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Chromosomal Abnormalities: Causes, Symptoms & Treatment

Chromosomal Abnormalities: Causes, Symptoms & Treatment

Edited By Irshad Anwar | Updated on Sep 19, 2024 10:54 AM IST

What Are Chromosomal Abnormalities?

The chromosomal abnormalities are the ones where there is a deviation from the normal number or pattern of the chromosome structure. The genetic disorder varies in its cause and development. It might have been developed due to a mistake in the cell division, which significantly changed the structure of chromosomes. Those abnormalities can make a big difference in the life and outlook of this person: growth, development, and overall health.

Most of the chromosomal abnormalities are associated with the health problems of physical malformations, intellectual disabilities, and susceptibility to some diseases. An atypically common chromosomal abnormality is Down syndrome, which results from the presence of an extra copy of chromosome 21 and leads to developmental delays and physical appearance typical of the syndrome. Knowing these abnormalities is very important so that early diagnosis is done, and management is done appropriately to better the quality of life of these individuals.

Knowledge of chromosomal abnormalities has varied importance for several reasons. Most important among them is the ability for early diagnosis and intervention by which prognosis and quality of life for the affected individual can be greatly influenced. Early diagnosis through prenatal and postnatal testing helps the parents and health providers prepare themselves for the specific needs that the child might have.

In detail, knowledge of chromosomal abnormalities will provide an understanding of their mechanisms and causation and hence pave the way to the prevention of such abnormalities or therapeutic interventions. With the recent advancement in the field of genetic study, each day, a new dimension unfolds for a precise account of the occurrence and possible management or treatment. The second way through which understanding promotes empathy and support for the affected cases and their families.

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Structure And Function Of Chromosomes

Chromosomes are DNA and protein-containing entities that are much likened to long threads residing in the cell nucleus of a plant. These threads are associated with heredity and take care to ensure that genetically inherited material is transferred from one generation to the next without deterioration. They are important for the division, growth, and well-being of a cell and carry all the information needed for the construction and maintenance of an organism.

Chromosomes are, by and large, pretty complex structures, as they consist of a couple of important parts, listed below:

  • Chromatid: A chromosome consists of two identical sister chromatids sticking to each other at the region known as the centromere.

  • Centromere: This is the mid-point of the chromosome where the two sister chromatids are attached. It plays a very important role in cell division, as the centromere is responsible for the proper division of chromosomes into daughter cells.

  • Telomere: End of the chromosome that acts as a cap to the chromosome. Telomeres give protection to the ends of chromosomes against degradation and against sticking to each other.

Types Of Chromosomes

Based on functions and genetic contents, chromosomes are divided into two types, they are:

  • Autosomes: These are the chromosomes that are not directly involved in determining the sex of an individual. In a human being, there are 22 pairs of autosomes.

  • Sex Chromosomes: They are known to determine the sex of an individual. In humans, the two chromosomes are expressed as XX for females and XY for males.

Types Of Chromosomal Abnormalities

The chromosomal abnormalities are categorised as:

Numerical Abnormalities

It is an abnormality caused due to a change in the number of chromosomes. The two most important numerical abnormalities are:

  • Aneuploidy: It is a condition where the number of chromosomes in a cell is not a multiple of the haploid set.

  • Trisomy: An extra chromosome is present. E.g. Down's Syndrome (Trisomy 21).

  • Monosomy: A chromosome is missing. E.g. Turner's Syndrome (Monosomy X).

Structural Abnormalities

Structural abnormalities are caused by an actual change in a chromosome's structure. These types fall into the categories of the following:

  • Deletions: A piece of the chromosome is deleted. E.g. Cri du Chat Syndrome.

  • Duplications: A piece of the chromosome is duplicated, hence there is an excess of genetic material.

  • Inversions: a segment of a chromosome attaches to the same chromosome where it originated but in the reverse order.

  • Translocations: a segment is taken out from one chromosome and inserted into a different chromosome. Example: Chronic Myelogenous Leukemia.

Causes Of Chromosomal Abnormalities

Chromosomal abnormalities are caused by various factors:

Errors in Cell Division

  • Nondisjunction: Chromosomes do not perfectly separate from each other during cell division, creating an irregular number of chromosomes.

  • Errors in Meiosis and Mitosis: During meiosis, errors can be of consequence in gametes and cause a chromosomal abnormality; in the case of mitosis, it is with somatic cells.

Environmental Factors

  • Radiation: High doses of radiation can damage the chromosomes and cause an abnormality.

  • Chemicals: Some also have been believed to damage the human chromosome; these include chemicals found in tobacco smoke and other pollutants.

  • Viruses: Infections from some viral diseases can interfere with chromosome structure and function.

Diagnosis Of Chromosomal Abnormalities

The diagnosis includes:

Prenatal Testing

  • Amniocentesis: It is an invasive procedure by which a small amount of amniotic fluid is tapped and then analysed to find foetal chromosomal change.

  • Chorionic Villus Sampling (CVS): It is an invasive test and a sample of placental tissue is collected to detect chromosomal change

Postnatal Testing

  • Karyotyping: The chromosomes are subjected to a staining process and then seen through a microscope to look at the chromosomal abnormalities. (Include images of karyotypes)

  • Fluorescence In Situ Hybridisation (FISH): This is a method of detecting the location of a given DNA sequence of interest on the chromosomes.

  • Comparative Genomic Hybridisation (CGH): This is a technique used to analyse the copy number variations in the genome.

Conclusion

Recognising the various types, etiologies, and consequences of chromosomal abnormalities is a critical part of understanding these genetic differences. An advanced testing methodology, resulting in a precise diagnosis, is needed to manage and treat any such condition. Continued research is necessary to develop better diagnostic tools, treatments, and strategies to prevent these conditions. Raising public awareness and education about chromosomal abnormalities has the potential to provide better support and care for these individuals and their families.

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Frequently Asked Questions (FAQs)

1. What is chromosomal abnormality?

Chromosomal abnormality is a deviation from the normal number or structure of a chromosome, which is mostly the cause of many human health conditions and loss of developmental delays.

2. How are chromosomal abnormalities detected?

Chromosomal abnormalities are detected by the process of karyotyping, amniocentesis, chorionic villus sampling (CVS), and fluorescence in situ hybridization (FISH).

3. What is the most common chromosomal abnormality?

The most common chromosomal abnormality is the trisomy of chromosome 21, which causes Down syndrome.

4. Are the chromosomal abnormalities treatable?

The chromosomal abnormalities cannot be damaged, but different treatments and management efforts can help in reducing the severity or occurrence of symptoms, further enhancing lifestyle.

5. What causes chromosomal abnormalities?

 They may be due to cell division that goes wrong or to radiation and other environmental influences, chemicals, or viral infections.

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