Chromosoma (1998) 107:166±172 Springer-Verlag 1998 Centromeric genotyping and direct analysis of nondisjunction in humans: Down syndrome J.J. Shen1, S.L. Sherman1, 2, Terry J. Hassold1 1 Department of Genetics and the Center for Human Genetics, Case Western Reserve University School of Medicine and University Hospitals of Cleveland, Cleveland, OH 44106, USA 2 Department of Genetics, Emory University School of Medicine, Atlanta, GA 30322, USA Received: 12 January 1997; in revised form: 16 February 1998 / Accepted: 19 February 1998 Abstract. In species with chiasmate meioses, alterations in genetic recombination are an important correlate of nondisjunction. In general, these alterations fall into one of two categories: either homologous chromosomes fail to pair and/or recombine at meiosis I, or they are united by chiasmata that are suboptimally positioned. Recent studies of human nondisjunction suggest that these relationships apply to our species as well. However, methodological limitations in human genetic mapping have made it difficult to determine whether the important determinant(s) in human nondisjunction is absent recombination, altered recombination, or both. In the present report, we describe somatic cell hybrid studies of chromosome 21 nondisjunction aimed at overcoming this limitation. By using hybrids to ªcaptureº individual chromosomes 21 of the proband and parent of origin of trisomy, it is possible to identify complementary recombinant meiotic products, and thereby to uncover crossovers that cannot be detected by conventional mapping methods. In the present report, we summarize studies of 23 cases. Our results indicate that recombination in proximal 21q is infrequent in trisomy-generating meioses and that, in a proportion of the meioses, recombination does not occur anywhere on 21q. Thus, our observations indicate that failure to recombine is responsible for a proportion of trisomy 21 cases. Introduction In species with chiasmate meioses, alterations in genetic recombination are an important correlate of nondisjunction. For example, in Saccharomyces cerevisiae and in Drosophila, meiotic mutants that reduce or abolish recombination typically increase the likelihood of meiotic malsegregation (e.g., Hawley 1988; Rockmill and Roeder 1994). Similarly, spontaneous nondisjunction also has Edited by: H.F. Willard Correspondence to: T.J. Hassold been linked to abnormalities in recombination. In Drosophila, nondisjunction of the X chromosome is associated with failure to recombine or, if recombination has occurred, with chiasmata positioned either extremely proximally or distally (Koehler et al. 1996a). In S. cerevisiae, disjunction of artificial chromosomes is dependent on the presence of genetic exchange; however, like Drosophila, the presence of an exchange does not necessarily ensure proper segregation, with distally located exchanges being less able to ensure segregation than more proximal events (e.g., Bascom-Slack et al. 1997). In humans, meiotic nondisjunction is extraordinarily common, with at least 3%±4% of all clinically recognized pregnancies being trisomic (Hassold and Jacobs 1984). Recently, considerable information has been obtained on the meiotic origin of the additional chromosome in human trisomy. For example, data from DNA polymorphism studies of over 1000 trisomy families are now available on: (1) the parent of origin of nondisjunction, (2) the meiotic stage of the error, and (3) the frequency and placement of recombinational events in the nondisjunctional meioses (reviewed in Hassold et al. 1996). The results of these studies suggest that most human trisomy originates in oogenesis, typically at the first meiotic division, and indicate that genetic recombination is an important correlate of nondisjunction. However, the correctness of these conclusions depends on the reliability of the test assays used to determine the parent and meiotic stage of origin and the occurrence of recombination. The information on parental origin is likely to be accurate, since it can be verified by genotyping multiple loci. However, the other two types of analysis are less straightforward. For example, specifying the meiotic stage of nondisjunction requires analysis of the inheritance of centromeric polymorphisms. In practice, this has been accomplished by analyzing centromeric alpha-satellite polymorphisms, using conventional or pulsed-field gel electrophoresis (PFGE) and Southern blotting techniques (e.g., MacDonald et al. 