PMID- 35927742 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220808 IS - 1755-8166 (Print) IS - 1755-8166 (Electronic) IS - 1755-8166 (Linking) VI - 15 IP - 1 DP - 2022 Aug 4 TI - Clinical and molecular cytogenetic findings and pregnancy outcomes of fetuses with isochromosome Y. PG - 32 LID - 10.1186/s13039-022-00611-3 [doi] LID - 32 AB - BACKGROUND: The mosaic forms and clinical phenotypes of fetuses with isochromosome Y are difficult to predict. Therefore, we summarized the cases of nine fetuses with isochromosome Y identified in prenatal diagnosis with a combination of molecular cytogenetic techniques, providing clinical evidence for prenatal genetic counseling. METHODS: The prenatal diagnosis and pregnancy outcomes of nine fetuses with isochromosome Y were obtained by a retrospective analysis. Isochromosome Y was identified prenatally by different approaches, such as conventional karyotyping, chromosomal microarray analysis (CMA), quantitative fluorescent polymerase chain reaction (QF-PCR) and fluorescence in situ hybridization (FISH). RESULTS: Seven idic(Y) fetuses and two i(Y) fetuses were identified. One fetus was complete for i(Y)(p10), and the rest with 45,X had mosaic forms. A break and fusion locus was identified in Yp11.3 in one fetus, in Yq11.22 in six fetuses and in Yp10 in two fetuses. The CMA results suggested that different deletions and duplications were found on the Y chromosome. The deletion fragments ranged from 4.7 Mb to the entire Y chromosome, and the duplication fragments ranged from 10.4 to 18.0 Mb. QF-PCR analysis suggested that the AZF region was intact in one fetus, four fetuses had AZFb+c+d deletion, one fetus had AZFa+b+c+d deletion, and one fetus had AZFc+d deletion. Finally, four healthy male neonates were delivered successfully, but the parents of the remaining five fetuses, including three healthy and two unhealthy fetuses, chose to terminate their pregnancies. CONCLUSION: The fetus and neonate phenotype of prenatally detected isochromosome Y usually is that of a normally developed male, ascertained in the absence of other indicators of a fetal structural anomaly. Our study provides clinical reference materials for risk assessment and permits better prenatally counseling and preparation of parents facing the birth of isochromosome Y fetuses. CI - (c) 2022. The Author(s). FAU - He, Yiqun AU - He Y AD - Prenatal Diagnosis Centre, Guangdong Women and Children Hospital, 521-523 Xingnan Road, Guangzhou, 511442, Guangdong, China. FAU - Guo, Li AU - Guo L AD - Prenatal Diagnosis Centre, Guangdong Women and Children Hospital, 521-523 Xingnan Road, Guangzhou, 511442, Guangdong, China. FAU - Zheng, Laiping AU - Zheng L AD - Prenatal Diagnosis Centre, Guangdong Women and Children Hospital, 521-523 Xingnan Road, Guangzhou, 511442, Guangdong, China. FAU - Ren, Congmian AU - Ren C AD - Prenatal Diagnosis Centre, Guangdong Women and Children Hospital, 521-523 Xingnan Road, Guangzhou, 511442, Guangdong, China. FAU - Wang, Ting AU - Wang T AD - Prenatal Diagnosis Centre, Guangdong Women and Children Hospital, 521-523 Xingnan Road, Guangzhou, 511442, Guangdong, China. FAU - Lu, Jian AU - Lu J AD - Prenatal Diagnosis Centre, Guangdong Women and Children Hospital, 521-523 Xingnan Road, Guangzhou, 511442, Guangdong, China. lxjian326@foxmail.com. LA - eng GR - 202102080233/Guangzhou Basic and Applied Basic Research Project Grant/ PT - Journal Article DEP - 20220804 PL - England TA - Mol Cytogenet JT - Molecular cytogenetics JID - 101317942 PMC - PMC9351221 OTO - NOTNLM OT - CMA OT - FISH OT - I(Y) OT - Idic(Y) OT - Isochromosome Y OT - Mosaicism OT - Prenatal diagnose OT - QF-PCR COIS- The authors declare no competing interests. EDAT- 2022/08/05 06:00 MHDA- 2022/08/05 06:01 PMCR- 2022/08/04 CRDT- 2022/08/04 23:50 PHST- 2022/06/08 00:00 [received] PHST- 2022/07/21 00:00 [accepted] PHST- 2022/08/04 23:50 [entrez] PHST- 2022/08/05 06:00 [pubmed] PHST- 2022/08/05 06:01 [medline] PHST- 2022/08/04 00:00 [pmc-release] AID - 10.1186/s13039-022-00611-3 [pii] AID - 611 [pii] AID - 10.1186/s13039-022-00611-3 [doi] PST - epublish SO - Mol Cytogenet. 2022 Aug 4;15(1):32. doi: 10.1186/s13039-022-00611-3.