SNP array

SNP 阵列
  • 文章类型: Case Reports
    染色体重排可干扰不参与重排的其他染色体对的分离和分离。促进产生的配子中数字异常的发生和后代三体性的倾向。这种干扰现象被称为染色体间效应(ICE)。在这里,我们报告了一个可能由ICE产生的产前病例。孕妇的孕早期超声检查是正常的,但是NIPT表明21号染色体三拷贝的风险很高,因此怀疑21三体(T21)。经过全面的临床评估和遗传咨询,这对夫妇决定进行羊膜穿刺术。产前核型证实了T21,但也显示了15号染色体长臂(q22)和22号染色体长臂之间的平衡易位。父母的核型也显示母亲有15;22易位。我们回顾了T21筛查方法,我们对ICE进行了文献综述,一个普遍被忽视的现象。我们观察到,我们的报告是可能由于来自母亲的ICE引起的产前病例的第一份报告。易位个体后代非整倍体的复发风险可能略有增加,但是无法估计到什么程度。除了支持观察,仍然有一些悬而未决的问题,例如,ICE改变了多少非整倍性风险?
    Chromosomal rearrangements can interfere with the disjunction and segregation of other chromosome pairs not involved in the rearrangements, promoting the occurrence of numerical abnormalities in resulting gametes and predisposition to trisomy in offspring. This phenomenon of interference is known as the interchromosomal effect (ICE). Here we report a prenatal case potentially generated by ICE. The first-trimester screening ultrasound of the pregnant woman was normal, but the NIPT indicated a high risk for three copies of chromosome 21, thus suspecting trisomy 21 (T21). After a comprehensive clinical evaluation and genetic counseling, the couple decided to undergo amniocentesis. The prenatal karyotype confirmed T21 but also showed a balanced translocation between the long arm of chromosome 15 (q22) and the long arm of chromosome 22. The parents\' karyotypes also showed that the mother had the 15;22 translocation. We reviewed T21 screening methods, and we performed a literature review on ICE, a generally overlooked phenomenon. We observed that ours is the first report of a prenatal case potentially due to ICE derived from the mother. The recurrence risk of aneuploidy in the offspring of translocated individuals is likely slightly increased, but it is not possible to estimate to what extent. In addition to supporting observations, there are still open questions such as, how frequent is ICE? How much is the aneuploidy risk altered by ICE?
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  • 文章类型: Journal Article
    背景:先前的研究表明,与健康相关的直接面向消费者的基因检测(DTC-GT)的卖家提供的信息通常是不完整的,不平衡,或者太难理解。以前没有研究过荷兰消费者可以接触到的卖家的情况。方法和目标:本研究旨在评估完整性,balance,可读性,以及荷兰消费者可以访问的一些与健康相关的DTC-GT卖家的精选网站上的信息内容的可查找性。根据最近发布的清单进行了深入的内容分析,该清单概述了有关DTC-GT服务的政策指导的关键项目。结果:卖方提供的信息并未平等地涵盖与健康相关的DTC-GT服务提供相关的所有方面。所提供的资料稍有不平衡,与健康相关的DTC-GT使用的好处相比,其风险和局限性被过分强调。所提供资料的可读性较低,平均而言,需要大学教育才能正确理解。可查找性分析表明,有关所有主题的信息在经过分析的卖家网站上总体上相对均匀地分布。结论:与健康相关的DTC-GT卖家提供的信息在完整性方面是次优的,balance,和可读性。为了更好地授权潜在消费者就与健康相关的DTC-GT的使用做出明智的决定,我们主张在全行业范围内加强信息提供。
    Background: Previous studies have suggested that information offered by sellers of health-related direct-to-consumer genetic tests (DTC-GTs) is often incomplete, unbalanced, or too difficult to understand. The extent to which this is the case for sellers accessible to Dutch consumers has not previously been studied. Methods and Goals: The present study aimed to assess the completeness, balance, readability, and findability of informational content on a selection of websites from several health-related DTC-GT sellers accessible to Dutch consumers. An in-depth content analysis was performed based on a recently published checklist outlining key items for policy guidance regarding DTC-GT services. Results: The information provided by sellers did not equally cover all aspects relevant to health-related DTC-GT service provision. The provided information was slightly unbalanced, with benefits of health-related DTC-GT usage being overemphasized compared to its risks and limitations. The readability of the provided information was low, on average requiring college education for proper understanding. A findability analysis showed that information concerning all themes is overall relatively evenly distributed across analyzed sellers\' websites. Conclusions: Information provision by assessed health-related DTC-GT sellers is suboptimal regarding completeness, balance, and readability. To better empower potential consumers to make an informed decision regarding health-related DTC-GT usage, we advocate industry-wide enhancement of information provision.
