PMID- 30632238 OWN - NLM STAT- MEDLINE DCOM- 20190814 LR - 20190814 IS - 1447-0756 (Electronic) IS - 1341-8076 (Linking) VI - 45 IP - 4 DP - 2019 Apr TI - Utility and performance of bacterial artificial chromosomes-on-beads assays in chromosome analysis of clinical prenatal samples, products of conception and blood samples. PG - 830-840 LID - 10.1111/jog.13920 [doi] AB - AIM: Chromosome analysis of prenatal samples and products of conception (POC) has conventionally been done by karyotyping (KT). Shortcomings of KT like high turnaround time and culture failure led to technology innovations, such as the bacterial artificial chromosomes (BAC)s-on-Beads (BoBs)-based tests, Prenatal BoBs (prenatal samples) and KaryoLite BoBs (POC samples). In the present study, we validated and evaluated the utility of each test on prenatal, POC and blood samples. METHODS: Study A (n = 305; 259 prenatal + 46 blood/POC) and Study B (n = 176; 146 POC/chorionic vill + 30 blood/amniotic fluid) samples were analyzed using Prenatal and KaryoLite BoBs kits, respectively. KT, array-based Comparative Genomic Hybridization (arrayCGH) and fluorescence in situ hybridization (FISH) were used for comparison of results. Ability of KaryoLite BoBs to identify ring chromosomes was tested. RESULTS: Prenatal BoBs had zero test failure rate and results of all samples were concordant with KT results. Totally four microdeletions were identified by Prenatal BoBs but not by KT. In Study B, all but two POC samples (one triploid and one tetraploid) were concordant with KT and arrayCGH. Partial chromosomal imbalance detection rate was ~64% and KaryoLite BoBs indicated the presence of a ring chromosome in all four cases. The failure rate of KaryoLite BoBs was 3%. CONCLUSION: We conclude that Prenatal BoBs (common aneuploidies and nine microdeletions) together with KT constitutes more comprehensive prenatal testing compared to FISH and KT. KaryoLite BoBs for aneuploidies of all chromosomes is highly successful in POC analysis and the ability to indicate presence of ring chromosomes improves its clinical sensitivity. Both tests are robust and could also be used for different specimens. CI - (c) 2019 Japan Society of Obstetrics and Gynecology. FAU - Rose, Rajiv AU - Rose R AD - Molecular Laboratory, PerkinElmer Health Sciences, Ticel BioPark- Phase II, Chennai, India. FAU - Venkatesh, Aishwarya AU - Venkatesh A AD - Molecular Laboratory, PerkinElmer Health Sciences, Ticel BioPark- Phase II, Chennai, India. FAU - Pietila, Sanna AU - Pietila S AD - Research & Development Laboratory, PerkinElmer, Singapore, Singapore. FAU - Jabeen, Gazala AU - Jabeen G AD - Cytogenetics Laboratory, PerkinElmer Health Sciences, Ticel BioPark-Phase II, Chennai, India. FAU - Jagadeesh, Sujatha M AU - Jagadeesh SM AD - Molecular Laboratory, PerkinElmer Health Sciences, Ticel BioPark- Phase II, Chennai, India. AD - Cytogenetics Laboratory, PerkinElmer Health Sciences, Ticel BioPark-Phase II, Chennai, India. AD - Genetics Department, MediScan Systems, Chennai, India. FAU - Seshadri, Suresh AU - Seshadri S AD - Molecular Laboratory, PerkinElmer Health Sciences, Ticel BioPark- Phase II, Chennai, India. AD - Cytogenetics Laboratory, PerkinElmer Health Sciences, Ticel BioPark-Phase II, Chennai, India. AD - Prenatal Diagnosis and Therapy Center, MediScan Systems, Chennai, India. LA - eng PT - Journal Article DEP - 20190110 PL - Australia TA - J Obstet Gynaecol Res JT - The journal of obstetrics and gynaecology research JID - 9612761 MH - Adult MH - Biological Assay/*standards MH - *Chromosome Aberrations MH - Chromosome Disorders/*diagnosis MH - *Chromosomes, Artificial, Bacterial MH - Female MH - Genetic Testing/*standards MH - Humans MH - Karyotyping MH - Pregnancy MH - Prenatal Diagnosis/*standards OTO - NOTNLM OT - KaryoLite BoBs OT - Prenatal BoBs OT - bacterial artificial chromosomes-on-beads OT - chromosome analysis OT - microdeletion syndrome OT - products of conception EDAT- 2019/01/12 06:00 MHDA- 2019/08/15 06:00 CRDT- 2019/01/12 06:00 PHST- 2018/07/20 00:00 [received] PHST- 2018/12/16 00:00 [accepted] PHST- 2019/01/12 06:00 [pubmed] PHST- 2019/08/15 06:00 [medline] PHST- 2019/01/12 06:00 [entrez] AID - 10.1111/jog.13920 [doi] PST - ppublish SO - J Obstet Gynaecol Res. 2019 Apr;45(4):830-840. doi: 10.1111/jog.13920. Epub 2019 Jan 10.