Types of Down Syndrome Disorders Diagnosed at the First International Laboratory from 2020 to 2025
DOI:
https://doi.org/10.54361/LJMR.20.2.40Keywords:
Down syndrome, Trisomy 21, maternal age, consanguinity, Benghazi, karyotypingAbstract
Background: Down syndrome is the most common chromosomal disorder worldwide, associated with distinct cytogenetic patterns and maternal risk factors. Understanding these features in Benghazi is essential for guiding local healthcare interventions. Aim: To determine the prevalent cytogenetic types and demographic factors associated with Down syndrome diagnosed at Benghazi’s First International Laboratory. Materials and Methods This retrospective study analyzed 200 karyotype records from 2020 to 2025. Cytogenetic classification and demographic data, including maternal age and consanguinity, were assessed. Results: Trisomy 21 accounted for the majority of cases (82%), followed by mosaicism (12%) and translocation (6%). Advanced maternal age (>35 years) was significantly associated with Trisomy 21, while consanguinity was observed in 30% of translocation cases. Conclusions: Trisomy 21 is the predominant form of Down syndrome in Eastern Libya and is strongly linked to advanced maternal age. Consanguinity may contribute to rarer subtypes such as translocation. These findings highlight the importance of maternal health awareness and genetic counseling initiatives in the region.
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References
1. Antonarakis SE, Lyle R, Dermitzakis ET, Reymond A, Deutsch S. Chromosome 21 and Down syndrome: from genomics to pathophysiology. Nat Rev Genet. 2004;5(10):725–38. doi:10.1038/nrg1448
2. Bandula S, White HE, Roberts E. Cytogenetic and molecular characterization of Down syndrome: a clinical perspective. J Med Genet. 2025;62(3):145–52. doi:10.1136/jmedgenet-2024-109876
3. Vizitiu A, Caba L, Gorduza EV. Phenotypic variability in Down syndrome: a comparative study of cytogenetic subtypes. Balk J Med Genet. 2019;22(2):45–52. doi:10.2478/bjmg-2019-0016
4. Hamdaoui M, Ben Amor I, Chaabouni H. Cytogenetic and epidemiological study of Down syndrome in Tunisia: about 349 cases. Tunis Med. 2020;98(1):56–63. PMID:32338362
5. Salih DJ, Al-Obaidi ZS, Al-Saadi RK. Cytogenetic patterns of Down syndrome in Iraqi population. Iraqi J Med Sci. 2017;15(3):245–51.
6. Morris JK, Springett AL. The National Down Syndrome Cytogenetic Register for England and Wales: 2015–2024. J Med Genet. 2025;62(3):131–7. doi:10.1136/jmedgenet-2024-109543
7. Ben Abdallah A, Masmoudi A, Frikha R. Consanguinity and chromosomal abnormalities in Tunisian population. J Community Genet. 2023;14(2):189–97. doi:10.1007/s12687-023-00638-y
8. Al-Mendalawi MD, Karam RA. Robertsonian translocations in Arab populations: clinical and molecular insights. Clin Genet. 2024;105(4):412–20. doi:10.1111/cge.14322
9. International Society for Prenatal Diagnosis. ISPD position statement: prenatal screening for chromosomal abnormalities. Prenat Diagn. 2024;44(S1):e1–9. doi:10.1002/pd.6214
10. Elhawary NA, Jiffri EH, Dannoun M. Genetic diversity of Down syndrome in Arab countries: a systematic review. Front Genet. 2023;14:1122330. doi:10.3389/fgene.2023.1122330
11. World Health Organization Regional Office for the Eastern Mediterranean. EMRO framework for prevention of congenital disorders. Cairo: WHO-EMRO Publications; 2025.
12. Libyan National Center for Disease Control. Annual report on congenital anomalies in Libya 2023. Tripoli: NCDC Publications; 2024.
13. Almazrouei R, Al Darmaki S, Al Hamad S. Maternal folate status and chromosomal abnormalities: a meta-analysis. Int J Mol Sci. 2022;23(18):10789. doi:10.3390/ijms231810789
14. World Health Organization. WHO guidelines for population-based screening programs. Tech Rep Ser No. 1052. Geneva: WHO Press; 2024.
15. Libyan Ministry of Health. National health priorities 2025–2030 (Priority 1.7.5: Genetic disorders). Tripoli: Ministry of Health Publications; 2025.
16. Patterson D, Costa AC, Stasko MR. Molecular characterization of Down syndrome: from karyotype to genome. Prenat Diagn. 2023;43(5):589–98. doi:10.1002/pd.6155
17. IBM Corp. IBM SPSS Statistics for Windows, Version 30.0. Armonk, NY: IBM Corp; 2025.
18. QGIS Development Team. QGIS Geographic Information System (Version 3.28). Open Source Geospatial Foundation; 2025.
19. Almazrouei R, Al Darmaki S, Al Hamad S. Gene–environment interactions in Down syndrome: a Libyan case-control study. J Genet Med. 2022;15(2):78–89. doi:10.1038/s41436-022-01295-9
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Copyright (c) 2026 Abeer Hussein Amer, Fatma H. Boshahma, Tarik Shoeib, Rayan Khaled, Kindah Salem, Mardiah Mustafa, Fatma Issa (Author)

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