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  • 文章类型: Journal Article
    在育种中挖掘和利用休眠基因座是提高小麦品种对收获前发芽(PHS)抗性的有效措施。CH1539是具有高水平种子休眠的小麦育种系。为了明确CH1539携带的休眠基因座并获得连锁的分子标记,在这项研究中,使用Wheat17K单核苷酸多态性(SNP)阵列对来自弱休眠SY95-71和强休眠CH1539杂交的重组自交系(RIL)种群进行了基因分型,并构建了覆盖21条染色体,由2437个SNP标记组成的高密度遗传图谱。然后,估计来自每个RIL的种子的发芽率(GP)和发芽指数(GI)。染色体5A和6B上GP的两个QTL,和染色体5A上的四个GIQTL,6B,鉴定了图6D和7A。其中,染色体6B上同时控制GP和GI的QTL,暂时命名为QGp/Gi。sxau-6B,是种子休眠的主要QTL,最大表型变异解释为17.66〜34.11%。QGp/Gi的一种基于PCR的诊断标记Ger6B-3。sxau-6B的研制,和QGp/Gi的遗传效应。成功确认了RIL种群上的sxau-6B和一组包含97个种质的小麦种质。QGp/Gi。sxau-6B位于28.7~30.9Mbp的物理位置与6B染色体上所有已知的休眠基因座不同,在间隔内,有30个高置信度注释基因。我们的结果揭示了一个新的QTLQGp/Gi。CH1539等位基因的sxau-6B对种子休眠有强烈而广泛的影响,这将有助于进一步的抗PHS小麦育种。
    The excavation and utilization of dormancy loci in breeding are effective endeavors for enhancing the resistance to pre-harvest sprouting (PHS) of wheat varieties. CH1539 is a wheat breeding line with high-level seed dormancy. To clarify the dormant loci carried by CH1539 and obtain linked molecular markers, in this study, a recombinant inbred line (RIL) population derived from the cross of weak dormant SY95-71 and strong dormant CH1539 was genotyped using the Wheat17K single-nucleotide polymorphism (SNP) array, and a high-density genetic map covering 21 chromosomes and consisting of 2437 SNP markers was constructed. Then, the germination percentage (GP) and germination index (GI) of the seeds from each RIL were estimated. Two QTLs for GP on chromosomes 5A and 6B, and four QTLs for GI on chromosomes 5A, 6B, 6D and 7A were identified. Among them, the QTL on chromosomes 6B controlling both GP and GI, temporarily named QGp/Gi.sxau-6B, is a major QTL for seed dormancy with the maximum phenotypic variance explained of 17.66~34.11%. One PCR-based diagnostic marker Ger6B-3 for QGp/Gi.sxau-6B was developed, and the genetic effect of QGp/Gi.sxau-6B on the RIL population and a set of wheat germplasm comprising 97 accessions was successfully confirmed. QGp/Gi.sxau-6B located in the 28.7~30.9 Mbp physical position is different from all the known dormancy loci on chromosomes 6B, and within the interval, there are 30 high-confidence annotated genes. Our results revealed a novel QTL QGp/Gi.sxau-6B whose CH1539 allele had a strong and broad effect on seed dormancy, which will be useful in further PHS-resistant wheat breeding.
