Optical Genome Mapping and Single Nucleotide Polymorphism Microarray: An Integrated Approach for Investigating Products of Conception

Conventional cytogenetic analysis of products of conception (POC) is of limited utility because of failed cultures, as well as microbial and maternal cell contamination (MCC). Optical genome mapping (OGM) is an emerging technology that has the potential to replace conventional cytogenetic methods. T...

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Main Authors: Nikhil Shri Sahajpal, Ashis K. Mondal, Sudha Ananth, Chetan Pundkar, Kimya Jones, Colin Williams, Timothy Fee, Amanda Weissman, Giuseppe Tripodi, Eesha Oza, Larisa Gavrilova-Jordan, Nivin Omar, Alex R. Hastie, Barbara R. DuPont, Lawrence Layman, Alka Chaubey, Ravindra Kolhe
Format: Article
Language:English
Published: MDPI AG 2022-04-01
Series:Genes
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Online Access:https://www.mdpi.com/2073-4425/13/4/643
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author Nikhil Shri Sahajpal
Ashis K. Mondal
Sudha Ananth
Chetan Pundkar
Kimya Jones
Colin Williams
Timothy Fee
Amanda Weissman
Giuseppe Tripodi
Eesha Oza
Larisa Gavrilova-Jordan
Nivin Omar
Alex R. Hastie
Barbara R. DuPont
Lawrence Layman
Alka Chaubey
Ravindra Kolhe
author_facet Nikhil Shri Sahajpal
Ashis K. Mondal
Sudha Ananth
Chetan Pundkar
Kimya Jones
Colin Williams
Timothy Fee
Amanda Weissman
Giuseppe Tripodi
Eesha Oza
Larisa Gavrilova-Jordan
Nivin Omar
Alex R. Hastie
Barbara R. DuPont
Lawrence Layman
Alka Chaubey
Ravindra Kolhe
author_sort Nikhil Shri Sahajpal
collection DOAJ
description Conventional cytogenetic analysis of products of conception (POC) is of limited utility because of failed cultures, as well as microbial and maternal cell contamination (MCC). Optical genome mapping (OGM) is an emerging technology that has the potential to replace conventional cytogenetic methods. The use of OGM precludes the requirement for culturing (and related microbial contamination). However, a high percentage of MCC impedes a definitive diagnosis, which can be addressed by an additional pre-analytical quality control step that includes histological assessment of H&E stained slides from formalin-fixed paraffin embedded (FFPE) tissue with macro-dissection for chorionic villi to enrich fetal tissue component for single nucleotide polymorphism microarray (SNPM) analysis. To improve the diagnostic yield, an integrated workflow was devised that included MCC characterization of POC tissue, followed by OGM for MCC-negative cases or SNPM with histological assessment for MCC-positive cases. A result was obtained in 93% (29/31) of cases with a diagnostic yield of 45.1% (14/31) with the proposed workflow, compared to 9.6% (3/31) and 6.4% (2/31) with routine workflow, respectively. The integrated workflow with these technologies demonstrates the clinical utility and higher diagnostic yield in evaluating POC specimens.
