Characterization of a 4.1 Mb inversion harboring the stripe rust resistance gene YR86 on wheat chromosome 2AL

Wheat cultivar Zhongmai 895 was earlier found to carry YR86 in an 11.6 Mb recombination-suppressed region on chromosome 2AL when crossed with Yangmai 16.To fine-map the YR86 locus,we developed two large F2 populations from crosses Emai 580/Zhongmai 895 and Avocet S/Zhongmai 895.Remarkably,both populations exhibited suppressed recombination in the same 2AL region.Collinearity analysis across Chinese Spring,Aikang 58,and 10+wheat genomes revealed a 4.1 Mb chromosomal inversion spanning 708.5-712.6 Mb in the Chinese Spring reference genome.Molecular markers were developed in the breakpoint and were used to assess a wheat cultivar panel,revealing that Chinese Spring,Zhongmai 895,and Jimai 22 shared a common sequence named InvCS,whereas Aikang 58,Yangmai 16,Emai 580,and Avocet S shared the sequence named InvAK58.The inverted configuration explained the suppressed recombination observed in all three bi-parental populations.Normal recombination was observed in a Jimai 22/Zhongmai 895 F2 population,facilitating mapping of YR86 to a genetic interval of 0.15 cM corresponding to 710.27-712.56 Mb falling within the inverted region.Thirty-three high-confidence genes were annotated in the interval using the Chinese Spring reference genome,with six identified as potential candidates for YR86 based on genome and transcriptome analyses.These results will accelerate map-based cloning of YR86 and its deployment in wheat breeding.

Loss of heterozygosity for chromosomes 16q in Wilms tumors predicts outcomes:A meta-analysis

BACKGROUND The research findings suggest that the prognosis of children with Wilms tumor(WT)is affected by various factors.Some scholars have indicated that loss of heterozygosity(LOH)on chromosome 16q is associated with a poor prognosis in patients with WT.AIM To further elucidate this relationship,we conducted a meta-analysis.METHODS This meta-analysis was registered in INPLASY(INPLASY2023100060).We systematically searched databases including Embase,PubMed,Web of Science,Cochrane,and Google Scholar up to May 31,2020,for randomized trials reporting any intrapartum fetal surveillance approach.The meta-analysis was performed within a frequentist framework,and the quality and network inconsistency of trials were assessed.Odds ratios and 95%CIs were calculated to report the relationship between event-free survival and 16q LOH in patients with WT.RESULTS Eleven cohort studies were included in this meta-analysis to estimate the relationship between event-free survival and 16q LOH in patients with WT(I^(2)=25%,P<0.001).As expected,16q LOH can serve as an effective predictor of eventfree survival in patients with WT(risk ratio=1.95,95%CI:1.52–2.49,P<0.001).CONCLUSION In pediatric patients with WT,there exists a partial correlation between 16q LOH and an unfavorable treatment prognosis.Clinical detection of 16q chromosome LOH warrants increased attention to the patient’s prognosis.

Knock-in of exogenous sequences based on CRISPR/Cas9 targeting autosomal genes and sex chromosomes in the diamondback moth,Plutella xylostella

Genetic pest control strategies based on precise sex separation and only releasing sterile males can be accomplished by site-specific genome editing.In the current study,we showed that the mutation of single-allele Pxfl(2)d can significantly impair the normal mating behavior and testis development in male adults of the notorious cruciferous insect pest Plutella xylostella,in addition to its known functions in the ovarian development in female adults and egg hatching.Subsequent CRISPR/Cas9-based knock-in experiments revealed that site-specific integration of an exogenous green fluorescent protein(GFP)gene into autosomal Pxfl(2)d for labelling mutants could be achieved.However,this gene is not a suitable target for GFP insertion to establish a genetically stable knock-in strain because of the severe decline in reproductive capacity.We further screened for the W-chromosome-linked and Z-chromosome-linked regions to test the knock-in efficiency mediated by CRISPR/Cas9.The results verified that both types of chromosomes can be targeted for the site-specific insertion of exogenous sequences.We ultimately obtained a homozygous knock-in strain with the integration of both Cas9 and cyan fluorescent protein(CFP)expression cassettes on a Z-linked region in P.xylostella,which can also be used for early sex detection.By injecting the sgRNA targeting Pxfl(2)d alone into the eggs laid by female adults of the Z-Cas9-CFP strain,the gene editing efficiency reached 29.73%,confirming the success of expressing a functional Cas9 gene.Taken together,we demonstrated the feasibility of the knock-in of an exogenous gene to different genomic regions in P.xylostella,while the establishment of a heritable strain required the positioning of appropriate sites.This study provides an important working basis and technical support for further developing genetic strategies for insect pest control.

