Genetic counseling of a prenatally detected familial 18.79-kb Xp21.1 microduplication encompassing exon 13 of DMD in a pregnancy with no apparent phenotypic abnormalities in the male carriers in the family

Abstract

Objective: We present genetic counseling of a prenatally detected familial 18.79-kb Xp21.1 microduplication encompassing exon 13 of DMD in a pregnancy with no apparent phenotypic abnormalities in the male carriers in the family. Case report: A 35-year-old, gravida 2, para 0, woman underwent amniocentesis at 17 weeks of gestation because of advanced maternal age. Amniocentesis revealed a karyotype of 46,XY. Simultaneous aCGH analysis on the DNA extracted from uncultured amniocytes revealed an 18.79-kb Xp21.1 microduplication, or arr Xp21.1 (32,608,400–32,627,193) × 2.0 [GRCh37 (hg19)] encompassing only exon 13 of the gene of DMD (31,137,345–33,357,706) [GRCh37 (hg19)]. Multiplex ligation-dependent probe amplification (MLPA) analysis of the family showed that the mother and her 32-year-old brother carried the same duplication but without apparent phenotypic abnormalities and no features of DMD. Prenatal ultrasound was normal. She was referred for genetic counseling at 24 weeks of gestation, and continuing pregnancy was advised. At 38 weeks of gestation, a 3530-g phenotypically normal male baby was delivered. aCGH analysis of the umbilical cord confirmed the result of arr Xp21.1 (32,608,400–32,627,193) × 2.0 [GRCh37 (hg19)] encompassing only exon 13 of the gene of DMD (31,137,345–33,357,706) [GRCh37 (hg19)]. Conclusion: Xp21.1 microduplication encompassing exon 13 of the DMD gene can be a benign genetic variant.

Keywords

• DMD
• Genetic counseling
• Prenatal diagnosis
• Xp21.1 microduplication