Prenatal diagnosis of 21 fetuses with balanced chromosomal abnormalities (BCAs) using whole-genome sequencing

Balanced chromosomal abnormalities (BCAs) are the most common chromosomal abnormalities and the frequency of congenital abnormalities is approximately twice as high in newborns with a de novo BCA, but a prenatal diagnosis based on BCAs is subject to evaluation. To detect translocation breakpoints an...

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Main Authors: Fang Fu, Ru Li, Xiao Dang, Qiuxia Yu, Ke Xu, Weiyue Gu, Dan Wang, Xin Yang, Min Pan, Li Zhen, Yongling Zhang, Fatao Li, Xiangyi Jing, Fucheng Li, Dongzhi Li, Can Liao
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-09-01
Series:Frontiers in Genetics
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Online Access:https://www.frontiersin.org/articles/10.3389/fgene.2022.951829/full
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author Fang Fu
Fang Fu
Ru Li
Xiao Dang
Qiuxia Yu
Ke Xu
Weiyue Gu
Dan Wang
Xin Yang
Min Pan
Li Zhen
Yongling Zhang
Fatao Li
Xiangyi Jing
Fucheng Li
Dongzhi Li
Can Liao
author_facet Fang Fu
Fang Fu
Ru Li
Xiao Dang
Qiuxia Yu
Ke Xu
Weiyue Gu
Dan Wang
Xin Yang
Min Pan
Li Zhen
Yongling Zhang
Fatao Li
Xiangyi Jing
Fucheng Li
Dongzhi Li
Can Liao
author_sort Fang Fu
collection DOAJ
description Balanced chromosomal abnormalities (BCAs) are the most common chromosomal abnormalities and the frequency of congenital abnormalities is approximately twice as high in newborns with a de novo BCA, but a prenatal diagnosis based on BCAs is subject to evaluation. To detect translocation breakpoints and conduct a prenatal diagnosis, we performed whole-genome sequencing (WGS) in 21 subjects who were found BCAs, 19 balanced chromosome translocations and two inversions, in prenatal screening. In 16 BCAs on non-N-masked regions (non-NMRs), WGS detected 13 (81.2%, 13/16) BCAs, including all the inversions. All the breakpoints of 12 (12/14) cases of sufficient DNA were confirmed by Sanger sequencing. In 13 interrupted genes, CACNA1E (in case 12) and STARD7 (in case 17) are known causative and PDCL was found in subject (case 11) with situs inversus for the first time. Case 12 with abnormal ultrasound reached a definitive genetic diagnosis of CACNA1E-disease, while STARD7 exon deletion has never been found causative in patients. WGS provides the possibility of prenatal diagnosis in fetuses with BCAs, and its clinical significance also lies in providing data for postnatal diagnosis.
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spelling doaj.art-88d60392c67d4c40acd6feef9ffd394e2022-12-22T01:52:02ZengFrontiers Media S.A.Frontiers in Genetics1664-80212022-09-011310.3389/fgene.2022.951829951829Prenatal diagnosis of 21 fetuses with balanced chromosomal abnormalities (BCAs) using whole-genome sequencingFang Fu0Fang Fu1Ru Li2Xiao Dang3Qiuxia Yu4Ke Xu5Weiyue Gu6Dan Wang7Xin Yang8Min Pan9Li Zhen10Yongling Zhang11Fatao Li12Xiangyi Jing13Fucheng Li14Dongzhi Li15Can Liao16Prenatal Diagnostic Center, Guangzhou Women and Children’s Medical Center, Guangzhou, ChinaGuangzhou Medical University, Guangzhou, ChinaPrenatal Diagnostic Center, Guangzhou Women and Children’s Medical Center, Guangzhou, ChinaPrenatal Diagnostic Center, Guangzhou Women and Children’s Medical Center, Guangzhou, ChinaPrenatal Diagnostic Center, Guangzhou Women and Children’s Medical Center, Guangzhou, ChinaChigene (Beijing) Translational Medical Research Center Co,. Ltd., Beijing, ChinaChigene (Beijing) Translational Medical Research Center Co,. Ltd., Beijing, ChinaPrenatal Diagnostic Center, Guangzhou Women and Children’s Medical Center, Guangzhou, ChinaPrenatal Diagnostic Center, Guangzhou Women and Children’s Medical Center, Guangzhou, ChinaPrenatal Diagnostic Center, Guangzhou Women and Children’s Medical Center, Guangzhou, ChinaPrenatal Diagnostic Center, Guangzhou Women and Children’s Medical Center, Guangzhou, ChinaPrenatal Diagnostic Center, Guangzhou Women and Children’s Medical Center, Guangzhou, ChinaPrenatal Diagnostic Center, Guangzhou Women and Children’s Medical Center, Guangzhou, ChinaGuangzhou Medical University, Guangzhou, ChinaGuangzhou Medical University, Guangzhou, ChinaGuangzhou Medical University, Guangzhou, ChinaGuangzhou Medical University, Guangzhou, ChinaBalanced chromosomal abnormalities (BCAs) are the most common chromosomal abnormalities and the frequency of congenital abnormalities is approximately twice as high in newborns with a de novo BCA, but a prenatal diagnosis based on BCAs is subject to evaluation. To detect translocation breakpoints and conduct a prenatal diagnosis, we performed whole-genome sequencing (WGS) in 21 subjects who were found BCAs, 19 balanced chromosome translocations and two inversions, in prenatal screening. In 16 BCAs on non-N-masked regions (non-NMRs), WGS detected 13 (81.2%, 13/16) BCAs, including all the inversions. All the breakpoints of 12 (12/14) cases of sufficient DNA were confirmed by Sanger sequencing. In 13 interrupted genes, CACNA1E (in case 12) and STARD7 (in case 17) are known causative and PDCL was found in subject (case 11) with situs inversus for the first time. Case 12 with abnormal ultrasound reached a definitive genetic diagnosis of CACNA1E-disease, while STARD7 exon deletion has never been found causative in patients. WGS provides the possibility of prenatal diagnosis in fetuses with BCAs, and its clinical significance also lies in providing data for postnatal diagnosis.https://www.frontiersin.org/articles/10.3389/fgene.2022.951829/fullBalanced chromosomal abnormalitiesprenatal diagnosiswhole-genome sequencingCACNA1EPDCL
spellingShingle Fang Fu
Fang Fu
Ru Li
Xiao Dang
Qiuxia Yu
Ke Xu
Weiyue Gu
Dan Wang
Xin Yang
Min Pan
Li Zhen
Yongling Zhang
Fatao Li
Xiangyi Jing
Fucheng Li
Dongzhi Li
Can Liao
Prenatal diagnosis of 21 fetuses with balanced chromosomal abnormalities (BCAs) using whole-genome sequencing
Frontiers in Genetics
Balanced chromosomal abnormalities
prenatal diagnosis
whole-genome sequencing
CACNA1E
PDCL
title Prenatal diagnosis of 21 fetuses with balanced chromosomal abnormalities (BCAs) using whole-genome sequencing
title_full Prenatal diagnosis of 21 fetuses with balanced chromosomal abnormalities (BCAs) using whole-genome sequencing
title_fullStr Prenatal diagnosis of 21 fetuses with balanced chromosomal abnormalities (BCAs) using whole-genome sequencing
title_full_unstemmed Prenatal diagnosis of 21 fetuses with balanced chromosomal abnormalities (BCAs) using whole-genome sequencing
title_short Prenatal diagnosis of 21 fetuses with balanced chromosomal abnormalities (BCAs) using whole-genome sequencing
title_sort prenatal diagnosis of 21 fetuses with balanced chromosomal abnormalities bcas using whole genome sequencing
topic Balanced chromosomal abnormalities
prenatal diagnosis
whole-genome sequencing
CACNA1E
PDCL
url https://www.frontiersin.org/articles/10.3389/fgene.2022.951829/full
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