PMID- 38259626 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20240124 IS - 1664-8021 (Print) IS - 1664-8021 (Electronic) IS - 1664-8021 (Linking) VI - 14 DP - 2023 TI - Small supernumerary marker chromosomes in prenatal diagnosis-molecular characterization and clinical outcomes. PG - 1326985 LID - 10.3389/fgene.2023.1326985 [doi] LID - 1326985 AB - Introduction: Small supernumerary marker chromosomes (sSMCs) are infrequent findings in prenatal diagnostics, however they pose a great challenge for prenatal genetic counseling. Methods: We report prenatal 12 sSMC cases detected in a single center during 10 years period, their molecular characterization by fluorescence in situ hybridization (FISH) or chromosomal microarray (CMA). Those cases were found among 9620 prenatal diagnostic analyzes by GTG-banding technique. In selected cases, additional UPD testing was also done. Results: Incidence of sSMCs in our study was 0.12%. sSMC characterization was done by FISH in 9 cases, in the remainder of three CMA was employed. The most common sSMC shape was centric minute, followed by inverted duplication and one case with ring conformation. sSMCs originating from acrocentric chromosomes (chromosomes 14, 21 and 22), sex chromosomes (X, Y) and non-acrocentric autosomal chromosomes (chromosome 4 and 18) were confirmed in 3 cases each; no result could be obtained in 3 further cases. Discussion: No anomalies were detected by prenatal ultrasound in any of the cases. In 58% of the cases, outcome was reported as normal at birth, while anomalies at birth were described in one case. Only two patients opted for pregnancy termination. Preterm labor occurred in case of twin pregnancy resulting in stillbirth and early neonatal death of twins. Overall, our study highlights the importance of a sSMC characterization by molecular cytogenomic methods in order to make appropriate genotype-phenotype correlations and ensure adequate genetic counseling. CI - Copyright (c) 2024 Joksic, Toljic, Milacic, Stankovic, Karadzov Orlic and Mikovic. FAU - Joksic, Ivana AU - Joksic I AD - Laboratory for Medical Genetics, Gynecology and Obstetrics Clinic "Narodni Front", Belgrade, Serbia. FAU - Toljic, Mina AU - Toljic M AD - Laboratory for Medical Genetics, Gynecology and Obstetrics Clinic "Narodni Front", Belgrade, Serbia. FAU - Milacic, Iva AU - Milacic I AD - Laboratory for Medical Genetics, Gynecology and Obstetrics Clinic "Narodni Front", Belgrade, Serbia. FAU - Stankovic, Andjela AU - Stankovic A AD - Laboratory for Medical Genetics, Gynecology and Obstetrics Clinic "Narodni Front", Belgrade, Serbia. FAU - Karadzov Orlic, Natasa AU - Karadzov Orlic N AD - High-Risk Pregnancy Department, Gynecology and Obstetrics Clinic "Narodni Front", Belgrade, Serbia. AD - School of Medicine, University of Belgrade, Belgrade, Serbia. FAU - Mikovic, Zeljko AU - Mikovic Z AD - High-Risk Pregnancy Department, Gynecology and Obstetrics Clinic "Narodni Front", Belgrade, Serbia. AD - School of Medicine, University of Belgrade, Belgrade, Serbia. LA - eng PT - Journal Article DEP - 20240108 PL - Switzerland TA - Front Genet JT - Frontiers in genetics JID - 101560621 PMC - PMC10800731 OTO - NOTNLM OT - FISH OT - chromosomal microarray OT - genetic counseling OT - prenatal diagnostics OT - sSMC COIS- The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. EDAT- 2024/01/23 12:43 MHDA- 2024/01/23 12:44 PMCR- 2024/01/08 CRDT- 2024/01/23 10:28 PHST- 2023/10/24 00:00 [received] PHST- 2023/12/12 00:00 [accepted] PHST- 2024/01/23 12:44 [medline] PHST- 2024/01/23 12:43 [pubmed] PHST- 2024/01/23 10:28 [entrez] PHST- 2024/01/08 00:00 [pmc-release] AID - 1326985 [pii] AID - 10.3389/fgene.2023.1326985 [doi] PST - epublish SO - Front Genet. 2024 Jan 8;14:1326985. doi: 10.3389/fgene.2023.1326985. eCollection 2023.