As alterações cromossômicas estruturais associadas a fenótipos clínicos oferecem a oportunidade de identificação e localização de genes cujas mutações possam estar determinando essas patologias, tendo em vista a possibilidade de que esses genes podem ter sido alterados pelas quebras ou ter o número de cópias modificado. Um número cada vez maior de evidências aponta para a participação de certas seqüências do genoma na formação de rearranjos cromossômicos recorrentes e não recorrentes. Este trabalho compreendeu o estudo de duas translocações cromossômicas aparentemente equilibradas e uma duplicação do braço curto do cromossomo 20 em decorrência de mosaicismo materno. O objetivo foi determinar os pontos de quebra por hibridação in situ fluorescente (FISH) e identificar genes candidatos, alterados pelas quebras dos rearranjos e que pudessem explicar o quadro clínico dos portadores. A caracterização das seqüências nos pontos de quebra e a junção desses rearranjos é fundamental para a compreensão dos mecanismos de formação das alterações cromossômicas. A delimitação precisa dos segmentos deletados é necessária para a correlação com o quadro clínico. / Two apparently \"de novo\" balanced translocations and one duplication of the short arm of chromosome 20 were studied. Our aim was to determine the breakpoints by chromosomal analysis through fluorescentin situ hybridization (FISH) and identify candidate genes and how they were involved with the clinical phenotypes of the patients. Patient 1 carried a duplication of the short arm of chromosome 20 (p11.22p13), inherited from the mother that showed normal and dup(20) lymphocytes. The duplication was determined by FISH using BAC and PAC clones, and nine clones were duplicated except one (20p11.21). The patient shared many of the common characteristics of trisomy 20p including delay in motor development, hypertelorism, poor coordination, round face with prominent cheeks, vertebral and dental abnormalities and cranial asymmetry with high and large forehead. She also had learning difficulties, behavioral disorders and pubertal growth spurt at 12 years. As our patient is an example of pure trisomy 20p, the features are of particular importance to delineate the syndrome. Three genes were mapped on the segment that contain the duplication (20p11.2-13), one of these genes is the SSTR4 (Somatostatin receptor 4). The somatostatin is widely distributed throughout the body and is important regulator of endocrine and nervous system function. It is an inhibitor of growth hormone secretion. The second gene is the BMP2 that produce bone morphogenetic proteins and it has a direct function with the nervous system. The third gene is the GHRH that produce proteins connected with the growth hormone. These genes might have been over expressed and thus contributing to the patient\'s clinical features. Patient 2, carried a 46,XY,t(5;14)(q14.1;q31.3)de novo translocation. On chromosome 14 the breakpoint was mapped to a segment contained in BAC RP11-315O17 (14q31.3). On the chromosome 5 the breakpoint was mapped to a segment contained in BAC RP11-30D15 (5q14.1). Although the breakpoint, on the chromosome 14, has been mapped in 14q31.3, our patient shared many of the common characteristics of terminal 14q32 deletion: mental retardation, dolicocephaly, prominent ears, hypertelorism, strabismus, upturned palpebral fissures, highly arched palate, simian crease, severe myopia, coloboma and palpebral ptosis. As mental retardation and ocular abnormalities were the main patient\'s clinical features, we are suggesting that: 1) a region of segment 14q31.3 was deleted. 2) A gene inside this segment (14q31.3) could be responsible for ocular development and 3) a disrupted gene could interfere on the expression of other genes. On chromosome 5 eleven genes were localized and four of them are expressed in nervous system (AP3B1; SCAMP1; BHMT2 e CMYA5). One of these genes might have been disrupted and is contributing to the patient\'s clinical features. Patient 3 was the carrier of a 46,XY,t(1;15)(p13.2;q25.2)de novo translocation. The breakpoint on chromosome 15 was mapped to the segment contained in clone RP11-152F13 (15q25.2). The breakpoint on chromosome 1 was mapped to the segment contained in clone RP5-1037B23 (1p13.2). The genes mapped at the breakpoint regions of chromosome 1 and chromosome 15 are expressed in nervous system and muscles. Our patient shows few clinical features: speech delay, stutter and learning difficulties, probably because one or more of these genes, mapped at the breakpoint region, could be disrupted.

