PMID- 38216276 OWN - NLM STAT- MEDLINE DCOM- 20240115 LR - 20240115 IS - 1875-6263 (Electronic) IS - 1028-4559 (Linking) VI - 63 IP - 1 DP - 2024 Jan TI - Use of the MS-MLPA assay in prenatal diagnosis of Prader-Willi syndrome with mosaic trisomy 15. PG - 81-84 LID - S1028-4559(23)00309-1 [pii] LID - 10.1016/j.tjog.2023.09.022 [doi] AB - OBJECTIVE: We present a prenatal diagnosis strategy of using Methylation-Specific Multiplex Ligation-Dependent Probe Amplification (MS-MLPA) for the detection of maternal uniparental disomy 15/trisomy 15 (UPD(15) mat/T15) mosaicism. CASE REPORT: A 43-year-old woman underwent amniocentesis at 19 weeks of gestation due to a high risk of trisomy 15 (T15) as indicated by non-invasive prenatal testing (NIPT). Cytogenetic analysis revealed a karyotype of 46, XX of cultured amniocytes. Further analysis using copy number variation sequencing (CNV-seq) analysis showed 55 % T15 mosaicism. The second amniocentesis was performed and showed a karyotype of 46, XX and 26 % T15 mosaicism by interphase fluorescence in situ hybridization (FISH). MS-MLPA analysis of uncultured amniocytes showed that the copy number ratio of 15q11-13 ranged from 1.3 to 1.5, and the percentage of methylation was between 70 % and 100 %. MS-MLPA assay of cultured amniocytes showed a copy number ratio of 1 and a methylation percentage of 100 %. Therefore, this fetus was identified to be an UPD(15) mat/T15 mosaicism. The parents decided to terminate the pregnancy. CONCLUSION: MS-MLPA can be used in combination with karyotype and CNV-seq for prenatal diagnosis of NIPT high-risk T15 to avoid missed diagnosis of UPD(15) mat/T15 mosaicism. CI - Copyright (c) 2023. Published by Elsevier B.V. FAU - Zhang, Meizi AU - Zhang M AD - Reproductive Medicine Center, Tianjin First Central Hospital, Tianjin, China. Electronic address: zhangmeizi030301@163.com. FAU - Liang, Yuehong AU - Liang Y AD - Reproductive Medicine Center, Tianjin First Central Hospital, Tianjin, China. FAU - Li, Hui AU - Li H AD - Department of Obstetrics and Gynecology, Tianjin First Central Hospital, Tianjin, China. FAU - Xu, Fengqin AU - Xu F AD - Reproductive Medicine Center, Tianjin First Central Hospital, Tianjin, China. Electronic address: xufengqin1968@126.com. LA - eng PT - Case Reports PL - China (Republic : 1949- ) TA - Taiwan J Obstet Gynecol JT - Taiwanese journal of obstetrics & gynecology JID - 101213819 RN - Chromosome 15, trisomy mosaicism SB - IM MH - Pregnancy MH - Female MH - Humans MH - Adult MH - In Situ Hybridization, Fluorescence MH - *Prader-Willi Syndrome/diagnosis/genetics MH - Multiplex Polymerase Chain Reaction MH - Trisomy/diagnosis/genetics MH - DNA Copy Number Variations MH - Prenatal Diagnosis MH - Amniocentesis MH - Mosaicism MH - Comparative Genomic Hybridization MH - Chromosomes, Human, Pair 15 MH - *Uniparental Disomy OTO - NOTNLM OT - Amniocentesis OT - Maternal uniparental disomy 15 OT - Mosaic trisomy 15 OT - Prader-Willi syndrome COIS- Declaration of competing interest The author has no conflicts of interest relevant to this article. EDAT- 2024/01/13 00:42 MHDA- 2024/01/15 12:42 CRDT- 2024/01/12 20:58 PHST- 2023/09/27 00:00 [accepted] PHST- 2024/01/15 12:42 [medline] PHST- 2024/01/13 00:42 [pubmed] PHST- 2024/01/12 20:58 [entrez] AID - S1028-4559(23)00309-1 [pii] AID - 10.1016/j.tjog.2023.09.022 [doi] PST - ppublish SO - Taiwan J Obstet Gynecol. 2024 Jan;63(1):81-84. doi: 10.1016/j.tjog.2023.09.022.