Molecular Cytogenetics (Mar 2020)

Copy number variations associated with fetal congenital kidney malformations

  • Meiying Cai,
  • Na Lin,
  • Linjuan Su,
  • Xiaoqing Wu,
  • Xiaorui Xie,
  • Ying Li,
  • Xuemei Chen,
  • Yuan Lin,
  • Hailong Huang,
  • Liangpu Xu

DOI
https://doi.org/10.1186/s13039-020-00481-7
Journal volume & issue
Vol. 13, no. 1
pp. 1 – 6

Abstract

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Abstract Background Congenital anomalies of the kidney and urinary tract (CAKUT) constitute 20–30% of all congenital malformations. Within the CAKUT phenotypic spectrum, renal hypodysplasia (RHD) is particularly severe. This study aimed to evaluate the applicability of single-nucleotide polymorphism (SNP) array test in prenatal diagnosis of RHD for improving prenatal genetic counseling and to search for evidence of a possible causative role of copy-number variations (CNVs) in RHD. Results We performed a systematic survey of CNV burden in 120 fetuses with RHD: 103 cases were isolated RHD and 17 were non-isolated RHD. Single-nucleotide polymorphism (SNP) array test was performed using the Affymetrix CytoScan HD platform. All annotated CNVs were validated by fluorescence in situ hybridization. We identified abnormal CNVs in 15 (12.5%) cases of RHD; of these CNVs, 11 were pathogenic and 4 were variants of uncertain significance. The detection rate of abnormal CNVs in non-isolated RHD was higher (29.4%, 5/17) than that in isolated RHD (9.7%, 10/103) (P = 0.060). Parents are more inclined to terminate the pregnancy if the fetuses have pathogenic results of the SNP-array test. Conclusions The variable phenotypes that abnormal CNVs may cause indicate the genetic counseling is needed for RHD cases.

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