1994; Hassold et al. 1995), or by using the polymerase chain reaction (PCR) to study tightly linked microsatellite polymorphisms that 167 flank the centromere (e.g., Fisher et al. 1995; Hassold et al. 1995). Unfortunately, neither of these approaches is suitable for trisomy 21, clinically the most important of all human chromosomal abnormalities. Centromeric alpha-satellite polymorphisms exist for chromosome 21 but, as the alphoid array shares extensive sequence homology with the centromere of chromosome 13 (Jorgensen et al. 1987), interpreting the pattern of inheritance of centromeric alleles of chromosome 21 is difficult (Charlieu et al. 1993). Similarly, the approach of utilizing microsatellite markers of chromosome 21 in making meiotic stage determinations is questionable. PCR-based 21p polymorphisms are not available, making it impossible to bracket the centromere of chromosome 21, and there is little information on the genetic distance between the centromere and the proximal 21q microsatellite markers used to infer the meiotic stage of origin (Jabs et al. 1991; Van Hul et al. 1993). Thus, a proportion of meiotic stage assignments likely are incorrect, making previous estimates of the relative frequency of meiosis I and II (MI and MII) nondisjunctional errors in the genesis of trisomy 21 (Sherman et al. 1994) uncertain. Similarly, the third type of analysis, determining the location and frequency of crossover events in nondisjunctional meioses, is also subject to question. While there is little doubt that reduced recombination is an important contributor to human nondisjunction (e.g., Sherman et al. 1994; Koehler et al. 1996b), there is less certainty regarding the basis for the reduction; i.e., whether it is attributable to failure of recombination in a proportion of cases, or to altered ± but not necessarily absent ± recombination in most cases. This uncertainty derives from the fact that only two of the four meiotic products are recovered in the trisomic conceptus; thus it is impossible to detect all recombinational events between the nondisjoining chromosomes. For example, assuming a single exchange between the chromosomes 21 in a nondisjunctional meiosis, we expect 1/2 of the exchanges to be ªundetectableº in conventional mapping studies: 1/4 because the two recovered products will not have been involved in the exchange and 1/4 because complementary recombinant products will have been recovered. To address these uncertainties, we have recently initiated somatic cell hybrid studies of human nondisjunction, using trisomy 21 as a model. By using hybrids to ªcaptureº individual chromosomes 21 of the proband and parent of origin of trisomy, it is possible to follow the inheritance of chromosome 21 alpha-satellite alleles, and thereby to determine unequivocally the meiotic stage of origin of trisomy. Further, this approach makes it possible to identify complementary recombinant meiotic products, and thereby to uncover crossovers that cannot be detected by conventional mapping methods. In the present report we describe the basis for this experimental approach, and summarize results on an initial series of 23 cases of trisomy 21. Materials and methods Down syndrome families. Trisomy 21 families were ascertained as part of ongoing cytogenetic, molecular and epidemiological studies of Down syndrome (Sherman et al. 1994), or as part of studies of Down syndrome and leukemia (Shen et al. 1995); in these studies, conventional DNA polymorphisms were used to determine the parent and meiotic stage of origin of the extra chromosome 21, and to assess the frequency of recombination between the nondisjoining chromosomes. All cases selected for inclusion in the present study were nonmosaic, maternally derived trisomies that fell into one of two categories: (1) those in which the extra chromosome had been scored as arising at maternal MI and in which there was no evidence for recombination in the trisomy-generating meiosis (n=16) and (2) those in which the extra chromosome had been scored as originating at maternal MII (n=7). Somatic cell hybrids. Lymphoblastoid cell lines were established from trisomic probands and their parents and maintained in RPMI 1640 with 15% fetal bovine serum (Gibco-BRL). To create somatic cell hybrids, lymphoblastoid cell lines from trisomic probands and their mothers (the parent of origin of trisomy in all cases in the present study) were first expanded, then fused using polyethylene glycol (Boehringer Mannheim), to