Whole exome sequencing for prenatal diagnosis of CHARGE syndrome: a case report

Authors

  • Irene WY LOK
  • CW KONG
  • Anita SY KAN
  • KS YEUNG
  • Mullin HC YU
  • Brian HY CHUNG
  • William WK TO

DOI:

https://doi.org/10.12809/hkjgom.19.2.06

Keywords:

CHARGE syndrome, Prenatal diagnosis, Whole exome sequencing

Abstract

We report a prenatal case of CHARGE syndrome with multiple fetal structural abnormalities detected on ultrasonography despite normal karyotype and chromosomal microarray results. Whole exome sequencing of the fetus identified a pathogenic, de novo mutation in CHD7, and hence CHARGE syndrome was molecularly confirmed. The challenges in prenatal diagnosis of CHARGE syndrome by clinical features are discussed, as are the usefulness and limitations of whole exome sequencing in prenatal diagnosis.

References

Richards S, Aziz N, Bale S, et al. Standards and guidelines for the interpretation of sequence variants: a joint consensus recommendation of the American College of Medical Genetics and Genomics and the Association for Molecular Pathology. Genet Med 2015;17:405-24.

Lalani SR, Hefner MA, Belmont JW, et al. CHARGE Syndrome. In: Adam MP, Ardinger HH, Pagon RA, et al., editors. GeneReviews® Seattle: University of Washington; 1993-2019.

Charge syndrome. Online Mendelian Inheritance in Man (OMIM). Available from: https://www.omim.org/entry/214800. Assessed 10 April 2019.

Issekutz KA, Graham JM Jr, Prasad C, Smith IM, Blake KD. An epidemiological analysis of CHARGE syndrome: preliminary results from a Canadian study. Am J Med Genet A 2005;133A:309-17.

Blake KD, Davenport SL, Hall BD, et al. CHARGE association: an update and review for the primary pediatrician. Clin Pediatr (Phila) 1998;37:159-73.

Blake KD, Hartshorne TS, Lawand C, Dailor AN, Thelin JW. Cranial nerve manifestations in CHARGE syndrome. Am J Med Genet A 2008;146A:585-92.

Sanlaville D, Etchevers HC, Gonzales M, et al. Phenotypic spectrum of CHARGE syndrome in fetuses with CHD7 truncating mutations correlates with expression during human development. J Med Genet 2006;43:211-7.

Legendre M, Gonzales M, Goudefroye G, et al. Antenatal spectrum of CHARGE syndrome in 40 fetuses with CHD7 mutations. J Med Genet 2012;49:698-707.

Rizzo JM, Buck MJ. Key principles and clinical applications of “next-generation” DNA sequencing. Cancer Prev Res (Phila) 2012;5:887-900.

Rehm HL, Bale SJ, Bayrak-Toydemir P, et al. ACMG clinical laboratory standards for next-generation sequencing. Genet Med 2013;15:733-47.

Johnson K, Eason J. Prenatal diagnosis of genetic disorders. Obstet Gynaecol Reprod Med 2018;28:308-13.

Leung GKC, Mak CCY, Fung JLF, et al. Identifying the genetic causes for prenatally diagnosed structural congenital anomalies (SCAs) by whole-exome sequencing (WES). BMC Med Genomics 2018;11:93.

Lord J, McMullan DJ, Eberhardt RY, et al. Prenatal exome sequencing analysis in fetal structural anomalies detected by ultrasonography (PAGE): a cohort study. Lancet 2019;393:747-57.

International Society for Prenatal Diagnosis; Society for Maternal and Fetal Medicine; Perinatal Quality Foundation. Joint Position Statement from the International Society for Prenatal Diagnosis (ISPD), the Society for Maternal Fetal Medicine (SMFM), and the Perinatal Quality Foundation (PQF) on the use of genome-wide sequencing for fetal diagnosis. Prenat Diagn 2018;38:6-9.

van den Veyver IB, Eng CM. Genome-wide sequencing for prenatal detection of fetal single-gene disorders. Cold Spring Harb Perspect Med 2015;5.pii: a023077.

Downloads

Published

2023-04-06

How to Cite

1.
LOK IW, KONG C, KAN AS, YEUNG K, YU MH, CHUNG BH, TO WW. Whole exome sequencing for prenatal diagnosis of CHARGE syndrome: a case report. Hong Kong J Gynaecol Obstet Midwifery [Internet]. 2023 Apr. 6 [cited 2024 Apr. 26];19(2). Available from: https://hkjgom.org/home/article/view/270

Issue

Section

Case Report

Most read articles by the same author(s)

1 2 3 4 > >>