1.Diagnosis of a case of complex chromosomal rearrangement by optical genome mapping.
Xia YE ; Xuzhuo ZHANG ; Jingtian LU ; Yanhong YU ; Hong LI ; Juan QIU
Chinese Journal of Medical Genetics 2025;42(6):747-750
OBJECTIVE:
To analyze a patient with infertility due to complex chromosome rearrangement by optical genome mapping (OGM).
METHODS:
A female patient who was diagnosed with "primary infertility" at Shenzhen Longhua District Maternal and Child Health Care Hospital in April 2024 was selected as the study subject. Clinical data of the patient was collected. Chromosome G banding karyotyping analysis was carried out for the patient and her parents, in addition with OGM and copy number variation sequencing (CNV-seq). This study was approved by the Medical Ethics Committee of the Hospital (Ethics No.: 2023052504).
RESULTS:
The patient, a 33-year-old female, had infertility for the past 5 years. OGM revealed formation of two derivative chromosomes through rearrangement of chromosomes 5 and 18. A loss of heterozygosity on chromosome 5 was also detected by OGM and CNV-seq techniques. Both of her parents had a normal karyotype.
CONCLUSION
The OGM technique can refine the position of chromosomal breakpoints and determine the direction and position of insertional fragment. Combined with karyotype analysis, the OGM can accurately determine the chromosomal karyotype of the patient and facilitate genetic counseling.
Humans
;
Female
;
Adult
;
Karyotyping
;
DNA Copy Number Variations/genetics*
;
Chromosome Mapping/methods*
;
Chromosome Aberrations
;
Infertility, Female/diagnosis*
2.Precise genetic analysis and reproductive guidance for two rare families with complex chromosomal rearrangements facilitated by optical genome mapping.
Jiangyang XUE ; Min XIE ; Yuxin ZHANG ; Yingwen LIU ; Haibo LI
Chinese Journal of Medical Genetics 2025;42(7):883-889
OBJECTIVE:
To apply optical genome mapping (OGM) technique for the analysis of genetic etiology in two rare families with complex chromosomal rearrangements (CCRs) and to provide precise reproductive guidance to them.
METHODS:
Two Chinese families diagnosed with chromosomal rearrangements by chromosomal microarray analysis (CMA) or whole-exome sequencing (WES) between June and December 2023 at the Affiliated Women and Children's Hospital of Ningbo University were selected as the study subjects. In both cases, unbalanced chromosomal translocations were suspected. Clinical data were collected, and peripheral blood from the couple, amniotic fluid sample and aborted fetal tissue was subjected to combined G-banding karyotyping and OGM for comprehensive genetic analysis. This study has been approved by the Medical Ethics Committee of the Hospital (Ethics No.: EC2023-094).
RESULTS:
In family 1, the fetus was signaled to have abnormal chromosome 7 by non-invasive prenatal testing (NIPT), prompting amniocentesis and CMA detection. In family 2, a pregnancy loss had occurred at 10 weeks' gestation, and trio-WES was carried out. Both fetuses were found to harbor copy number variations (CNVs) suggestive of unbalanced CCRs. Further analysis with OGM has revealed that, in family 1, an unbalanced rearrangement involving chromosomes 7, 8, and 10 was carried by the fetus and the pregnant woman, which has formed der(8) and der(10) derivative chromosomes. In family 2, a maternal CCR was found, which involved chromosomes 2 and 13 with seven breakpoints, resulting in unbalanced fetal CNVs. After genetic counseling, family 1 opted to continue with the pregnancy, considering the woman's normal appearance and inheritance of the rearrangement. For both families remained to have a risk for unbalanced rearrangements in subsequent pregnancies, preimplantation genetic testing (PGT) was recommended.
CONCLUSION
In both families, the OGM has precisely delineated the genetic basis of fetal CNVs and mapped the maternal CCR breakpoints, providing critical insights for genetic counseling and reproductive decision-making.
Adult
;
Female
;
Humans
;
Male
;
Pregnancy
;
Chromosome Aberrations
;
Chromosome Disorders/genetics*
;
Chromosome Mapping/methods*
;
Genetic Testing/methods*
;
Pedigree
;
Prenatal Diagnosis/methods*
;
Translocation, Genetic
3.The value of Optical genome mapping technique for the verification of suspected chromosomal structural variations among patients undergoing assisted reproduction.
Yuxin ZHANG ; Jiangyang XUE ; Min XIE ; Changshui CHEN ; Shanshan WU ; Haibo LI
Chinese Journal of Medical Genetics 2025;42(11):1281-1287
OBJECTIVE:
To assess the value of Optical genome mapping (OGM) for the verification of chromosomal structural variations among patients undergoing assisting reproduction.
