Genetic Analysis of Vanishing Twin Syndrome Using Next-Generation Sequencing and Short Tandem Repeat Analysis: A Case Report and Literature Review DOI Creative Commons

Hidemine Honda,

Mika Handa, Tsuyoshi Takiuchi

et al.

Journal of Investigative Medicine High Impact Case Reports, Journal Year: 2024, Volume and Issue: 12

Published: Jan. 1, 2024

Vanishing twin syndrome (VTS) refers to the spontaneous reduction of a fetus during multiple pregnancies, resulting in its invisibility gestation. is commonly identified through ultrasonographic examination early pregnancy; nonetheless, genetic causes VTS are rarely detected. This report aimed investigate feasibility testing for using low-coverage whole-genome sequencing and short tandem repeat (STR) analysis. We 39-year-old woman who underwent vitro fertilization conceived dichorionic diamniotic twins. The heartbeat 1 ceased at 11 weeks, leading diagnosis VTS, whereas surviving developed normally was delivered full term. Placental revealed rudimentary gestational sac adjacent placenta that correlated with vanished fetus. Chorionic tissues were collected from live-born infant considered have originated Genetic chorionic showed both fetuses monozygotic twins normal 46, XY male karyotype. However, triallelic pattern Penta E locus on STR analysis, which unique characteristic. highlights despite unclear relationship between

Language: Английский

The fundamental need for unifying phenotypes in sudden unexpected pediatric deaths DOI Creative Commons
Monica H. Wojcik, Annapurna Poduri, Ingrid A. Holm

et al.

Frontiers in Medicine, Journal Year: 2023, Volume and Issue: 10

Published: June 2, 2023

A definitive, authoritative approach to evaluate the causes of unexpected, and ultimately unexplained, pediatric deaths remains elusive, relegating final conclusions diagnoses exclusion in vast majority cases. Research into unexplained has focused primarily on sudden infant (under 1 year age) led identification several potential, albeit incompletely understood, contributory factors: nonspecific pathology findings, associations with sleep position environment that may not be uniformly relevant, elucidation a role for serotonin is practically difficult estimate any individual case. Any assessment progress this field must also acknowledge failure current approaches substantially decrease mortality rates decades. Furthermore, potential commonalities across broader age spectrum have been widely considered. Recent epilepsy-related observations genetic identified post-mortem both infants children who died suddenly unexpectedly, suggest more intense specific phenotyping efforts as well an expanded genomic evaluation. We therefore present new reframe phenotype range, collapsing many distinctions based arbitrary factors (such previously guided research area, discuss its implications future postmortem investigation.

Language: Английский

Citations

5

Preconception Non-criteria Antiphospholipid Antibodies and Risk of Subsequent Early Pregnancy Loss: a Retrospective Study DOI Creative Commons

Fangxiang Mu,

Mei Wang, Xianghui Zeng

et al.

Reproductive Sciences, Journal Year: 2023, Volume and Issue: 31(3), P. 746 - 753

Published: Nov. 6, 2023

Abstract The aim of this study was to investigate the subsequent early pregnancy outcomes in women positive for non-criteria antiphospholipid antibodies (NC-aPLs) before pregnancy. A total 273 patients who had experienced sporadic or recurrent loss and been screened 13 NC-aPLs at preconception were recruited from September 2019 February 2022. Serum levels measured by ELISA using specific kits. primary outcome loss, secondary biochemical pregnancy, clinically confirmed ongoing Among these subjects, 56 one previous 217 (RPL). (+) (−) groups similar rates (EPL) after adjustment, regardless number (aOR = 1.054, 95% CI 0.602–1.846). Other comparable both groups, including 1.344, 0.427–4.236), 0.744, 0.236–2.344), 0.949, 0.542–1.660). Based on sensitivity analysis, not associated with adverse RPL. Furthermore, difference gestational weeks between two also insignificant. This found no evidence linking NC-aPL positivity but offers a reference future research clarify NC-aPLs’ potential clinical impact.

Language: Английский

Citations

5

Transcription factor genetics and biology in predisposition to bone marrow failure and hematological malignancy DOI Creative Commons

Jiarna R. Zerella,

Claire C. Homan, Peer Arts

et al.

Frontiers in Oncology, Journal Year: 2023, Volume and Issue: 13

Published: June 12, 2023

Transcription factors (TFs) play a critical role as key mediators of multitude developmental pathways, with highly regulated and tightly organized networks crucial for determining both the timing pattern tissue development. TFs can act master regulators primitive definitive hematopoiesis, controlling behavior hematopoietic stem progenitor cells (HSPCs). These control functional regulation HSPCs including self-renewal, proliferation, differentiation dynamics, which are essential to normal hematopoiesis. Defining players dynamics these transcriptional is understanding hematopoiesis how genetic aberrations in their predispose disease bone marrow failure (BMF) hematological malignancy (HM). Despite multifaceted complex involvement development, advances screening along elegant multi-omics model system studies shedding light on interact network achieve cell fates etiology. This review focuses BMF HM, identifies potential novel candidate predisposing TF genes, examines putative biological mechanisms leading phenotypes. A better genetics molecular biology TFs, well identifying genes variants will accelerate development preventative strategies, improve clinical management counseling, help define targeted treatments diseases.

Language: Английский

Citations

4

Addressing Barriers to Autopsy and Genetic Testing in Stillbirth Workup DOI Creative Commons
Karen J. Gibbins, Neeta L. Vora, Akila Subramaniam

et al.

Deleted Journal, Journal Year: 2024, Volume and Issue: 1(3), P. 025 - 025

Published: Aug. 1, 2024

The cause of death in many stillbirths remains unexplained, part because systematic barriers to complete workup. We review the importance placental pathology, fetal autopsy, and genetic testing stillbirth Placental pathology is useful 65% stillbirths, autopsy 42%. Currently, only 21% United States undergo autopsy. Barriers workup include cost testing, availability perinatal expertise, health care professional knowledge about workup, skilled counseling support bereaved parents making decisions propose solutions overcome these barriers, including policy changes expand access a framework for high-quality patient decision support.

Language: Английский

Citations

1

Genetic Analysis of Vanishing Twin Syndrome Using Next-Generation Sequencing and Short Tandem Repeat Analysis: A Case Report and Literature Review DOI Creative Commons

Hidemine Honda,

Mika Handa, Tsuyoshi Takiuchi

et al.

Journal of Investigative Medicine High Impact Case Reports, Journal Year: 2024, Volume and Issue: 12

Published: Jan. 1, 2024

Vanishing twin syndrome (VTS) refers to the spontaneous reduction of a fetus during multiple pregnancies, resulting in its invisibility gestation. is commonly identified through ultrasonographic examination early pregnancy; nonetheless, genetic causes VTS are rarely detected. This report aimed investigate feasibility testing for using low-coverage whole-genome sequencing and short tandem repeat (STR) analysis. We 39-year-old woman who underwent vitro fertilization conceived dichorionic diamniotic twins. The heartbeat 1 ceased at 11 weeks, leading diagnosis VTS, whereas surviving developed normally was delivered full term. Placental revealed rudimentary gestational sac adjacent placenta that correlated with vanished fetus. Chorionic tissues were collected from live-born infant considered have originated Genetic chorionic showed both fetuses monozygotic twins normal 46, XY male karyotype. However, triallelic pattern Penta E locus on STR analysis, which unique characteristic. highlights despite unclear relationship between

Language: Английский

Citations

1