extracted from placental villi (n = 169), umbilical cord (n = 4), intestine (n = 1), CVS (n = 16), yolk sac (n = 3), and fetal somatic tissue (n = 72). These specimens were collected between January 2013 to December 2020. Approval for this study was obtained from the Committee on Human Rights Related to Research Involving Human Subjects based on Helsinki's Declaration (COA. MURA2014/686).
DNA IsolationAll samples were collected in a saline solution and extracted for purified DNA. According to the manufacturer's protocol extraction reagents for tissues, DNA was extracted using the QIAamp DNA Micro Kit (QIAGEN, Hilden, Germany). The extracted DNA's concentration and purity were measured by Nanodrop 2000 Spectrophotometer instrument before labeling DNA and after the labeled DNA purification.
BACs-on-beads TechnologyKaryoLite™ BoBs and Prenatal™ BoBs were performed according to the manufacturer's instructions (PerkinElmer Life Sciences Wallac, Turku, Finland) Luminex 200 platform to identify fluorescence intensity. 9 The 240 ng of genomic DNA was amplified with
IntroductIonAt least 10% of pregnancy loss occurs in the first trimester due to fetal chromosomal abnormalities. [1][2][3][4] The use of products of conception (POC) for genetic testing can identify the cause of miscarriage. Conventional karyotyping is the gold standard required for the tissue culture process. This process requires time to culture the material and has a high failure rate of approximately 5-25%. 5 Bacterial artificial chromosomes (BACs)-on-beads (BoBs) technology is a rapid molecular genetic method to detect DNA copy number gains and losses. It does not require cell culture and may increase diagnostic yield to detect anomalies in early pregnancy losses. Two types of BoBs assays are available. The Prenatal™ BoBs have been developed to detect aneuploidies of chromosomes 13, 18, 21, X, and Y and detect gains and losses of DNA in critical regions of chromosomes associated with nine microdeletion syndromes (DiGeorge-1, DiGeorge-2, Williams-Beuren, Prader-Willi, Angelman, Smith-Magenis, Wolf-Hirschhorn, Cri du Chat, Langer-Giedion, and Miller-Dieker syndromes). The KaryoLite™ BoBs have been developed to detect aneuploidies and regions of specific chromosomal p and q arms of all 24 chromosomes in a single assay. 4,[6][7][8] There are 3-4 beads per chromosome. The labeled beads are detected using a Luminex platform identifying fluorescence intensity between a sample and references to identify DNA copy number changes across the regions. Due to the high failure rate of POC samples culture, we aimed to investigate the use of the BoBs (Prenatal™ and KaryoLite™) technique to detect chromosomal aneuploidies and microdeletions in POC. In addition, the concordance and efficacy of both methods were evaluated.
MaterIals a n d Methods
Products of ConceptionThe 265 DNA samples routinely archived at −80°C were extracted from fresh products of conception, which included samples