Incidental Detection of a Chromosomal Aberration by Array-CGH in an Early Prenatal Diagnosis for Monogenic Disease on Coelomic Fluid.

array comparative genomic hybridization beta thalassemia coelocentesis monosomy X prenatal diagnosis

Journal

Life (Basel, Switzerland)
ISSN: 2075-1729
Titre abrégé: Life (Basel)
Pays: Switzerland
ID NLM: 101580444

Informations de publication

Date de publication:
21 Dec 2022
Historique:
received: 11 10 2022
revised: 18 11 2022
accepted: 16 12 2022
entrez: 21 1 2023
pubmed: 22 1 2023
medline: 22 1 2023
Statut: epublish

Résumé

Turner syndrome is a rare genetic condition in which a female is partly or completely missing an X chromosome. Signs and symptoms vary among those affected. In fetuses that survive at birth and without congenital malformations, the prognosis is usually positive, but it has high lethality in utero, especially in the first trimester of pregnancy. We report a case of monosomy X detected during a prenatal diagnosis for beta thalassemia on coelomic fluid (CF) at the VIII week of gestation. Beta globin gene analysis, whole genome amplification (WGA), quantitative fluorescent PCR and array comparative genomic hybridization (array-CGH) were performed on DNA extracted from CF. A monoallelic pattern of all Short Tandem Repeats mapped on the X chromosome was found and array-CGH performed on WGA from a few fetal erythroblasts confirmed monosomy X. This report underlines the importance of an early prenatal diagnosis and the countless potentialities of array-CGH that could make definition of molecular karyotype possible from a few fetal cells, unlike conventional cytogenetic techniques that require a greater cellular content. This is the first report of a molecular karyotype obtained from two cells selected by micromanipulation of CF and defined at such an early gestational age.

Sections du résumé

BACKGROUND BACKGROUND
Turner syndrome is a rare genetic condition in which a female is partly or completely missing an X chromosome. Signs and symptoms vary among those affected. In fetuses that survive at birth and without congenital malformations, the prognosis is usually positive, but it has high lethality in utero, especially in the first trimester of pregnancy.
METHODS METHODS
We report a case of monosomy X detected during a prenatal diagnosis for beta thalassemia on coelomic fluid (CF) at the VIII week of gestation. Beta globin gene analysis, whole genome amplification (WGA), quantitative fluorescent PCR and array comparative genomic hybridization (array-CGH) were performed on DNA extracted from CF.
RESULTS RESULTS
A monoallelic pattern of all Short Tandem Repeats mapped on the X chromosome was found and array-CGH performed on WGA from a few fetal erythroblasts confirmed monosomy X.
CONCLUSION CONCLUSIONS
This report underlines the importance of an early prenatal diagnosis and the countless potentialities of array-CGH that could make definition of molecular karyotype possible from a few fetal cells, unlike conventional cytogenetic techniques that require a greater cellular content. This is the first report of a molecular karyotype obtained from two cells selected by micromanipulation of CF and defined at such an early gestational age.

Identifiants

pubmed: 36675969
pii: life13010020
doi: 10.3390/life13010020
pmc: PMC9863495
pii:
doi:

