Parental Origin of the Retained X Chromosome in Monosomy X Miscarriages and Ongoing Pregnancies

Fetal Diagn Ther. 2019;45(2):118-124. doi: 10.1159/000480499. Epub 2017 Oct 5.

Abstract

Objective: To assess the distribution of the parental origin of the retained X chromosome in monosomy X, either in miscarriages or in ongoing pregnancies.

Method: The parental origin of the X chromosome was determined in monosomy X pregnancies, either miscarriages or ongoing pregnancies. Microsatellite marker patterns were compared between maternal and fetal samples by quantitative fluorescence polymerase chain reaction. Distributions of maternally and paternally derived X chromosome were assessed in miscarriages and in ongoing pregnancies using two-tailed Fisher exact test.

Results: Forty monosomy X pregnancies were included in the study: 26 miscarried at 5-16 weeks, and 14 ongoing pregnancies were diagnosed at 11-20 weeks. The retained X chromosome was maternally derived in 67% of the cases. In miscarriages, maternal and paternal X chromosome were retained in a similar proportion (54% [95% CI: 35-73%] vs. 46% [95% CI: 27-65%]), while in ongoing pregnancies, the maternal rate was 13 times higher (93% [95% CI: 79-100%)] vs. 7% [95% CI: 0-20%]).

Conclusions: The retained X chromosome in individuals with monosomy X should theoretically be maternally derived in 2/3 of the cases. Our study suggests a preferential early miscarriage in pregnancies with a retained paternally derived X chromosome. This may explain the observation that 75-90% of individuals with monosomy X retain the maternal X chromosome.

Keywords: 45,X; Karyotype; Miscarriages; Ongoing pregnancies; Parental origin; Retained X chromosome; Turner syndrome.

MeSH terms

  • Abortion, Spontaneous / genetics*
  • Chromosomes, Human, X*
  • Female
  • Humans
  • Male
  • Maternal Inheritance
  • Paternal Inheritance
  • Pregnancy
  • Turner Syndrome / genetics*