PMID- 37543218 OWN - NLM STAT- MEDLINE DCOM- 20230913 LR - 20230913 IS - 1879-0038 (Electronic) IS - 0378-1119 (Linking) VI - 884 DP - 2023 Oct 30 TI - Detection of complex chromosome rearrangements using optical genome mapping. PG - 147688 LID - S0378-1119(23)00529-2 [pii] LID - 10.1016/j.gene.2023.147688 [doi] AB - Chromosomal structural variations (SVs) are a main cause of human genetic disease. Currently, karyotype, chromosomal microarray analysis (CMA), and fluorescent in situ hybridization (FISH) form the backbone of current routine diagnostics (CRD). These methods have their own limitations. CRD cannot identify cryptic balanced SVs and complex SVs even if these techniques were performed either simultaneously or in a sequential manner. Optical genome mapping (OGM) is a novel technology that can identify several classes of SVs with higher resolution, but studies on the applicability of OGM and its comparison with CRD are inadequate for difficult and complicated chromosomal SVs are lacking. Herein, seven patients with definite complicated SVs involving at least two breakpoints (BPs) were recruited for this study. The results of BPs and SVs from OGM were compared with those from CRD. The results showed that all BPs of five samples and partial BPs of two samples were detected by OGM. The undetected BPs were all close to the repeat-rich gap region. Besides, OGM also detected additional SVs including a cryptic balanced translocation, two additional complex chromosomal rearrangement (CCR). OGM yielded the additional information, such as the orientation of acentric fragments, BP positions, and genes mapped in the BP region for all the cases. The accuracy of additional SVs and BPs detected by OGM was verified by FISH panel and next-generation sequencing and Sanger sequencing. Taken together, OGM exhibit a better performance in detecting chromosomal SVs compared to the CRD. We suggested that OGM method should be utilized in the clinical examination to improve the efficiency and accuracy of genetic disease diagnosis, supplemented by FISH or karyotyping to compensate for the SVs in the repeat-rich gap region if necessary. CI - Copyright (c) 2023. Published by Elsevier B.V. FAU - Qu, Jiangbo AU - Qu J AD - Center for Medical Genetics and Prenatal Diagnosis, Key Laboratory of Birth Defect Prevention and Genetic Medicine of Shandong Health Commission, Key Laboratory of Birth Regulation and Control Technology of National Health Commission of China, Shandong Provincial Maternal and Child Health Care Hospital Affiliated to Qingdao University, Jinan 250014, Shandong, China. Electronic address: jbq0315@163.com. FAU - Li, Shuo AU - Li S AD - Genetic Testing Center, Qingdao Women and Children's Hospital, Qingdao 266034, Shandong, China. Electronic address: surelee@126.com. FAU - Yu, Dongyi AU - Yu D AD - Center for Medical Genetics and Prenatal Diagnosis, Key Laboratory of Birth Defect Prevention and Genetic Medicine of Shandong Health Commission, Key Laboratory of Birth Regulation and Control Technology of National Health Commission of China, Shandong Provincial Maternal and Child Health Care Hospital Affiliated to Qingdao University, Jinan 250014, Shandong, China. Electronic address: dongyi_yu@163.com. LA - eng PT - Journal Article DEP - 20230803 PL - Netherlands TA - Gene JT - Gene JID - 7706761 SB - IM MH - Humans MH - In Situ Hybridization, Fluorescence MH - *Chromosome Aberrations MH - *Gene Rearrangement MH - Chromosome Mapping/methods MH - Chromosomes OTO - NOTNLM OT - Breakpoints OT - Chromosomal structure variant OT - Complex chromosomal rearrangements OT - Optical genome mapping (OGM) COIS- Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. EDAT- 2023/08/06 05:42 MHDA- 2023/09/13 06:41 CRDT- 2023/08/05 19:15 PHST- 2023/05/20 00:00 [received] PHST- 2023/07/15 00:00 [revised] PHST- 2023/08/02 00:00 [accepted] PHST- 2023/09/13 06:41 [medline] PHST- 2023/08/06 05:42 [pubmed] PHST- 2023/08/05 19:15 [entrez] AID - S0378-1119(23)00529-2 [pii] AID - 10.1016/j.gene.2023.147688 [doi] PST - ppublish SO - Gene. 2023 Oct 30;884:147688. doi: 10.1016/j.gene.2023.147688. Epub 2023 Aug 3.