دورية أكاديمية

Prenatal Noninvasive Trio-WES in a Case of Pregnancy-Related Liver Disorder

التفاصيل البيبلوغرافية
العنوان: Prenatal Noninvasive Trio-WES in a Case of Pregnancy-Related Liver Disorder
المؤلفون: Aldesia Provenzano, Antonio Farina, Anna Seidenari, Francesco Azzaroli, Carla Serra, Anna Della Gatta, Orsetta Zuffardi, Sabrina Rita Giglio
المصدر: Diagnostics; Volume 11; Issue 10; Pages: 1904
بيانات النشر: Multidisciplinary Digital Publishing Institute
سنة النشر: 2021
المجموعة: MDPI Open Access Publishing
مصطلحات موضوعية: fetal cell free DNA, exome sequencing, non-invasive WES, liver disorder
الوصف: Liver disease in pregnancy may present as an acute condition related to the gestational period, characterized by pruritus, jaundice, and abnormal liver function. The disease may be misdiagnosed with other liver diseases, some of which may have consequences for fetal health. It is therefore advisable to implement rapid diagnostic strategies to provide information for the management of pregnancy in these conditions. We report the case of a healthy woman with a twin pregnancy from homologous in vitro fertilization (IVF), who in the third trimester presented jaundice and malaise. Biochemical investigations and liver hyperechogenicity raised the suspicion of acute fatty liver disease of pregnancy (AFLP). Non-invasive prenatal whole-exome sequencing (WES) in the trio identified the Phe305Ile heterozygous variant in the ATP8B1 gene. Considering the twin pregnancy, the percentage of the variant versus the wild allele was of 31%, suggesting heterozygosity present in the mother alone. This analysis showed that the mother was affected by benign recurrent intrahepatic cholestasis of pregnancy (ICP1: # 147480) and indicated the opportunity to anticipate childbirth to avoid worsening of the mother’s health. WES after the birth of the twins confirmed the molecular data.
نوع الوثيقة: text
وصف الملف: application/pdf
اللغة: English
العلاقة: Pathology and Molecular Diagnostics; https://dx.doi.org/10.3390/diagnostics11101904Test
DOI: 10.3390/diagnostics11101904
الإتاحة: https://doi.org/10.3390/diagnostics11101904Test
حقوق: https://creativecommons.org/licenses/by/4.0Test/
رقم الانضمام: edsbas.794EE964
قاعدة البيانات: BASE