Chromosome 16

The following conditions are caused by changes in the structure or number of copies of chromosome 16.

cancers

Changes in the structure of chromosome 16 are associated with several types of cancer. These genetic changes are somatic, which means they are acquired during a person's lifetime and are present only in certain cells. In some cases, chromosomal rearrangements called translocations disrupt the region of chromosome 16 that contains the CREBBP gene. The protein produced from this gene normally plays a role in regulating cell growth and division, which helps prevent the development of cancers.

Researchers have found a translocation between chromosome 8 and chromosome 16 that disrupts the CREBBP gene in some people with a cancer of blood-forming cells called acute myeloid leukemia (AML). Another translocation involving the CREBBP gene, which rearranges pieces of chromosomes 11 and 16, has been found in some people who have undergone cancer treatment. This chromosomal change is associated with the later development of AML and two other cancers of blood-forming tissues (chronic myelogenous leukemia and myelodysplastic syndrome). These are sometimes described as treatment-related cancers because the translocation between chromosomes 11 and 16 occurs following chemotherapy for other forms of cancer.

A chromosomal rearrangement called an inversion has been identified in rare cases of AML. This inversion involves the breakage of chromosome 16 in two places; the resulting piece of DNA is reversed and re-inserted into the chromosome. This form of AML is characterized by a high rate of remission and a favorable outcome.

Rubinstein-Taybi syndrome

A few cases of severe Rubinstein-Taybi syndrome (also known as chromosome 16p13.3 deletion syndrome) have resulted from a deletion of genetic material from the short (p) arm of chromosome 16. When this deletion is present in all of the body's cells, it can cause serious complications such as a failure to gain weight and grow at the expected rate (failure to thrive) and an increased risk of life-threatening infections. Affected individuals also have many of the typical features of Rubinstein-Taybi syndrome, including intellectual disability, distinctive facial features, and broad thumbs and first toes. Infants born with the severe form of this disorder usually survive only into early childhood.

Several genes are missing as a result of the deletion in the short arm of chromosome 16. The deleted region includes the CREBBP gene, which is often mutated or missing in people with the typical features of Rubinstein-Taybi syndrome. Researchers believe that the loss of additional genes in this region probably accounts for the serious complications associated with severe Rubinstein-Taybi syndrome.

other chromosomal conditions

Trisomy 16 occurs when cells have three copies of chromosome 16 instead of the usual two copies. Full trisomy 16, which occurs when all of the body's cells contain an extra copy of chromosome 16, is not compatible with life. A similar but less severe condition called mosaic trisomy 16 occurs when only some of the body's cells have an extra copy of chromosome 16. The signs and symptoms of mosaic trisomy 16 vary widely and can include slow growth before birth (intrauterine growth retardation), delayed development, and heart defects.

Other changes in the number or structure of chromosome 16 can have a variety of effects. Intellectual disability, delayed growth and development, distinctive facial features, weak muscle tone (hypotonia), heart defects, and other medical problems are common. Frequent changes to chromosome 16 include an extra segment of the short (p) or long (q) arm of the chromosome in each cell (partial trisomy 16p or 16q) and a missing segment of the long arm of the chromosome in each cell (partial monosomy 16q).

Geneticists use diagrams called ideograms as a standard representation for chromosomes. Ideograms show a chromosome's relative size and its banding pattern. A banding pattern is the characteristic pattern of dark and light bands that appears when a chromosome is stained with a chemical solution and then viewed under a microscope. These bands are used to describe the location of genes on each chromosome.

See How do geneticists indicate the location of a gene? in the Handbook.

You may find the following resources about chromosome 16 helpful. These materials are written for the general public.

• Additional NIH Resources - National Institutes of Health
  National Human Genome Research Institute: Chromosome Abnormalities
• Educational resources - Information pages
  University of British Columbia: Chromosome 16 Mosaicism
• MedlinePlus - Health information
  Encyclopedia: Chromosome

You may also be interested in these resources, which are designed for genetics professionals and researchers.

• Gene Reviews - Clinical summary
• Research Resources - Tools for researchers (7 links)
• PubMed - Recent literature
• Map Viewer - Genetic maps

The Handbook provides basic information about genetics in clear language.

• What is DNA?
• What is a chromosome?
• How many chromosomes do people have?
• Can changes in chromosomes affect health and development?

These links provide additional genetics resources that may be useful.

• Genetics education
• Human Genome Project
• Resources for Genetic Researchers

acute ; acute myeloid leukemia ; AML ; base pair ; cancer ; cell ; chemotherapy ; chromosome ; chronic ; complication ; deletion ; DNA ; failure to thrive ; first toe ; gene ; hypotonia ; infection ; intrauterine growth retardation ; inversion ; leukemia ; monosomy ; mosaic ; muscle tone ; myelodysplastic syndrome ; myelogenous ; myeloid ; protein ; rearrangement ; remission ; sign ; symptom ; syndrome ; tissue ; translocation ; trisomy

You may find definitions for these and many other terms in the Genetics Home Reference Glossary.