cytogenetic analysis

细胞遗传学分析
  • 文章类型: Journal Article
    山羊被认为是在伊拉克库尔德斯坦地区农业部门发挥重要作用的主要农场动物。尚未对其进行细胞学检查。本实验旨在确定本地种山羊的核型。本实验是在核型上进行的,并准备了Meriz山羊的表意图。通过核型的产生,可以确定品种中染色体的相对长度和着丝粒指数臂比。总共(30)只Meriz山羊,由(10)男性和(20)女性组成,选择收集血液样本进行短期淋巴细胞培养。观察到二倍体染色体计数为(60),由(29)对顶心常染色体和一对同种异体体组成,特别是X和Y染色体。通过科学研究确定了X染色体的近核性质和Y染色体的亚中心性质。该研究观察到Meriz山羊常染色体相对长度的变化,女性从4.49%到1.89%,男性从(4.53%)到(1.75%)。女性X染色体的相对长度为3.96,而Y染色体显示的相对长度为(5.05)。这项核学研究的结果表明,在接受检查的Meriz山羊中看到的染色体组成在正常状态的预期范围内。建议在种群水平上进行更多的细胞遗传学分析,以鉴定Meriz品种种群中具有数字和/或结构染色体异常的个体。这项研究对于提高该品种的生产和繁殖效率至关重要。
    Goats are considered the leading farm animal that has a substantial role in the agricultural sector in the Kurdistan Region of Iraq. No cytological examination has been carried out on them. This experiment aims to identify the Karyotype of the local breeds of domestic goats. This experiment was conducted on the Karyotype and prepared the ideogram of Meriz goats. The determination of the relative length and centromeric index arm ratio of the chromosomes in the breed was achieved by the production of karyotypes. A total of (30)Meriz goats, consisting of (10) males and (20) females, were selected to collect blood samples for a short-term lymphocyte culture. The diploid chromosome count was observed to be (60), consisting of (29) pairs of acrocentric autosomes and one pair of allosomes, specifically the X and Y chromosomes. The acrocentric nature of the X-chromosome and the sub-metacentric nature of the Y-chromosome were identified through scientific investigation. The study observed a variation in the relative length of autosomal chromosomes in Meriz goats, with females ranging from 4.49% to 1.89% and males ranging from (4.53%) to (1.75%). The X-chromosome had a relative length of 3.96 in females, while the Y-chromosome displayed a relative length of (5.05). The findings of this karyological investigation suggest that the chromosomal composition seen in the Meriz goats under examination was within the expected range of normalcy. It is recommended that more cytogenetic analyses be conducted at the population level in order to identify individuals within the Meriz breed population who possesses numerical and/or structural chromosome abnormalities. This research is crucial for enhancing the efficiency of production and reproduction in this breed.
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  • 文章类型: Journal Article
    人类细胞遗传学生物监测(HCB)长期以来一直用于评估工作环境对工人DNA完整性的潜在影响。然而,关于职业暴露于极低频电磁场(ELF-MFs)的遗传毒性影响的HCB研究受到暴露评估质量的限制。更具体地说,对暴露评估的方法提出了关切,曝光指标的选择,以及曝光组的定义。在这项研究中,使用彗星和胞质分裂阻滞微核试验对来自电气部门的88名工人的外周血淋巴细胞评估了职业暴露于ELF-MF的遗传毒性作用,考虑工人连续三天的实际暴露。使用不同的方法来定义暴露组。总的来说,总结的ELF-MF数据表明整个研究人群的暴露水平较低.它还表明,仅依靠职称可能会将12名工人错误地划分为曝光组。我们建议在个人曝光数据和职称上结合分层聚集聚类来定义曝光组。最终结果表明,职业性MF暴露并未显着引起更多的遗传损伤。其他因素,如年龄或过去吸烟而不是ELF-MF暴露可能会影响细胞遗传学测试结果。
    Human cytogenetic biomonitoring (HCB) has long been used to evaluate the potential effects of work environments on the DNA integrity of workers. However, HCB studies on the genotoxic effects of occupational exposure to extremely low-frequency electromagnetic fields (ELF-MFs) were limited by the quality of the exposure assessment. More specifically, concerns were raised regarding the method of exposure assessment, the selection of exposure metrics, and the definition of exposure group. In this study, genotoxic effects of occupational exposure to ELF-MFs were assessed on peripheral blood lymphocytes of 88 workers from the electrical sector using the comet and cytokinesis-block micronucleus assay, considering workers\' actual exposure over three consecutive days. Different methods were applied to define exposure groups. Overall, the summarized ELF-MF data indicated a low exposure level in the whole study population. It also showed that relying solely on job titles might misclassify 12 workers into exposure groups. We proposed combining hierarchical agglomerative clustering on personal exposure data and job titles to define exposure groups. The final results showed that occupational MF exposure did not significantly induce more genetic damage. Other factors such as age or past smoking rather than ELF-MF exposure could affect the cytogenetic test outcomes.
