首页|特殊8号染色体复杂结构重排1例的产前诊断及遗传学分析

特殊8号染色体复杂结构重排1例的产前诊断及遗传学分析

Prenatal diagnosis and genetic analysis of a special case with complex structural rearrangements of chromosome 8

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目的 报告1例特殊的8号染色体复杂结构重排的产前诊断病例。 方法 选取2021年5月18日于绍兴市妇幼保健院就诊的1例孕妇为研究对象。对颈后透明带(NT)增厚的胎儿进行羊水染色体核型分析、染色体微阵列分析(CMA)以及荧光原位杂交(FISH)检测。 结果 羊水核型检查发现胎儿8号染色体短臂增长,FISH检测发现其8号短臂末端存在着丝粒信号,但未见亚端粒信号。CMA检测证实8号染色体短臂存在部分缺失[8p23.3(208049_2256732)×1]以及部分重复[8p23.3p23.2(2259519_3016818)×3],长臂存在部分重复[8q11.1q12.2(45951900_60989083)×3]。 结论 本研究胎儿8号染色体复杂结构重排与常见的inv dup del(8p)形成机制有所不同。 Objective To present on a prenatally diagnosed case with complex structural rearrangements of chromosome 8. Methods Chromosome karyotyping, chromosomal microarray analysis(CMA) and fluorescence in situ hybridization (FISH) were carried out for a fetus with increased nuchal thickness. Results The karyotype of the amniotic fluid sample showed extra materials on 8p. FISH revealed centromeric signal at the end of 8p with absence of telomeric signal. CMA revealed partial deletion of 8p23.3 [(208049_2256732)×1], partial duplication of 8p23.3p23.2 [(2259519_3016818)×3], and partial duplication of 8q [8q11.1q12.2(45951900_60989083)×3]. Conclusion The complex structural rearrangements of chromosome 8 in this case has differed from the commonly seen inv dup del(8p).
Objective To present on a prenatally diagnosed case with complex structural rearrangements of chromosome 8. Methods Chromosome karyotyping, chromosomal microarray analysis(CMA) and fluorescence in situ hybridization (FISH) were carried out for a fetus with increased nuchal thickness. Results The karyotype of the amniotic fluid sample showed extra materials on 8p. FISH revealed centromeric signal at the end of 8p with absence of telomeric signal. CMA revealed partial deletion of 8p23.3 [(208049_2256732)×1], partial duplication of 8p23.3p23.2 [(2259519_3016818)×3], and partial duplication of 8q [8q11.1q12.2(45951900_60989083)×3]. Conclusion The complex structural rearrangements of chromosome 8 in this case has differed from the commonly seen inv dup del(8p).

Chromosome 8Fluorescencein situ hybridizationPrenatal diagnosisComplex arrangement

曾艳、罗婷婷、钱飞燕、程德华、陈彩平、范佳鸣、张丽芳、张涛、李红梅、吴志强、李岭

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1绍兴市妇幼保健院产前诊断中心,绍兴 312000

2中南大学生殖与干细胞工程研究所,长沙 410008

3杭州祥音医学检验实验室有限公司,杭州 310005

8号染色体 荧光原位杂交 产前诊断 复杂重排

绍兴市妇幼保健院科技研究发展基金

2021YF001

2023

中华医学遗传学杂志
中华医学会

中华医学遗传学杂志

CSTPCDCSCD
影响因子:0.562
ISSN:1003-9406
年,卷(期):2023.40(9)
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