Table 4.
Genetic variants, prenatal diagnosis, pregnancy decision-making and outcomes in ARCs
| No | Disease | Gene | Inheritance pattern | Gender | Variants | Prenatal diagnosis | Pregnancy decision-making and outcomes |
|---|---|---|---|---|---|---|---|
| 1 | DMD | DMD | XL | Female | Exon14_17 Dup | Fetus did not carry the disease-causing variant | Term infant, male, normal |
| 2 | DMD | DMD | XL | Female | c.7555G > A (p.Asp2519Asn) | Reject | Term infant, female, normal |
| 3 | DMD | DMD | XL | Female | Exon43_44 Del | – | Unpregnant and plan to PGT-M |
| 4 | DMD | DMD | XL | Female | Exon28_29 Del | ND | TOP due to fetal structural abnormalities |
| 5 | DMD | DMD | XL | Female | Exon51_52 Del | Fetus was a carrier of the disease | Term infant, female, normal |
| 6 | DMD | DMD | XL | Female | Exon48_51 Del | Fetus was a carrier of the disease | Term infant, female, normal |
| 7 | DMD | DMD | XL | Female | Exon48_49 Del | Fetus did not carry the disease-causing variant | Term infant, female, normal |
| 8 | Hemophilia B | F9 | XL | Female | c.479G > A (p.Gly160Glu) | ND | Spontaneous abortion occurred at 19 weeks of pregnancy |
| 9 | MUT-Related MMA | MMUT | AR | Female | c.1677-1G > A | Fetus was a carrier of the disease | Term infant, male, normal |
| Male | c.914 T > C (p.Leu305Ser) | ||||||
| 10 | MUT-Related MMA | MMUT | AR | Female | c.1208G > A (p.Arg403Gln) | – | Birth of a normal boy through PGT-M |
| Male | c.1106G > A (p.Arg369His) | ||||||
| 11 | MUT-Related MMA | MMUT | AR | Female | c.2179C > T (p.Arg727*) | – | No pregnancy plan |
| Male | c.1677-1G > A | ||||||
| 12 | DFNB1A | GJB2 | AR | Female | c.235del (p.Leu79Cysfs*3) | Reject | Term infant, female, normal |
| Male |
c.235del (p.Leu79Cysfs*3) |
||||||
| 13 | DFNB1A | GJB2 | AR | Female |
c.49_50del (p.Ser17Hisfs*30) |
Reject | Keep pregnancy |
| Male |
c.235del (p.Leu79Cysfs*3) |
||||||
| 14 | DFNB4 | SLC26A4 | AR | Female | c.919-2A > G | Reject | term infant, normal |
| Male | c.919-2A > G | ||||||
| 15 | DFNB4 | SLC26A4 | AR | Female | c.919-2A > G | Fetus did not carry the disease-causing variant | Term infant, female, normal |
| Male |
c.665G > T (p.Gly222Val) |
||||||
| 16* | Hypophosphatasia, infantile/ childhood | ALPL | AR | Female |
c.88C > T (p.Arg30*) |
Fetus did not carry the disease-causing variant | Term infant, female, normal |
| Male |
c.1091_1092insGCAG (p.Ser364Argfs*42) |
||||||
| 17 | MMA, cblC type | MMACHC | AR | Female |
c.609G > A (p.Trp203*) |
Fetus was a carrier of the disease | Term infant, male, normal |
| Male |
c.80A > G (p.Gln27Arg) |
||||||
| 18 | SMA | SMN1 | AR | Female | Exon7 Del | Reject | Term infant, female, normal |
| Male | Exon7 Del | ||||||
| 19 | PKU | PAH | AR | Female |
c.992 T > C (p.Phe331Ser) |
Fetus was a carrier of the disease | Term infant, male, normal |
| Male |
c.1174 T > A (p.Phe392Ile) |
||||||
| 20 | Krabbe disease | GALC | AR | Female |
c.461C > A (p.Pro154His) |
Fraternal twins, one fetus was affected and the other was unaffected | TOP for the fetus with genetic abnormalities, the other unaffected one was born healthy |
| Male |
c.1901 T > C (p.Leu634Ser) |
PGT-M preimplantation genetic testing for monogenic/single-gene disorders, ND not done, TOP termination of pregnancy
*The family was not pregnant at the time of testing, and a prenatal diagnosis was performed after a natural pregnancy through follow-up