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  • 文章类型: Journal Article
    背景:急性淋巴细胞白血病(ALL)是最常见的儿童癌症。免疫表型(IPT)和细胞遗传学对诊断至关重要,风险分层,为所有人管理。
    目的:评估小儿ALL患者的免疫表型和细胞遗传学特征。
    方法:对加尔各答三级护理中心的100名ALL患者(完成1-18年)进行了描述性横断面研究,印度东部。
    结果:96%的患者有B细胞ALL(94.00%pre-BALL和2.00%Pro-BALL),4.0%有T-ALL。60%B细胞ALL为CD19/CD10阳性,10%为CD79a阳性,9%仅CD19阳性,7%仅CD10阳性。33%的T-ALL是CD3+,而22%的CD4和CD7均为阳性。51.0%的患者有二倍体,46.0%超二倍体,和3.0%的亚二倍体核型。在超二倍体中,98%的泼尼松龙反应良好,89%的患者有可测量的残留病(MRD)<0.01。
    结论:IPT最常诊断的ALL是B前ALL。在可检测的细胞遗传学异常中,t(12;21)ETV6-RUNX1是最常见的。在我们的研究中还检测到ZNF-384基因排列。t(12;21)ETV6-RUNX1具有良好的治疗反应,而t(9;22)BCR-ABL,t(1;19)TCF3-PBX1,iAMP-21,MLL基因重排,和ZNF-384基因排列在MRD方面的治疗反应较差。
    BACKGROUND: Acute lymphoblastic leukemia (ALL) is the most common childhood cancer. Immunophenotype (IPT) and cytogenetics are essential for diagnosis, risk stratification, and management for ALL.
    OBJECTIVE: Evaluating the burden of immunophenotypic and cytogenetic profile of pediatric ALL patients.
    METHODS: A descriptive cross-sectional study was conducted on 100 patients of ALL (1-18 completed years) attending a tertiary-care center in Kolkata, Eastern India.
    RESULTS: Ninety-six percent of patients had B-cell ALL (94.00% pre-B ALL and 2.00% Pro-B ALL) and 4.0% had T-ALL. 60% B-cell ALL were CD19/CD10 positive, 10% were CD79a positive, 9% were only CD19 positive, and 7% were only CD10 positive. Thirty-three percent of T-ALL were CD3+, whereas 22% were positive each for CD4 and CD7. 51.0% of patients had diploid, 46.0% hyperdiploid, and 3.0% hypodiploid karyotype. Among hyperdiploids, 98% had good prednisolone response and 89% had measurable residual disease (MRD) <0.01.
    CONCLUSIONS: The most commonly diagnosed ALL by IPT was pre-B ALL. Among the detectable cytogenetic abnormalities, t(12; 21) ETV6-RUNX1 was the most common. ZNF-384 gene arrangement was also detected in our study. t(12;21) ETV6-RUNX1 had a good treatment response, while t(9;22) BCR-ABL, t(1;19) TCF3-PBX1, iAMP-21, MLL gene rearrangement, and ZNF-384 gene arrangement had poor treatment response in terms of MRD.