the CHO purine auxotrophic cell line Ade-C. Ade-C is deficient for glycinamide ribonucleotide formyltransferase, encoded by a gene located on human chromosome 21. Thus, to select for the retention of human chromosome 21, somatic cell hybrids were maintained in hypoxanthine-free medium with 15% serum. Following initial fusion experiments, individual colonies were transferred to 24-well plates for subsequent passaging and analysis. Characterization of hybrids. In initial studies of two families, we used both fluorescence in situ hybridization (FISH) and molecular techniques to examine the number and structural integrity of the chromosomes 21 in the hybrids. However, as we observed no obvious discrepancies between the two approaches, we eliminated the FISH studies and relied on the molecular approach in studies of all other families. For all hybrid characterizations, DNA was extracted with the Puregene kit (Gentra Systems). Initially, the hybrids were screened using two or more microsatellite markers of chromosome 21: one pericentromeric (D21S215, D21S258, D21S120, or D21S192) to infer the presence of a centromere, and at least one in medial/distal 21q (D21S11, D21S214, D21S232, D21S210, D21S226, D21S213, IFNAR, D21S167, D21S156, HMG14, PFKL, D21S212, D21S171, or D21S1575) to assess whether or not the chromosome was intact; all information regarding primer sequences, chromosomal location, and amplification conditions are provided in the Genome Database (Johns Hopkins University, Baltimore Md.). Hybrids that displayed only one allele at each locus were considered to be monochromosomal 21 ªcandidatesº and were passaged for further characterization. Subsequently, these were genotyped at all 18 loci and those with evidence for a single allele at all informative loci, including markers in proximal, medial and distal 21, were considered to be monochromosomal 21 hybrids. To screen for the presence or absence of pericentromeric sequences of chromosome 13, all such hybrids were also studied using proximal 13q markers (D13S175, D13S232, D13S1316, or D13S1236); for these studies, multiplex PCR was performed with chromosome 21 markers acting as a positive internal control. For each family in the study, we attempted to obtain five monochromosomal 21 hybrids: two from the mother (containing each of her two chromosomes 21), and three hybrids from the Down syndrome individual (containing each of the maternally derived chromosomes 21 and the single paternally derived chromosome 21). Pulsed-field gel electrophoresis. For each family, agarose plugs of high molecular weight DNA were obtained from lymphoblastoid cell lines or hybrids, using standard methods. DNA samples were then digested with either BamHI (Gibco-BRL) or BanI (New England Biolabs), as previous PFGE studies of monochromosomal 168 21 hybrids (Trowell et al. 1993) and CEPH families (Marcais et al. 1991) indicated that these enzymes might be useful in revealing chromosome 21-specific polymorphisms. Pulsed-field gels were run in a CHEF-DR III electrophoresis system (Bio-Rad), the products blotted on Zeta-Probe membranes (Bio-Rad) and the membranes hybridized with the probe aRI680 (D21Z1), detecting centromeric alpha-satellite sequences of chromosomes 13 and 21. Results Somatic cell hybrids were generated from 23 trisomy 21 individuals and their mothers. On the basis of conventional DNA polymorphism studies, 16 of the trisomies had been scored as originating at maternal MI, with no evidence for recombination between the nondisjoining chromosomes, and 7 cases had been scored as arising at maternal MII (data not shown). Information on the PFGE analyses and the data on the studies of recombination are summarized in Tables 1 and 2, respectively. Analysis of the meiotic stage of origin of nondisjunction and the frequency of pericentromeric recombination Approach. Centromeric polymorphisms are necessary to specify unequivocally the meiotic stage of origin of trisomy, but currently available probes to the centromeric alpha-satellite sequences of chromosome 21 cross-hybridize to those of chromosome 13 (Jorgensen et al. 1987). Thus, studies of nondisjunction of chromosome 21 have had to rely on proximal 21q DNA markers to infer the meiotic stage of origin. As an alternative approach to this problem, we decided to eliminate the ªcontaminatingº chromosomes 13 by generating somatic cell hybrids that retained chromosome 21 but not chromosome 13. This strategy requires establishing at least four monochromosomal 