- Poster presentation
- Open Access
Analysis of chromosomal and genetic disorders in patients with recurrent miscarriages in Saudi Arabia
BMC Genomics volume 15, Article number: P73 (2014)
Recurrent spontaneous abortion has been reported to occur in 15-20% of all clinically recognizable pregnancies. Numerous studies have reported a clear relationship between the chromosomal abnormalities in parents and recurrent miscarriages and infertility [1–3], however limited data is available from Arabian Peninsula. The main goal of this study was to determine the prevalence of chromosomal abnormalities and correlate them with clinical characteristics of couples with recurrent spontaneous abortions (RSA) in Saudi Arabia.
Materials and methods
Cytogenetic analysis of 171 consent patients with spontaneous recurrent abortions was performed by the standard method of 72-hour lymphocyte culture and GTG banding. Further validation by conventional PCR and gel electrophoresis was done whenever required.
Our results showed that 6.43% of patients are carrier of a chromosomal abnormality. The prevalence of mosaicism, balanced translocations, duplications, Robertson translocation, triple X syndrome, and allelic polymorphism were 2.34%, 1.17%, 1.17%, 0.58%, 0.58% and 1.17% respectively. Interestingly, our data showed that women exhibited a higher prevalence to these chromosomal and genetic aberrations than men with female to male ratio of 2.7:1. A significant correlation (P<0.05; Table 1) was found between consanguineous marrying families and chromosomal abnormalities in subjects with recurrent abortions, confirming previous findings [4, 5]. Surprisingly, 78.6% of young women (≤35 years) with chromosomal aberrations had recurrent miscarriages and therefore infertility problems.
The current study reported a strong association between the higher rates of chromosomal abnormalities and recurrent spontaneous abortions. Given the high rate of consanguineous marriages in the Saudi population, these results underline the importance of systematic cytogenetic investigation and genetic counseling preferably at the premarital stage or at least during early pregnancy phase (Preimplantation genetic diagnosis) as recommended elsewhere .
Munne S, Cohen J: Recurrent abortion and live birth rate per patient. Fertility and sterility. 2006, 85 (4): 1071-
Seshadri S, Sunkara SK: Natural killer cells in female infertility and recurrent miscarriage: a systematic review and meta-analysis. Human reproduction update. 2013, [Epub ahead of print]
Hodes-Wertz B, Grifo J, Ghadir S, Kaplan B, Laskin CA, Glassner M, Munne S: Idiopathic recurrent miscarriage is caused mostly by aneuploid embryos. Fertility and sterility. 2012, 98 (3): 675-680.
McNamee K, Dawood F, Farquharson RG: Evaluation of array comparative genomic hybridization in recurrent miscarriage. Br J Hosp Med (Lond). 2013, 74 (1): 36-40.
Kochhar PK, Ghosh P: Reproductive outcome of couples with recurrent miscarriage and balanced chromosomal abnormalities. The journal of obstetrics and gynaecology research. 2013, 39 (1): 113-120.
Munne S, Magli C, Bahce M, Fung J, Legator M, Morrison L, Cohert J, Gianaroli L: Preimplantation diagnosis of the aneuploidies most commonly found in spontaneous abortions and live births: XY, 13, 14, 15, 16, 18, 21, 22. Prenatal diagnosis. 1998, 18 (13): 1459-1466.
About this article
Cite this article
Turki, R.F., Banni, H.A., Assidi, M. et al. Analysis of chromosomal and genetic disorders in patients with recurrent miscarriages in Saudi Arabia. BMC Genomics 15, P73 (2014). https://0-doi-org.brum.beds.ac.uk/10.1186/1471-2164-15-S2-P73
- Genetic Counseling
- Chromosomal Abnormality
- Preimplantation Genetic Diagnosis
- Arabian Peninsula