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  • 文章类型: Journal Article
    全球发育迟缓(GDD)/智力障碍(ID)在儿童中很常见,其病因在许多情况下尚不清楚。染色体异常是GDD/ID的主要遗传原因。这项研究的目的是确定可能参与GDD/ID病因的遗传风险因素。在这项研究中,810名中度至重度儿童,对进行细胞遗传学分析的临床原因不明的GDD/ID进行了回顾性重新筛选.结果表明,GDD/ID对女性的影响大于男性(2个女孩:1个男孩)。共有54名GDD儿童(6.7%)出现染色体畸变(CA):这些CA中有59.3%是结构畸变,其余为数值像差(40.7%)。具体来说,倒置,删除,互惠和罗伯逊易位,在1、0.7、0.8和0.4%的儿童中检测到,分别,构成了结构性CA的重要类别。在数字CA中,在所有儿童中,有1.2%检测到经典的特纳和马赛克。在1%的儿童中检测到21三体和马赛克21三体。在两个孩子中分别发现了标记染色体和47,XXY核型。我们的结果表明,在GDD/ID病例中,女性受CA的影响更大,细胞遗传学分析可用于GDD/ID的病因诊断。
    Global developmental delay (GDD)/intellectual disability (ID) is common in children and its etiology is unknown in many cases. Chromosomal abnormalities are predominant genetic causes of GDD/ID. The aim of this study is to determine the genetic risk factors that may be involved in the etiology of GDD/ID. In this study, 810 children with moderate to severe, clinically unexplained GDD/ID for whom cytogenetic analysis were performed were retrospectively rescreened. The results showed that GDD/ID affected more females than males (2 girls:1 boy). A total of 54 children (6.7%) with GDD showed chromosomal aberrations (CAs): 59.3% of these CAs were structural aberrations, and the rest were numerical aberrations (40.7%). Specifically, inversions, deletions, and reciprocal and robertsonian translocations, which were detected in 1, 0.7, 0.8, and 0.4% of the children, respectively, constituted important categories of structural CAs. Among numerical CAs, classic Turner and mosaics were detected in 1.2% of all children. Trisomy 21 and mosaic trisomy 21 were detected in 1% of the children. Marker chromosomes and 47,XXY karyotypes were found in two children each. Our results suggest that female sex is more affected by CAs among GDD/ID cases, and cytogenetic analysis is useful in the etiological diagnosis of GDD/ID.
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  • 文章类型: Journal Article
    原发性闭经(PA)是指青春期女孩没有自然达到月经初潮的疾病。它是指定的最常见的妇科疾病之一。染色体异常在PA中起关键作用。细胞遗传学分析是确定染色体异常必不可少的诊断工具。在像印度这样的新兴国家,细胞遗传学分析处于起步阶段。印度东部对细胞遗传学的研究很少,包括西孟加拉邦.在农村和郊区,PA患者经常经历晚期诊断,并努力获得合适的治疗方法。这项研究的目的是准确评估患有PA的患者的各种类型的染色体异常,更好地管理同样和进一步的咨询。
    产科医生和妇科医生共将40例PA病例转介给Nirnayan卫生保健遗传学系,加尔各答.为了筛查染色体异常,使用外周静脉血完成人白细胞培养,然后进行G显带,然后根据ISCN-2020进行核型分析.