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spelling doaj.art-5021256192b24655918971fc27650b6a2023-11-30T21:10:01ZengMDPI AGGenes2073-44252022-04-0113464310.3390/genes13040643Optical Genome Mapping and Single Nucleotide Polymorphism Microarray: An Integrated Approach for Investigating Products of ConceptionNikhil Shri Sahajpal0Ashis K. Mondal1Sudha Ananth2Chetan Pundkar3Kimya Jones4Colin Williams5Timothy Fee6Amanda Weissman7Giuseppe Tripodi8Eesha Oza9Larisa Gavrilova-Jordan10Nivin Omar11Alex R. Hastie12Barbara R. DuPont13Lawrence Layman14Alka Chaubey15Ravindra Kolhe16Department of Pathology, Medical College of Georgia, Augusta University, Augusta, GA 30912, USADepartment of Pathology, Medical College of Georgia, Augusta University, Augusta, GA 30912, USADepartment of Pathology, Medical College of Georgia, Augusta University, Augusta, GA 30912, USADepartment of Pathobiology, College of Veterinary Medicine, Auburn University, Auburn, AL 36849, USADepartment of Pathology, Medical College of Georgia, Augusta University, Augusta, GA 30912, USADepartment of Pathology, Medical College of Georgia, Augusta University, Augusta, GA 30912, USACytogenetics Laboratory, Greenwood Genetic Center, Greenwood, SC 29646, USAMedical College of Georgia, Augusta University, Augusta, GA 30912, USAMedical College of Georgia, Augusta University, Augusta, GA 30912, USADepartment of Pathology, Medical College of Georgia, Augusta University, Augusta, GA 30912, USADepartment of Obstetrics and Gynecology, Medical College of Georgia, Augusta University, Augusta, GA 30912, USADepartment of Pathology, Medical College of Georgia, Augusta University, Augusta, GA 30912, USABionano Genomics Inc., San Diego, CA 92121, USACytogenetics Laboratory, Greenwood Genetic Center, Greenwood, SC 29646, USADepartment of Obstetrics and Gynecology, Medical College of Georgia, Augusta University, Augusta, GA 30912, USABionano Genomics Inc., San Diego, CA 92121, USADepartment of Pathology, Medical College of Georgia, Augusta University, Augusta, GA 30912, USAConventional cytogenetic analysis of products of conception (POC) is of limited utility because of failed cultures, as well as microbial and maternal cell contamination (MCC). Optical genome mapping (OGM) is an emerging technology that has the potential to replace conventional cytogenetic methods. The use of OGM precludes the requirement for culturing (and related microbial contamination). However, a high percentage of MCC impedes a definitive diagnosis, which can be addressed by an additional pre-analytical quality control step that includes histological assessment of H&E stained slides from formalin-fixed paraffin embedded (FFPE) tissue with macro-dissection for chorionic villi to enrich fetal tissue component for single nucleotide polymorphism microarray (SNPM) analysis. To improve the diagnostic yield, an integrated workflow was devised that included MCC characterization of POC tissue, followed by OGM for MCC-negative cases or SNPM with histological assessment for MCC-positive cases. A result was obtained in 93% (29/31) of cases with a diagnostic yield of 45.1% (14/31) with the proposed workflow, compared to 9.6% (3/31) and 6.4% (2/31) with routine workflow, respectively. The integrated workflow with these technologies demonstrates the clinical utility and higher diagnostic yield in evaluating POC specimens.https://www.mdpi.com/2073-4425/13/4/643optical genome mappingmicroarrayproducts of conception
spellingShingle Nikhil Shri Sahajpal
Ashis K. Mondal
Sudha Ananth
Chetan Pundkar
Kimya Jones
Colin Williams
Timothy Fee
Amanda Weissman
Giuseppe Tripodi
Eesha Oza
Larisa Gavrilova-Jordan
Nivin Omar
Alex R. Hastie
Barbara R. DuPont
Lawrence Layman
Alka Chaubey
Ravindra Kolhe
Optical Genome Mapping and Single Nucleotide Polymorphism Microarray: An Integrated Approach for Investigating Products of Conception
Genes
optical genome mapping
microarray
products of conception
title Optical Genome Mapping and Single Nucleotide Polymorphism Microarray: An Integrated Approach for Investigating Products of Conception
title_full Optical Genome Mapping and Single Nucleotide Polymorphism Microarray: An Integrated Approach for Investigating Products of Conception
title_fullStr Optical Genome Mapping and Single Nucleotide Polymorphism Microarray: An Integrated Approach for Investigating Products of Conception
title_full_unstemmed Optical Genome Mapping and Single Nucleotide Polymorphism Microarray: An Integrated Approach for Investigating Products of Conception
title_short Optical Genome Mapping and Single Nucleotide Polymorphism Microarray: An Integrated Approach for Investigating Products of Conception
title_sort optical genome mapping and single nucleotide polymorphism microarray an integrated approach for investigating products of conception
topic optical genome mapping
microarray
products of conception
url https://www.mdpi.com/2073-4425/13/4/643
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