Dai Peng, Kong Xiangdong
Genetic and Prenatal Diagnosis Center, the First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan 450052, China.
Zhonghua Yi Xue Yi Chuan Xue Za Zhi. 2020 Jan 10;37(1):37-40. doi: 10.3760/cma.j.issn.1003-9406.2020.01.010.
To determine the frequency, common chromosomal karyotypes and breakpoints, and involved regions among carriers of reciprocal translocations from Henan Province, and to explore the influence of common breakpoint regions on pregnancy and fetal development.
For 586 carriers of reciprocal translocations, the above features were retrospectively analyzed.
The 586 reciprocal translocations were identified among 62 477 subjects, which yielded a frequency of 0.94%. Among these, 572 (0.92%) had abnormal fertility, and 14 (0.02%) had a history of abnormal fetal development. Statistical analysis showed that chromosomes 1, 4, 7 and 11 were most frequently involved, with t(11;22)(q25;q13) being the most common type of translocation. In total 437 breakpoint regions were identified, with 11q23, 22q13 and 1p36 being most frequently involved, which resulted in infertility, abortion, embryo death, congenital malformation, development delay, mental retardation or a normal phenotype.
Above results indicated a 0.92% carrier rate for reciprocal chromosomal translocations in Henan. The location of breakpoint regions may affect the pregnancy and/or fetal development. Discovery of such regions may enable more accurate genetic, reproductive and developmental counseling for carriers, and provide reference for delineation of function and pathogenetic mechanism of the relevant genes.
确定河南省相互易位携带者的发生率、常见染色体核型及断点,以及受累区域,并探讨常见断点区域对妊娠和胎儿发育的影响。
对586例相互易位携带者的上述特征进行回顾性分析。
在62477名受试者中鉴定出586例相互易位,发生率为0.94%。其中,572例(0.92%)生育异常,14例(0.02%)有胎儿发育异常史。统计分析表明,1号、4号、7号和11号染色体最常受累,t(11;22)(q25;q13)是最常见的易位类型。共鉴定出437个断点区域,其中11q23、22q13和1p36最常受累,导致不孕、流产、胚胎死亡、先天性畸形、发育迟缓、智力低下或表型正常。
上述结果表明河南省染色体相互易位携带者发生率为0.92%。断点区域的位置可能影响妊娠和/或胎儿发育。发现这些区域可为携带者提供更准确的遗传、生殖和发育咨询,并为相关基因功能和致病机制的阐明提供参考。