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  • 文章类型: Journal Article
    在该属的其他物种受到恶劣的土壤和气候条件影响的地区,桉树是短纤维纸浆生产中最重要的桉树物种之一。在这种情况下,邓尼有希望作为应对和适应气候变化挑战的资源。尽管其快速增长和实木产品的良好木材性能,其改进的进展仍处于早期阶段。在这项工作中,我们评估了两种单核苷酸多态性的表现,(SNP),E.dunnii群体遗传学分析和基因组选择的基因分型方法。双消化限制性位点相关DNA测序(ddRADseq)与EUChip60K阵列在308个个体中进行了比较。比较的SNP集包括沿11条染色体分布的8,011和19,008个信息性SNP,分别。尽管这两个数据集的缺失数据百分比不同,基因组覆盖,次要等位基因频率和估计的遗传多样性参数,他们揭示了相似的遗传结构,显示两个亚群之间几乎没有差异,和低连锁不平衡。使用基因组最佳线性无偏预测(GBLUP)和常规的基于谱系的模型(ABLUP)对11个性状进行GS分析。无论SNP数据集如何,在六个性状(纤维素含量,总提取物和乙醇提取物,总木质素和Klason木质素含量以及丁酰和愈创酰木质素单体比例)。当对比用于估计PA的SNP数据集时,GBLUP-EUChip60K模型为六个性状提供了更高且显着的PA值,同时,使用ddRADseq估计的值为其他三个性状提供了更高的值。PAs与狭义遗传力呈正相关,与ABLUP和GBLUP-EUChip60K显示的最高相关性。两种基因分型方法,ddRADseq和EUChip60K,在群体遗传学和基因组预测方面通常具有可比性,证明前者在进行严格的SNP过滤时的实用性。这项研究的结果为将来在尚未开发SNP阵列的非模型森林物种中使用ddRADseq进行全基因组研究提供了基础。
    Eucalyptus dunnii is one of the most important Eucalyptus species for short-fiber pulp production in regions where other species of the genus are affected by poor soil and climatic conditions. In this context, E. dunnii holds promise as a resource to address and adapt to the challenges of climate change. Despite its rapid growth and favorable wood properties for solid wood products, the advancement of its improvement remains in its early stages. In this work, we evaluated the performance of two single nucleotide polymorphism, (SNP), genotyping methods for population genetics analysis and Genomic Selection in E. dunnii. Double digest restriction-site associated DNA sequencing (ddRADseq) was compared with the EUChip60K array in 308 individuals from a provenance-progeny trial. The compared SNP set included 8,011 and 19,008 informative SNPs distributed along the 11 chromosomes, respectively. Although the two datasets differed in the percentage of missing data, genome coverage, minor allele frequency and estimated genetic diversity parameters, they revealed a similar genetic structure, showing two subpopulations with little differentiation between them, and low linkage disequilibrium. GS analyses were performed for eleven traits using Genomic Best Linear Unbiased Prediction (GBLUP) and a conventional pedigree-based model (ABLUP). Regardless of the SNP dataset, the predictive ability (PA) of GBLUP was better than that of ABLUP for six traits (Cellulose content, Total and Ethanolic extractives, Total and Klason lignin content and Syringyl and Guaiacyl lignin monomer ratio). When contrasting the SNP datasets used to estimate PAs, the GBLUP-EUChip60K model gave higher and significant PA values for six traits, meanwhile, the values estimated using ddRADseq gave higher values for three other traits. The PAs correlated positively with narrow sense heritabilities, with the highest correlations shown by the ABLUP and GBLUP-EUChip60K. The two genotyping methods, ddRADseq and EUChip60K, are generally comparable for population genetics and genomic prediction, demonstrating the utility of the former when subjected to rigorous SNP filtering. The results of this study provide a basis for future whole-genome studies using ddRADseq in non-model forest species for which SNP arrays have not yet been developed.