21 hybrids from each Down syndrome family: two from the mother (the parent of origin in each of our cases), representing her two different centromeres, and two from the trisomic individual, representing the two maternally derived chromosomes. Hybrid DNAs are then hybridized to a chromosome 21 alpha-satellite-detecting probe (aRI680) to reveal polymorphic fragments (alleles) associated with the individual chromosome 21 centromeres. The presence of both maternal centromeric alleles in different hybrids of the trisomic individual indicates MI nondisjunction; the presence of only one of the two maternal centromeric alleles indicates MII nondisjunction (see Fig. 1 for example). In practice, there are at least two complications to this approach. First, the alpha-satellite fragments detected in conventional Southern blotting studies are complex, and insufficiently polymorphic to be useful in meiotic stage studies (data not shown). Thus, we used a PFGE-based approach, which resulted in a more easily interpretable pattern of fragments (see Fig. 1). Second, chromosome 13 is not always eliminated by the selection process. We addressed this problem by maintaining and analyzing several extra ªpartially informa- Fig. 1. Pulsed-field gel electrophoresis (PFGE) analyses of monochromosomal 21 hybrids to determine the meiotic stage of origin of trisomy 21. In this family (D399), analysis of pericentromeric microsatellite polymorphisms had indicated a maternal meiosis I (MI) error. BanI-digested DNA samples from lymphoblastoid cell lines of the proband (DS), father and mother, and from different monochromosomal 21 hybrids of the proband (DS 1±3) and mother (Mo 1, 2) were size-fractionated using PFGE and probed with aRI680 to identify alpha-satellite fragments of approximately 150±600 kb (Saccharomyces cerevisiae marker not shown). On the basis of microsatellite marker analysis, DS1 was known to contain the paternal chromosome 21; on PFGE, it retained the 460 kg fragment, which was also observed in paternal genomic DNA. From microsatellite studies, DS2 and DS3 were known to contain different maternally derived chromosomes 21; on PFGE, the chromosome 21-derived fragment arrays of DS2 were identical to those of Mo1 and those of DS3 identical to those of Mo2 (the additional fragments observed in the proband and maternal genomic DNA and in hybrid DS2 were derived from chromosome 13). Thus, each of the two maternal centromeric alleles was transmitted to the Down syndrome offspring, consistent with an MI nondisjunctional event tiveº hybrids per family. For example, in some instances two hybrids were available that, on the basis of microsatellite analysis, contained the same chromosome 13 but different maternally derived chromosomes 21. In such cases, alpha-satellite fragments common to the two hybrids were assumed to come from chromosome 13, while fragments unique to each hybrid were assumed to derive from the chromosome 21 of that cell line. Results. PFGE was used to study the inheritance of centromeric alpha-satellite fragments of chromosome 21 in ten Down syndrome families, six scored as arising at maternal MI and four at maternal MII on the basis of conventional centromere-mapping studies using proximal 21q markers. Examples of the PFGE analysis are provided in Fig. 1 and a summary of the data is given in Table 1. We were able to specify the meiotic stage of origin in all ten families: six on the basis of both BamHI studies and BanI studies, two on the basis of BamHI studies alone and two on the basis of BanI studies alone. In 169 l l l l l l l l l l l l l l l l l l l l l l l Yes No No No No No No No Yes No No D88 D342 D399 D492 D727 D728 D733 D4000 D4001 D4013 D4019 Informative loci are indicated by dots, and the locations of previously undetected crossovers detected in two of the cases are indicated by Xs l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l l X l l l l l l l l l l l l l l l l l l l l l l l IF NAR D21 S213 D21 S226 D21 S210 D21 S232 D21 S214 D21 S11 D21 S192 D21 S120 D21 S258 D21 S215 Locus Crossover detected? Down syndrome family ID no. all ten Down syndrome families, the PFGE results were in agreement with previous meiotic stage assignments based on analysis of proximal 21q microsatellite markers. Thus, there was no evidence for recombination between the centromere and the proximal 21q markers in these cases. Table 2. Summary of somatic cell hybrid studies of recombination in 11 cases of trisomy 21 Fig. 2. Examples of