1q21.1微切除和微重复的产前诊断:一个回顾性的案例系列
Ziyang Liu1, Song Yi2, Manman Li2
1College of Agronomy and Biotechnology, Southwest University, Chongqing, 400716, China.
Molecular cytogenetics
|October 1, 2025
概括
产前1q21.1副本数变异 (CNVs) 显示不完全的透度和可变的表达性,没有特定的超声波标记. 父母对神经发育风险的焦虑影响了De novo CNVs的终止决定.
科学领域:
- 遗传学 遗传学 是一个
- 产前诊断 在产前诊断
- 生殖医学 生殖医学
背景情况:
- 1q21.1 副本数变异 (CNVs) 在产前越来越多地被发现.
- 了解它们的产前特征,遗传和结果对于遗传咨询至关重要.
研究的目的:
- 描述1q21.1 CNVs的产前特征,遗传模式和结果.
- 完善这些遗传变异的产前咨询策略.
主要方法:
- 对20例1q21.1 CNVs (2017-2024) 的产前病例进行回顾性分析.
- 使用了型定型,染色体微阵列分析 (CMA) 和副本数变异测序 (CNV-seq).
- 评估了表型数据,遗传模式和怀孕结果.
主要成果:
- 1q21.1 CNV包括12个微切除 (60%) 和8个微重复 (40%).
- 在66.7%的微切除和37.5%的微重复中观察到超声波异常;没有发现病理标记.
- 妊娠终止发生在50%的病例中,主要是新发性CNV;活产婴儿没有产后异常.
结论:
- 产前1q21.1 CNVs表现出不完全的透性和可变的表达性.
- 新发性神经瘤的高终止率反映了家长对神经发育结果的担忧.
- 综合基因组数据,表型和心理社会支持的全面产前咨询是必不可少的.
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