The Prenatal Diagnosis of Seven Fetuses with 7q11.23 Microdeletion or Microduplication

Fetal Pediatr Pathol. 2020 Aug;39(4):269-276. doi: 10.1080/15513815.2019.1651802. Epub 2019 Aug 12.

Abstract

Objective: There is scant information available about fetuses with 7q11.23 copy number variants (CNVs) found during pregnancy. We studied the clinical significance of 7q11.23 CNVs in prenatal diagnosis. Materials and methods: The amniocentesis was performed on pregnant women who underwent ultrasound (US) of fetal abnormalities. After karyotype analysis, CNVs were detected using BACs-on-Beads (BoBs) technique and chromosome microarray analysis (CMA). Results: Of seven fetuses with CNV of 7q11.23, five had microdeletions and two had microduplications. Case 1 had a 7q11.23 microdeletion along with other CNVs. Case 7 was a newborn with a normal phenotype and 7q11.23 microduplication. Conclusion: The CNVs in 7q11.23 results in many clinical manifestations, but the specificity of clinical features is not high. This study demonstrated that BoBs combined with CMA allows prenatal diagnosis of CNVs involving 7q11.23, and provide a clinical basis for prenatal diagnosis and genetic counseling of such CNVs.

Keywords: 7q11.23 microduplication syndrome; BoBs; CMA; Williams syndrome.

MeSH terms

  • Amniocentesis
  • Chromosome Aberrations
  • Chromosome Disorders*
  • Female
  • Fetus
  • Humans
  • Infant, Newborn
  • Karyotyping
  • Pregnancy
  • Prenatal Diagnosis