Characterization of meiotic chromosome behavior in the autopolyploid Saccharum spontaneum reveals preferential chromosome pairing without distinct DNA sequence variation

Autopolyploidy and allopolyploidy may represent an evolutionary advantage and are more common in plants than assumed. However, less attention has been paid to autopolyploidy than to allopolyploidy,and its evolutionary consequences are largely unclear, especially for plants with high ploidy levels. In this study, we developed oligonucleotide(oligo)-based chromosome painting probes to identify individual chromosomes in S. spontaneum. Using fluorescence in situ hybridization(FISH), we investigated chromosome behavior during pachytene, metaphase, anaphase, and telophase of meiosis I(MI) in autotetraploid,autooctoploid, and autodecaploid S. spontaneum clones. All autopolyploid clones showed stable diploidized chromosome behavior;so that homologous chromosomes formed almost exclusively bivalents during MI. Two copies of homologous chromosome 8 with similar sizes in the autotetraploid clone showed preferential pairing with each other with respect to the other copies. However, sequence variation analysis showed no apparent differences among homologs of chromosome 8 and all other chromosomes. We suggest that either the stable diploidized pairing or the preferential pairing between homologous copies of chromosome 8 in the studied autopolyploid sugarcane are accounted for by unknown mechanisms other than DNA sequence similarity. Our results reveal evolutionary consequences of stable meiotic behavior in autopolyploid plants.

Chromosome 5P of Agropyron cristatum induces chromosomal translocation by disturbing homologous chromosome pairing in a common wheat background

Wide hybridization is a strategy for broadening the genetic basis of wheat. Because an efficient method for inducing wheat–alien chromosome translocations will allow producing useful germplasm, it is desirable to discover new genes that induce chromosomal variation. In this study, chromosome 5P from A.cristatum was shown to induce many types of chromosomal structural variation in a common wheat background, including nonhomoeologous chromosome translocations, as revealed by genomic in situ hybridization, fluorescence in situ hybridization, and DNA marker analysis. Aberrant meiosis was associated with chromosomal structural variation, and aberrant meiotic behavior was observed in wheat–A.cristatum 5P monosomic and disomic addition lines, suggesting that the effect of chromosome 5P was independent of the number of chromosome 5P copies. Chromosome 5P disturbed homologous chromosome pairing at pachytene stage in a common wheat background, resulting in a high frequency of univalent formation and reduced crossing over. Thirteen genes involved in DNA repair or chromatin remodeling, including RAD52-like and MSH6 genes, were differentially expressed(upregulated) in wheat–A. cristatum 5P addition lines according to transcriptome analysis, implicating chromosome 5P in the process of meiotic double-strand break repair. These findings provide a new, efficient tool for inducing wheat–alien chromosome translocations and producing new germplasm.

Rapid identification of Psathyrostachys huashanica Keng chromosomes in wheat background based on ND-FISH and SNP array methods

Psathyrostachys huashanica Keng(2n=2x=14,NsNs)is regarded as a valuable wild relative species for common wheat cultivar improvement because of its abundant beneficial agronomic traits.However,although the development of many wheat–P.huashanica-derived lines provides a germplasm base for the transfer of excellent traits,the lag in the identification of P.huashanica chromosomes in the wheat background has limited the study of these lines.In this study,three novel nondenaturing fluorescence in situ hybridization(ND-FISH)-positive oligo probes were developed.Among them,HS-TZ3 and HS-TZ4 could specifically hybridize with P.huashanica chromosomes,mainly in the telomere area,and HS-CHTZ5 could hybridize with the chromosomal centromere area.We sequentially constructed a P.huashanica FISH karyotype and idiogram that helped identify the homologous groups of introduced P.huashanica chromosomes.In detail,1Ns and 2Ns had opposite signals on the short and long arms,3Ns,4Ns,and 7Ns had superposed two-color signals,5Ns and 6Ns had fluorescent signals only on their short arms,and 7Ns had signals on the intercalary of the long arm.In addition,we evaluated different ways to identify alien introgression lines by using low-density single nucleotide polymorphism(SNP)arrays and recommended the SNP homozygosity rate in each chromosome as a statistical pattern.The 15K SNP array is widely applicable for addition,substitution,and translocation lines,and the 40K SNP array is the most accurate for recognizing transposed intervals between wheat and alien chromosomes.Our research provided convenient methods to distinguish the homologous group of P.huashanica chromosomes in a common wheat background based on ND-FISH and SNP arrays,which is of great significance for efficiently identifying wheat–P.huashanica-derived lines and the further application of Ns chromosomes.

