首页|染色体微阵列分析和全外显子组测序在产前罕见疾病诊断中的应用

染色体微阵列分析和全外显子组测序在产前罕见疾病诊断中的应用

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目的 探讨产前罕见疾病的诊断方法。方法 选取 4845 例有产前诊断指征的孕妇,所有胎儿均行CMA检测CNV,在排除非整倍体和异常CNV后,其中 68 例进一步行 WES检测。结果 4842 例样本CMA检测成功,检出染色体异常 537 例(11。09%),经分析明确致病性变异为 370例,包括:非整倍体 214 例,致病性 CNV 134 例和部分 CNV嵌合 22 例。疾病主要涉及 1q21 缺失综合征(7 例)、DiGeorge 综合征(6 例)、17q12 缺失综合征(6 例)、Cri-du-chat 综合征(5 例)、16p11。2 缺失综合征(5 例)。WES结果显示在 68 例CMA结果阴性的胎儿中检出 13 例单基因病(19。12%)。结论 CMA和 WES是明确产前胎儿遗传病因和产前诊断的有效手段。
APPLICATION OF CHROMOSOMAL MICROARRAY ANALYSIS WHOLE-EXOME SEQUENCING IN PRENATAL DIAGNOSIS OF RATE DISEASES
Objective To explore the diagnostic approach of prenatal rare diseases.Methods 4845 preg-nant women with prenatal diagnosis indications were enrolled,all fetuses underwent CMA for CNV detec-tion,68 of them accepted WES after excluding aneuploidy and abnormal CNV.Results 4842 samples were successfully tested by CMA,and detected 537 cases of chromosomal abnormalities(11.09%).Of them,370 cases were identified as pathogenic variations,including 214 cases of aneuploidy,134 cases of patho-genic CNV and 22 cases of CNV mosaicism.The detected diseases mainly included 1q21 deletion syndrome(7),DiGeorge syndrome(6),17q12 deletion syndrome(6),Cri-du-chat syndrome(5)and 16p11.2 dele-tion syndrome(5).WES results showed that 13 cases of single gene diseases(19.12%)were detected in 68 fetuses with negative CMA results.Conclusion CMA and WES are effective methods for interpreting the fetal genetic etiology and prenatal diagnosis.

Chromosome microarray analysisWhole-exome sequencingPrenatal diagnosisGene variation

李永丽、李华锋

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临沂市妇幼保健院,山东 临沂 276000

染色体微阵列分析 全外显子组测序 产前诊断 基因变异

临沂市科技发展计划项目

201919042

2024

山东医学高等专科学校学报
山东医学高等专科学校

山东医学高等专科学校学报

影响因子:0.542
ISSN:1674-0947
年,卷(期):2024.46(1)
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