meiotic configurations leading to trisomy, assuming at most two exchanges. Three types of nondisjunctional meiotic products are possible: parental (in which both of the transmitted chromosomes are nonrecombinant), recombinant (in which one chromosome is recombinant and the other nonrecombinant, making it possible to detect the crossover(s) on conventional microsatellite mapping studies) and complementary recombinant (in which complementary recombinant chromosomes are recovered, leading to a crossover detectable by the somatic cell hybrid approach but not conventional microsatellite analysis) l l l l l l l l l l l l l X MI MI MI Uninformative MI Uninformative MII MII MII MII l l l l MI MI MI MI MI MI Uninformative MII Uninformative MII l MI MI MI MI MI MI MII MII MII MII D21 S171 D399 D492 D727 D4000 D4001 D4019 D693 D704 D708 D3112 PFKL BanI D21 S212 BamHI HMG 14 Results of PFGE analysis using: D21 S156 Results of studies of proximal 21q markers D21 S167 Down syndrome family ID no. D21 S1575 Table 1. Comparison of results of studies of the meiotic stage of origin of nondisjunction using proximal 21q markers versus PFGE analysis of alpha-satellite polymorphisms 170 Fig. 3. Example of the detection of a previously undetected exchange in case D4001, based on results at seven informative 21q microsatellite markers. At each locus, the alleles of genomic DNA samples of the proband (DS), father and mother, and different monochromosomal 21 hybrids of the proband (DS1±3) and mother (Mo 1, 2) were compared. Hybrid DS1 contained the paternally de- rived chromosome 21, while DS2 and DS3 were maternally derived. In proximal 21q, the haplotype of DS2 was identical to that of Mo1, and DS3 identical to that of Mo2; distally, this relationship changed, with DS2 identical to Mo2 and D32 identical to Mo1. This ªswitchº occurred between IFNAR and HMG14, localizing the site of the crossover between the nondisjoining chromosomes Analysis of recombination and the demonstration of previously undetectable crossovers if the Down syndrome individual inherits two maternally derived chromosomes 21, but with haplotypes differing from those observed in the mother, we conclude that crossing over occurred in the trisomy-generating meiosis. The number of previously undetectable crossovers detected by this approach depends on the number and arrangement of chiasmata in the trisomy-generating meiosis. For example, if the nondisjoining chromosomes are held together by a single chiasma, or by two chiasmata involving all four chromatids, our approach allows us to detect a single exchange. In the event of a two-strand double event, the somatic cell hybrid approach should detect both exchanges (Fig. 2). Approach. Each of the 16 MI trisomies in the present study was selected as being maternally derived, and as having no evidence of recombination between the nondisjoined chromosomes in standard mapping analyses (Sherman et al. 1994). Conceptually, trisomies scored as being ªnonrecombinantº can arise in one of three ways: (1) as a result of a nondisjunctional event in which there is no crossing over between the chromosomes 21, (2) as a result of a nondisjunctional event in which crossing over occurs, but nonrecombinant chromatids are recovered or (3) as a result of a nondisjunctional event in which crossing over occurs, but complementary recombinant chromatids are recovered (Fig. 2). It is not possible to distinguish between the first two alternatives, but the somatic cell hybrid approach allows us to uncover the previously undetectable crossover(s) associated with the third category. DNA samples from individual hybrids of the trisomic individual and the mother are genotyped to define the different chromosome 21 haplotypes and the trisomic and maternal haplotypes are then compared with one another. If both maternal chromosome 21 haplotypes are transmitted intact to the Down syndrome individual, we conclude that either recombination did not occur between the nondisjoining chromosomes, or that the products of recombination were not transmitted. In contrast, Results. Somatic cell hybrids were established from the trisomic individual and/or mother in all 16 MI cases. However, in five instances we were unable to generate the different types of hybrids necessary to define the chromosome 21 haplotypes of both the trisomic individual and the mother. In the 11 remaining MI cases, all requisite hybrids were generated, allowing us to define unequivocally the trisomic and maternal chromosome 