcarewww.geneticseducation.nhs.uk

Fig. 2.11 ©Scion Publishing Ltd

Karyotype showing trisomy 21 (47,XX,+21)

Page 7: © 2009 NHS National Genetics Education and Development CentreGenetics and Genomics for Healthcare  Karyotype images This PowerPoint

© 2009 NHS National Genetics Education and Development Centre

Genetics and Genomics for Healthcarewww.geneticseducation.nhs.uk

Fig. 2.13 ©Scion Publishing Ltd

Karyotype of Isabel Ingram. Although Isabel will never be able to have children normally, treatment with estrogens can allow her to develop normal secondary sex characteristics and greatly assist her personal and social life. Modern reproductive technology has allowed some Turner syndrome patients to bear children using donor eggs. Treatment with growth hormone can result in improved growth and final height.

Page 8: © 2009 NHS National Genetics Education and Development CentreGenetics and Genomics for Healthcare  Karyotype images This PowerPoint

© 2009 NHS National Genetics Education and Development Centre

Genetics and Genomics for Healthcarewww.geneticseducation.nhs.uk

Fig. 2.14 ©Scion Publishing Ltd

G-banded karyotypes of Ellen’s chromosomes. There is a balanced translocation. Chromosomes 1 and 22 have exchanged segments (arrows). The translocation is described as 46,XX,t(1:22)(q25;q13)

Page 9: © 2009 NHS National Genetics Education and Development CentreGenetics and Genomics for Healthcare  Karyotype images This PowerPoint

© 2009 NHS National Genetics Education and Development Centre

Genetics and Genomics for Healthcarewww.geneticseducation.nhs.uk

Fig. 2.15 ©Scion Publishing Ltd

G-banded karyotype of baby Elizabeth. She has inherited Ellen’s normal chromosome 1 but her translocated chromosome 22 (arrow). She is trisomic for the portion of chromosome 1 distal to 1q25, the translocation breakpoint, and monosomic for chromosome 22 distal to 22q13.

Page 10: © 2009 NHS National Genetics Education and Development CentreGenetics and Genomics for Healthcare  Karyotype images This PowerPoint

© 2009 NHS National Genetics Education and Development Centre

Genetics and Genomics for Healthcarewww.geneticseducation.nhs.uk

Fig. 2.16 ©Scion Publishing Ltd

How the 1;22 translocation in Ellen Elliot originated. Chromosome 1 and 22 broke at the positions indicated by the arrows, and the cell’s DNA repair machinery rejoined the ends to form the two derivative chromosomes as shown. The derivative chromosomes are labelled der(1) and der(22).

Page 11: © 2009 NHS National Genetics Education and Development CentreGenetics and Genomics for Healthcare  Karyotype images This PowerPoint

© 2009 NHS National Genetics Education and Development Centre

Genetics and Genomics for Healthcarewww.geneticseducation.nhs.uk

Fig. 2.20 ©Scion Publishing Ltd

A Robertsonian translocation. The inset shows how this common type of chromosome abnormality arises. The short arms of all the acrocentric chromosomes (13, 14, 15, 21, 22) contain similar DNA. Inappropriate recombination between two non-homologous chromosomes produces the fusion chromosome, which functions as a normal single chromosome in mitosis. The small acentric fragment comprising the two distal short arms is lost.

Page 12: © 2009 NHS National Genetics Education and Development CentreGenetics and Genomics for Healthcare  Karyotype images This PowerPoint

© 2009 NHS National Genetics Education and Development Centre

Genetics and Genomics for Healthcarewww.geneticseducation.nhs.uk

Fig. 4.14 ©Scion Publishing Ltd

22q11 metaphase FISH. The green spots are a control probe, used to identify the two copies of chromosome 22 and confirm that hybridization has taken place. The red spots are the TUPLE1 probe. Only one of the two copies of chromosome 22 contains the sequence that hybridizes to this probe.

Page 13: © 2009 NHS National Genetics Education and Development CentreGenetics and Genomics for Healthcare  Karyotype images This PowerPoint

© 2009 NHS National Genetics Education and Development Centre

Genetics and Genomics for Healthcarewww.geneticseducation.nhs.uk

Fig. 4.15 ©Scion Publishing Ltd

Interphase FISH test for trisomy 21. The chromosome 21 probe is labelled with a red fluorochrome and a control probe (for chromosome 18) is labelled in green. The two green dots show that the hybridization has worked for this cell, and the three red dots show that there are three copies of chromosome 21. The clinical report is based on examining a large number of cells. For prenatal diagnosis a mix of differently coloured probes from chromosomes 13, 18, 21, X and Y is often used.

Page 14: © 2009 NHS National Genetics Education and Development CentreGenetics and Genomics for Healthcare  Karyotype images This PowerPoint

© 2009 NHS National Genetics Education and Development Centre

Genetics and Genomics for Healthcarewww.geneticseducation.nhs.uk

Fig. 4.16 ©Scion Publishing Ltd

Array-CGH result on the patient shown in Figure 4.3. The whole genome was surveyed, but only results for the probes from chromosome 12 are shown. There is a duplication involving 39 contiguous clones from 12q24.1.

