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[100例唇裂伴或不伴腭裂胎儿的遗传学分析]

[Genetic analysis of 100 fetuses with cleft lip with or without palate].

作者信息

Hou Lei, Li Jieyan, Wang Xiaoxin, Zhang Tao, Li Li, Zhang Weiyuan, Wang Xin

机构信息

Department of Obstetrics, Beijing Obstetrics and Gynecology Hospital, Capital Medical University, Beijing 100026, China.

出版信息

Zhonghua Yi Xue Yi Chuan Xue Za Zhi. 2018 Oct 10;35(5):634-637. doi: 10.3760/cma.j.issn.1003-9406.2018.05.003.

DOI:10.3760/cma.j.issn.1003-9406.2018.05.003
PMID:30298484
Abstract

OBJECTIVE

To explore the genetic basis for fetuses with cleft lip and palate.

METHODS

For 100 fetuses diagnosed with cleft lip with or without palate, G-banding chromosomal karyotyping and copy number variation sequencing (CNV-seq) were carried out on chorionic villi, amniotic fluid or cordocentesis samples.

RESULTS

No genomic abnormality was found among 49 fetuses with isolated cleft lip and palate, while 12 genomic aberrations were found among 51 fetuses with syndromic cleft lip and palate, which included 4 cases with trisomy 13, 2 cases with trisomy 18, 1 with X chromosome aneuploidy, 2 with other chromosomal aneuploidies and 3 with pathogenic CNVs.

CONCLUSION

The incidence of genomic abnormalities in fetuses with cleft lip and palate was high. In addition to chromosomal abnormalities, attention should also be paid to pathogenic CNVs.

摘要

目的

探讨唇腭裂胎儿的遗传基础。

方法

对100例诊断为唇裂伴或不伴腭裂的胎儿,采集绒毛、羊水或脐血样本进行G显带染色体核型分析和拷贝数变异测序(CNV-seq)。

结果

49例单纯性唇腭裂胎儿未发现基因组异常,51例综合征性唇腭裂胎儿发现12例基因组畸变,其中4例13三体、2例18三体、1例X染色体非整倍体、2例其他染色体非整倍体及3例致病性拷贝数变异。

结论

唇腭裂胎儿基因组异常发生率较高。除染色体异常外,还应关注致病性拷贝数变异。

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1
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2
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Chromosomal defects and associated malformations in fetal cleft lip with or without cleft palate.伴有或不伴有腭裂的胎儿唇裂中的染色体缺陷及相关畸形。
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[Management of cleft lip and/or palate diagnosed in utero].[胎儿期诊断的唇裂和/或腭裂的管理]
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[Analysis of 22 patients with congenital cleft lip and palate using high-resolution chromosome microarray].[应用高分辨率染色体微阵列分析22例先天性唇腭裂患者]
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[Prenatal diagnosis of a fetus with cleft lip and palate by using chromosomal microarray analysis].[应用染色体微阵列分析对唇腭裂胎儿进行产前诊断]
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Complete trisomy 9 with unusual phenotypic associations: Dandy-Walker malformation, cleft lip and cleft palate, cardiovascular abnormalities.完全性 9 号染色体三体伴有不常见的表型关联:Dandy-Walker 畸形、唇腭裂、心血管异常。
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