Study on the Correlation Between the Ultrasound Phenotype and Copy Number Variation of Abnormal Embryo in Spontaneous Abortion

Overview

Journal J Obstet Gynaecol Res

Specialty Gynecology & Obstetrics

Date 2021 Sep 27

PMID 34571575

Citations 1

Authors

Shuyin Tan

Pingshan Pan

Zuojian Yang

Jiasun Su

Hongwei Wei

Affiliations

Soon will be listed here.

Abstract

Objective: This study aimed to explore the correlation between the ultrasound phenotype and copy number variation (CNV) of abnormal embryos in spontaneous abortion by investigating the abnormal chromosome copy number of embryos at different developmental stages in early spontaneous abortion.

Methods: A total of 539 patients who had early spontaneous abortion in our hospital between 2015 and 2019 were divided into seven groups according to the phenotype of abnormal embryonic development during pregnancy, and the embryonic tissues of the patients were subjected by single nucleotide polymorphism (SNP) microarray.

Results: Among 377 cases with abnormal CNV, 295 (78.25%) cases had chromosome trisomy, and 28 (7.43%) cases had a combination of more than two chromosomes. Triploidy, tetraploidy, chromosome microdeletion/duplication, uniparental disomy, and monosomy 45,X were found in 32 (8.48%), five (1.32%), 31 (8.22%), four (1.02%), and eight (2.12%) cases, respectively. Two (0.53%) cases had autosomal chromosome 21 monosomy. Normal karyotype had the highest proportion in the empty sac group; trisomy 16 accounted for the bulk of chromosomes in the normal yolk sac group, complex triploidy occupied the most part in the abnormal yolk sac group, and no remarkable difference in chromosomal abnormality proportion was found between the normal and abnormal yolk sac groups; the most frequent chromosomal anomaly in a group of germ without cardiac activity and germ<5 mm was trisomy 16; triploidy was the most common in the group with 5 mm ≤ germ ≤ 15 mm, whereas the main distribution of chromosome karyotype was normal, followed by trisomy 13 in a group with germ>15 mm.

Conclusion: Abnormal embryos with different ultrasound phenotypes in early spontaneous abortion have various CNV types and characteristic distribution. Thus, ultrasound combined with SNP array can provide a basis for the etiological analysis of embryos in spontaneous abortion.

Citing Articles

Genetic analysis of chorionic villus tissues in early missed abortions.

Xue H, Guo Q, Yu A, Lin M, Chen X, Xu L Sci Rep. 2023; 13(1):21719.

PMID: 38081877 PMC: 10713591. DOI: 10.1038/s41598-023-48358-0.

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