Page 15: © 2009 NHS National Genetics Education and Development CentreGenetics and Genomics for Healthcare  Karyotype images This PowerPoint

© 2009 NHS National Genetics Education and Development Centre

Genetics and Genomics for Healthcarewww.geneticseducation.nhs.uk

47,XX,+21

Page 16: © 2009 NHS National Genetics Education and Development CentreGenetics and Genomics for Healthcare  Karyotype images This PowerPoint

© 2009 NHS National Genetics Education and Development Centre

Genetics and Genomics for Healthcarewww.geneticseducation.nhs.uk

47,XX,+13

Page 17: © 2009 NHS National Genetics Education and Development CentreGenetics and Genomics for Healthcare  Karyotype images This PowerPoint

© 2009 NHS National Genetics Education and Development Centre

Genetics and Genomics for Healthcarewww.geneticseducation.nhs.uk

47,XX,+18

Page 18: © 2009 NHS National Genetics Education and Development CentreGenetics and Genomics for Healthcare  Karyotype images This PowerPoint

© 2009 NHS National Genetics Education and Development Centre

Genetics and Genomics for Healthcarewww.geneticseducation.nhs.uk

45,X

Page 19: © 2009 NHS National Genetics Education and Development CentreGenetics and Genomics for Healthcare  Karyotype images This PowerPoint

© 2009 NHS National Genetics Education and Development Centre

Genetics and Genomics for Healthcarewww.geneticseducation.nhs.uk

47,XXY

Page 20: © 2009 NHS National Genetics Education and Development CentreGenetics and Genomics for Healthcare  Karyotype images This PowerPoint

© 2009 NHS National Genetics Education and Development Centre

Genetics and Genomics for Healthcarewww.geneticseducation.nhs.uk

47,XYY

Page 21: © 2009 NHS National Genetics Education and Development CentreGenetics and Genomics for Healthcare  Karyotype images This PowerPoint

© 2009 NHS National Genetics Education and Development Centre

Genetics and Genomics for Healthcarewww.geneticseducation.nhs.uk

45,XX,der(14;21)(q10;q10)

Page 22: © 2009 NHS National Genetics Education and Development CentreGenetics and Genomics for Healthcare  Karyotype images This PowerPoint

© 2009 NHS National Genetics Education and Development Centre

Genetics and Genomics for Healthcarewww.geneticseducation.nhs.uk

46,XX,t(4;15)(q2?1.3;q13)

Page 23: © 2009 NHS National Genetics Education and Development CentreGenetics and Genomics for Healthcare  Karyotype images This PowerPoint

© 2009 NHS National Genetics Education and Development Centre

Genetics and Genomics for Healthcarewww.geneticseducation.nhs.uk

46,XX,t(9;22)(q34;q11)

Page 24: © 2009 NHS National Genetics Education and Development CentreGenetics and Genomics for Healthcare  Karyotype images This PowerPoint

© 2009 NHS National Genetics Education and Development Centre

Genetics and Genomics for Healthcarewww.geneticseducation.nhs.uk

ish der(9)(ABL-),der(22)(BCRsp+conABLsp+,ABLsp+,BCRsp+)

Page 25: © 2009 NHS National Genetics Education and Development CentreGenetics and Genomics for Healthcare  Karyotype images This PowerPoint

© 2009 NHS National Genetics Education and Development Centre

Genetics and Genomics for Healthcarewww.geneticseducation.nhs.uk

46,Y,fra(X)(q27.3)

Page 26: © 2009 NHS National Genetics Education and Development CentreGenetics and Genomics for Healthcare  Karyotype images This PowerPoint

© 2009 NHS National Genetics Education and Development Centre

Genetics and Genomics for Healthcarewww.geneticseducation.nhs.uk

Fragile X Chromosome

Page 27: © 2009 NHS National Genetics Education and Development CentreGenetics and Genomics for Healthcare  Karyotype images This PowerPoint

© 2009 NHS National Genetics Education and Development Centre

Genetics and Genomics for Healthcarewww.geneticseducation.nhs.uk

47,XX,+?mar

Page 28: © 2009 NHS National Genetics Education and Development CentreGenetics and Genomics for Healthcare  Karyotype images This PowerPoint

© 2009 NHS National Genetics Education and Development Centre

Genetics and Genomics for Healthcarewww.geneticseducation.nhs.uk

46,X,r(X)

Page 29: © 2009 NHS National Genetics Education and Development CentreGenetics and Genomics for Healthcare  Karyotype images This PowerPoint

© 2009 NHS National Genetics Education and Development Centre

Genetics and Genomics for Healthcarewww.geneticseducation.nhs.uk

ins(22;9)(q11;q13q34)

Page 30: © 2009 NHS National Genetics Education and Development CentreGenetics and Genomics for Healthcare  Karyotype images This PowerPoint

