Chromosome 7, monosomy 7q21
Chromosome 7, monosomy 7q21 is a rare chromosomal abnormality involving the deletion of the long arm (q arm) of chromosome 7 at the band 7q21. This condition is characterized by a variety of physical, developmental, and sometimes intellectual disabilities, the specifics of which can vary significantly among affected individuals.
Overview
Monosomy refers to the absence of one chromosome in an otherwise diploid individual. In the case of Chromosome 7, monosomy 7q21, there is a deletion of genetic material from one of the two copies of chromosome 7, specifically at the q21 band. This deletion can lead to a disruption in the normal development and function of various bodily systems.
Causes
The cause of Chromosome 7, monosomy 7q21 is not fully understood but is related to errors in the replication of chromosomes during the formation of reproductive cells or in the early developmental stages following fertilization. These errors result in the loss of a segment of the q arm of chromosome 7.
Symptoms and Diagnosis
Symptoms of Chromosome 7, monosomy 7q21 can vary widely among individuals but may include developmental delay, intellectual disability, growth retardation, and distinctive facial features. Other possible symptoms include heart defects, skeletal anomalies, and issues with other organ systems.
Diagnosis is typically made through genetic testing, including karyotyping and fluorescence in situ hybridization (FISH), which can identify the specific chromosomal deletion.
Treatment and Management
There is no cure for Chromosome 7, monosomy 7q21, and treatment is symptomatic and supportive. Management may involve a team of specialists, including pediatricians, neurologists, cardiologists, and therapists (physical, occupational, and speech), depending on the individual's symptoms.
Prognosis
The prognosis for individuals with Chromosome 7, monosomy 7q21 varies depending on the extent of the deletion and the associated symptoms. Early intervention and supportive therapies can improve the quality of life and developmental outcomes for many individuals.
Research
Research into Chromosome 7, monosomy 7q21 is ongoing, with studies focusing on understanding the genetic basis of the condition and developing more effective treatments. The identification of critical genes within the deleted region may provide insights into the specific developmental pathways affected by this chromosomal abnormality.
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Contributors: Prab R. Tumpati, MD