Nannochloropsis artificial chromosomes(Nanno ACs)loom on the horizon

Species in genus Nannochloropsis,especially N.oceanica and N.gaditana,have been evolving as the model microalgae for both application and theory studies.The position effect of genome integration,the carrying capability limitation of integrative vectors and the instability of non-integrative vectors have hindered Nannochloropsis genetic modification with concatenate genes and extremely long DNA fragments.The molecular tools including genetic transformation,homologous recombination,gene edition,gene stacking and episome vectors for transient gene expression and diverse reporters and selection markers have been rapidly developing in Nannochloropsis species.The construction of animal and plant artificial chromosomes with“top down”strategy has set fine examples for the construction of Nannochloropsis artificial chromosomes(NannoACs).It seems that the methods and materials to set the foundation for constructing NannoACs are at hands.In this review,we outlined the current status of transgenes in Nannochloropsis species,summarized the limitations of both integrative and non-integrative vectors,and proposed a tentative approach to construct NannoACs by doubling and stabilizing the genome first,and then truncating the natural chromosomes.NannoACs once constructed will facilitate transferring the desired traits and concatenate genes into Nannochloropsis genetic backgrounds,thus contributing towards its genetic improvement and synthetic biological studies.

Chromosome-level genome assembly of Cylas formicarius provides insights into its adaptation and invasion mechanisms

Cylasformicarius is one of the most important pests of sweet potato worldwide, causing considerable ecological and economic damage.This study improved the effect of comprehensive management and understanding of genetic mechanisms by examining the functional genomics of C. formicarius.Using Illumina and PacBio sequencing, this study obtained a chromosome-level genome assembly of adult weevils from lines inbred for 15 generations.The high-quality assembly obtained was 338.84 Mb, with contig and scaffold N50 values of 14.97 and 34.23 Mb, respectively.In total, 157.51 Mb of repeat sequences and 11 907 protein-coding genes were predicted.A total of 337.06 Mb of genomic sequences was located on the 11 chromosomes, accounting for 99.03%of the total length of the associated chromosome.Comparative genomic analysis showed that C. formicarius was sister to Dendroctonus ponderosae, and C. formicarius diverged from D. ponderosae approximately 138.89 million years ago (Mya).Many important gene families expanded in the C. formicarius genome were involved in the detoxification of pesticides, tolerance to cold stress and chemosensory system.To further study the role of odorant-binding proteins (OBPs) in olfactory recognition of C. formicarius, the binding assay results indicated that Cfor OBP4–6 had strong binding affinities for sex pheromones and other ligands.The high-quality C. formicarius genome provides a valuable resource to reveal the molecular ecological basis, genetic mechanism, and evolutionary process of major agricultural pests;it also offers new ideas and new technologies for ecologically sustainable pest control.

Genetic effects of Agropyron cristatum 2P chromosome translocation fragments in a wheat background

Agropyron cristatum(2n=4x=28,PPPP)is a wild relative of common wheat which contains a large number of desirable genes that can be exploited for wheat improvement.Wheat–A.cristatum 2P alien translocation lines exhibit many desirable traits,such as small flag leaves,a high spikelet number and density,and a compact plant type.An agronomic trait evaluation and a genetic analysis were carried out on translocation lines and backcross populations of these lines carrying different translocation fragments.The results showed that a translocation fragment from 2PT-3(2PL)reduced the length of the flag leaves,while translocation fragments from 2PT-3(2PL)and 2PT-5(2PL(0.60–1.00))reduced the width of the flag leaves.A translocation fragment from 2PT-13(2PS(0.18–0.36))increased the length and area of the flag leaves.Translocation fragments from 2PT-3(2PL)and 2PT-8(2PL(0.86–1.00))increased the density of spikelets.Translocation fragments from 2PT-7(2PL(0.00–0.09)),2PT-8(2PL(0.86–1.00)),2PT-10(2PS),and 2PT-13(2PS(0.18–0.36))reduced plant height.This study provides a scientific basis for the effective utilization of wheat–A.cristatum translocation lines.

