摘要
目的 确定1例主动脉横弓发育不良胎儿的染色体核型,探讨微阵列比较基因组杂交(array based comparative genomic hybridization,array-CGH)技术在分子遗传学及产前诊断中的应用及优越性.方法 应用G显带分析胎儿及其父母的染色体核型,用array-CGH技术明确胎儿衍生染色体片段的来源和区域.结果 G显带染色体分析显示孕妇为46,XX,t(8;16)(p21;q24)平衡易位携带者,胎儿携带46,XX,der(16)t(8;16) (p21;q24)mat的非平衡易位.array-CGH检测证实胎儿衍生染色体片段源自8号染色体短臂,患儿为8p23.3 p21.3三体患儿.结论 胎儿的异常表型(主动脉横弓发育不良)与8p23.3p21.3三体密切相关,父母染色体分析可帮助明确易位性质及来源,从而有利于评估再发风险.array-CGH在染色体异常分析中具有更高的分辨率和准确性.
Objective To determine the karyotype of a fetus with transverse aortic arch hypoplasia,and to investigate the feasibility of array-based comparative genomic hybridization (array-CGH) for molecular genetic diagnosis.Methods G-banding was performed to analyze the karyotypes of the fetus and its parents,and array CGH was applied to identify the chromosomal abnormality of the fetus.Results G-banding analysis revealed that the pregnant woman has carried a balanced translocation 46,XX,t(8;16) (p21;q24),while the fetus has carried an unbalanced translocation 46,XX,der(16)t(8;16)(p21;q24)mat.Array-CGH analysis suggested that the derivative chromosomal fragment has originated from 8p with breakpoints in 8p23.3 p21.3.Conclusion Trisomy 8p23.3-p21.3 may have predisposed to transverse aortic arch hypoplasia in the fetus.Parental karyotype analysis could help to characterize the translocation and evaluate the recurrent risk.Compared with routine karyotype analysis,aCGH has a higher resolution and greater accuracy for mapping chromosomal aberrations.
出处
《中华医学遗传学杂志》
CAS
CSCD
北大核心
2015年第3期375-377,共3页
Chinese Journal of Medical Genetics
关键词
先天性心脏病
8p部分三体
平衡易位
微阵列比较基因组杂交
Congenital heart disease
8p partial trisomy
Balanced translocation
Array based comparative genomic hybridization