Types de publication

Journal Article

Langues

eng

Références

Acta Obstet Gynecol Scand. 2018 Mar;97(3):312-321
pubmed: 29292496
Hum Reprod. 1995 May;10(5):1287-9
pubmed: 7657781
Ultrasound Obstet Gynecol. 2004 May;23(5):482-5
pubmed: 15133800
J Perinat Med. 2012 Feb 01;40(4):413-7
pubmed: 22752773
Cytogenet Genome Res. 2011;135(3-4):241-50
pubmed: 22086062
Fetal Diagn Ther. 2004 Jan-Feb;19(1):75-7
pubmed: 14646423
Prenat Diagn. 2016 Apr;36(4):375-81
pubmed: 26891446
Prenat Diagn. 2016 Oct;36(10):973-978
pubmed: 27592841
Cancer Epidemiol Biomarkers Prev. 2008 Dec;17(12):3499-508
pubmed: 19064567
J Cell Physiol. 2010 Nov;225(2):385-9
pubmed: 20533375
Mol Diagn Ther. 2022 Mar;26(2):239-252
pubmed: 35175567
Lancet. 1993 Jun 26;341(8861):1623-4
pubmed: 8099993
Hum Pathol. 1995 Nov;26(11):1241-4
pubmed: 7590699
Am Fam Physician. 2007 Aug 1;76(3):405-10
pubmed: 17708142
Nucleic Acids Res. 2008 Aug;36(13):e80
pubmed: 18559357
Methods Mol Biol. 2008;444:59-69
pubmed: 18425472
Hum Reprod. 1996 Nov;11(11):2548-53
pubmed: 8981154
Br J Haematol. 2011 Apr;153(2):268-72
pubmed: 21385172
Mol Genet Genomic Med. 2019 Dec;7(12):e980
pubmed: 31643138
Ultrasound Obstet Gynecol. 2020 Nov;56(5):672-677
pubmed: 32339311
J Perinat Med. 2022 Sep 08;:
pubmed: 36068008
Mol Hum Reprod. 1997 Aug;3(8):729-31
pubmed: 9294859

Auteurs

Margherita Vinciguerra (M)

Unit of Molecular Diagnosis of Rare Hematological Diseases, Azienda Ospedaliera Ospedali Riuniti Villa Sofia-Cervello, 90146 Palermo, Italy.

Filippo Leto (F)

Unit of Molecular Diagnosis of Rare Hematological Diseases, Azienda Ospedaliera Ospedali Riuniti Villa Sofia-Cervello, 90146 Palermo, Italy.

Filippo Cassarà (F)

Unit of Molecular Diagnosis of Rare Hematological Diseases, Azienda Ospedaliera Ospedali Riuniti Villa Sofia-Cervello, 90146 Palermo, Italy.

Viviana Tartaglia (V)

Unit of Molecular Diagnosis of Rare Hematological Diseases, Azienda Ospedaliera Ospedali Riuniti Villa Sofia-Cervello, 90146 Palermo, Italy.

Michela Malacarne (M)

Laboratory of Human Genetics, Istituto Giannina Gaslini, 16147 Genoa, Italy.

Domenico Coviello (D)

Laboratory of Human Genetics, Istituto Giannina Gaslini, 16147 Genoa, Italy.

Valentina Cigna (V)

Unit of Fetal Medicine and Prenatal Diagnosis, Azienda Ospedaliera Ospedali Riuniti Villa Sofia-Cervello, 90146 Palermo, Italy.

Emanuela Orlandi (E)

Unit of Fetal Medicine and Prenatal Diagnosis, Azienda Ospedaliera Ospedali Riuniti Villa Sofia-Cervello, 90146 Palermo, Italy.

Francesco Picciotto (F)

Unit of Fetal Medicine and Prenatal Diagnosis, Azienda Ospedaliera Ospedali Riuniti Villa Sofia-Cervello, 90146 Palermo, Italy.

Gaspare Cucinella (G)

Unit of Fetal Medicine and Prenatal Diagnosis, Azienda Ospedaliera Ospedali Riuniti Villa Sofia-Cervello, 90146 Palermo, Italy.

Emanuela Salzano (E)

Medical Genetics Unit, Azienda Ospedaliera Ospedali Riuniti Villa Sofia Cervello, 90146 Palermo, Italy.

Maria Piccione (M)

Medical Genetics Unit, Azienda Ospedaliera Ospedali Riuniti Villa Sofia Cervello, 90146 Palermo, Italy.

Aurelio Maggio (A)

Unit of Hematology for Rare Diseases of Blood and Blood-Forming Organs, Azienda Ospedaliera Ospedali Riuniti Villa Sofia-Cervello, 90146 Palermo, Italy.

Antonino Giambona (A)

Unit of Molecular Diagnosis of Rare Hematological Diseases, Azienda Ospedaliera Ospedali Riuniti Villa Sofia-Cervello, 90146 Palermo, Italy.

Classifications MeSH