Zhuang Jianlong, Chen Chunnuan, Huang Rongfu, Luo Qi, Jiang Yuying, Zeng Shuhong, Wang Yuanbai, Xie Yingjun
Center for Prenatal Diagnosis, Quanzhou Women's and Children's Hospital, Quanzhou, 362000, People's Republic of China.
Department of Neurology, The Second Affiliated Hospital of Fujian Medical University, Quanzhou, 362000, People's Republic of China.
Mol Cytogenet. 2022 Jun 7;15(1):22. doi: 10.1186/s13039-022-00599-w.
Chromosome aberrations of 10p monosomy and 10q trisomy resulting from parental pericentric inversion 10 are extremely rare, and to date, very few reports have been published on the matter.
A 30-year-old pregnant woman with recurrent pregnancy loss is enrolled in this research. In this pregnancy, spontaneous abortion occurred in the first trimester of her pregnancy. Chromosomal microarray analysis of the abortion tissue showed a partial 10p monosomy (arr[GRCh37] 10p15.3p11.21(100,047_34,848,853) × 1) and a duplication of 10q (arr[GRCh37] 10q26.13q26.3(126,093,990_135,426,386) × 3). Further parental karyotype analysis indicated that the chromosomal abnormalities in the fetus was resulted from paternal pericenric inversion inv(10)(p11.21q26.13). This study presents the first case of a large deletion of 10p combined with 10q trisomy, resulting in pregnancy loss. Of these two manifestations, the large deletion of chromosome 10p may be the primary reason for spontaneous abortion in this subject.
This study presents the first case of partial 10p monosomy associated with 10q trisomy in Chinese population. It provides more information on the chromosome aberration of 10p monosomy and 10q trisomy and further strengthens the application value of microarray in the molecular etiological diagnosis of recurrent spontaneous abortion.
由亲代10号染色体臂间倒位导致的10号染色体短臂单体和10号染色体长臂三体的染色体畸变极为罕见,迄今为止,关于此事的报道非常少。
一名30岁反复流产的孕妇参与了本研究。此次妊娠中,她在孕早期发生了自然流产。对流产组织进行染色体微阵列分析显示存在部分10号染色体短臂单体(arr[GRCh37] 10p15.3p11.21(100,047_34,848,853)×1)和10号染色体长臂重复(arr[GRCh37] 10q26.13q26.3(126,093,990_135,426,386)×3)。进一步的亲代核型分析表明,胎儿的染色体异常是由父亲的10号染色体臂间倒位inv(10)(p11.21q26.13)引起的。本研究首次报道了10号染色体短臂大片段缺失合并10号染色体长臂三体导致流产的病例。在这两种表现中,10号染色体短臂的大片段缺失可能是该患者自然流产的主要原因。
本研究首次报道了中国人群中部分10号染色体短臂单体合并10号染色体长臂三体的病例。它为10号染色体短臂单体和10号染色体长臂三体的染色体畸变提供了更多信息,并进一步加强了微阵列在复发性自然流产分子病因诊断中的应用价值。