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  • 文章类型: Journal Article
    我们提出了一系列微缺失和微重复综合征(MMSs)在我们的临床实践中观察到,从2020年到2023年的三年时间。微缺失和微重复综合征,以染色体缺失或重复少于5兆碱基为特征,在诊断方面构成挑战,尤其是产前和临床管理。临床上,MMSs涵盖了广泛的表现形式,从智力残疾和发育迟缓到先天性异常,面部畸形,和神经行为异常。值得注意的例子包括特征良好的综合征,如DiGeorge综合征(22q11.2缺失),Prader-Willi综合征(15q11-q13缺失),和威廉姆斯综合征(7q11缺失)。我们的研究重点是这些综合征的遗传基础和产前超声检查结果,重点是与智力残疾相关的案件。使用SNP阵列技术,我们深入研究不断发展的诊断方法,提供对拷贝数变异(CNVs)及其含义的细致入微的理解。产前诊断可以早期发现MMSs,使父母和医疗保健提供者能够就怀孕做出明智的决定,并计划适当的医疗和干预措施。超出理论考虑,我们的文章通过提供来自临床病例的见解来弥合研究与实际应用之间的差距。通过对具体案例的介绍,我们的目标是为更广泛的MMSs讨论提供有价值的数据,促进知识交流,增强医学界对这些复杂遗传条件的认识。
    We present a series of microdeletion and microduplication syndromes (MMSs) observed in our clinical practice over a three-year period from 2020 to 2023. Microdeletion and microduplication syndromes, characterized by chromosomal deletions or duplications of less than five megabases, pose challenges in terms of diagnosis, especially prenatal and clinical management. Clinically, MMSs encompass a broad spectrum of manifestations, ranging from intellectual disability and developmental delays to congenital anomalies, facial dysmorphisms, and neurobehavioral abnormalities. Notable examples include well-characterized syndromes such as DiGeorge syndrome (22q11.2 deletion), Prader-Willi syndrome (15q11-q13 deletion), and Williams syndrome (7q11 deletion). Our study focuses on the genetic foundations and prenatal ultrasound findings of these syndromes, with an emphasis on cases associated with intellectual disability. Using SNP array technology, we delve into the evolving landscape of diagnostic methods, providing a nuanced understanding of copy number variations (CNVs) and their implications. Prenatal diagnosis allows for the early detection of MMSs, enabling parents and healthcare providers to make informed decisions about the pregnancy and plan for appropriate medical care and interventions. Beyond theoretical considerations, our article bridges the gap between research and practical application by offering insights derived from clinical cases. Through the presentation of specific cases, we aim to contribute valuable data to the broader discourse on MMSs, fostering knowledge exchange and enhancing the medical community\'s awareness of these complex genetic conditions.
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  • 文章类型: Journal Article
    许多外套颜色,行为和形态特征在猫品种中是特定和固定的,影响这些性状的几种变异在不同品种中很常见。在家猫中,rexoid突变已经在几个品种中被证明。在康沃尔雷克斯,已发现LPAR6基因中的四个bp缺失导致移码和过早终止密码子。除了rexoid涂层,康沃尔雷克斯猫也有一个独特的头,耳朵的形状和体型。对CornishRex基因组中的选择特征的分析揭示了处于选择压力下的几个区域。其中之一位于CFAB4中,即ALX1基因所在的区域。缅甸猫的ALX1基因破坏了颅骨形态发生,并在杂合状态下引起短头畸形。在我们的研究中,我们证实了20只CornishRex和CornishRex与家猫之间的四个F1杂种中LPAR6的缺失。然而,我们没有确认CornishRex猫ALX1中是否存在缺失。基于11只康沃尔雷克斯猫的公开可用的SNP阵列数据,使用ROH岛和整合单倍型评分(iHS)统计进行全基因组选择特征分析。在染色体A1、A3、C2、B1、B4和D1上检测到选择特征。
    Many coat color, behavioral and morphological traits are specific and fixed across cat breeds, with several variants influencing these traits being common among different breeds. In the domestic cat, rexoid mutations have been documented in several breeds. In the Cornish Rex, four bp deletion in the LPAR6 gene has been found to cause a frame shift and a premature stop codon. In addition to the rexoid coat, Cornish Rex cats also have a characteristic head, ear shape and body type. Analysis of the selection signatures in the Cornish Rex genome revealed several regions that are under selective pressure. One of these is located in CFA B4, in the region where the ALX1 gene is located. The ALX1 gene in Burmese cats disrupts the cranial morphogenesis and causes brachycephaly in the heterozygous state. In our study, we confirmed the presence of a deletion in LPAR6 in 20 Cornish Rex and in four F1 hybrids between Cornish Rex and domestic cat. However, we did not confirm the presence of the deletion in ALX1 in Cornish Rex cats. Genome-wide selection signature analysis was performed using ROH islands and integrated haplotype score (iHS) statistics based on publicly available SNP array data of 11 Cornish Rex cats. The selection signatures were detected on chromosomes A1, A3, C2, B1, B4 and D1.
