Prenatal genetic analysis of a fetus with Miller-Dieker syndrome.
10.3760/cma.j.cn511374-20220331-00221
- Author:
Fengyang WANG
1
;
Na QI
;
Tao WANG
;
Yue GAO
;
Dong WU
;
Mengting ZHANG
;
Ke YANG
;
Huijuan PENG
;
Xingxing LEI
;
Shixiu LIAO
Author Information
1. Henan Provincial Institute of Medical Genetics, People's Hospital of Zhengzhou University, Henan Provincial People's Hospital, Zhengzhou, Henan 450003, China. 1130812837@qq.com.
- Publication Type:Journal Article
- MeSH:
Pregnancy;
Female;
Humans;
Classical Lissencephalies and Subcortical Band Heterotopias;
Comparative Genomic Hybridization;
DNA Copy Number Variations;
Fetus;
Hydrocephalus;
Prenatal Diagnosis;
Chromosome Deletion
- From:
Chinese Journal of Medical Genetics
2023;40(4):505-511
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To explore the genetic basis for fetus with bilateral lateral ventriculomegaly.
METHODS:Fetus umbilical cord blood and peripheral blood samples of its parents were collected. The fetus was subjected to chromosomal karyotyping, whilst the fetus and its parents were subjected to array comparative genomic hybridization (aCGH). The candidate copy number variation (CNV) were verified by qPCR, Application goldeneye DNA identification system was used to confirm the parental relationship.
RESULTS:The fetus was found to have a normal karyotype. aCGH analysis indicated that it has carried a 1.16 Mb deletion at 17p13.3, which partially overlapped with the critical region of Miller-Dieker syndrome (MDS), in addition with a 1.33 Mb deletion at 17p12 region, which is associated with hereditary stress-susceptible peripheral neuropathy (HNPP). Its mother was also found to harbor the 1.33 Mb deletion at 17p12. qPCR analysis confirmed that the expression levels of genes from the 17p13.3 and 17p12 regions were about the half of that in the normal control, as well as the maternal peripheral blood sample. Parental relationship was confirmed between the fetus and its parents. Following genetic counseling, the parents has chosen to continue with the pregnancy.
CONCLUSION:The fetus was diagnosed with Miller-Dieker syndrome due to the de novo deletion at 17p13.3. Ventriculomegaly may be an important indicator for prenatal ultrasonography in fetuses with MDS.
