The 23rd pair of chromosomes determines the sex. If the organism is female like the karyotype in question it will have an XX pair. Philadelphia Translocation can be diagnosed by evaluating the karyotype of the patient. The patient in question has Philadelphia Translocation because chromosome 22 is shortened while chromosome 9 has been lengthened, indicating that translocation has occurred.
Philadelphia Translocation was discovered in Philadelphia in 1960. It was the first consistent chromosome abnormality found in any kind of malignancy. The discovery led to the identification in CML cells of the BCR-ABL fusion gene and the protein that corresponds with it. The ABL gene encodes a tyrosine kinase enzyme that is highly regulated. In Ph translocation, two fusion genes are formed. The BCR-ABL gene on the Ph chromosome encodes for a protein with deregulated tyrosine kinase