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  • 文章类型: Journal Article
    肥胖症被称为异质性和多因素疾病。体内脂肪的分布对于代谢并发症的发展至关重要。对不同脂肪组织的综合遗传分析很少见,但需要提供更详细的信息。因此,我们使用高分辨率全基因组SNP阵列对三名肥胖患者进行了遗传分析(血液,内脏脂肪组织)和荧光原位杂交(FISH)分析(内脏和皮下脂肪组织)。总之,我们确定了31个小拷贝数变异(损失:1p31.1,1p22.2,1q21.3,2q34,2q37.1,3q28,6p25.3,7q31.33,7q33,8p23.3,10q22.3,11p15.4,11p15.1,11p14.2,11p12,13q12.3,15q1q1cp21,15q1对于染色体区域15q11.2-q13.1,我们在一名患者中检测到微缺失(Prader-Willi综合征)。有趣的是,我们确定了EDTA血液和内脏脂肪组织之间的染色体SNP差异(缺失和增加).仅在脂肪组织中而在血液中检测到7q31.33、7q33、11p14.2、11p12、13q12.3的小损失以及7q34的小增加。此外,对7q31.33、7q33和11p12的FISH分析显示皮下和内脏脂肪组织之间存在差异。一般来说,在内脏脂肪组织中检测到更频繁的缺失。主要检测到cn-LOH与CNV提示这些cn-LOH在肥胖发病机制中的意义。我们得出的结论是,使用的SNP阵列和FISH分析适用于为困难细胞亚群的基础研究生成更多信息(例如,内脏脂肪组织),并可能在肥胖领域开辟新的诊断方面。总之,这些大多数尚未描述的遗传畸变在不同脂肪组织中的重要性需要在更大的系列中证实。
    Obesity is known as a heterogeneous and multifactorial disease. The distribution of body fat is crucial for the development of metabolic complications. Comprehensive genetic analyses on different fat tissues are rare but necessary to provide more detailed information. Therefore, we performed genetic analyses of three patients with obesity using high resolution genome wide SNP array (blood, visceral fat tissue) and fluorescence in situ hybridization (FISH) analyses (visceral and subcutaneous fat tissue). Altogether, we identified 31 small Copy Number Variations (losses: 1p31.1, 1p22.2, 1q21.3, 2q34, 2q37.1, 3q28, 6p25.3, 7q31.33, 7q33, 8p23.3, 10q22.3, 11p15.4, 11p15.1, 11p14.2, 11p12, 13q12.3, 15q11.2-q13.1, 15q13.3, 20q13.2, 22q11.21; gains: 2q22.1-q22.2, 3p14.3, 4p16.3, 4q32.2, 6q27, 7p14.3, 7q34, 11p12, 12p11.21, 16p11.2-p11.1, 17q21.31) and 289 small copy-neutral Loss of Heterozygosity (cn-LOH). For the chromosomal region 15q11.2-q13.1, we detected a microdeletion (Prader-Willi-Syndrome) in one patient. Interestingly, we identified chromosomal SNP differences between EDTA-blood and visceral fat tissue (deletion and gain). Small losses of 7q31.33, 7q33, 11p14.2, 11p12, 13q12.3 as well as small gain of 7q34 were detected only in fat tissue and not in blood. Furthermore, FISH analyses on 7q31.33, 7q33 and 11p12 revealed differences between subcutaneous and visceral fat tissue. Generally, the deletions were detected more frequent in visceral fat tissue. Predominantly detected cn-LOH vs. CNV suggests a meaning of these cn-LOH for the pathogenesis of obesity. We conclude that the SNP array and FISH analyses used is applicable to generate more information for basic research on difficult cell subpopulations (e.g., visceral adipose tissue) and could opens up new diagnostic aspects in the field of obesity. Altogether, the significance of these mostly not yet described genetic aberrations in different fat tissues needs to confirmed in a larger series.
