Unbalanced Robertsonian translocations are a significant cause of ment
al retardation and fetal wastage. The majority of homologous rearrange
ments of chromosome 21 in Down syndrome have been shown to be isochrom
osomes. Aside from chromosome 21, very little is known about other acr
ocentric homologous rearrangements. In this study, four cases of de no
vo secondary trisomy 13 are presented. FISH using alpha-satellite sequ
ences, rDNA, and a pTRI-6 satellite I sequence specific to the short a
rm of chromosome 13 showed all four rearrangements to be dicentric and
apparently devoid of ribosomal genes. Three of four rearrangements re
tained the pTRI-6 satellite I sequence. Case 1 was the exception, show
ing a deletion of this sequence in the rearrangement, although both pa
rental chromosomes 13 had strong positive hybridization signals. Eleve
n microsatellite markers from chromosome 13 were also used to characte
rize the rearrangements. Of the four possible outcomes, one maternal R
obertsonian translocation, two paternal isochromosomes, and one matern
al isochromosome were observed. A double recombination was observed in
the maternally derived rob(13q13q). No recombination events were dete
cted in any isochromosome. The parental origins and molecular chromoso
mal structure of these cases are compared with previous studies of de
novo acrocentric rearrangements.