PMID- 33722255 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20210319 IS - 1755-8166 (Print) IS - 1755-8166 (Electronic) IS - 1755-8166 (Linking) VI - 14 IP - 1 DP - 2021 Mar 15 TI - A placental trisomy 2 detected by NIPT evolved in a fetal small Supernumerary Marker Chromosome (sSMC). PG - 18 LID - 10.1186/s13039-021-00535-4 [doi] LID - 18 AB - BACKGROUND: Non-invasive prenatal testing (NIPT) is a rapidly developing and widely used method in the prenatal screening. Recently, the widespread use of the NIPT caused a neglecting of the limitations of this technology. CASE PRESENTATION: The 38-year-old woman underwent amniocentesis because of a high risk of trisomy 2 revealed by the genome-wide Non-Invasive Prenatal Test (NIPT). The invasive prenatal diagnosis revealed the mosaicism for a small supernumerary marker chromosome sSMC derived from chromosome 2. Interphase fluorescence in situ hybridization (FISH) on uncultured amniocytes revealed three signals of centromere 2 in 30% of the cells. GTG-banded metaphases revealed abnormal karyotype (47,XX,+mar[21]/46,XX[19]) and was confirmed by array comparative genomic hybridization (aCGH). Cytogenetic analyses (FISH, aCGH, karyotype) on fetal skin biopsies were performed and confirmed the genomic gain of the centromeric region of chromosome 2. In the placenta, three cell lines were detected: a normal cell line, a cell line with trisomy 2 and a third one with only the sSMC. CONCLUSION: Whole-genome Non-Invasive Prenatal Testing allows not only the identification of common fetal trisomies but also diagnosis of rare chromosomal abnormalities. Especially in such cases, it is extremely important to perform not only NIPT verification on a sample of material other than trophoblast, but also to apply appropriate research methods. Such conduct allows detailed analysis of the detected aberration, thus appropriate clinical validity. FAU - Domaradzka, Justyna AU - Domaradzka J AUID- ORCID: 0000-0003-3917-3358 AD - Medical Genetics Department, The Institute of Mother and Child, Kasprzaka 17A, 01-211, Warsaw, Poland. Justyna.domaradzka@imid.med.pl. FAU - Deperas, Marta AU - Deperas M AD - Medical Genetics Department, The Institute of Mother and Child, Kasprzaka 17A, 01-211, Warsaw, Poland. FAU - Obersztyn, Ewa AU - Obersztyn E AD - Medical Genetics Department, The Institute of Mother and Child, Kasprzaka 17A, 01-211, Warsaw, Poland. FAU - Kucinska-Chahwan, Anna AU - Kucinska-Chahwan A AD - Department of Obstetrics and Gynecology, Centre of Postgraduate Medical Education, Czerniakowska 231, 00-416, Warsaw, Poland. FAU - Brison, Nathalie AU - Brison N AD - Centre for Human Genetics, KU Leuven, Herestraat 49, 3000, Leuven, Belgium. FAU - Van Den Bogaert, Kris AU - Van Den Bogaert K AD - Centre for Human Genetics, KU Leuven, Herestraat 49, 3000, Leuven, Belgium. FAU - Roszkowski, Tomasz AU - Roszkowski T AD - Department of Obstetrics and Gynecology, Centre of Postgraduate Medical Education, Czerniakowska 231, 00-416, Warsaw, Poland. FAU - Kedzior, Marta AU - Kedzior M AD - Medical Genetics Department, The Institute of Mother and Child, Kasprzaka 17A, 01-211, Warsaw, Poland. FAU - Bartnik-Glaska, Magdalena AU - Bartnik-Glaska M AD - Medical Genetics Department, The Institute of Mother and Child, Kasprzaka 17A, 01-211, Warsaw, Poland. FAU - Luszczek, Alicja AU - Luszczek A AD - Medical Genetics Department, The Institute of Mother and Child, Kasprzaka 17A, 01-211, Warsaw, Poland. FAU - Jakubow-Durska, Krystyna AU - Jakubow-Durska K AD - Medical Genetics Department, The Institute of Mother and Child, Kasprzaka 17A, 01-211, Warsaw, Poland. FAU - Vermeesch, Joris Robert AU - Vermeesch JR AD - Centre for Human Genetics, KU Leuven, Herestraat 49, 3000, Leuven, Belgium. FAU - Nowakowska, Beata Anna AU - Nowakowska BA AD - Medical Genetics Department, The Institute of Mother and Child, Kasprzaka 17A, 01-211, Warsaw, Poland. LA - eng PT - Journal Article DEP - 20210315 PL - England TA - Mol Cytogenet JT - Molecular cytogenetics JID - 101317942 PMC - PMC7962352 OTO - NOTNLM OT - Array comparative genomic hybridization OT - Fluorescence in situ hybridization OT - Karyotyping OT - Mosaicism OT - Non-invasive prenatal test OT - Small supernumerary marker chromosome COIS- The authors declare that they have no competing interests. EDAT- 2021/03/17 06:00 MHDA- 2021/03/17 06:01 PMCR- 2021/03/15 CRDT- 2021/03/16 05:43 PHST- 2020/12/04 00:00 [received] PHST- 2021/02/19 00:00 [accepted] PHST- 2021/03/16 05:43 [entrez] PHST- 2021/03/17 06:00 [pubmed] PHST- 2021/03/17 06:01 [medline] PHST- 2021/03/15 00:00 [pmc-release] AID - 10.1186/s13039-021-00535-4 [pii] AID - 535 [pii] AID - 10.1186/s13039-021-00535-4 [doi] PST - epublish SO - Mol Cytogenet. 2021 Mar 15;14(1):18. doi: 10.1186/s13039-021-00535-4.