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Updated: May 31, 2026

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Pre-Implantation Genetic Testing for Aneuploidy on a Semiconductor Based Next-Generation Sequencing Platform
Published on: August 17, 2022
Copy-number changes in prenatal diagnosis.
Melissa Strassberg1, Gary Fruhman, Ignatia B Van den Veyver
1Department of Molecular and Human Genetics, Baylor College of Medicine, Houston, TX, USA.
Expert Review of Molecular Diagnostics
|July 13, 2011
Summary
Prenatal genetic testing is expanding. Array-based comparative genomic hybridization offers broader detection of chromosomal abnormalities, potentially replacing karyotyping for all pregnant individuals.
Area of Science:
- Genetics
- Prenatal Diagnostics
- Medical Technology
Background:
- Prenatal genetic disease detection was previously limited to high-risk pregnancies.
- Advances in screening and reduced risks of invasive procedures support broader access to prenatal diagnosis.
- Newer technologies enable simultaneous testing for more genetic conditions than traditional methods.
Purpose of the Study:
- To review the current use of array-based comparative genomic hybridization (aCGH) in prenatal diagnosis.
- To evaluate the potential of aCGH to replace karyotyping for prenatal genetic testing.
Main Methods:
- Review of current literature and guidelines on prenatal diagnostic technologies.
- Comparison of chromosomal microarray analysis (CMA) with standard karyotyping and fluorescence in situ hybridization (FISH).
- Assessment of aCGH's established role in pediatric and adult diagnostics.
Main Results:
- Chromosomal microarray analysis (CMA) allows simultaneous testing for a wider range of genetic conditions compared to karyotyping.
- CMA is already a recommended first-line diagnostic test for suspected genetic disorders in non-prenatal settings.
- Recent data suggest improved screening for conditions like Down syndrome and lower risks associated with invasive procedures.
Conclusions:
- Array-based comparative genomic hybridization (aCGH) is a powerful tool for prenatal diagnosis.
- aCGH is predicted to become the primary method for detecting chromosomal abnormalities prenatally.
- The expansion of prenatal genetic testing aims to provide comprehensive analysis for all pregnant individuals.
Related Concept Videos
Comparing Copy Number Variations and SNPs
Sequencing of the human genome has opened up several best-kept secrets of the genome. Scientists have identified thousands of genome variations that exist within a population. These variations can be a single nucleotide or a larger chromosomal variation.
Copy number variations or CNVs are the structural variations that cover more than 1kb of DNA sequence. The single nucleotide polymorphism (SNP), on the other hand, is a single nucleotide change or a point mutation that is found in more than 1%...
Copy number variations or CNVs are the structural variations that cover more than 1kb of DNA sequence. The single nucleotide polymorphism (SNP), on the other hand, is a single nucleotide change or a point mutation that is found in more than 1%...
Karyotyping
Overview
Genome Copying Errors
DNA replication is a well-evolved process that copies millions of base pairs with high fidelity during each cell division. Occasionally a wrong base or a long stretch of wrong bases may get added to the daughter strands. If the errors are left unchecked, cells might accumulate several mutations that might endanger their survival. Therefore, the copying errors are checked and repaired at three levels.
Nondisjunction
Nondisjunction is the failure of homologous chromosomes or sister chromatids to separate correctly and move to the opposite poles of the cells. This produces daughter cells with abnormal chromosome numbers. Nondisjunction is common during anaphase I or anaphase II of meiosis. Mutations in synaptonemal complex proteins that attach homologous chromosomes increase the chances of nondisjunction in anaphase I of meiosis I. In contrast, mutations in topoisomerases and condensins that hold sister...
Nondisjunction
During meiosis, chromosomes occasionally separate improperly. This occurs due to failure of homologous chromosome separation during meiosis I or failed sister chromatid separation during meiosis II. In some species, notably plants, nondisjunction can result in an organism with an entire additional set of chromosomes, which is called polyploidy. In humans, nondisjunction can occur during male or female gametogenesis and the resulting gametes possess one too many or one too few chromosomes.
Genomic Imprinting and Inheritance
Diploid organisms inherit genetic material through chromosomes from both parents. Copies of the same gene are known as alleles. In most cases, both alleles are simultaneously expressed and allow various cellular processes to function optimally. If one of the alleles is missing or mutated, the expression of the other allele can compensate; however, this is not true for all genes.
The expression of some genes depends on which parent passed the gene to the offspring, through a phenomenon known as...
The expression of some genes depends on which parent passed the gene to the offspring, through a phenomenon known as...