Thesis (Ph. D.)--University of Nevada, Reno, 1999. / Includes bibliographical references. Online version available on the World Wide Web.

As alterações cromossômicas estruturais associadas a fenótipos clínicos oferecem a oportunidade de identificação e localização de genes cujas mutações possam estar determinando essas patologias, tendo em vista a possibilidade de que esses genes podem ter sido alterados pelas quebras ou ter o número de cópias modificado. Um número cada vez maior de evidências aponta para a participação de certas seqüências do genoma na formação de rearranjos cromossômicos recorrentes e não recorrentes. Este trabalho compreendeu o estudo de duas translocações cromossômicas aparentemente equilibradas e uma duplicação do braço curto do cromossomo 20 em decorrência de mosaicismo materno. O objetivo foi determinar os pontos de quebra por hibridação in situ fluorescente (FISH) e identificar genes candidatos, alterados pelas quebras dos rearranjos e que pudessem explicar o quadro clínico dos portadores. A caracterização das seqüências nos pontos de quebra e a junção desses rearranjos é fundamental para a compreensão dos mecanismos de formação das alterações cromossômicas. A delimitação precisa dos segmentos deletados é necessária para a correlação com o quadro clínico. / Two apparently \"de novo\" balanced translocations and one duplication of the short arm of chromosome 20 were studied. Our aim was to determine the breakpoints by chromosomal analysis through fluorescentin situ hybridization (FISH) and identify candidate genes and how they were involved with the clinical phenotypes of the patients. Patient 1 carried a duplication of the short arm of chromosome 20 (p11.22p13), inherited from the mother that showed normal and dup(20) lymphocytes. The duplication was determined by FISH using BAC and PAC clones, and nine clones were duplicated except one (20p11.21). The patient shared many of the common characteristics of trisomy 20p including delay in motor development, hypertelorism, poor coordination, round face with prominent cheeks, vertebral and dental abnormalities and cranial asymmetry with high and large forehead. She also had learning difficulties, behavioral disorders and pubertal growth spurt at 12 years. As our patient is an example of pure trisomy 20p, the features are of particular importance to delineate the syndrome. Three genes were mapped on the segment that contain the duplication (20p11.2-13), one of these genes is the SSTR4 (Somatostatin receptor 4). The somatostatin is widely distributed throughout the body and is important regulator of endocrine and nervous system function. It is an inhibitor of growth hormone secretion. The second gene is the BMP2 that produce bone morphogenetic proteins and it has a direct function with the nervous system. The third gene is the GHRH that produce proteins connected with the growth hormone. These genes might have been over expressed and thus contributing to the patient\'s clinical features. Patient 2, carried a 46,XY,t(5;14)(q14.1;q31.3)de novo translocation. On chromosome 14 the breakpoint was mapped to a segment contained in BAC RP11-315O17 (14q31.3). On the chromosome 5 the breakpoint was mapped to a segment contained in BAC RP11-30D15 (5q14.1). Although the breakpoint, on the chromosome 14, has been mapped in 14q31.3, our patient shared many of the common characteristics of terminal 14q32 deletion: mental retardation, dolicocephaly, prominent ears, hypertelorism, strabismus, upturned palpebral fissures, highly arched palate, simian crease, severe myopia, coloboma and palpebral ptosis. As mental retardation and ocular abnormalities were the main patient\'s clinical features, we are suggesting that: 1) a region of segment 14q31.3 was deleted. 2) A gene inside this segment (14q31.3) could be responsible for ocular development and 3) a disrupted gene could interfere on the expression of other genes. On chromosome 5 eleven genes were localized and four of them are expressed in nervous system (AP3B1; SCAMP1; BHMT2 e CMYA5). One of these genes might have been disrupted and is contributing to the patient\'s clinical features. Patient 3 was the carrier of a 46,XY,t(1;15)(p13.2;q25.2)de novo translocation. The breakpoint on chromosome 15 was mapped to the segment contained in clone RP11-152F13 (15q25.2). The breakpoint on chromosome 1 was mapped to the segment contained in clone RP5-1037B23 (1p13.2). The genes mapped at the breakpoint regions of chromosome 1 and chromosome 15 are expressed in nervous system and muscles. Our patient shows few clinical features: speech delay, stutter and learning difficulties, probably because one or more of these genes, mapped at the breakpoint region, could be disrupted.