    在40名患者中,29例正常,其中70%(n=28)发现46,XX,46,XX,9qh+在2.5%(n=1)。其余11例表现出不同类型的异常。45,X为10%(n=4),46,X,I(X)(q10)在2.5%(n=1)中,46,X,del(X)(p11.2)在2.5%(n=1)中,46,X,del(X)(p22.1)在2.5%(n=1)中,46,X,del(X)(q24)在2.5%(n=1)中,46,XY为2.5%(n=1),mos45,X[22]/46,Xi(X)(q.10)[8]为2.5%(n=1),mos45,X[16]/46,XY[14](2.5%)为2.5%(n=1)。
    这项研究表明染色体研究的重要性,必须包括在PA的早期诊断中。在生命的适当阶段进行核型分析不仅有助于对这种疾病的司法管理,而且还将为年轻女孩提供更好的生活方式。
    原发性闭经是青春期少女常见的妇科疾病,常与染色体异常有关.在印度东部,包括西孟加拉邦,细胞遗传学分析仍处于起步阶段,晚期诊断和获得治疗的机会有限是普遍存在的问题.2021年1月至2023年5月在NirnayanHealthcare进行的一项研究,加尔各答旨在评估40例PA患者的染色体异常。在这些中,28例显示正常核型(46,XX);1例报告为46,XX,9qh+被认为是正常核型,而其余11例显示出各种异常,包括45,X;性别逆转和几个结构变化。该研究强调了细胞遗传学分析在原发性闭经早期诊断中的重要性。早期的核型分析不仅有助于明智的管理,而且还确保受影响的女孩有更好的生活方式。
    UNASSIGNED: Primary amenorrhoea (PA) refers to an ailment when adolescent girls do not attain menarche naturally. It is one of the most common gynaecological disorders specified. Chromosomal abnormalities play a pivotal role in PA. Cytogenetic analysis is an indispensable diagnostic tool to determine the abnormality of the chromosome. In an emerging country like India, cytogenetic analysis is at a nascent stage. There are very few studies on Cytogenetics present in eastern India, including West Bengal. In rural and suburban areas PA sufferers often experience late diagnosis and struggle to access suitable curative management. The aim of the study is to evaluate the various types of chromosomal abnormalities in patients suffering from PA for accurate, better management of the same and further counselling.
    UNASSIGNED: A total of 40 PA cases were referred by obstetricians and gynaecologists to the Department of Genetics of Nirnayan Health Care, Kolkata. To screen the chromosomal abnormalities, human leukocyte culture was accomplished with their peripheral venous blood followed by G-banding and then karyotyping was executed according to ISCN-2020.
    UNASSIGNED: Out of 40 patients, 29 were normal among which 46,XX was found in 70% cases (n = 28) and 46,XX,9qh + in 2.5% (n = 1). The remaining 11 showed different types of abnormalities. 45,X was found in 10% (n = 4), 46,X,i(X)(q10) in 2.5% (n = 1), 46,X,del(X)(p11.2) in 2.5% (n = 1), 46,X,del(X)(p22.1) in 2.5% (n = 1), 46,X,del(X)(q24) in 2.5% (n = 1), 46,XY in 2.5% (n = 1), mos 45,X[22]/46,Xi(X)(q.10)[8] in 2.5% (n = 1) and mos 45,X[16]/46,XY[14] (2.5%) in 2.5% (n = 1).
    UNASSIGNED: This study indicates the importance of chromosomal study which must be included in early diagnosis of PA. Karyotyping at the appropriate phase of life will not only help in the judicial management of this disorder but will also give young girls a better lifestyle.
    Primary amenorrhoea is a common gynecological disorder reported in adolescent girls, often linked to chromosomal abnormalities. In Eastern India, including West Bengal, where cytogenetic analysis is still in its nascent stage, late diagnosis and limited access to curative management are prevalent issues. A study conducted from January 2021 to May 2023 at Nirnayan Healthcare, Kolkata aimed to evaluate chromosomal abnormalities in 40 PA cases. Out of these, 28 exhibited normal karyotypes (46,XX); one patient was reported with 46,XX,9qh + which is considered a normal karyotype, while the remaining 11 revealed diverse abnormalities, including 45,X; sex reversal & several structural variations. The study underscores the significance of cytogenetic analysis in the early diagnosis of Primary Amenorrhoea. Early karyotyping not only facilitates judicious management but also ensures a better lifestyle for affected girls.