METHODS:
A retrospective analysis was carried out on the clinical data of 12 patients presented at the Reproductive Center of Ningbo University Women and Children's Hospital from October 2022 to October 2024. All patients had undergone OGM testing due to suspection of structural variants by chromosomal karyotyping or a suggestive medical history. This study was approved by the Medical Ethics Committee of the hospital (Ethics No.: EC2024-148).
RESULTS:
Among the 12 patients verified by OGM, one (8.3%) was in keeping with the result of chromosomal karyotyping. Revised karyotypes were confirmed in seven cases (58.3%), including four with complex chromosomal rearrangements. Structural variation was excluded in three cases (25.0%). Of note, OGM has identified a previously undetected cryptic balanced translocation, i.e., ogm[GRCh38] t(7;12)(q36.3;q24.23)(157511190_157523142;119205703_119198409).
CONCLUSION
OGM can serve as an auxiliary diagnostic technique to conventional karyotyping and enable validation of suspected structural variations in those with ambiguous karyotype results or a history of adverse pregnancies. This can provide more precise genetic diagnosis for patients undergoing assisted reproduction and selection of clinical intervention strategies.
Humans
;
Female
;
Adult
;
Retrospective Studies
;
Karyotyping
;
Reproductive Techniques, Assisted
;
Chromosome Mapping/methods*
;
Chromosome Aberrations
4.Analysis of false-negative cases by Optical genome mapping and a literature review.
Junrong ZHANG ; Min SU ; Yuquan ZHANG ; Jianlin ZHANG
Chinese Journal of Medical Genetics 2025;42(11):1288-1294
OBJECTIVE:
To explore the reasons for false negative results by Optical genome mapping (OGM) analysis of three cases and propose strategies for handling them.
METHODS:
Three patients presented at the Affiliated Hospital of Nantong University between July 2022 and July 2024 were selected as study subjects. The patients included a 37-year-old female with two miscarriages, a 1.5-year-old boy with delayed motor development, and a 35-year-old male whose son had intellectual disability. The patients had undergone comprehensive evaluation with chromosomal karyotyping analysis, single nucleotide polymorphism microarray (SNP array) assay, fluorescence in situ hybridization (FISH), and methylation-specific multiple ligation-dependent probe amplification (MS-MLPA). A retrospective analysis was also carried out on the results of OGM testing. This study was approved by the Medical Ethics Committee of the Hospital (Ethics No.: 2020-K004).
RESULTS:
The chromosomal karyotype of patient 1 was 46,XX,4qs, and no abnormality was found by SNP array, FISH, and OGM testing. Patient 2 had a normal chromosomal karyotype, and SNP array analysis did not reveal any copy number abnormalities of chromosomal fragments but the presence of a homozygous region of approximately 79.58 Mb at 15q11.2-q26.3 (chr15: 22817871_102397317). MS-MLPA detection indicated that the copy number of the 15q11.2-q13 region was 2, and the degree of methylation was relatively high (average ratio = 1.0). OGM detection confirmed the presence of approximately 67.97 Mb of homozygosity in the chr15:33814680_101787650 [hg38] region of 15q14-q26.3. Patient 3 had a chromosomal karyotype of 46,XY,t(9;14)(q13;q11.2). No abnormality was found by OGM testing for patients 1 and 3.
CONCLUSION
As a novel cytogenetic technique, OGM can achieve high-resolution and high-precision analysis for numerical and structural genomic abnormalities. Nevertheless, it also has certain limitations, as its false negative results are related to factors such as the type of genomic variation, the chromosomal regions involved in the variation, the type of disease, and the version of human reference genome. Currently, it cannot be used as an independent method for the diagnosis of genetic diseases.
Humans
;
Male
;
Female
;
Adult
;
Polymorphism, Single Nucleotide/genetics*
;
Karyotyping
;
Chromosome Mapping/methods*
;
Infant
;
False Negative Reactions
;
In Situ Hybridization, Fluorescence
5.Optical genome mapping technology and its applications in genetic disease diagnosis.
Jianlin ZHANG ; Junrong ZHANG ; Min SU ; Yuquan ZHANG
Chinese Journal of Medical Genetics 2024;41(12):1496-1502
Optical genome mapping (OGM) is an emerging technology for the detection of genetic diseases based on physical mapping, which can detect numerical chromosomal abnormalities, copy number variation (CNV) and structural variation (SV) on a genome-wide scale. In recent years, a number of studies have proved that OGM, as a new generation of cytogenomic technique, has higher resolution and stronger ability to discover genomic variants compared with conventional genetic techniques. This article has systematically reviewed the principles, characteristics, advantages and limitations of OGM technology, and its applications in the diagnosis of genetic disorders.