Rearranjos genômicos são alterações estruturais na molécula de DNA e podem ser a causa de inúmeras doenças genéticas. O mecanismo gerador dessas alterações é bem variável. Ele pode ser recorrente, por intermédio de low copy repeats (LCRs), resultando num rearranjo causado por recombinação homóloga não-alélica (NAHR), ou não recorrente, ou seja, sem intermédio de um hotspot. Dentre os mecanismo não recorrentes temos: a junção das extremidades não-homólogas (NHEJ - non-homologous end joining) e a junção mediada por micro-homologia (MMEJ - microhomology-mediated end joining), a replicação em série por deslizamento (SRS), a SRS induzida por quebra (BISRS), a replicação induzida pela quebra de DNA por homologia (MMBIR - microhomology-mediated break induced replication), o enrolamento da forquilha de replicação e mudança de molde de DNA (FoSTeS - fork stalling and template switching). A análise dos pontos de quebra dos rearranjos genômicos pode fornecer informações importantes para uma maior compreensão da arquitetura genômica e seu papel na geração das anormalidades estruturais. O objetivo deste trabalho foi sequenciar os pontos de quebra genômicos a fim de identificar o mecanismo formador das alterações encontradas. Para isso, investigamos o panorama estrutural de 10 pacientes por sequenciamento por meio de linked reads (10X Genomics) e sequenciamos os pontos de quebra previamente identificados por array CytoSNP-12 (Illumina) de 12 pacientes com rearranjos genômicos estruturais por utilizando a captura por Nextera Rapid Capture (Illumina). A investigação por linked reads revelou rearranjos estruturais em 5 pacientes, destacando translocações encontradas em dois pacientes, impossíveis de serem detectadas por metodologias de sequenciamento que não envolva long reads. Foi possível sugerir os mecanismos causadores dessas alterações como NHEJ. O sequenciamento após a captura por Nextera foi capaz de identificar elementos que permitiram definir o mecanismo em três pacientes (NAHR E FoSTeS/MMBIR) e sugerir em mais dois pacientes (NHEJ). Com a estratégia utilizada foi possível sequenciar pontos de quebra por meio do flanqueamento das regiões identificadas por array, identificar os elementos genômicos presentes nos pontos de quebra e os mecanismos formadores dessas alterações / Genomic rearrangements are structural changes in the DNA molecule and can be the cause of numerous genetic diseases. The mechanisms that generate these alterations can occur in different ways. It can be recurrent, mediated by low copy repeats (LCRs), resulting in a rearrangement cause by non-alellic homologue recombination (NAHR), or non-recurrent, without a hotspot. Among non-recurrent mechanisms there are: non-homologous end joining (NHEJ), microhomology-mediated end joining (MMEJ), serial replication slippage (SRS), break-induced serial replication slippage (BISRS), microhomology-mediated break induced replication (MMBIR) and fork stalling and template switching (FoSTeS). Analysis of the breakpoints of genomic rearrangements may provide important information for a better understanding of genomic architecture and its role in generating structural abnormalities. The aim of this work was to sequence the genomic breakpoints in order to identify the mechanism that formed the alterations found. To do this, we investigated the genomic structure of 10 patients by linked reads (10X Genomics) sequencing and sequenced the breakpoints previously identified by Illumina CytoSNP-12 array of 12 patients with structural genomic imbalances by using Nextera Rapid Capture (Illumina). The research by linked reads revealed structural rearrangements in 5 patients, highlighting translocations found in two patients, impossible to be detected by sequencing methodologies that did not involve long reads. It was possible to suggest the mechanisms causing these changes as NHEJ. The sequencing after capture by Nextera was able to identify elements that allowed us to determine the formation mechanism in three patients (NAHR and FoSTeS / MMBIR) and to suggest in two patients (NHEJ). With the approach employed here, it was possible to sequencing breakpoints by flanking the regions identified by array, identifying the genomic elements present at breakpoints and the formation mechanisms of the alterations