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  • 文章类型: Journal Article
    背景:在低收入国家,关于血液学的证据不足,临床,新的CML患者的细胞遗传学和分子谱。因此,我们在TikurAnbesa专科医院(TASH)新确诊的CML患者中进行了这项研究,埃塞俄比亚。
    目的:为了确定血液,临床,亚的斯亚贝巴三级护理教学医院确认的CML患者的细胞遗传学和分子谱,埃塞俄比亚。
    方法:进行了一项基于设施的横断面研究,以评估血液学,临床,2021年8月至2022年12月在TASH确诊的CML患者的细胞遗传学和分子谱。使用结构化问卷收集患者的社会人口统计信息,病史和体格检查,还收集了血液样本进行血液学检查,细胞遗传学和分子测试。描述性统计被用来分析社会人口统计学,血液学,临床,研究参与者的细胞遗传学和分子谱。
    结果:共招募了251名确诊的新CML患者进行研究。大多数患者为男性(151[60.2%];慢性(CP)CML,213[84.7%];中位年龄为36岁。WBC中位数(IQR),红细胞,HGB和PLT计数为217.7(155.62-307.4)x103/微升,3.2(2.72-3.6)x106/微升,9.3(8.2-11)g/dl和324(211-499)x103/微升,分别。所有患者都有白细胞增多症,92.8%,95.6%和99.2%的患者出现贫血,高白细胞增多症和嗜中性粒细胞增多症,分别。疲劳,腹痛,脾肿大和体重减轻是CML患者的常见体征和症状.根据荧光原位杂交(FISH),约有86.1%的研究参与者为费城染色体阳性(Ph)。P210,主要的断点蛋白,通过定性聚合酶链反应(PCR)和定量实时聚合酶链反应(PCR)检测转录本。
    结论:在演示期间,大多数CML患者出现高白细胞增多,中性粒细胞增多症和贫血,亚的斯亚贝巴。疲劳,腹痛,脾肿大和体重减轻是CML患者中最常见的体征和症状.大多数CML患者通过FISH诊断,在所有诊断为CML的患者中通过PCR检测到p120。大多数CML患者到达转诊中心时出现晚期症状和体征,所以更好地将服务下放给周边卫生设施。
    BACKGROUND: In low-income countries there is insufficient evidence on hematological, clinical, cytogenetic and molecular profiles among new CML patients. Therefore, we performed this study among newly confirmed CML patients at Tikur Anbesa Specialized Hospital (TASH), Ethiopia.
    OBJECTIVE: To determine the hematological, clinical, cytogenetic and molecular profiles of confirmed CML patients at tertiary care teaching hospital in Addis Ababa, Ethiopia.
    METHODS: A facility-based cross-sectional study was conducted to evaluate hematological, clinical, cytogenetic and molecular profiles of confirmed CML patients at TASH from August 2021 to December 2022. A structured questionnaire was used to collect the patients\' sociodemographic information, medical history and physical examination, and blood samples were also collected for hematological, cytogenetic and molecular tests. Descriptive statistics were used to analyze the sociodemographic, hematological, clinical, cytogenetic and molecular profiles of the study participants.
    RESULTS: A total of 251 confirmed new CML patients were recruited for the study. The majority of patients were male (151 [60.2%]; chronic (CP) CML, 213 [84.7%]; and had a median age of 36 years. The median (IQR) WBC, RBC, HGB and PLT counts were 217.7 (155.62-307.4) x103/µL, 3.2 (2.72-3.6) x106/µL, 9.3 (8.2-11) g/dl and 324 (211-499) x 103/µL, respectively. All patients had leukocytosis, and 92.8%, 95.6% and 99.2% of the patients developed anemia, hyperleukocytosis and neutrophilia, respectively. Fatigue, abdominal pain, splenomegaly and weight loss were the common signs and symptoms observed among CML patients. Approximately 86.1% of the study participants were Philadelphia chromosome positive (Ph+) according to fluorescence in situ hybridization (FISH). P210, the major breakpoint protein, transcript was detected by both qualitative polymerase chain reaction (PCR) and quantitative real time polymerase chain reaction (PCR).
    CONCLUSIONS: During presentation, most CML patients presented with hyperleukocytosis, neutrophilia and anemia at TASH, Addis Ababa. Fatigue, abdominal pain, splenomegaly and weight loss were the most common signs and symptoms observed in the CML patients. Most CML patients were diagnosed by FISH, and p120 was detected in all CML patients diagnosed by PCR. The majority of CML patients arrive at referral center with advanced signs and symptoms, so better to decentralize the service to peripheral health facilities.
