自发堕胎的副本数变化:一个元分析
Gleb V Drozdov1, Anna A Kashevarova2, Igor N Lebedev2
1Tomsk National Research Medical Center, Research Institute of Medical Genetics, Russian Academy of Sciences, Tomsk, Russia. gleb.drozdov@medgenetics.ru.
Journal of assisted reproduction and genetics
|February 28, 2025
概括
在euploid自发流产中分析了副本数变异 (CNVs). 在22q11.2区域的删除被确定为早期胚胎死亡的潜在原因.
科学领域:
- 遗传学 是一个遗传学.
- 生殖医学 生殖医学
- 基因组医学是基因组医学.
背景情况:
- 带有euploid karyotypes的自发流产是一个诊断挑战.
- 在这些情况下,了解拷贝数变异 (CNV) 的作用对于生殖健康至关重要.
研究的目的:
- 系统地审查和分析euploid karyotype的自发流产中的CNV.
- 识别致病性CNV及其对妊娠损失的潜在贡献.
主要方法:
- 在遵守PRISMA指南的基础上进行系统审查.
- 在PubMed数据库中搜索2006年至2023年间发表的文章.
- 包括使用任何检测方法分析自发流产中的CNV的研究.
- 基于美国医学遗传学和基因组学学院 (ACMG) 准则的CNV致病性解释.
主要成果:
- 包括19个出版物,在550个样本中确定了1425个CNV,来自3953例euploid自发流产 (14%的病例).
- 9%的CNV是致病性的,7.5%可能是致病性的.
- 常见的致病性CNV包括22q11.2删除/重复,16p13.11删除和15q11.2删除/重复.
- 22q11.2删除成为早期胚胎致死率的可能贡献者.
结论:
- CNVs存在于明显比例的euploid自发流产中.
- 虽然没有发现明确的关联,但特定的CNV,特别是22q11.2删除,与早期妊娠损失有关.
- 需要进一步的研究来阐明CNVs对自发流产的贡献的确切机制.
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