Humans
;
DNA Copy Number Variations
;
Chromosome Mapping/methods*
;
Genetic Diseases, Inborn/diagnosis*
;
Genome, Human
6.An Exome-seq Based Tool for Mapping and Selection of Candidate Genes in Maize Deletion Mutants.
Shangang JIA ; Kyla MORTON ; Chi ZHANG ; David HOLDING
Genomics, Proteomics & Bioinformatics 2018;16(6):439-450
Despite the large number of genomic and transcriptomic resources in maize, there is still much to learn about the function of genes in developmental and biochemical processes. Some maize mutants that were generated by gamma-irradiation showed clear segregation for the kernel phenotypes in B73 × Mo17 F2 ears. To better understand the functional genomics of kernel development, we developed a mapping and gene identification pipeline, bulked segregant exome sequencing (BSEx-seq), to map mutants with kernel phenotypes including opaque endosperm and reduced kernel size. BSEx-seq generates and compares the sequence of the exon fraction from mutant and normal plant F2 DNA pools. The comparison can derive mapping peaks, identify deletions within the mapping peak, and suggest candidate genes within the deleted regions. We then used the public kernel-specific expression data to narrow down the list of candidate genes/mutations and identified deletions ranging from several kb to more than 1 Mb. A full deletion allele of the Opaque-2 gene was identified in mutant 531, which occurs within a ∼200-kb deletion. Opaque mutant 1486 has a 6248-bp deletion in the mapping interval containing two candidate genes encoding RNA-directed DNA methylation 4 (RdDM4) and AMP-binding protein, respectively. This study demonstrates the efficiency and cost-effectiveness of BSEx-seq for causal mutation mapping and candidate gene selection, providing a new option in mapping-by-sequencing for maize functional genomics studies.
Chromosome Mapping
;
methods
;
DNA, Plant
;
genetics
;
DNA-Binding Proteins
;
genetics
;
Endosperm
;
Exome
;
genetics
;
Exons
;
genetics
;
Gene Deletion
;
Genomics
;
Phenotype
;
Plant Proteins
;
genetics
;
Sequence Analysis, DNA
;
methods
;
Transcription Factors
;
genetics
;
Zea mays
;
genetics
7.Construction of a 15-plex Rapid STR Multiplex Amplification System.
Jun-Ping HAN ; Jing SUN ; Yuan OU ; Peng LIU ; Jian YE ; Wen-wen ZHAO ; Xue-qian WANG ; Yi-wen ZHANG ; Yao LIU ; Cai-xia LI
Journal of Forensic Medicine 2016;32(1):49-53
OBJECTIVE:
To establish a 15-plex rapid STR multiplex amplification system.
METHODS:
Fourteen auto-chromosome loci and one sex-chromosome were selected to compare the situations of allelic losses and nonspecific amplication under different conditions. FastStart Taq DNA polymerase and DNA standard sample 9947A were used during amplification and optimization process.15-plex rapid STR amplification system was achieved by performing various experiments including selection of amplification conditions and the volume of DNA polymerase, adjustment of inter-locus balance, optimization of rapid amplification, screening of reaction buffers, selection of reaction volume, and a variety of additives.
RESULTS:
Using 10 μL rapid PCR system, including 1 ng DNA templates, 0.4 μL polymerase and 10xFastStart high fidelity reaction buffer, a complete and well-balance DNA profile of 15 STR loci for standard genomic DNA was obtained in 32 minutes, without the allele drop-out and non-specific amplicons. Meanwhile, 5% glycerinum, 0.01% gelatin, 0.05% gelatin and 5 mmol/L ammonium sulfate could be used as the reactive additive during the amplification procedure.
CONCLUSION
The 15-plex rapid STR multiplex amplification system can be used to decrease reaction time and enhance sample throughput.
Alleles
;
Chromosome Mapping
;
DNA/genetics*
;
DNA Fingerprinting/methods*
;
Forensic Genetics/methods*
;
Humans
;
Microsatellite Repeats/genetics*
;
Polymerase Chain Reaction/methods*
;
Racial Groups/genetics*
;
Sensitivity and Specificity
;
Tandem Repeat Sequences
8.Recent advances in clinical and genetic research of spinocerebellar ataxia type 36.