21 haplotypes. The results are summarized in Table 2, and an example is provided in Fig. 3. In 9 of the 11 cases, the two maternal chromosome 21 haplotypes were identical to the two maternally derived haplotypes of the trisomic individual, consistent with no recombination in the trisomy-generat- 171 ing meiosis. In the other two cases (D88 and D4001) a single distally located exchange was identified. To evaluate the statistical significance of this result, we calculated the expected frequency of previously undetectable crossovers; i.e., the conditional probability that the somatic cell hybrid approach would detect an exchange among ªnonrecombinantº MI cases, assuming that at least one exchange had occurred in the trisomygenerating meiosis. For this calculation, we assumed (1) that one or two exchanges had occurred between the nondisjoining chromosomes 21, (2) that the proportion of single:double exchange events was the same as that for normally disjoining chromosomes 21 and (3) that the normal female genetic map of chromosome 21 is approximately 80 cM (A. Lynn, personal communication). Using these assumptions, we first estimated that about 2/5 of the nondisjoining chromosomes 21 had a single exchange, and 3/5 two exchanges, as follows. If x=the number of single exchanges and (1x)=the number of double exchanges, then x+2(1x)=80/50 or x=2/5. We then estimated the proportion of single and double exchange among apparently nonrecombinant trisomies. For a single exchange, 1/2 of the 4 possible meiotic outcomes will appear recombinant and 1/2 nonrecombinant by conventional mapping approaches, while for a double exchange 1/4 of all possible outcomes will appear nonrecombinant (Robinson et al. 1993). Thus, only (2/5)(1/2)+(3/5)(1/4)=3/10 of the total population will be included in this nonrecombinant group, of which 4/7 should involve single exchanges and 3/7 double exchanges. Finally, we calculated the likelihood of detecting a previously undetectable exchange for each of these two situations. For nondisjunction involving a single exchange, 1/2 of the apparently nonrecombinant events involve transmission of both parental chromatids. The other 1/2 involve transmission of the complementary recombinant chromatids (Fig. 2) ± those which the somatic cell hybrid approach should detect. Applying the same logic to nondisjunctional meiosis involving two exchanges, we estimate being able to detect at least one exchange in 3/4 of all apparently nonrecombinant trisomies. Thus,we expect to be able to detect a crossover in (1/2)(4/7)+ (3/4)(3/7), or 61% of apparently nonrecombinant trisomies. This expectation is significantly higher than the 18% (2/11) we observed in our series (X2=8.48; P<0.005). Discussion Technical limitations have hampered previous studies of chromosome 21 nondisjunction in three important respects. First, the absence of a useful chromosome 21-specific centromeric polymorphism has made it impossible to specify unequivocally the meiotic stage of origin. Second, the absence of a centromeric marker precludes genetic mapping in proximal 21q, therefore it has not been possible to examine the role of pericentromeric recombination on nondisjunction. Third, standard centromeric mapping techniques cannot detect all exchanges in trisomy-generating meioses in humans, thus complicating efforts to distinguish between reduced versus absent recombination in the genesis of trisomy 21. The results of the present study indicate that proximal 21q markers are, in fact, reliable indicators of the meiotic stage of origin of nondisjunction. That is, in each of the six MI and four MII cases we analyzed, the direct PFGE results were in agreement with indirect interferences based on proximal 21q microsatellite markers. This suggests that previous estimates of the proportion of MI, MII and mitotic errors in trisomy 21 approximate the real occurrence of these events; i.e., about 65%, 23%, 3%, 5% and 3% for maternal MI, maternal MII, paternal MI, paternal MII and mitotic errors, respectively (Lamb et al. 1996). Further, our results indicate that, in future studies of chromosome 21 nondisjunction, analyses of proximal 21q markers will be sufficient for making meiotic stage determinations. Our results also suggest that pericentromeric recombination is infrequent in nondisjunctional meioses, since we found no differences between the meiotic stage assignments based on PFGE and those based on proximal 21q microsatellite markers. Previously, we (Lorber et al. 