Abstract
Complex chromosomal rearrangements (CCRs) can result in spontaneous abortions, infertility, and malformations in newborns. In this study, we explored a familial CCR involving chromosome 6 by combining optical genomic mapping (OGM) and molecular cytogenetic methodologies. Within this family, the father and the paternal grandfather were both asymptomatic carriers of an identical balanced CCR, while the two offspring with an unbalanced paternal-origin CCR and two microdeletions presented with clinical manifestation. The first affected child, a 5-year-old boy, exhibited neurodevelopmental delay, while the second, a fetus, presented with hydrops fetalis. SNP-genotype analysis revealed a recombination event during gamete formation in the father that may have contributed to the deletion in his offspring. Meanwhile, the couple’s haplotypes will facilitate the selection of normal gametes in the setting of assisted reproduction. Our study demonstrated the potential of OGM in identifying CCRs and its ability to work with current methodologies to refine precise breakpoints and construct accurate haplotypes for couples with a CCR.
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Data availability
The data presented in this study are available on request from the corresponding author.
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Acknowledgements
The authors appreciate the individuals and their families for their participation in this study.
Funding
The research received funding support from the National Key R&D Program of China (2021YFC1005300, 2021YFC1005301) and National High Level Hospital Clinical Research (2022-PUMCH-B-076).
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Conceptualization, N.H. and Y.J.; methodology, N.H. and Y.J.; software, H.L., M.L. and H.Z.; validation, M.L., H.Z., J.B., Y.W. and Y.Z.; formal analysis, N.H.; writing-original draft preparation, H.L.; writing-review and editing, N.H., J.C., Q.Q., X.Z. and Y.J.; supervision, N.H. and Y.J.; project administration, N.H. and Y.J.; funding acquisition, Y.J. All authors have read and agreed to the published version of the manuscript.
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This study was conducted in accordance with the principles of the Declaration of Helsinki and was approved by the Ethics Committee of Peking Union Medical College Hospital (HS-2979). All study participants consented to undergo genetic evaluations and signed written informed consent.
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Hao, N., Lou, H., Li, M. et al. Analysis of complex chromosomal rearrangement involving chromosome 6 via the integration of optical genomic mapping and molecular cytogenetic methodologies. J Hum Genet 69, 3–11 (2024). https://doi.org/10.1038/s10038-023-01197-3
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DOI: https://doi.org/10.1038/s10038-023-01197-3