首页|应用CNV-seq检测孕早期流产绒毛的染色体嵌合体

应用CNV-seq检测孕早期流产绒毛的染色体嵌合体

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目的:应用基因组拷贝数变异分析(CNV-seq)技术,通过多位点取样,探究早孕期胚胎停育绒毛样本嵌合体的发生率,为临床遗传咨询提供依据.方法:选取2019年8月到2024年6月送检南方医院妇产科产前诊断中心的孕早期流产绒毛样本,对其进行多位点取样后混合DNA提取,行基因组CNV-seq检测,同时行短串联重复序列(STR)排除母体细胞污染和确认是否为染色体多倍体.结果:1141例流产绒毛样本中,CNV-seq检测共检出染色体异常样本762例,其中嵌合体79例,嵌合体检出率为6.92%.孕妇年龄小于30岁、30~34岁、35~39岁、40岁及以上4个年龄组中染色体嵌合体的检出率分别为7.58%、6.57%、6.48%、6.49%,不同年龄阶段的嵌合体检出率差异无统计学意义(P=0.93).将孕周分为6~7+6周、8~9+6周、10~11+6周组,3组的嵌合体检出率分别为8.17%、5.05%、7.08%,早孕期不同孕周的嵌合体检出率差异无统计学意义(P=0.15).结论:CNV-seq技术对染色体嵌合体的诊断价值较高,多位点取样的CNV-seq技术能有效提高嵌合体的检出率.嵌合体的检出率与孕妇年龄和早孕期孕周无关.
Application of CNV-seq for the detection of chromosomal mosaicism in early pregnancy spontaneous abortion villi
Objective:To explore the incidence of mosaicism in early pregnancy spon-taneous abortion villi samples and provide references for clinical genetic counselling by multilo-cus sampling meanwhile using genomic copy number variation sequencing(CNV-seq)technol-ogy.Methods:Early pregnancy spontaneous abortion villi samples were collected from the Cen-ter of Prenatal and Hereditary Disease Diagnosis,Department of Obstetrics and Gynecology,Nanfang Hospital,Southern Medical University from August 2019 to June 2024,and were sub-jected to copy number variation sequencing.Short tandem repeats analysis was performed to ex-clude maternal cell contamination and confirmed multiploidy.Results:A total of 1141 villi tis-sues were collected.762 chromosomal abnormalities were detected by CNV-seq,which included 79 mosaicism(6.92%).The rates of chromosomal mosaicism in pregnant women who were un-der 30 years old,30~34 years old,35~39 years old,and 40 years old or older were 7.58%,6.57%,6.48%,6.49%,respectively,and the difference were no statistically significant(P=0.93).The rates of chromosomal mosaicism in the pregnancies with gestational ages of 6~7+6 weeks,8~9+6 weeks,and 10~11+6 weeks were 8.17%,5.05%and 7.08%,respectively,and the difference were no statistically significant(P=0.15).Conclusion:The CNV-seq technique is of high diagnostic value for chromosomal mosaicism,and the CNV-seq technique with multi-site sampling is effective in improving the detection rate of mosaicism.There is no statistically significant difference in the detection rate of mosaicism among different age groups and between different gestational weeks of early pregnancy.

Copy number variation sequencingChromosomal mosaicismSpontaneous abortionMultil-ocus sampling

许育双、刘思平、贾蓓、靳旺杰、华芮

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南方医科大学南方医院妇产科产前诊断与遗传病诊断中心,广州 510515

南方医科大学南方医院妇产科生殖医学中心,广州 510515

基因组拷贝数变异分析 嵌合体 自然流产 多位点取样

2025

现代妇产科进展
山东大学

现代妇产科进展

影响因子:1.089
ISSN:1004-7379
年,卷(期):2025.34(1)