1992) and others (Petersen et al. 1992) reported a number of discrepancies between meiotic stage determinations based on proximal 21q DNA markers and those based on 21q chromosomal heteromorphisms. To reconcile these discrepancies, Lorber et al. (1992) and Petersen et al. (1992) proposed that recombination in extremely proximal regions of 21p or 21q might be a factor in nondisjunctional meioses. The present results suggest that ± if such exchanges occur ± they may be restricted to 21p, since we found no evidence for recombination between centromeric alphoid sequences and proximal 21q microsatellite markers. Finally, our results provide strong evidence for zeroexchange or ªachiasmateº chromosomes 21 in the genesis of trisomy 21 of maternal MI origin. In previous studies of maternal MI trisomy 21, we reported a highly significant reduction in recombination in the trisomy-generating meioses (Sherman et al. 1994; Lamb et al. 1996). However, the basis for this effect has not been clear. In early studies, our data were consistent with reduced and abnormally placed recombinational events in the vast majority of maternal MI trisomies (Sherman et al. 1994). However, with the addition of more material and using an approach to estimate 0, 1 and multiple exchanges, we recently suggested that a large proportion (45%) of cases were achiasmate (Lamb et al. 1997). The results of the present study support this interpretation. Further, the results of the present study allow us to derive a crude estimate of the proportion of achiasmate cases, one that is remarkably similar to that reported by Lamb et al. (1997). That is, of those trisomies that appear to be nonrecombinant, our somatic cell hybrid assay should detect approximately 1/2 of those in which an exchange actually occurred (i.e., those in which the complementary recombinant chromosomes were recovered) and miss approximately 1/2 (i.e., those in which the parental chromosomes were recovered). In the present study population of 11 apparently nonrecombinant cases, we identified a previously undetectable exchange in two cases; thus we estimate that recombination actually occurred in 4, and that the remaining 7 (64%) were achiasmate. Assuming that about 65% of maternal MI trisomy 21 appear to be nonrecombinant on conventional analysis (Sherman et al. 1994), we conclude that approximately 42% of all instances of maternal MI trisomy 21 involve bivalents that failed to pair and/or recombine. This is virtually identical to the 172 estimate provided by Lamb et al. (1997), and indicates that there are multiple, recombination-associated routes to nondisjunction of chromosome 21: meioses in which the chromosomes fail to recombine, leading to an MI nondisjunction (Lamb et al. 1997 and the present study); meioses in which exchanges occur, but are distally placed, leading to MI nondisjunction (Sherman et al. 1994; Lamb et al. 1997); and meioses in which too many, and proximally located, exchanges occur, leading to MII nondisjunction (Lamb et al. 1996, 1997). These obervations are remarkably similar to those from recent studies of other organisms. For example, Koehler et al. (1996a) analyzed spontaneous meiotic nondisjunction of the X chromosome in female Drosophila, identifying 103 exceptional progeny. Approximately 70% of these were attributable to failure of recombination at MI; the majority of the remaining MI cases were associated with a single, distally placed exchange, while all six MII cases were associated with extremely proximal exchanges. Similarly, in systematic analyses of chromosomal segregation in yeast model chromosomes, Ross et al. (1992, 1996a, b) found that exchange chromosomes were more likely to segregate properly than were nonexchange chromosomes, but noted that exchange did not ensure segregation. Specifically, they found that distal exchanges were less able to ensure normal segregation than were more proximally located events. Thus, in species from yeast to humans, both achiasmate and ªunusualº chiasmate configurations are associated with nondisjunction. The challenge now facing us is to determine the reasons why these, but not other, chiasmate configurations confer an increased susceptibility to malsegregation. Acknowledgements. We gratefully acknowledge Dr. David Patterson for donating the Ade-C cell line, and Elise Millie and Dorothy Pettay for their technical expertise. This work was supported by NIH grants HD21341 and HD32111. 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