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Array Comparative Genomic Hybridization Array CGH for Detection of Genomic Copy Number Variants
Published on: February 21, 2015
Childhood outcomes of fetal genomic copy-number variants: The prenatal microarray cohort study
Jacqui McCoy1, Cecilia Pynaker1, Sharon Lewis1,2
1Reproductive Epidemiology group, Murdoch Children's Research Institute, Parkville, VIC, Australia.
Insights
Children with a copy-number variant of uncertain significance (VUS) diagnosed prenatally show comparable developmental and social-emotional outcomes to peers. This study offers crucial insights for prenatal genetic counseling and reporting practices.
Area of Science:
- Genetics
- Developmental Pediatrics
- Reproductive Medicine
Background:
- Prenatal diagnosis of copy-number variants of uncertain significance (VUS) presents challenges for long-term outcome prediction.
- Understanding the developmental trajectory of children with prenatal VUS is crucial for clinical management and parental guidance.
Purpose of the Study:
- To compare the long-term developmental, social-emotional, and health outcomes of children with and without a prenatal VUS diagnosis.
- To assess maternal perceptions of child health and development in families with a prenatal VUS.
- To determine the VUS reclassification rate over time.
Main Methods:
- Retrospective cohort study of mother-child pairs undergoing prenatal chromosomal microarray testing in Victoria, Australia.
- Comparison of cognitive, developmental, and health outcomes between children with VUS (cases) and controls without VUS.
- Statistical analysis adjusted for maternal sociodemographic factors.
Main Results:
- No significant differences were observed in intellectual functioning, adaptive behavior, or social-emotional measures between children with and without prenatal VUS.
- Maternal perceptions of child and family well-being were similar across both groups.
- Post-study reanalysis reclassified 66.0% of VUS as benign and 8.5% as pathogenic.
Conclusions:
- Children with a prenatal VUS diagnosis exhibit developmental outcomes and family well-being comparable to their peers without VUS.
- These findings provide evidence to support current prenatal genetic counseling and clinical laboratory reporting practices regarding VUS.
- The study highlights the importance of VUS reclassification in refining genetic diagnoses and informing clinical decisions.
Purpose:
The long-term developmental outcomes of children with a prenatal diagnosis of a copy-number variant of uncertain significance (VUS) remain unclear. This study compared the developmental, social-emotional, and health outcomes of children with and without a prenatal VUS, assessed maternal perceptions of their child's health and development, and examined the reclassification rate of VUS after more than 2 years.
Methods:
Women who underwent prenatal chromosomal microarray testing in Victoria, Australia (2013-2019), were recruited retrospectively (2021-2023). Children with a VUS (cases) were compared with controls without a VUS. We assessed a range of cognitive, developmental, and health outcomes in the children, who were on average 6 years old. Statistical analyses compared group outcomes and adjusted for maternal sociodemographic factors.
Results:
The study included 134 mother-child pairs (46 with a VUS and 88 controls). No significant differences were found between groups in intellectual functioning, adaptive behavior, or social-emotional measures. Maternal perceptions of their child and family well-being were also similar. Reanalysis reclassified 66.0% of VUS as benign and 8.5% as pathogenic.
Conclusion:
Children with a prenatal VUS diagnosis have developmental outcomes and family well-being comparable to those without. These findings contribute valuable evidence to support prenatal genetic counseling and clinical laboratory reporting practices.
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