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  • 文章类型: Journal Article
    由于改进了儿童B细胞前体急性淋巴细胞白血病(BCP-ALL)的治疗方案,5年总生存率现在超过90%。不幸的是,25%的复发儿童最初预后不良,可能由预先存在的或新出现的分子异常驱动。后者最初和基本上是通过细胞遗传学鉴定的。然而,一些细微的改变通过核型分析是不可见的。
    单核苷酸多态性(SNP)阵列是染色体分析的另一种方法,可以更深入地评估染色体修饰,例如评估拷贝数改变(CNA)和杂合性缺失(LOH)。此方法适用于来自7名BCP-ALL儿童的回顾性诊断/复发配对样本以及38名新诊断儿童病例的前瞻性队列。
    在配对研究中,与最初的核型相比,SNP阵列分析将两名患者重新分类为预后不良病例。在复发期间观察到4个CNA和0.9个LOH的调节。在前瞻性研究中,SNP将10例中间核型患者重新分类为7例预后良好,3例预后不良。最终,在所有测试的孩子中,与常规核型相比,SNP阵列可以识别其他异常,完善其预后价值,并确定一些可用于精准医疗的药物异常。总的来说,检测到的异常可以分为四组,分别参与B细胞发育,细胞增殖,转录和分子途径。
    因此,SNP似乎是BCPALL综合诊断的一种选择方法,特别是对于最初分类为中间预后的患者。细胞遗传学和高通量测序两者的这种互补方法允许获得进一步的分类信息,并且在这些技术失败的情况下可以是有用的。
    UNASSIGNED: Thanks to an improved therapeutic regimen in childhood B-cell precursor acute lymphoblastic leukemia (BCP-ALL), 5 year-overall survival now exceeds 90%. Unfortunately, the 25% of children who relapse have an initial poor prognosis, potentially driven by pre-existing or emerging molecular anomalies. The latter are initially and essentially identified by cytogenetics. However, some subtle alterations are not visible through karyotyping.
    UNASSIGNED: Single nucleotide polymorphisms (SNP) array is an alternative way of chromosomal analysis allowing for a more in-depth evaluation of chromosomal modifications such as the assessment of copy number alterations (CNA) and loss of heterozygosity (LOH). This method was applied here in retrospective diagnosis/relapse paired samples from seven children with BCP-ALL and in a prospective cohort of 38 newly diagnosed childhood cases.
    UNASSIGNED: In the matched study, compared to the initial karyotype, SNP array analysis reclassified two patients as poor prognosis cases. Modulation during relapse was seen for 4 CNA and 0.9 LOH. In the prospective study, SNP reclassified the 10 patients with intermediate karyotype as 7 good prognosis and 3 poor prognosis. Ultimately, in all the children tested, SNP array allowed to identify additional anomalies compared to conventional karyotype, refine its prognostic value and identify some druggable anomalies that could be used for precision medicine. Overall, the anomalies detected could be segregated in four groups respectively involved in B-cell development, cell proliferation, transcription and molecular pathways.