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  • 文章类型: Journal Article
    长期暴露于电离辐射的个体的剂量测定和暴露控制是重要且复杂的问题。评估可以通过评估个人适应和放射敏感性来优化,但是单个模型不可能考虑所有相关参数。我们的目标是开发用于计算长期暴露于电离辐射的人的剂量的方法,考虑到他们的放射敏感性.根据血液样本的离体辐射,建立剂量-效应模型,剂量范围为0.01-2.0和0.01-0.4Gy,使用不同的细胞遗传学标准。低剂量的“双中心染色体和环”的频率太低,没有预测价值。受试者对辐射的不同反应使得可以根据他们的辐射敏感性对他们进行分类,并为辐射敏感生成单独的剂量效应曲线,平均,和耐辐射个体,减少回顾性剂量测定中的误差。
    The dosimetry and control of exposure for individuals chronically exposed to ionizing radiation are important and complex issues. Assessment may be optimized by evaluating individual adaptation and radiosensitivity, but it is not possible for a single model to account for all relevant parameters. Our goal was to develop approaches for the calculation of doses for persons chronically exposed to ionizing radiation, taking their radiosensitivities into consideration. On the basis of ex vivo radiation of blood samples, dose-effect models were constructed for dose ranges 0.01-2.0 and 0.01-0.4 Gy, using different cytogenetic criteria. The frequencies of \"dicentric chromosomes and rings\" at low doses are too low to have predictive value. The different responses of subjects to radiation made it possible to categorize them according to their radiosensitivities and to generate separate dose-effect curves for radiosensitive, average, and radioresistant individuals, reducing the amount of error in retrospective dosimetry.
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  • 文章类型: Journal Article
    目的:评估治疗依从性,慢性淋巴细胞白血病(CLL)患者在真实世界中接受依鲁替尼治疗的有效性和安全性结局.
    方法:参加REALITY的患者≥18岁,确诊为CLL,并接受依鲁替尼作为一线治疗(1L),2L或≥3L治疗。治疗保留,坚持,无进展生存期(PFS),在总体1年和2年评估总生存期(OS)和下一次治疗时间,按类型学和细胞遗传学亚组。使用Kaplan-Meier方法分析PFS和OS。
    结果:在德国的57个研究中心,共纳入302名患者,从2017年1月到2021年7月。一年保留率为69.9%(主要终点),1L患者为77.9%,del17p/TP53高危患者为77.6%/78.8%。在2年,总体PFS/OS率为77.8%/90.7%(1L,82.7%/90.4%),并且在细胞遗传学亚组之间是一致的。1L患者的PFS率高于≥3L患者。与高接受/高控制类型相比,基线时接受/低控制类型的患者在1年时保留治疗的可能性较小。没有观察到新的安全信号。
    结论:REALITY研究提供了更多证据,证明伊布替尼在真实世界环境中对CLL患者的有效性和安全性。特别是在早期的治疗线上。
    OBJECTIVE: To assess treatment adherence, effectiveness and safety outcomes of patients with chronic lymphocytic leukaemia (CLL) receiving ibrutinib in a real-world setting.
    METHODS: Patients enrolled in REALITY were ≥18 years with a confirmed diagnosis of CLL and were receiving ibrutinib as a first-line (1L), 2L or ≥3L therapy. Treatment retention, adherence, progression-free survival (PFS), overall survival (OS) and time to next therapy were assessed at 1 and 2 years overall, by typology and by cytogenetic subgroups. PFS and OS were analysed using Kaplan-Meier methods.
    RESULTS: Exactly 302 patients were enrolled across 57 sites in Germany, from January 2017 to July 2021. One-year retention rates were 69.9% overall (primary endpoint), 77.9% for 1L patients, and 77.6%/78.8% for high-risk patients with del17p/TP53. At 2 years, PFS/OS rates were 77.8%/90.7% overall (1L, 82.7%/90.4%), and were consistent across cytogenetic subgroups. PFS rates were higher for 1L versus ≥3L patients. Patients with the low-acceptance/low-control typology at baseline were less likely to retain treatment at 1 year versus the high-acceptance/high-control typology. No new safety signals were observed.
