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[秘鲁高海拔地区患有主要先天性异常的新生儿中拷贝数变异和父母近亲结婚率升高]

[Copy number variation and parental consanguinity elevated in newborns of high altitude with major congenital anomalies in Perú].

作者信息

Abarca Barriga Hugo Hernán, Chavesta Velásquez Felix, Barletta Carrillo Claudia, Paucarmayta Tacuri Abel, Bazán Hurtado Margaret, Vásquez Loarte Tania, Ordoñez Rondón Luis, Ordoñez Linares Marco, Rondón Abuhadba Evelina Andrea

机构信息

Universidad Ricardo Palma.

Instituto Nacional de Salud del Niño-Breña.

出版信息

Rev Fac Cien Med Univ Nac Cordoba. 2022 Jun 6;79(2):132-140. doi: 10.31053/1853.0605.v79.n2.34538.

Abstract

INTRODUCTION

Congenital abnormalities could be caused by copy number variation or homozygous variants inherited of parental consanguineous. Purpose.

OBJETIVE

To show copy number variants and regions of homozygosity in neonates with malformative syndrome or one congenital anomaly major associated to facial dysmorphia or hypotonia.

METHODOLOGY

Performed chromosomal microarray analysis (CGH/SNP) to 60 neonates with congenital anomalies born in Hospital Antonio Lorena and Hospital Regional Cusco.

RESULTS

70% of the newborns had an abnormal test (n=42); 48,3% (n=29) patients had with regions of homozygosity above to 0,5% (endogamy coefficient up to 1/64). Pathogenic or likely pathogenic copy number variations with or without region of homozygosity were present in 14,2% (n=6) newborns with congenital abnormalities. We founded five patients with uncertain pathogenic copy number variations that have not been described previously and might correlate with phenotype.

CONCLUSION

We founded a similar frequency of CNV in newborns with congenital abnormalities compared to previous reports. Nonetheless, parental consanguinity was increased compared to other countries of South America. This is the first report in Peru that showed to CMA as a useful diagnostic method in patients with congenital abnormalities and is pioneer in relation to other countries in Latinoamerica.

摘要

引言

先天性异常可能由拷贝数变异或父母近亲遗传的纯合变异引起。目的。

目的

在患有畸形综合征或与面部畸形或肌张力减退相关的一种主要先天性异常的新生儿中显示拷贝数变异和纯合区域。

方法

对在安东尼奥·洛雷纳医院和库斯科地区医院出生的60例先天性异常新生儿进行染色体微阵列分析(CGH/SNP)。

结果

70%的新生儿检测结果异常(n = 42);48.3%(n = 29)的患者纯合区域高于0.5%(近亲结婚系数高达1/64)。在14.2%(n = 6)患有先天性异常的新生儿中存在有或无纯合区域的致病性或可能致病性拷贝数变异。我们发现了5例致病性不确定的拷贝数变异患者,这些变异以前未被描述过,可能与表型相关。

结论

与先前的报告相比,我们发现先天性异常新生儿中CNV的频率相似。尽管如此,与南美洲其他国家相比,父母近亲结婚的情况有所增加。这是秘鲁第一份表明CMA是先天性异常患者有用诊断方法的报告,在拉丁美洲其他国家中具有开创性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7937/9426322/0f92384466df/1853-0605-79-2-132-g001.jpg

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