Sheng ZENG ; Beisha TANG ; Junling WANG
Chinese Journal of Medical Genetics 2015;32(6):886-889
Non-coding expansion spinocerebellar ataxias (SCAs) are a group of autosomal dominant neurodegenerative diseases characterized by "CTA/CTG", "ATTCT", "TGGAA" expansion in non-coding region of the causative gene. Until now, 5 subtypes including SCA8, SCA10, SCA12, SCA31 and SCA36 have been mapped. Recently, the causative mutation for SCA36, namely intronic hexanucleotide GGCCTG expansion in NOP56 gene, has been identified in Japanese and Spanish pedigrees in succession. Compared with other subtypes of SCAs, there are certain distinctive characteristics for SCA36. The clinical and genetic features of SCA36 are reviewed in this paper.
Base Sequence
;
Biomedical Research
;
methods
;
trends
;
Chromosome Mapping
;
Chromosomes, Human, Pair 20
;
genetics
;
DNA Repeat Expansion
;
genetics
;
Genetic Predisposition to Disease
;
genetics
;
Humans
;
Nuclear Proteins
;
genetics
;
Oligonucleotides
;
genetics
;
Spinocerebellar Ataxias
;
genetics
;
pathology
9.A new multilocus sequence analysis scheme for Mycobacterium tuberculosis.
Bing LU ; Hai Yan DONG ; Xiu Qin ZHAO ; Zhi Guang LIU ; Hai Can LIU ; Yuan Yuan ZHANG ; Yi JIANG ; Kang Lin WAN
Biomedical and Environmental Sciences 2012;25(6):620-629
OBJECTIVETuberculosis remains one of the most serious infectious diseases in the world. In this study, a scheme of Mycobacterium tuberculosis (M. tuberculosis) multilocus sequence analysis (MLSA) was established for the phylogenetic and epidemiology analysis.
METHODSTo establish the scheme of M. tuberculosis MLSA, the genome of H37Rv, CCDC5079 and CCDC5180 were compared, and some variable genes were chosen to be the MLSA typing scheme. 44 M. tuberculosis clinical isolates were typed by MLSA, IS6110-RFLP, and soligotyping, to evaluate the MLSA methods.
RESULTSAfter comparison of the genome, seven high discrimination gene loci (recX, rpsL, rmlC, rpmG1, mprA, gcvH, ideR) were chosen to be the MLSA typing scheme finally. 11 variable SNP sites of those seven genes were found among the 44 M. tuberculosis isolate strains and 11 sequence types (STs) were identified. Based on the Hunter-Gaston Index (HGI), MLSA typing was not as good for discrimination at the strain level as IS6110-RFLP, but the HGI was much better than that of spoligotyping. In addition, the MEGA analysis result of MLSA data was similar to spoligotyping/PGG lineage, showing a strong phylogenetic signal in the modern strains of M. tuberculosis. The MLSA data analysis by eBURST revealed that 4 sequence types (ST) came into a main cluster, showing the major clonal complexes in those 44 strains.
CONCLUSIONMLSA genotyping not only can be used for molecular typing, but also is an ideal method for the phylogenetic analysis for M. tuberculosis.
Chromosome Mapping ; Chromosomes, Bacterial ; Gene Expression Regulation, Bacterial ; Genome, Bacterial ; Genotype ; Multilocus Sequence Typing ; methods ; Mycobacterium tuberculosis ; genetics ; metabolism
10.Improvement and application of DXS52(St14) in gene diagnosis of hemophilia A.
Mei YAN ; Yan LIANG ; Xing CHEN ; Xin-ping FAN ; Bai XIAO ; Jing-zhong LIU
Chinese Journal of Medical Genetics 2011;28(1):19-22
OBJECTIVETo improve the experimental method of DXS52 (St14) and apply it to genetic testing for hemophilia A (HA).
METHODSPCR of DXS52 and agarose gel electrophoresis were performed for genetic testing in 61 non-inversion HA families. Linkage analysis of 7 loci within the FVIII gene including Bcl I, Hind III, Xba I, STR1, STR13, STR22 and STR24 were also carried out for the 61 families.
RESULTSDXS52 can provide information in 43 out of 61 families and the diagnostic rate was 70.5%. Eight families can be diagnosed only by DXS52 locus, accounting for 13.1%. Two families were found to have recombination between DXS52 and FVIII.
CONCLUSIONThe new experimental conditions can reach accurate and clear results in DXS52 genetic testing. This gene maker has high diagnostic rate, so it is an indispensable linkage analysis method in HA gene diagnosis. More caution should be paid when using the extragenic locus DXS52 to perform gene diagnosis because of its high recombinant rate with FVIII.
Chromosome Mapping ; methods ; Chromosomes, Human, X ; Factor VIII ; genetics ; Female ; Genetic Linkage ; Genetic Markers ; Hemophilia A ; diagnosis ; genetics ; Humans ; Male

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