Prevalence of chromosomal abnormalities identified by copy number variation sequencing in high-risk pregnancies, spontaneous abortions, and suspected genetic disorders

J Int Med Res. 2019 Mar;47(3):1169-1178. doi: 10.1177/0300060518818020. Epub 2019 Feb 7.

Abstract

Objective: High-throughput sequencing based on copy number variation (CNV-seq) is commonly used to detect chromosomal abnormalities including aneuploidy. This study provides evidence for the prevalence of chromosomal abnormalities in target populations.

Methods: A total of 160 samples, including 83 high-risk pregnancies, 37 spontaneous abortions, and 40 suspected genetic disorders, were analyzed by CNV-seq. Relationships between the incidence of these chromosomal abnormalities and risk factors (e.g. advanced maternal age, abnormal pregnancy history, and family history of congenital disease) were further analyzed by subgroup.

Results: A total of 37 (44.6%) high-risk pregnancies, 25 (67.6%) spontaneous abortions, and 22 (55%) suspected genetic disorders had chromosomal abnormalities including aneuploidy and CNVs. There was an increased risk association between the prevalence of aneuploidy and pathogenic-relevant CNV in the fetus or abortive tissue and advanced maternal age. Moreover, a family history of congenital disease was also positively correlated with fetal chromosomal abnormalities in high-risk pregnancies.

Conclusion: A relatively high prevalence of chromosomal abnormalities was detected in high-risk pregnancies, spontaneous abortions, and suspected genetic disorders, indicating the importance of CNV detection in such populations.

Keywords: CNV-seq; Chromosomal abnormalities; aneuploidy; high risk pregnancies; spontaneous abortions; suspected genetic disorders.

MeSH terms

  • Abortion, Spontaneous / epidemiology
  • Abortion, Spontaneous / genetics*
  • Adolescent
  • Adult
  • China / epidemiology
  • Chromosome Aberrations*
  • DNA Copy Number Variations*
  • Female
  • Follow-Up Studies
  • Genetic Diseases, Inborn / epidemiology
  • Genetic Diseases, Inborn / genetics*
  • High-Throughput Nucleotide Sequencing
  • Humans
  • Karyotyping
  • Pregnancy
  • Pregnancy, High-Risk / genetics*
  • Prevalence
  • Prognosis
  • Young Adult