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Published on: November 20, 2015
The Prenatal Diagnosis of Seven Fetuses with 7q11.23 Microdeletion or Microduplication
Yinghui Dang1, Shanning Wan1, Yunyun Zheng1
1Department of Obstetrics and Gynecology, the First Affiliated Hospital Of AFMU (Air Force Medical University), Xi'an, China.
Insights
Prenatal diagnosis of 7q11.23 copy number variants (CNVs) is crucial. This study shows BACs-on-Beads (BoBs) and chromosome microarray analysis (CMA) enable detection, aiding genetic counseling for fetal CNVs.
Area of Science:
- Genetics
- Prenatal Diagnosis
- Human Genetics
Background:
- Limited data exists on fetuses with 7q11.23 copy number variants (CNVs).
- Understanding the clinical significance of these CNVs in prenatal diagnosis is essential.
Purpose of the Study:
- To investigate the clinical significance of 7q11.23 CNVs identified during prenatal diagnosis.
- To evaluate the utility of specific molecular techniques for detecting these variants.
Main Methods:
- Amniocentesis was performed on pregnant women with suspected fetal abnormalities.
- Karyotype analysis, BACs-on-Beads (BoBs), and chromosome microarray analysis (CMA) were employed for CNV detection.
Main Results:
- Seven fetuses with 7q11.23 CNVs were identified: five with microdeletions and two with microduplications.
- One case involved a 7q11.23 microdeletion with additional CNVs.
- Another case presented a 7q11.23 microduplication in a newborn with a normal phenotype.
Conclusions:
- 7q11.23 CNVs can lead to diverse clinical manifestations with low specificity.
- The combined use of BoBs and CMA facilitates prenatal diagnosis of 7q11.23 CNVs.
- This study provides a foundation for prenatal diagnosis and genetic counseling concerning 7q11.23 CNVs.
Abstract:
Objective: There is scant information available about fetuses with 7q11.23 copy number variants (CNVs) found during pregnancy. We studied the clinical significance of 7q11.23 CNVs in prenatal diagnosis. Materials and methods: The amniocentesis was performed on pregnant women who underwent ultrasound (US) of fetal abnormalities. After karyotype analysis, CNVs were detected using BACs-on-Beads (BoBs) technique and chromosome microarray analysis (CMA). Results: Of seven fetuses with CNV of 7q11.23, five had microdeletions and two had microduplications. Case 1 had a 7q11.23 microdeletion along with other CNVs. Case 7 was a newborn with a normal phenotype and 7q11.23 microduplication. Conclusion: The CNVs in 7q11.23 results in many clinical manifestations, but the specificity of clinical features is not high. This study demonstrated that BoBs combined with CMA allows prenatal diagnosis of CNVs involving 7q11.23, and provide a clinical basis for prenatal diagnosis and genetic counseling of such CNVs.
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