    CONCLUSIONS: The REALITY study provides further evidence of the effectiveness and safety of ibrutinib in patients with CLL in a real-world setting, particularly in earlier treatment lines.
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  • 文章类型: Case Reports
    颈项半透明度(NT)的增加导致胎儿结构异常的高风险。妊娠11至14周之间的测量是相关染色体异常的可靠标记。这里,我们介绍了1例33岁女性,在胎龄12周时,孤立的高NT为5.6mm.对她的染色体和结构异常进行了评估,并进行了细致的随访。所有测试均未显示任何染色体或明显的结构异常。胎儿超声心动图显示无结构性心脏缺陷。怀孕顺利,她通过下(子宫)段剖宫产术在足月分娩了一个健康的婴儿。女婴身体健康,没有任何发育异常。尽管NT增加存在染色体/结构缺陷的高风险,在没有彻底评估的情况下终止妊娠不是强制性的。
    Increased nuchal translucency (NT) leads to a higher risk of fetal structural abnormalities. The measurement between 11 and 14 weeks gestation is a reliable marker for associated chromosomal abnormalities. Here, we present the case of a 33-year-old female with isolated high NT in the range of 5.6 mm at 12 weeks of gestational age. She was evaluated for chromosomal and structural abnormality and followed up meticulously. None of the tests showed any chromosomal or obvious structural abnormality. Fetal echocardiography revealed no structural cardiac defect. The pregnancy was uneventful and she delivered a healthy baby at term through lower (uterine)-segment cesarean section. The baby girl is living in good health without any developmental abnormalities. Although there is a high risk of chromosomal/structural defects with increased NT, it is not mandatory to terminate the pregnancy without a thorough evaluation.
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  • 文章类型: Journal Article
    目的:细胞遗传学分析为产前决策和遗传咨询提供了重要信息。光学基因组作图(OGM)已在回顾性研究中证明了其性能。在我们的前瞻性研究中,我们评估了从羊水(AF)和绒毛膜绒毛(CV)培养物中获得的DNA质量,并评估了OGM检测通过标准方法鉴定的所有临床相关畸变的能力.
    方法:在2021年1月1日至2022年6月31日期间,通过OGM前瞻性分析了来自超声检查胎儿异常的妊娠的37例产前样本。盲目解释OGM结果,并将其与标准技术获得的结果进行比较。
    结果:OGM结果可在92%的样本中解释。我们观察到OGM与核型和/或染色体微阵列结果之间的100%一致性。此外,OGM确定每个病例的中位数为30个小(<100kb)结构变异,涉及12个OMIM基因,其中3个是OMIM病态基因。
    结论:这项前瞻性研究表明,OGM在检测产前样本细胞培养物中的基因组改变方面表现良好。OGM相对于CMA或外显子组测序的位置仍有待确定,以优化产前诊断程序。
    OBJECTIVE: Cytogenetic analysis provides important information for prenatal decision-making and genetic counseling. Optical genome mapping (OGM) has demonstrated its performances in retrospective studies. In our prospective study, we assessed the quality of DNA obtained from cultures of amniotic fluid (AF) and chorionic villi (CV) and evaluated the ability of OGM to detect all clinically relevant aberrations identified by standard methods.
    METHODS: A total of 37 prenatal samples from pregnancies with a fetal anomaly on ultrasound were analyzed prospectively by OGM between January 1, 2021 and June 31, 2022. OGM results were interpreted blindly and compared to the results obtained by standard techniques.
    RESULTS: OGM results were interpretable in 92% of samples. We observed 100% concordance between OGM and karyotype and/or chromosomal microarray results. In addition, OGM identified a median of 30 small (<100 kb) structural variations per case with the involvement of 12 OMIM genes, of which 3 were OMIM morbid genes.
    CONCLUSIONS: This prospective study showed OGM performed well in detecting genomic alterations in cell cultures from prenatal samples. The place of OGM in relation to CMA or exome sequencing remains to be defined in order to optimize the prenatal diagnostic procedure.
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