Clinical application of single nucleotide polymorphism microarray analysis in pregnancy loss in Northwest China

Background: Spontaneous abortion is the most common complication of early pregnancy. In this study, we aim to investigate the clinical application value of genetic diagnosis using single nucleotide polymorphism (SNP) microarray analysis on the products of conception and to characterize the types of...

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Main Authors: ShuYuan Xue, LiXia Wang, Jie Wei, YuTong Liu, GuiFeng Ding, PengGao Dai
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-12-01
Series:Frontiers in Genetics
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fgene.2023.1319624/full
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author ShuYuan Xue
ShuYuan Xue
LiXia Wang
Jie Wei
YuTong Liu
GuiFeng Ding
PengGao Dai
author_facet ShuYuan Xue
ShuYuan Xue
LiXia Wang
Jie Wei
YuTong Liu
GuiFeng Ding
PengGao Dai
author_sort ShuYuan Xue
collection DOAJ
description Background: Spontaneous abortion is the most common complication of early pregnancy. In this study, we aim to investigate the clinical application value of genetic diagnosis using single nucleotide polymorphism (SNP) microarray analysis on the products of conception and to characterize the types of genetic abnormalities and their prevalence in pregnancy loss in Northwest China.Methods: Over 48 months, we selected 652 products of conception, which included chorionic villi, fetal tissues, germ cell samples, amniotic fluid samples, cord blood samples, and a cardiac blood sample. We analyzed the distribution of chromosomal abnormalities leading to fetal arrest or abortion using SNP array. The patients were then categorized divided into groups based on maternal age, gestational age, number of miscarriages, and maternal ethnic background. The incidences of various chromosomal abnormalities in each group were compared.Results: Of the 652 cases, 314 (48.16%) exhibited chromosomal abnormalities. These included 286 cases with numerical chromosomal abnormalities, 24 cases with copy number variation, and four cases with loss of heterozygosity. Among them, there were 203 trisomy cases, 55 monosomy cases, and 28 polyploidy cases. In the subgroup analysis, significant differences were found in the frequency of numerical chromosomal abnormalities and copy number variation between the advanced and younger maternal age group as well as between the early and late abortion groups. Furthermore, we identified significant differences in the frequency of numerical chromosomal abnormalities between the first spontaneous abortion and recurrent miscarriage groups. However, there were no significant differences in the frequency of numerical chromosomal abnormalities between the Han and Uighur groups.Conclusion: Our research highlights chromosomal abnormalities as the primary cause of spontaneous abortion, with a higher incidence in early pregnancy and among women of advanced age. The use of SNP array analysis emerges as an effective and reliable technique for chromosome analysis in aborted fetuses. This method offers a comprehensive and dependable genetic investigation into the etiology of miscarriage, establishing itself as a valuable routine selection for genetic analysis in cases of natural abortions.
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spelling doaj.art-e6045c03f28e4eb7b16fbf52cf92e5a92023-12-15T07:58:56ZengFrontiers Media S.A.Frontiers in Genetics1664-80212023-12-011410.3389/fgene.2023.13196241319624Clinical application of single nucleotide polymorphism microarray analysis in pregnancy loss in Northwest ChinaShuYuan Xue0ShuYuan Xue1LiXia Wang2Jie Wei3YuTong Liu4GuiFeng Ding5PengGao Dai6The College of Life Sciences, Northwest University, Xi’an, Shanxi, ChinaPrenatal Diagnosis Center, Urumqi Maternal and Child Healthcare Hospital, Urumqi, Xinjiang, ChinaPrenatal Diagnosis Center, Urumqi Maternal and Child Healthcare Hospital, Urumqi, Xinjiang, ChinaPrenatal Diagnosis Center, Urumqi Maternal and Child Healthcare Hospital, Urumqi, Xinjiang, ChinaCollege of Public Health, Xinjiang Medical University, Urumqi, Xinjiang, ChinaDepartment of Obstetrics, Urumqi Maternal and Child Healthcare Hospital, Urumqi, Xinjiang, ChinaThe College of Life Sciences, Northwest University, Xi’an, Shanxi, ChinaBackground: Spontaneous abortion is the most common complication of early pregnancy. In this study, we aim to investigate the clinical application value of genetic diagnosis using single nucleotide polymorphism (SNP) microarray analysis on the products of conception and to characterize the types of genetic abnormalities and their prevalence in pregnancy loss in Northwest China.Methods: Over 48 months, we selected 652 products of conception, which included chorionic villi, fetal tissues, germ cell samples, amniotic fluid samples, cord blood samples, and a cardiac blood sample. We analyzed the distribution of chromosomal abnormalities leading to fetal arrest or abortion using SNP array. The patients were then categorized divided into groups based on maternal age, gestational age, number of miscarriages, and maternal ethnic background. The incidences of various chromosomal abnormalities in each group were compared.Results: Of the 652 cases, 314 (48.16%) exhibited chromosomal abnormalities. These included 286 cases with numerical chromosomal abnormalities, 24 cases with copy number variation, and four cases with loss of heterozygosity. Among them, there were 203 trisomy cases, 55 monosomy cases, and 28 polyploidy cases. In the subgroup analysis, significant differences were found in the frequency of numerical chromosomal abnormalities and copy number variation between the advanced and younger maternal age group as well as between the early and late abortion groups. Furthermore, we identified significant differences in the frequency of numerical chromosomal abnormalities between the first spontaneous abortion and recurrent miscarriage groups. However, there were no significant differences in the frequency of numerical chromosomal abnormalities between the Han and Uighur groups.Conclusion: Our research highlights chromosomal abnormalities as the primary cause of spontaneous abortion, with a higher incidence in early pregnancy and among women of advanced age. The use of SNP array analysis emerges as an effective and reliable technique for chromosome analysis in aborted fetuses. This method offers a comprehensive and dependable genetic investigation into the etiology of miscarriage, establishing itself as a valuable routine selection for genetic analysis in cases of natural abortions.https://www.frontiersin.org/articles/10.3389/fgene.2023.1319624/fullsingle nucleotide polymorphism microarray analysischromosome aberrationscopy number variationpregnancy lossclinical application
spellingShingle ShuYuan Xue
ShuYuan Xue
LiXia Wang
Jie Wei
YuTong Liu
GuiFeng Ding
PengGao Dai
Clinical application of single nucleotide polymorphism microarray analysis in pregnancy loss in Northwest China
Frontiers in Genetics
single nucleotide polymorphism microarray analysis
chromosome aberrations
copy number variation
pregnancy loss
clinical application
title Clinical application of single nucleotide polymorphism microarray analysis in pregnancy loss in Northwest China
title_full Clinical application of single nucleotide polymorphism microarray analysis in pregnancy loss in Northwest China
title_fullStr Clinical application of single nucleotide polymorphism microarray analysis in pregnancy loss in Northwest China
title_full_unstemmed Clinical application of single nucleotide polymorphism microarray analysis in pregnancy loss in Northwest China
title_short Clinical application of single nucleotide polymorphism microarray analysis in pregnancy loss in Northwest China
title_sort clinical application of single nucleotide polymorphism microarray analysis in pregnancy loss in northwest china
topic single nucleotide polymorphism microarray analysis
chromosome aberrations
copy number variation
pregnancy loss
clinical application
url https://www.frontiersin.org/articles/10.3389/fgene.2023.1319624/full
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