Zhang Jian, Zhang Yan
Prenatal Screening and Diagnosis Center, Women and Children's Health Care Hospital, Jining, Shandong 272125, China. Email:
Zhonghua Yi Xue Yi Chuan Xue Za Zhi. 2018 Feb 10;35(1):60-63. doi: 10.3760/cma.j.issn.1003-9406.2018.01.013.
OBJECTIVE To assess the value of BAC-on-Beads(BoBs) technology combined with conventional chromosomal karyotyping for reducing birth defects. METHODS For 690 women with singleton pregnancy and indication for prenatal diagnosis, aneuploidies of chromosomes 13, 18, 21, X and Y, in addition with 9 microdeletions and microduplications, were detected with the BoBs assay. And the results were compared with that of conventional karyotyping of amniocytes. RESULTS Karyotyping analysis attained a positive rate of 6.08% (42/690), which included 36 aneuploidies and 6 structural aberrations. The BoBs assay attained a detection rate of 5.95% (41/689). In addition to all chromosomal aneuploidies detected by conventional karyotyping, the Bobs assay has detected 3 cases with Xp22 region microdeletions, 1 case with 22q11 segment duplication, and 1 case with 5p15 microduplication. No balanced translocation or chromosomal polymorphisms was detected. CONCLUSION BoBs technique combined with conventional karyotyping is suitable for rapid diagnosis of a large number of prenatal cases and increasing the detection rate for fetal chromosomal abnormalities.
目的 评估珠子上的BAC(BoBs)技术联合传统染色体核型分析在降低出生缺陷方面的价值。方法 对690例单胎妊娠且有产前诊断指征的孕妇,采用BoBs检测法检测13、18、21、X和Y染色体的非整倍体以及9种微缺失和微重复。并将结果与羊水细胞传统核型分析结果进行比较。结果 核型分析阳性率为6.08%(42/690),其中包括36例非整倍体和6例结构畸变。BoBs检测法的检出率为5.95%(41/689)。除了传统核型分析检测出的所有染色体非整倍体外,BoBs检测法还检测出3例Xp22区域微缺失、1例22q11片段重复和1例5p15微重复。未检测到平衡易位或染色体多态性。结论 BoBs技术联合传统核型分析适用于大量产前病例的快速诊断,并提高胎儿染色体异常的检出率。