A karyotype is simply a photograph of the chromosomes from a single cell. From that photograph a description of the characteristics of the chromosomes as they are within the nucleus of the cell is able to be prepared. These characteristics are described in terms of the number, form, size and arrangement within the nucleus of the cell. The word karyotype is derived from the Greek word karyo - meaning of the nucleus and typos - meaning mark.

 

 

To prepare a karyotype a sample of cells is taken. Usually these are white blood cells (lymphocytes) from a blood draw. They may however be from other sources such as amniocytes taken during an amniocentesis, or fibroblasts from a skin biopsy. After preparation a microphotograph is then taken of the chromosomes during cell division.

 

 

An example of a microphotograph of chromosomes

 

The chromosomes often look bent or twisted. This is completely normal and does not reflect anything about the chromosomes themselves, rather it is simply the way that the chromosomes are sitting on the slide. Chromosomes are very flexible.

 

 

Often the cytogeneticist will sort them into size and label them as in this diagram.

 

 

In order to communicate what they have been able to see in the photograph, a written report is prepared describing the characteristics. The terms used in these reports are standardised so that others can understand what has been written. However to the lay person these reports often looks very complicated because many different terms and abbreviations are often used. To help I have listed some of these abbreviations.

 

 

add - Addition material of unknown origin
del - Deletion
de novo - A chromosome abnormality which has not been inherited
der - Derivative Chromosome
dic - Dicentric
dup - Duplication
fra - Fragile Site
idic - Isodicentric chromosome
ins - Insertion
inv - Inversion
i or iso - Isochromosome
mar - Marker chromosome
mat - Maternal origin
Minus sign (-) - Loss
mos - Mosaic
p - Short arm of chromosome
pat - Paternal origin
Plus sign (+) - Gain
q - Long arm of chromosome
r - Ring chromosome
rcp - Reciprocal
rea - Rearrangement
rec - Recombinant chromosome
rob - Robertsonian translocation
t - translocation
tel - Telomere (end of chromosome arm)
ter - Terminal end of chromosome
upd - Uniparental disomy
? - Uncertain

 

 

Here is an example of an actual karyotype and report describing a balanced translocation between chromosome's 5 and 13. Part of the 13th chromosome is attached to the 5th chromosome.

 

 

 Here is an example of the written report describing a male with Trisomy 18 mosaicism. The blacked out details are simply the patients name and other identifying items. In this case 100 cells were examined and 65 had an additional 18th chromosome making 47 chromosomes in each cell. 35 contained the usual compliment of 46. The actual karyotype, or photograph, would be of two different cells, one with the additional 18th chromosome and one without.

 

 

 

 

What is Mosaicism?

What is a Phenotype?

 

 

 

What is a Trisomy Index

 

 What is a chromosome?

 The human egg & sperm cell

 

 How does it happen?

 What is "full" trisomy?

 

 What is a partial trisomy?

  What is a translocation?

 

  What is mosaicism?

 What is a karyotype?

 

 What is a Phenotype? 

 What is prenatal testing?

 

 How is a diagnosis made?

 Will my baby die?

 

 Why did this happen to me?

 What are the risks of it happening again?

 

 

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