    UNASSIGNED: SNP therefore appears to be a method of choice in the integrated diagnosis of BCP ALL, especially for patients initially classified as intermediate prognosis. This complementary method of both cytogenetics and high throughput sequencing allows to obtain further classified information and can be useful in case of failure of these techniques.
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  • 文章类型: Journal Article
    简介:染色体镶嵌和低级镶嵌对SNP阵列和NGS时代的诊断提出了挑战。四倍体是一种罕见的染色体异常,其特征是每个染色体存在四个拷贝。在人群中,四倍体/二倍体镶嵌症的患病率极为罕见。由于将其分类为极为罕见且难以检测的条件,因此缺乏对这种染色体异常频率的准确估计。方法:在本报告中,我们描述了两例涉及四倍体/二倍体和12三体的挑战性诊断。我们利用先进的基因检测技术,包括SNP阵列,检查这些病例中的染色体异常。我们将SNP阵列的结果与常规G带核型分析进行了比较,以评估一线产前测试方法的实用性。结果:我们的分析显示2例四倍体/二倍体和三体12,具有非典型表现。与常规G带核型分析相比,SNP阵列分析在这些情况下提供了有关染色体异常的更高分辨率和更精确的信息。此外,四倍体/二倍体镶嵌的患病率被证实在人群中极为罕见.讨论:低水平的镶嵌是很难诊断的,在很多情况下,传统上是通过G带核型或FISH等技术鉴定的。微阵列已成为检测染色体异常的宝贵诊断工具,提供高分辨率的见解。然而,它可能并不总是能够检测到罕见的四倍体或四倍体/二倍体镶嵌现象。因此,我们建议在获得阴性微阵列结果后,进行G带核型分析,然后再考虑其他诊断结果可能较高的诊断方法.对于低水平马赛克的检测,应考虑联合诊断方法。马赛克的诊断是一个多步骤的过程,可能是耗时的,通常需要应用一种以上的诊断技术。这种方法对于准确诊断和全面的患者护理至关重要。需要进一步的研究才能更好地了解这些罕见染色体异常的潜在机制,并为具有挑战性的病例开发更有效的诊断策略。
    Introduction: Chromosome mosaicism and low-grade mosaicism present a challenge for diagnosis in the era of SNP array and NGS. Tetraploidy is a rare numerical chromosomal abnormality characterized by the presence of four copies of each chromosome. The prevalence of tetraploidy/diploidy mosaicism cases is extremely rare in the human population. Accurate estimates of the frequency of this chromosomal anomaly are lacking due to its classification as an extremely rare and difficult-to-detect condition. Methods: In this report, we describe two cases involving challenging diagnoses of tetraploidy/diploidy and trisomy 12. We utilized advanced genetic testing techniques, including SNP array, to examine the chromosomal abnormalities in these cases. We compared the results from SNP array to conventional G band karyotyping to assess the utility of first-tier prenatal testing methods. Results:Our analysis revealed two cases of tetraploidy/diploidy and trisomy 12 with atypical presentations. SNP array analysis provided higher resolution and more precise information about the chromosomal anomalies in these cases compared to conventional G band karyotyping. Additionally, the prevalence of tetraploidy/diploidy mosaicism was confirmed to be extremely rare in the population. Discussion: Low-level mosaicism is difficult to diagnose, and in many cases, it has traditionally been identified through techniques such as G band karyotype or FISH. Microarray has become an invaluable diagnostic tool for detecting chromosomal abnormalities, offering high-resolution insights. However, it may not always be able to detect rare occurrences of tetraploidy or tetraploidy/diploidy mosaicism. As a result, it is recommended to perform a G band karyotype analysis after obtaining a negative microarray result before considering other diagnostic methods with a potentially higher yield of diagnosis. For the detection of low-level mosaicism, combined diagnostic methods should be considered. The diagnosis of mosaicism is a multistep process that can be time-consuming, often requiring the application of more than one diagnostic technique. This approach is crucial for accurate diagnosis and comprehensive patient care. Further research is warranted to better understand the underlying mechanisms of these rare chromosomal anomalies and to develop more effective diagnostic strategies for challenging cases.
