PMID- 27020032 OWN - NLM STAT- MEDLINE DCOM- 20161229 LR - 20220408 IS - 1673-8527 (Print) IS - 1673-8527 (Linking) VI - 43 IP - 3 DP - 2016 Mar 20 TI - Spectrum of Cytogenomic Abnormalities Revealed by Array Comparative Genomic Hybridization on Products of Conception Culture Failure and Normal Karyotype Samples. PG - 121-31 LID - S1673-8527(16)00028-X [pii] LID - 10.1016/j.jgg.2016.02.002 [doi] AB - Approximately 30% of pregnancies after implantation end up in spontaneous abortions, and 50% of them are caused by chromosomal abnormalities. However, the spectrum of genomic copy number variants (CNVs) in products of conception (POC) and the underlying gene-dosage-sensitive mechanisms causing spontaneous abortions remain largely unknown. In this study, array comparative genomic hybridization (aCGH) analysis was performed as a salvage procedure for 128 POC culture failure (POC-CF) samples and as a supplemental procedure for 106 POC normal karyotype (POC-NK) samples. Chromosomal abnormalities were detected in 10% of POC-CF and pathogenic CNVs were detected in 3.9% of POC-CF and 5.7% of POC-NK samples. Compiled results from this study and relevant case series through a literature review demonstrated an abnormality detection rate (ADR) of 35% for chromosomal abnormalities in POC-CF samples, 3.7% for pathogenic CNVs in POC-CF samples, and 4.6% for pathogenic CNVs in POC-NK samples. Ingenuity Pathway Analysis (IPA) was performed on the genes from pathogenic CNVs found in POC samples. The denoted primary gene networks suggested that apoptosis and cell proliferation pathways are involved in miscarriage. In summary, a similar spectrum of cytogenomic abnormalities was observed in POC culture success and POC-CF samples. A threshold effect correlating the number of dosage-sensitive genes in a chromosome with the observed frequency of autosomal trisomy is proposed. A rationalized approach using firstly fluorescence in situ hybridization (FISH) testing with probes of chromosomes X/Y/18, 13/21, and 15/16/22 for common aneuploidies and polyploidies and secondly aCGH for other cytogenomic abnormalities is recommended for POC-CF samples. CI - Copyright (c) 2016 Institute of Genetics and Developmental Biology, Chinese Academy of Sciences, and Genetics Society of China. Published by Elsevier Ltd. All rights reserved. FAU - Zhou, Qinghua AU - Zhou Q AD - The First Affiliated Hospital, The Biomedical Translational Research Institute, Jinan University, Guangzhou 510632, China; Department of Genetics, Yale University School of Medicine, New Haven, CT 06520, USA. Electronic address: qinghuazhou@jnu.edu.cn. FAU - Wu, Shen-Yin AU - Wu SY AD - Department of Genetics, Yale University School of Medicine, New Haven, CT 06520, USA. FAU - Amato, Katherine AU - Amato K AD - Department of Genetics, Yale University School of Medicine, New Haven, CT 06520, USA. FAU - DiAdamo, Autumn AU - DiAdamo A AD - Department of Genetics, Yale University School of Medicine, New Haven, CT 06520, USA. FAU - Li, Peining AU - Li P AD - Department of Genetics, Yale University School of Medicine, New Haven, CT 06520, USA. Electronic address: peining.li@yale.edu. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20160213 PL - China TA - J Genet Genomics JT - Journal of genetics and genomics = Yi chuan xue bao JID - 101304616 SB - IM MH - Abortion, Spontaneous/genetics MH - Adolescent MH - Adult MH - *Chromosome Aberrations MH - *Comparative Genomic Hybridization MH - DNA Copy Number Variations MH - Female MH - Fertilization/*genetics MH - Gene Dosage MH - Gene Regulatory Networks MH - Humans MH - *Karyotype MH - Male MH - Pregnancy MH - Young Adult OTO - NOTNLM OT - Apoptosis OT - Array comparative genomic hybridization (aCGH) OT - Chromosomal and genomic abnormalities OT - Culture failure OT - Normal karyotype OT - Products of conception (POC) EDAT- 2016/03/30 06:00 MHDA- 2016/12/31 06:00 CRDT- 2016/03/30 06:00 PHST- 2015/10/26 00:00 [received] PHST- 2016/02/04 00:00 [revised] PHST- 2016/02/07 00:00 [accepted] PHST- 2016/03/30 06:00 [entrez] PHST- 2016/03/30 06:00 [pubmed] PHST- 2016/12/31 06:00 [medline] AID - S1673-8527(16)00028-X [pii] AID - 10.1016/j.jgg.2016.02.002 [doi] PST - ppublish SO - J Genet Genomics. 2016 Mar 20;43(3):121-31. doi: 10.1016/j.jgg.2016.02.002. Epub 2016 Feb 13.