六倍体小黑麦×六倍体小麦杂交后代中染色体遗传与结构变异鉴定

六倍体小黑麦是普通小麦品种遗传改良的重要基因资源,可以拓宽小麦的遗传基础。本研究以六倍体小黑麦为供体向普通小麦转移黑麦染色质,以探明六倍体小黑麦×六倍体小麦杂交、回交后代的染色体遗传特性,为小黑麦种质材料的后续研究和利用奠定基础。以六倍体小黑麦16引171为母本,六倍体小麦川麦62为父本配制杂交及回交组合,利用非变性荧光原位杂交技术(non-denaturing florescence in situ hybridization,ND-FISH)对F1、BC1F1和BC1F2植株进行细胞学跟踪鉴定。结果表明,杂种F1回交结实率为2.61%;BC1F1植株2R染色体传递频率最高;BC1F2植株中黑麦染色体在后代的传递率为6R>4R>2R,小麦背景中5B-7B相互易位染色体在BC1F2植株中表现出严重偏分离。在BC1F1和BC1F2植株中观察到24种结构变异染色体,包括染色体片段、等臂易位染色体、易位染色体以及双着丝粒染色体,且部分BC1F2植株的种子表现粒长和千粒重均优于六倍体小麦亲本川麦62。因此,在利用六倍体小黑麦作为桥梁向普通小麦导入黑麦遗传物质时,应尽量采取多次回交的方式,使D组染色体迅速恢复,保证后代育性的恢复,同时关注染色体结构变异材料的潜在应用价值。

胎儿末端染色体非平衡易位遗传方式的CNV-seq联合G显带核型分析

目的:通过拷贝数变异检测(CNV-seq)联合G显带核型分析对产前诊断和流产的胎儿末端染色体非平衡易位发生频率以及遗传方式进行分析。方法:选取2018年6月至2021年12月在郑州大学第一附属医院经CNV-Seq判定为末端染色体非平衡易位的病例,采用外周血G显带核型分析或FISH检测对胎儿父母进行溯源分析。结果:17248例产前诊断和流产病例中,88例检出末端染色体非平衡易位,检出率为0.51%。其中59例行父母G显带核型分析或FISH检测,32例(54.24%)是由于父母为平衡易位导致,27例(45.76%)为新发变异。结论:诊断为末端染色体非平衡易位的病例,父母行G显带核型分析或FISH检测可提高染色体平衡易位携带者的检出率。

颈项透明层增厚胎儿的绒毛染色体及微阵列结果分析

目的 探讨核型分析及染色体微阵列分析(CMA)技术在颈项透明层(NT)增厚胎儿产前诊断中的应用价值,评价NT增厚在产前筛查中的作用。方法 选取2018年1月至2020年12月孕11~13+6周在广州市花都区妇幼保健院筛查NT增厚(NT≥2.5 mm)胎儿137例,经胎盘绒毛穿刺,行“核型分析+CMA”检测,按NT值和临床指征分组,分别分为2.5~2.9 mm、3.0~3.9 mm、4.0~4.9 mm、NT≥5.0 mm组和孤立性NT增厚组、非孤立性NT增厚组,分析各组核型分析和CMA结果。结果 核型分析检出率为10.95%(15/137),CMA检出率为16.79%(23/137),CMA联合核型分析异常检出率为18.25%(25/137)。2.5~2.9 mm、3.0~3.9 mm、4.0~4.9 mm、NT≥5.0 mm组的检出率分别为7.89%(3/38)、8.20%(5/61)、33.33%(7/21)、52.94%(9/17),各组间差异有统计学意义(χ^(2)=22.54,P<0.05)。孤立性NT增厚组和非孤立性NT增厚组的检出率分别为12.24%(12/98)和26.67%(12/45),差异有统计学意义(χ^(2)=4.59,P<0.05)。结论 染色体核型分析联合CMA技术能提高NT增厚胎儿异常检出率,染色体异常发生率随NT值增高及合并其他超声异常明显增高。

45,X/47,XYY性发育异常一例并文献复习

45,X/47,XYY性发育异常是一种由于罕见的染色体异常导致的性发育异常疾病。报告1例收治的45,X/47,XYY嵌合型性发育异常患者,该患者主因原发性闭经并出现男性化表现就诊,具有特纳综合征(Turner syndrome,Turner综合征)的表现,腹腔镜探查显示一侧性腺为条索状,另一侧外观睾丸样,病理为卵睾型性腺,手术切除双侧附件并予人工周期治疗,有月经来潮。结合本例及检索到的文献报道的女性表型中因原发性闭经就诊的病例共11例,对该病的临床表现、诊断及治疗方式进行总结。女性表型45,X/47,XYY性发育异常患者临床表现多样,以Turner综合征表现合并男性化表现多见,应尽早发现并切除发育不良的性腺,防止性腺肿瘤的发生和男性化表现出现。术后进行长期激素替代治疗,同时注重患者精神心理的疏导。

