PMID- 20056212 OWN - NLM STAT- MEDLINE DCOM- 20100416 LR - 20100330 IS - 1556-5653 (Electronic) IS - 0015-0282 (Linking) VI - 93 IP - 6 DP - 2010 Apr TI - Molecular cytogenetic analysis by genomic hybridization to determine the cause of recurrent miscarriage. PG - 2075.e3-6 LID - 10.1016/j.fertnstert.2009.11.016 [doi] AB - OBJECTIVE: To characterize a t(2;6) by array-based comparative genomic hybridization (array-CGH) in a couple with recurrent miscarriage, to analyze the meiotic segregation of the t(2;6), and to discuss couple specific care-taking modality before intracytoplasmic sperm injection. DESIGN: Case report. SETTING: INSERM U613 in Brest, France. PATIENT(S): Couple consulting for infertility. INTERVENTION(S): Array-CGH to characterize a t(2;6) and fluorescence in situ hybridization (FISH) to analyze the meiotic segregation were performed. MAIN OUTCOME MEASURE(S): Array-CGH, FISH with a panel of bacterial artificial chromosome clones and commercial probes. RESULT(S): Analyses from peripheral blood lymphocytes identified a t(2;6)(q35;q24) unbalanced reciprocal translocation with microdeletions on the der(2) and the der(6). FISH on spermatozoa found that the frequency of normal (23,X or 23,Y) or "translocation-deletions" (23,X,der(2),der(6) or 23,Y,der(2),der(6)) spermatozoa was 41.10%. CONCLUSION(S): For our 46,XY,t(2;6)(q35;q24) carrier, more than 50% of the spermatozoa are chromosomally unbalanced. Moreover, FISH does not permit a distinction between normal and "translocation-deletion" phenotypes. So, in the possibility of preimplantation genetic diagnosis, is it necessary to select the normal embryos to the detriment of those translocation-deletions carriers? The pathogenicity of these microdeletions not been proved. Because the family history was oriented toward a variation of genetic equipment without phenotypic consequences, the couple decided not to make a selection between the normal embryos and the translocation-deletion carrier embryos. CI - Copyright 2010 American Society for Reproductive Medicine. Published by Elsevier Inc. All rights reserved. FAU - Perrin, Aurore AU - Perrin A AD - Laboratoire d'Histologie, Embryologie et Cytogenetique, Faculte de Medecine et des Sciences de la Sante, Universite de Brest, Brest, France. FAU - Delobel, Bruno AU - Delobel B FAU - Andrieux, Joris AU - Andrieux J FAU - Gosset, Philippe AU - Gosset P FAU - Gueganic, Nadia AU - Gueganic N FAU - Petit, Florence AU - Petit F FAU - De Braekeleer, Marc AU - De Braekeleer M FAU - Morel, Frederic AU - Morel F LA - eng PT - Case Reports PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20100113 PL - United States TA - Fertil Steril JT - Fertility and sterility JID - 0372772 SB - IM MH - Abortion, Habitual/*diagnosis/etiology/genetics MH - Adult MH - *Comparative Genomic Hybridization MH - *Cytogenetic Analysis MH - Female MH - Humans MH - Lymphocytes/cytology/metabolism MH - Male MH - Oligonucleotide Array Sequence Analysis MH - Pedigree EDAT- 2010/01/09 06:00 MHDA- 2010/04/17 06:00 CRDT- 2010/01/09 06:00 PHST- 2009/07/10 00:00 [received] PHST- 2009/09/16 00:00 [revised] PHST- 2009/11/09 00:00 [accepted] PHST- 2010/01/09 06:00 [entrez] PHST- 2010/01/09 06:00 [pubmed] PHST- 2010/04/17 06:00 [medline] AID - S0015-0282(09)04045-X [pii] AID - 10.1016/j.fertnstert.2009.11.016 [doi] PST - ppublish SO - Fertil Steril. 2010 Apr;93(6):2075.e3-6. doi: 10.1016/j.fertnstert.2009.11.016. Epub 2010 Jan 13.