POLYPLOIDY PHENOMENON AS A CAUSE OF EARLY MISCARRIAGES IN ABORTION MATERIALS
Yildirim ME, Karakus S, Kurtulgan HK, Ozer L, Celik SB
*Corresponding Author: Malik Ejder Yildirim, Associate Professor. Department of Medical Genetics, Faculty of Medicine, Sivas Cumhuriyet University, 58104 Sivas, Turkey. Phone: 03462581085, Email: nemalik2002@gmail.com
page: 5

RESULTS

In order to detect chromosomal abnormalities, karyotyping was performed on 92 spontaneous abortion samples and aCGH was applied whenever needed. The averages of age, body mass index, gravidity, parity and miscarriage numbers of females were calculated (Table 1). The mean age of women with miscarriage was 27±4.43. Twelve of these women (13%) had a history of recurrent miscarriage. There was no growth in 23 samples (25%) due to culture failure, while the results were normal in 42 materials (45.7%). A total of 32 various numerical and structural chromosomal abnormalities and chromosomal variations were found in 27 of the cases (29.3%) (Table 2). Triploidy was the most common among them (28%) (Table 3). In terms of numerical chromosomal abnormalities, 11 polyploidy cases (2 tetraploids and 9 triploids) were found as well as 8 trisomies (one of which was mosaic) and 2 sex chromosome aneuploidies (monosomy X) in our study. Trisomies included chromosomes 9, 13, 15 (two cases), 16 (two cases), 18, and chromosome 2 as mosaic. We detected 4 translocations as structural chromosomal abnormalities. Translocations consisted of two t(9;18), one t(1;7) and one t(7;11). On the other hand, the short arm isochromosome of chromosome 6 was found in one of the cases, while another case had a deletion of the long arm of the X chromosome and both abnormalities were mosaic. Among the numerical and structural chromosomal abnormalities, the rate of polyploidy was the highest (40.7%) (Figure 1). No abnormalities were detected in the karyotype analysis of the parents of polyploidy cases. We found 5 chromosomal variations (two heterochromatin and two satellite increments and inv9) in abortion materials. Although there was no significant difference in terms of maternal age, we determined a higher paternal age in polyploidy cases than in abortions with normal karyotype. (31.2±6.4 versus 34.6±4.8 and p=0.002).



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