无创产前检测9号染色体异常病例的产前诊断和遗传学分析

目的探讨无创产前检测(NIPT)提示9号染色体异常病例的产前诊断和遗传学分析。方法选取2019年8月至2023年12月就诊于首都医科大学附属北京妇产医院产前诊断中心且NIPT提示为9号染色体异常的16例孕妇作为研究对象,均接受产前遗传咨询,其中14例孕妇接受介入性产前诊断,进行羊水细胞染色体核型分析和(或)染色体基因组拷贝数变异分析。回顾性整理入组孕妇的临床资料、产前诊断结果和妊娠结局,随访活产儿情况。结果16例孕妇中14例孕妇接受介入性产前诊断,5例确诊为9号染色体异常,阳性预测值为35.71%(5/14),包括3例诊断为嵌合型9-三体综合征引产终止妊娠,1例诊断为致病性基因组拷贝数变异(CNV)引产终止妊娠,1例为临床意义未明CNV,足月分娩,新生儿未见异常;其余9例诊断正常,足月分娩,随诊新生儿未见异常。另外2例拒绝产前诊断,其中1例失访,1例产后拒绝随访。结论NIPT筛查胎儿9号染色体异常有一定价值,但需要联合染色体核型分析和CNV分析对其检测结果进行产前诊断的验证,以满足临床诊断的需求。

388例骨骼发育异常胎儿遗传学分析

目的分析骨骼发育异常胎儿的遗传学因素,探讨其在骨骼发育异常胎儿中的作用。方法选择2016年1月至2022年12月于广西壮族自治区妇幼保健院进行产前检查的388例超声检查提示骨骼发育异常或合并其他结构异常的胎儿为研究对象。回顾性分析388例胎儿的临床资料,比较其染色体核型分析与单核苷酸多态性微阵列(SNP-array)的检测结果。结果388例胎儿骨骼发育异常产前样本中,染色体核型分析结果发现异常20例,异常检出率为5.2%(20/388);SNP-array检出异常56例,异常检出率为14.4%(56/388)。在SNP-array检出的56例异常胎儿中,有19例胎儿的染色体核型分析结果为异常,其余37例胎儿核型正常。这37例正常核型胎儿中有12例为致病性拷贝数变异(CNVs),检出率为3.1%(12/388);另外25例为临床意义不明性CNVs。结论当超声检查提示胎儿骨骼发育异常时,胎儿可能存在染色体异常,建议行介入性产前诊断,以明确胎儿是否存在致病性基因缺陷,为临床遗传咨询提供更多参考依据。

等臂双着丝粒Y染色体胎儿的产前诊断、遗传咨询与随访

目的分析5例等臂双着丝粒Y染色体[idic(Y)]胎儿的产前诊断、遗传咨询与随访结果,为idic(Y)胎儿的临床处理提供参考依据。方法选择2018年1月至2022年8月7347例有产前诊断指征的孕妇,采用常规G显带核型及染色体微阵列分析(CMA)技术检测胎儿羊水,并用荧光原位杂交(FISH)技术验证,亲代染色体核型溯源检测。遗传咨询后跟踪随访妊娠结局。结果共诊断新发的idic(Y)胎儿5例,其中例1胎儿为单纯的idic(Yq),例2~5均为idic(Yq)与X单体的嵌合体。产前超声提示5例胎儿均为男性,除例1胎儿伴双侧马蹄内翻足可能外,其余4例均未见明显结构畸形。结合超声结果并予以个性化咨询后,例1~2选择继续妊娠,例3~5均终止妊娠。随访例1患儿至4周岁,足内翻手术效果良好,轻度发育迟缓经康复训练后好转;随访例2患儿至2周岁,暂未见异常表型;例3已再次受孕并分娩1名健康女婴;例4~5仍在备孕中。结论细胞与分子遗传学技术的联合应用有助于产前诊断idic(Y)胎儿,合理的遗传咨询及长期随访可为其后续的临床诊疗提供重要依据。

