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通过拷贝数变异测序在高危妊娠、自然流产和疑似遗传疾病中鉴定出的染色体异常的患病率。

Prevalence of chromosomal abnormalities identified by copy number variation sequencing in high-risk pregnancies, spontaneous abortions, and suspected genetic disorders.

作者信息

Zhang Rui, Chen Xiangbin, Wang Dong, Chen Xuan, Wang Chao, Zhang Yuhong, Xu Mengnan, Yu Jingcui

机构信息

1 Prenatal Diagnosis Center, The Second Affiliated Hospital of Harbin Medical University, Harbin, China.

2 Scientific Research Centre, The Second Affiliated Hospital of Harbin Medical University, Harbin, China.

出版信息

J Int Med Res. 2019 Mar;47(3):1169-1178. doi: 10.1177/0300060518818020. Epub 2019 Feb 7.

Abstract

OBJECTIVE

High-throughput sequencing based on copy number variation (CNV-seq) is commonly used to detect chromosomal abnormalities including aneuploidy. This study provides evidence for the prevalence of chromosomal abnormalities in target populations.

METHODS

A total of 160 samples, including 83 high-risk pregnancies, 37 spontaneous abortions, and 40 suspected genetic disorders, were analyzed by CNV-seq. Relationships between the incidence of these chromosomal abnormalities and risk factors (e.g. advanced maternal age, abnormal pregnancy history, and family history of congenital disease) were further analyzed by subgroup.

RESULTS

A total of 37 (44.6%) high-risk pregnancies, 25 (67.6%) spontaneous abortions, and 22 (55%) suspected genetic disorders had chromosomal abnormalities including aneuploidy and CNVs. There was an increased risk association between the prevalence of aneuploidy and pathogenic-relevant CNV in the fetus or abortive tissue and advanced maternal age. Moreover, a family history of congenital disease was also positively correlated with fetal chromosomal abnormalities in high-risk pregnancies.

CONCLUSION

A relatively high prevalence of chromosomal abnormalities was detected in high-risk pregnancies, spontaneous abortions, and suspected genetic disorders, indicating the importance of CNV detection in such populations.

摘要

目的

基于拷贝数变异的高通量测序(CNV-seq)常用于检测包括非整倍体在内的染色体异常。本研究为目标人群中染色体异常的流行情况提供了证据。

方法

对总共160份样本进行CNV-seq分析,其中包括83例高危妊娠、37例自然流产和40例疑似遗传疾病。通过亚组进一步分析这些染色体异常的发生率与危险因素(如高龄产妇、异常妊娠史和先天性疾病家族史)之间的关系。

结果

总共37例(44.6%)高危妊娠、25例(67.6%)自然流产和22例(55%)疑似遗传疾病存在包括非整倍体和拷贝数变异在内的染色体异常。胎儿或流产组织中非整倍体和与致病相关的拷贝数变异的流行率与高龄产妇之间存在风险增加的关联。此外,先天性疾病家族史与高危妊娠中的胎儿染色体异常也呈正相关。

结论

在高危妊娠、自然流产和疑似遗传疾病中检测到相对较高的染色体异常流行率,表明在此类人群中进行拷贝数变异检测的重要性。

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