Evidence map›Paper›PMID 42260229›Full record

ArticleArchives of gynecology and obstetrics2026

NIPT-based prenatal screening of maternal Xq28 copy number variations in a cohort of 80,371 pregnancies.

Lulu Meng, Yiyun Xu, Yixuan Liang, Ran Zhou, Jingyu Zhao, Haiqin Huo, Qinxin Zhang, Jie Gao, Tingting Liu, Min Dai and 4 more

Abstract read
In one paragraph

Article in Archives of gynecology and obstetrics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

14 authors.

Lulu Meng *Department of Prenatal Diagnosis, Women's Hospital of Nanjing Medical University (Nanjing Women and Children's Healthcare Hospital), 123 Tianfei Alley, Mochou Road, Nanjing, 210004, Jiangsu, China.
Yiyun Xu *Department of Prenatal Diagnosis, Women's Hospital of Nanjing Medical University (Nanjing Women and Children's Healthcare Hospital), 123 Tianfei Alley, Mochou Road, Nanjing, 210004, Jiangsu, China.
Yixuan Liang *Department of Prenatal Diagnosis, Women's Hospital of Nanjing Medical University (Nanjing Women and Children's Healthcare Hospital), 123 Tianfei Alley, Mochou Road, Nanjing, 210004, Jiangsu, China.
Ran ZhouDepartment of Prenatal Diagnosis, Women's Hospital of Nanjing Medical University (Nanjing Women and Children's Healthcare Hospital), 123 Tianfei Alley, Mochou Road, Nanjing, 210004, Jiangsu, China.
Jingyu ZhaoClin Lab, BGI Genomics, Nanjing, 210019, Jiangsu, China.
Haiqin HuoDepartment of Prenatal Diagnosis, Women's Hospital of Nanjing Medical University (Nanjing Women and Children's Healthcare Hospital), 123 Tianfei Alley, Mochou Road, Nanjing, 210004, Jiangsu, China.
Qinxin ZhangDepartment of Prenatal Diagnosis, Women's Hospital of Nanjing Medical University (Nanjing Women and Children's Healthcare Hospital), 123 Tianfei Alley, Mochou Road, Nanjing, 210004, Jiangsu, China.
Jie GaoDepartment of Prenatal Diagnosis, Women's Hospital of Nanjing Medical University (Nanjing Women and Children's Healthcare Hospital), 123 Tianfei Alley, Mochou Road, Nanjing, 210004, Jiangsu, China.
Tingting LiuDepartment of Prenatal Diagnosis, Women's Hospital of Nanjing Medical University (Nanjing Women and Children's Healthcare Hospital), 123 Tianfei Alley, Mochou Road, Nanjing, 210004, Jiangsu, China.
Min DaiDepartment of Prenatal Diagnosis, Women's Hospital of Nanjing Medical University (Nanjing Women and Children's Healthcare Hospital), 123 Tianfei Alley, Mochou Road, Nanjing, 210004, Jiangsu, China.
Peina DuClin Lab, BGI Genomics, Shanghai, 201321, China.
Yan WangDepartment of Prenatal Diagnosis, Women's Hospital of Nanjing Medical University (Nanjing Women and Children's Healthcare Hospital), 123 Tianfei Alley, Mochou Road, Nanjing, 210004, Jiangsu, China. wangyan@njmu.edu.cn.
Ping HuDepartment of Prenatal Diagnosis, Women's Hospital of Nanjing Medical University (Nanjing Women and Children's Healthcare Hospital), 123 Tianfei Alley, Mochou Road, Nanjing, 210004, Jiangsu, China. njfybjyhuping@163.com.
Zhengfeng XuDepartment of Prenatal Diagnosis, Women's Hospital of Nanjing Medical University (Nanjing Women and Children's Healthcare Hospital), 123 Tianfei Alley, Mochou Road, Nanjing, 210004, Jiangsu, China. zhengfengxu@njmu.edu.cn.

Funding

Jiangsu Province Capability Improvement Project through Science, Technology and Education Jiangsu Provincial Medical Key Discipline ZDXK202211National Key Research and Development Program of China 2022YFC2703400National Key Research and Development Program of China 2022YFC2703400 and 2021YFC1005301National Natural Science Foundation of China No. 81971398 and No. 82371862Open Project of the Genetic Diseases Key Laboratory of Sichuan Province 2025kflx004
6 · The paper itself

Abstract

purposeCopy number variation (CNVs) can result in various genomic diseases and variable clinical phenotypes. This study aimed to assess the feasibility and reliability of noninvasive prenatal testing (NIPT) for prenatal screening of maternal copy number variation (CNVs) involving the Xq28 recurrent region.

methodsIn this retrospective, single-center study, we analyzed the NIPT data of 80,371 pregnant women to detect the maternal CNVs from 2017 to 2022. Maternal CNVs involving the int22h1/int22h2-mediated chromosome Xq28 recurrent region detected by NIPT were focused on. Chromosomal microarray analysis (CMA) was then performed to validate NIPT results if the remaining maternal lymphocytes were available.

resultsA total of 48 (0.060%, 95% CI 0.045% ~ 0.079%) maternal CNVs involving int22h1/int22h2-mediated chromosome Xq28 recurrent region were identified by NIPT, including 29 (0.036%, 95% CI 0.025% ~ 0.052%) pathogenic deletions sizing from 128.1 kb to 93,244.3 kb, 17 (0.021%, 95% CI 0.013% ~ 0.034%) pathogenic duplications sizing from 442.5 kb to 2059.1 kb and two (0.002%, 95% CI 0.000% ~ 0.009%) variants of uncertain significance (VOUS) sizing from 215.2 kb to 326.1 kb. The detection rates of typical Xq28 recurrent microdeletions and microduplications were 0.005% (4/80,371, 95% CI 0.002% ~ 0.013%) and 0.006% (5/80,371, 95% CI 0.003% ~ 0.015%), respectively. Chromosomal microarray analysis (CMA) was performed to validate NIPT results in 22 cases for which remaining maternal lymphocytes were available. The positive predictive value (PPV) of NIPT for maternal CNV's detection in the 22 cases was 100.0% (95% CI 85.1% ~ 100.0%).

conclusionsThis study illustrated the feasibility and potential of NIPT to detect maternal CNVs involving the Xq28 recurrent region.

Indexed as

Chromosomes, Human, XDNA Copy Number VariationsNoninvasive Prenatal TestingPrenatal DiagnosisAdultFeasibility StudiesFemaleHumansMicroarray AnalysisPregnancyReproducibility of ResultsRetrospective StudiesChromosome Xq28 duplication syndromeMaternal copy number variantMonosomy Xq28Noninvasive prenatal testingX-linked genetic diseases

Identifiers

PMID42260229
PMCPMC13469197

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