PMID- 25863078 OWN - NLM STAT- MEDLINE DCOM- 20150618 LR - 20191210 IS - 1003-9406 (Print) IS - 1003-9406 (Linking) VI - 32 IP - 2 DP - 2015 Apr TI - [Application of whole-genome and high-resolution chromosome microarray analysis for the investigation of fetuses with ultrasound abnormalities]. PG - 169-74 LID - 10.3760/cma.j.issn.1003-9406.2015.02.004 [doi] AB - OBJECTIVE: To assess the value of whole-genome high-resolution chromosome microarray analysis (CMA) for the investigation of fetuses with ultrasound abnormalities. METHODS: Whole genome high-resolution CytoScanHD array from Affymetrix was employed to investigate 651 fetuses with structural abnormalities detected by ultrasound, for whom standard G-banded chromosome analysis has revealed a normal karyotype. The fetuses were divided into a single malformation group (n=264) and a multiple malformations group (n=387). In total there were 130 chorionic villus samples, 192 amniotic fluid samples and 329 cord blood samples. Extraction of fetal DNA and CMA experiment have followed the standard guidelines from the manufacturers. All copy number variations (CNVs) detected by CMA were confirmed by fluorescence in situ hybridization (FISH) or real-time polymerase chain reaction (RT-PCR). RESULTS: CMA analysis has detected genomic CNVs in 475 (73%) cases. Clinically significant CNVs were found in 11.5% (75/651) of fetuses, including two uniparental disomies (UPD) and two cryptic mosaicisms. Variations of unknown significance (VOUS) was found in 2.0% (13/651) of tested fetuses. CONCLUSION: Above results have suggested that whole-genome and high-resolution CMA is valuable for the analysis of fetuses with structural abnormalities detected by ultrasound, which can increase the detection rate by approximately 11%. CMA using single nucleotide polymorphism (SNP) array has the ability to detect UPD and low-level mosaicisms. Sufficient communication between technicians and genetic counselors, parental testing and comparison the results with in-house and relevant online databases can significantly reduce the rate of VOUS. FAU - Zhang, Yan AU - Zhang Y AD - Prenatal Diagnostic Center, Guangzhou Women and Chilren's Medical Centre, Guangzhou Medical University, Guangzhou, Guangdong 510623, P.R. China. canliao@hotmail.com. FAU - Fu, Fang AU - Fu F FAU - Li, Ru AU - Li R FAU - Xie, Guie AU - Xie G FAU - Han, Jin AU - Han J FAU - Pan, Min AU - Pan M FAU - Zhen, Li AU - Zhen L FAU - Yang, Xin AU - Yang X FAU - Li, Dongzhi AU - Li D FAU - Liao, Can AU - Liao C LA - chi PT - Evaluation Study PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - China TA - Zhonghua Yi Xue Yi Chuan Xue Za Zhi JT - Zhonghua yi xue yi chuan xue za zhi = Zhonghua yixue yichuanxue zazhi = Chinese journal of medical genetics JID - 9425197 SB - IM MH - Chromosome Aberrations MH - Chromosomes, Human/*genetics MH - DNA Copy Number Variations MH - Female MH - Fetal Diseases/*diagnosis/diagnostic imaging/*genetics MH - Genome, Human MH - Humans MH - Karyotyping MH - Male MH - Oligonucleotide Array Sequence Analysis/*methods MH - Pregnancy MH - Prenatal Diagnosis/*methods MH - Ultrasonography EDAT- 2015/04/12 06:00 MHDA- 2015/06/19 06:00 CRDT- 2015/04/12 06:00 PHST- 2015/04/12 06:00 [entrez] PHST- 2015/04/12 06:00 [pubmed] PHST- 2015/06/19 06:00 [medline] AID - 940632035 [pii] AID - 10.3760/cma.j.issn.1003-9406.2015.02.004 [doi] PST - ppublish SO - Zhonghua Yi Xue Yi Chuan Xue Za Zhi. 2015 Apr;32(2):169-74. doi: 10.3760/cma.j.issn.1003-9406.2015.02.004.