Chromosome abnormalities
Balanced chromosome rearrangement
- All the chromosomal material is present
Unbalanced chromosome rearrangement
- Extra or missing chromosomal material, usually 1 or 3 copies of gene
- Causes major developmental problems
Aneuploidy
- Whole extra or missing chromosome
- X chromosome aneuploidy better tolerated because of X chromosome inactivation
Translocation
- Rearrangement of chromosomes
Robertsonian translocation
- Two acrocentric chromosomes stuck end to end
- Increased risk of trisomy in pregnancy

Reciprocal translocation
- Two broken off chromosome pieces of non-homologous chromosomes are exchanged

Specific karyotypes
- 47XY +21 (trisomy 21) - Down’s syndrome
- 47 XY +14 (trisomy 14) - miscarriage
- 47 XY +18 - Edward syndrome, trisomy 18
- 45 X - Turner syndrome
- 47 XXY - Klinefelter syndrome
Insertions and deletions
- Missing or duplicated material
- Microdeletions - too small to be seen on chromosome using light microscope
Somatic mosaicism
- Refers to the occurrence of two genetically distinct populations of cells within an individual, derived from a post-zygotic mutation
- May only affect a portion of the body
- Not transmitted to progeny
- Somatic mosaicism for a chromosomal abnormality could contribute to cancer
- Changes could activate an oncogene or delete a tumour suppressor