Application of Touch FISH in the Study of Mosaic Tetraploidy and Maternal Cell Contamination in Pregnancy Losses
Overview
Reproductive Medicine
Authors
Affiliations
Purpose: karyotype is a well established technique in the study of spontaneous miscarriages but is associated with selective overgrowth of maternal cells and other culture artefact (spp) such as tetraploidy, which could mask the true karyotype of the conceptus.
Methods: 328 cases of pregnancy losses were studied by karyotype and Multiplex Ligation Dependent Probe Amplification technique. Touch FISH performed in non-cultured cells was used to evaluate the ploidy complement and sex discrepancies using centromeric probes for chromosomes X, Y and 18.
Results: touch FISH confirmed 13 cases of maternal contamination, identified a triploidy and a monosomy X. True tetraploidy was confirmed in 7/14 cases studied.
Conclusion: touch FISH protocol is extremely accurate in the distinction of genuine mosaicism from tissue culture artifacts namely in cases with suspicion of tetraploidy and can be used to confirm maternal cell contamination in cases with sex discrepancy between karyotype and MLPA.
Polyploidy Phenomenon as a Cause of Early Miscarriages in Abortion Materials.
Yildirim M, Karakus S, Kurtulgan H, Ozer L, Celik S Balkan J Med Genet. 2023; 26(1):5-10.
PMID: 37576791 PMC: 10413878. DOI: 10.2478/bjmg-2023-0002.
Molecular analysis of products of conception obtained by hysteroembryoscopy from infertile couples.
Campos-Galindo I, Garcia-Herrero S, Martinez-Conejero J, Ferro J, Simon C, Rubio C J Assist Reprod Genet. 2015; 32(5):839-48.
PMID: 25779005 PMC: 4429442. DOI: 10.1007/s10815-015-0460-z.
The combined QF-PCR and cytogenetic approach in prenatal diagnosis.
Tekcan A, Tural S, Elbistan M, Kara N, Guven D, Kocak I Mol Biol Rep. 2014; 41(11):7431-6.
PMID: 25078985 DOI: 10.1007/s11033-014-3630-7.
Grinschgl I, Mannweiler S, Holzapfel-Bauer M, Pferschy U, Hoefler G, Guertl B Virchows Arch. 2012; 462(2):175-82.
PMID: 23262783 DOI: 10.1007/s00428-012-1350-8.