884例性染色体异常胎儿产前诊断结果分析

目的 对884例无创产前筛查(NIPS)提示性染色体异常的羊水样本进行核型分析、荧光原位杂交技术(FISH)和拷贝数变异测序(CNV-seq)检测,探讨不同方法在产前诊断中的价值。方法 选取2015年1月—2022年12月天津市中心妇产科医院孕早期NIPS提示胎儿为性染色体异常的孕妇884例,于孕中期采集羊水样本,进行羊水细胞核型分析和FISH检测,对结果不一致或培养失败的样本进一步行CNV-seq检测。结果 884例孕妇中,有341例(38.6%)检出异常核型,11例(1.2%)羊水细胞培养失败。NIPS性染色体阳性预测值为39.2%(341/873)。341例核型分析异常样本中,最常见的核型异常类型是47,XXY(108例),其次为47,XXX(80例)、47,XYY(68例)、45,X(18例),共检出51例嵌合体。884例孕妇中,有862例FISH检测结果与核型分析或CNV-seq结果一致,FISH的阳性预测值为97.5%;24例与核型分析结果不一致,进一步行CNV-seq检测,有22例CNV-seq结果与核型分析结果一致,并能相互补充分析;2例不一致样本中,1例核型分析结果为46,~+mar,FISH和CNV-seq结果均为45,X;1例核型分析结果为嵌合Y染色体异染色质区缺失,FISH和CNV-seq结果均为嵌合体,结构未见异常。结论 NIPS提示性染色体异常时,建议首选FISH和核型分析联合检测,可快速、准确地诊断染色体异常。对于疑似染色体特殊结构异常,建议进行FISH、核型分析和CNV-seq联合检测,可明确遗传学病因。

基于网格重构学习的染色体分类模型

染色体的分类是核型分析的重要任务之一.因其柔软易弯曲,且类间差异小、类内差异大等特点,其精准分类仍然是一个具有挑战性的难题.对此,提出一种基于网格重构学习(Grid reconstruction learning,GRiCoL)的染色体分类模型.该模型首先将染色体图像网格化,提取局部分类特征;然后通过重构网络对全局特征进行二次提取;最后完成分类.相比于现有几种先进方法,GRiCoL同时兼顾局部和全局特征提取更有效的分类特征,有效改善染色体弯曲导致的分类性能下降,参数规模合理.通过基于G带、荧光原位杂交(Fluorescence in situ hybridization,FISH)、Q带染色体公开数据集的实验表明:GRiCoL能够更好地弱化染色体弯曲带来的影响,在不同数据集上的分类准确度均优于现有分类方法.

邯郸地区染色体易位与不良孕产的研究

目的探讨邯郸地区染色体易位与不良孕产的相互关系。方法回顾性分析2011年8月至2023年8月来邯郸市中心医院遗传咨询的8960例患者,对患者外周血进行淋巴细胞培养,收获后制备染色体标本,进行染色体核型分析,选取确诊的79例染色体易位患者作为观察组,随机选取染色体核型分析结果正常的79例受试者作为对照组,对两组不良孕产的差异性进行探讨研究。结果8960例遗传咨询患者中检出染色体易位79例,异常率0.88%,包括平衡易位56例(70.89%)和罗伯逊易位23例(29.11%)。观察组发生自然流产、胚胎停育、生育畸形儿及不孕不育等不良孕产的概率显著高于对照组(P<0.05),对照组无不良孕产发生的概率显著高于观察组(P<0.05)。结论染色体易位是影响自然流产、胚胎停育、生育畸形儿、不孕不育等不良孕产的重要原因之一,对不良孕产的夫妇双方早期进行染色体检查及辅助生殖有着非常重要的意义。

NIPT-plus筛查染色体MMS的应用评价

目的探讨扩展性无创产前检测(NIPT-plus)在筛查染色体微缺失/重复综合征(MMS)上的应用。方法选取中山大学附属第一医院2018年1月至2020年12月3860例孕妇及2022年10例室间质评样本的NIPT和NIPT-plus检测结果,其中24例孕妇进行染色体微阵列分析(CMA)产前诊断。结果24例孕妇及10例质评样本NIPT-plus游离DNA浓度明显高于NIPT,总测序数据量提高了1.39~1.58倍,有效测序数据量提高了1.20~1.35倍;24例孕妇样本NIPT-plus提示1例18-三体,1例21-三体,2例MMS,NIPT提示1例18-三体,1例21-三体;10例质评样本NIPT-plus提示9例MMS且9号样本同时存在性染色体非整倍体(SCAs),NIPT仅提示1例SCAs。结论在本院系统检测范围内NIPT-plus能有效应用于MMS的筛查,减少出生缺陷。