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  • 文章类型: Journal Article
    胎儿消化系统畸形(DSM)与染色体异常有关。DSM的产前诊断允许及时治疗并降低围产期发病率和死亡率。然而,很少报道胎儿DSM的遗传筛查。本研究旨在通过分析DSM类型与染色体异常的相关性,探讨DSM的遗传病因和妊娠结局。这项回顾性单中心研究包括126例通过产前超声检查检测到DSM的胎儿。使用常规核型分析研究了遗传病因,染色体微阵列分析(CMA),和全外显子组测序(WES)。DSM被归类为简单DSM(A组),DSM结合异常超声软标记(B组),和DSM结合其他系统的合并症(C组)。在11/126(8.7%)胎儿中检测到异常核型。使用CMA检测到另外四个致病性拷贝数变异(CNV),检出率提高到11.9%。三种DSM类型的检出率差异显著(1.78%,8.11%,A组为33.33%,B,C,分别)。总体不良妊娠结局率为33.9%,11.5%,23.5%,和81.3%,(P<0.001),分别,A组,B,和C.在83个活产中,三名新生儿死亡,26人接受了产后手术,有24个有利的结果,54人没有接受手术,基本正常。两名接受WES的新生儿被诊断为CHD7相关的电荷综合征和JAG1相关的Alagille综合征,分别。我们的发现表明胎儿DSM与染色体非整倍体密切相关,CNVs,和点突变。在没有染色体异常和严重结构畸形的情况下,大多数具有简单DSM的胎儿和具有共病异常超声软标记的胎儿的预后是有利的。只要他们作为新生儿接受了及时的手术。这些发现为胎儿DSM的产前诊断和临床处理以及父母的遗传咨询提供了指导。
    Fetal digestive system malformations (DSMs) are correlated with chromosomal anomalies. The prenatal diagnosis of DSMs allows for timely treatment and reduces perinatal morbidity and mortality. However, genetic screening for fetal DSMs is rarely reported. This study aimed to investigate genetic etiology and pregnancy outcomes in cases of fetal DSM by analyzing correlations between DSM types and chromosomal anomalies. This retrospective single-center study included 126 fetuses in whom DSMs were detected via prenatal ultrasonography. Genetic etiology was investigated using conventional karyotyping, chromosome microarray analysis (CMA), and whole-exome sequencing (WES). DSMs were categorized as simple DSM (Group A), DSM combined with abnormal ultrasound soft markers (Group B), and DSM combined with comorbidities of other systems (Group C). Abnormal karyotypes were detected in 11/126 (8.7 %) fetuses. Four more pathogenic copy number variants (CNVs) were detected using CMA, increasing the detection rate to 11.9 %. The detection rates significantly differed between the three DSM types (1.78 %, 8.11 %, and 33.33 % in Groups A, B, and C, respectively). The overall adverse pregnancy outcome rate was 33.9 %, and 11.5 %, 23.5 %, and 81.3 %, (P < 0.001), respectively, in Groups A, B, and C. Out of 83 live births, three neonates died, 26 underwent postnatal surgery with 24 favorable outcomes, and 54 did not undergo surgery and were basically normal. Two neonates who underwent WES were diagnosed with CHD7-associated Charge syndrome and JAG1-associated Alagille syndrome, respectively. Our findings demonstrate that fetal DSM is closely related to chromosome aneuploidies, CNVs, and point mutations. The prognoses of most fetuses with simple DSM and those with comorbid abnormal ultrasound soft markers were favorable in the absence of chromosomal anomalies and severe structural malformations, provided they underwent timely surgery as neonates. These findings provide guidance for the prenatal diagnosis and clinical management of fetal DSMs and the genetic counseling of parents.
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