© 2009 NHS National Genetics Education and Development Centre

Genetics and Genomics for Healthcarewww.geneticseducation.nhs.uk

46,XY.ish del(15)(q11.2q11.2)(SNRPN-)

Page 31: © 2009 NHS National Genetics Education and Development CentreGenetics and Genomics for Healthcare  Karyotype images This PowerPoint

© 2009 NHS National Genetics Education and Development Centre

Genetics and Genomics for Healthcarewww.geneticseducation.nhs.uk

46,XY.ish del(15)(q11.2q11.2)(SNRPN-)

Page 32: © 2009 NHS National Genetics Education and Development CentreGenetics and Genomics for Healthcare  Karyotype images This PowerPoint

© 2009 NHS National Genetics Education and Development Centre

Genetics and Genomics for Healthcarewww.geneticseducation.nhs.uk

46,XX.ish del(22)(q11.2q11.2)(TUPLE1-)

Page 33: © 2009 NHS National Genetics Education and Development CentreGenetics and Genomics for Healthcare  Karyotype images This PowerPoint

© 2009 NHS National Genetics Education and Development Centre

Genetics and Genomics for Healthcarewww.geneticseducation.nhs.uk

46,XX.ish del(22)(q11.2q11.2)(TUPLE1-)

Page 34: © 2009 NHS National Genetics Education and Development CentreGenetics and Genomics for Healthcare  Karyotype images This PowerPoint

© 2009 NHS National Genetics Education and Development Centre

Genetics and Genomics for Healthcarewww.geneticseducation.nhs.uk

46,X,del(X)(p21.1)

Page 35: © 2009 NHS National Genetics Education and Development CentreGenetics and Genomics for Healthcare  Karyotype images This PowerPoint

© 2009 NHS National Genetics Education and Development Centre

Genetics and Genomics for Healthcarewww.geneticseducation.nhs.uk

46,XX,del(4)(p15.2p16.?2)

Page 36: © 2009 NHS National Genetics Education and Development CentreGenetics and Genomics for Healthcare  Karyotype images This PowerPoint

© 2009 NHS National Genetics Education and Development Centre

Genetics and Genomics for Healthcarewww.geneticseducation.nhs.uk

ish del(7)(q11.23q11.23)(ELN-)

Williams syndrome

Page 37: © 2009 NHS National Genetics Education and Development CentreGenetics and Genomics for Healthcare  Karyotype images This PowerPoint

© 2009 NHS National Genetics Education and Development Centre

Genetics and Genomics for Healthcarewww.geneticseducation.nhs.uk

Page 38: © 2009 NHS National Genetics Education and Development CentreGenetics and Genomics for Healthcare  Karyotype images This PowerPoint

© 2009 NHS National Genetics Education and Development Centre

Genetics and Genomics for Healthcarewww.geneticseducation.nhs.uk

Trisomy 21: 47,XX,+21three separate copies of chromosome 21

Page 39: © 2009 NHS National Genetics Education and Development CentreGenetics and Genomics for Healthcare  Karyotype images This PowerPoint

© 2009 NHS National Genetics Education and Development Centre

Genetics and Genomics for Healthcarewww.geneticseducation.nhs.uk

Three copies of all the chromosomes: triploidy

Page 40: © 2009 NHS National Genetics Education and Development CentreGenetics and Genomics for Healthcare  Karyotype images This PowerPoint

© 2009 NHS National Genetics Education and Development Centre

Genetics and Genomics for Healthcarewww.geneticseducation.nhs.uk

Different chromosome banding resolutions can resolve bands, sub-bands and sub-sub-bands

Chromosome 1

Human chromosome banding patterns seen on light microscopy

Page 41: © 2009 NHS National Genetics Education and Development CentreGenetics and Genomics for Healthcare  Karyotype images This PowerPoint

© 2009 NHS National Genetics Education and Development Centre

Genetics and Genomics for Healthcarewww.geneticseducation.nhs.uk

FISH - fluorescence in situ hybridisation

Page 42: © 2009 NHS National Genetics Education and Development CentreGenetics and Genomics for Healthcare  Karyotype images This PowerPoint

© 2009 NHS National Genetics Education and Development Centre

Genetics and Genomics for Healthcarewww.geneticseducation.nhs.uk

Example of FISH

Page 43: © 2009 NHS National Genetics Education and Development CentreGenetics and Genomics for Healthcare  Karyotype images This PowerPoint

© 2009 NHS National Genetics Education and Development Centre

Genetics and Genomics for Healthcarewww.geneticseducation.nhs.uk

Trisomy 21 amniocyte

Page 44: © 2009 NHS National Genetics Education and Development CentreGenetics and Genomics for Healthcare  Karyotype images This PowerPoint

© 2009 NHS National Genetics Education and Development Centre

Genetics and Genomics for Healthcarewww.geneticseducation.nhs.uk

Chromosomes seen through a microscope