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Publisher: Peytchinski Publishing Ltd.
ISSN: 1312-773X (Online)
Issue: 2021, vol. 27, issue4
Subject Area: Medicine
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DOI: 10.5272/jimab.2021274.4133
Published online: 02 December 2021
Original article
J of IMAB. 2021 Oct-Dec;27(4):4133-4138
CHROMOSOMAL POLYMORPHISM IN BULGARIAN PATIENTS WITH REPRODUCTIVE PROBLEMS – ONE GENETIC CENTRE EXPERIENCE
Lyudmila Angelova1, 2
, Maria Tsvetkova 1, 2, Mariya Levkova 1, 2,
1) Department of Medical Genetics, Medical University, Varna, Bulgaria.
2) Laboratory of Medical Genetics, University Hospital Saint Marina, Varna, Bulgaria.
ABSTRACT:
Chromosomal polymorphism is described as normal variants at chromosomal regions with no impact on the phenotype but a possible correlation to infertility and recurrent spontaneous abortions.
The aim of this study was to evaluate the effect of the chromosomal polymorphisms involved in families with reproductive failures in the Bulgarian population.
Material and methods: A total of 1733 patients with unexplained reproductive failures who visited the Laboratory of Medical Genetics – Varna, Bulgaria, (2004 - 2019) were investigated by conventional cytogenetic analysis GTG and CBG differential banding techniques and analyzed at the resolution 400-550 GTG bands.
Results: Chromosomal polymorphisms were found in 173 infertile patients (9,98%). The sex distribution was 6,52% males and 3,46% females. The most frequent finding was inv(9)(qh) (23,7%). The other chromosomal variants, which were found, consisted: 9qh+/- variants (15,1%); polymorphisms on the short arms of the acrocentric chromosomes (21,4%); 16qh+ (12,7%) and 1qh+ (6,9%). Y chromosome polymorphism was found in 27,4% of the males with polymorphisms. Two rare cases of polymorphism involving the centromere regions - 19qcenh+ and 20pcenh+ were also found.
Conclusion: There is growing evidence that polymorphisms may have a clinical impact on fertility and could take part in the etiology of RF. In this study, we found a significantly high percentage of polymorphisms (9,98%) among the tested patients, and they were more common among males. The statistical significance of increased incidence of chromosome variations found in our study emphasizes the need for routine evaluation of their role in families with RF in our country.
Keywords: chromosome polymorphism, variant, infertility, recurrent spontaneous abortions,
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Please cite this article as: Angelova L, Tsvetkova M, Levkova M. Chromosomal polymorphism in Bulgarian patients with reproductive problems – one genetic centre experience. J of IMAB. 2021 Oct-Dec;27(4):4133-4138. DOI: 10.5272/jimab.2021274.4133
Correspondence to: Prof. Lyudmila Angelova, MD, PhD., Department of Medical Genetics,Medical University, University Hospital Saint Marina, Varna; 1, Hristo Smirnensku Blvd., Varna, Bulgaria; E-mail: lyudmila.b.angelova@gmail.com
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Received: 01 June 2021
Published online: 02 December 2021