Abstract
Purpose
We aim to explore if there are any other candidate genetic variants in patients with a history of at least one hydatidiform mole (HM) besides the well-known variants in NLRP7 and KHDC3L.
Methods
The diagnosis of HM type was based on histopathology, and available HM tissues were collected for short tandem repeat (STR) genotyping to verify the diagnosis. DNA extracted from blood samples or decidual tissues of the 78 patients was subjected to whole-exome sequencing (WES).
Results
We identified five novel variants in NLRP7, two novel variants in KHDC3L, and a chromosome abnormality covering the KHDC3L locus among patients with HM. We found that patients with HM who carried heterozygous variants in KHDC3L had a chance of normal pregnancy. We also detected four novel genetic variants in candidate genes that may be associated with HM.
Conclusion
Our study enriched the spectrum of variants in NLRP7 and KHDC3L in Chinese HM patients and provided a new outlook on the effects of heterozygous variants in KHDC3L. The novel candidate genetic variants associated with HMs reported in this study will also contribute to further research on HMs.
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Acknowledgements
We thank all the patients who participated in this study and the clinicians and embryologists of the Center for Reproductive Medicine, Peking University Third Hospital for supporting.
Funding
This work was supported by the National Natural Science Foundation of China (81971440, 81671458), the National Key Research and Development Program of China (2018YFC1002302), and the Leading Academic Discipline Project of Beijing Education Bureau (BMU20110254).
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10815_2022_2592_MOESM1_ESM.xlsx
Supplementary file1 The fertility histories of the 78 unrelatedpatients in our study with at least one HM. (DOCX 31.1 KB)
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Yang, J., Yan, L., Li, R. et al. Genetic screening of Chinese patients with hydatidiform mole by whole-exome sequencing and comprehensive analysis. J Assist Reprod Genet 39, 2403–2411 (2022). https://doi.org/10.1007/s10815-022-02592-z
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DOI: https://doi.org/10.1007/s10815-022-02592-z