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Related Experiment Videos

Microarrays in prenatal diagnosis.

Beatrice Oneda1, Anita Rauch1

  • 1Institute of Medical Genetics, University of Zurich, Zurich, Switzerland.

Best Practice & Research. Clinical Obstetrics & Gynaecology
|February 21, 2017
PubMed
Summary

Chromosomal microarray (CMA) offers superior detection of fetal abnormalities compared to karyotyping, especially for ultrasound anomalies. Despite risks of unknown findings, CMA provides valuable prenatal diagnostic information, making it the preferred choice for expectant parents.

Related Concept Videos

DNA Microarrays02:34

DNA Microarrays

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Microarrays are high-throughput and relatively inexpensive assays that can be automated to analyze large quantities of data at a time. They are used in genome-wide studies to compare gene or protein expression under two varied conditions, such as healthy and diseased states. Microarrays consist of glass or silica slides on which probe molecules are covalently attached through surface functionalization. Most commonly, the slides are prepared through the chemisorption of silanes to silica...
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Area of Science:

  • Prenatal Diagnosis
  • Genetics
  • Medical Technology

Background:

  • Conventional karyotyping is the standard for prenatal diagnosis, but has limitations in detecting smaller chromosomal imbalances.
  • Chromosomal microarray (CMA) has emerged as a powerful tool in prenatal genetic testing.
  • CMA is increasingly recommended for pregnancies with ultrasound abnormalities.

Purpose of the Study:

  • To review the published data on chromosomal microarray (CMA) in prenatal diagnosis.
  • To discuss the controversies and benefits of using CMA in the prenatal setting.
  • To evaluate the diagnostic and prognostic value of CMA for fetal abnormalities.

Main Methods:

  • Review of published data and evidence concerning CMA technology in prenatal diagnosis.
Keywords:
SNP arraychromosomal microarraycopy number variantmolecular karyotypingprenatal diagnosis

Related Experiment Videos

  • Comparison of CMA's detection rates against conventional karyotyping.
  • Analysis of risks and benefits associated with CMA findings.
  • Main Results:

    • CMA demonstrates a higher detection rate of pathogenic abnormalities than karyotyping, particularly in fetuses with ultrasound anomalies (e.g., congenital heart disease, increased nuchal translucency, oral cleft).
    • Potential risks include the detection of variants of unknown significance, late-onset disorders, and susceptibility gene variants.
    • Pregnant couples generally prefer comprehensive information regarding their unborn child's health.

    Conclusions:

    • CMA offers significant diagnostic and prognostic advantages in prenatal diagnosis.
    • Despite some limitations, CMA should be considered the test of choice for prenatal genetic assessment.
    • The benefits of enhanced detection and parental preference support the widespread adoption of CMA.