# Identification of autosomal and sex chromosome aneuploidies using next generation sequencing

**Authors:** Nidia Barco-Armengol, Dèlia Yubero, Clara Xiol, Núria Catasús, Laura Martí-Sánchez, Judith Armstrong, Francesc Palau, Guerau Fernandez

PMC · DOI: 10.1093/bioinformatics/btag104 · 2026-03-16

## TL;DR

This paper explores using next generation sequencing to detect chromosomal abnormalities in live births, showing it is effective and cost-efficient for clinical diagnostics.

## Contribution

The study demonstrates that next generation sequencing can detect both autosomal and sex chromosome aneuploidies with high accuracy, including mosaicism.

## Key findings

- NGS detected autosomal and sex chromosome aneuploidies with high specificity using clinical and whole exome sequencing data.
- Mosaic aneuploidies were successfully identified, highlighting the method's sensitivity.
- NGS is proposed as a cost-effective first-line diagnostic tool for routine aneuploidy screening.

## Abstract

Chromosomal abnormalities, referred to as aneuploidies, occur in approximately 0.3% of live births. While the majority of aneuploidies in humans are incompatible with life, well-characterized exceptions include Down syndrome (47,+21), Patau syndrome (47,+13), Edwards syndrome (47,+18), Turner syndrome (45,X0), Klinefelter syndrome (47,XXY), and triple X syndrome (47,XXX). These chromosomal alterations disrupt gene expression and cellular function, leading to genetic and developmental disorders. With the increasing adoption of next generation sequencing (NGS) in clinical diagnostics, this study aims to explore the potential use of NGS for aneuploidies detection.

Using data derived from clinical exomes (CES) and whole exomes (WES) sequencing we have been able to detect autosomal as well as sex chromosome aneuploidies with high specificity. Moreover, we have also been able to identify mosaic aneuploidies proving the high sensibility of this methodological approach. Thus, we present NGS as a cost-effective first line approach to detect chromosomal aneuploidies in routine diagnostic practice.

Scripts are available at https://github.com/B-R-I-D-G-E/AneuploidiesStudies.

## Linked entities

- **Diseases:** Down syndrome (MONDO:0008608), Patau syndrome (MONDO:0018068), Edwards syndrome (MONDO:0018071), Turner syndrome (MONDO:0019499), Klinefelter syndrome (MONDO:0006823), triple X syndrome (MONDO:0018066)

## Full-text entities

- **Genes:** CECR (cat eye syndrome chromosome region) [NCBI Gene 1055] {aka CES}, PCSK1 (proprotein convertase subtilisin/kexin type 1) [NCBI Gene 5122] {aka BMIQ12, NEC1, PC1, PC1/3, PC3, SPC3}
- **Diseases:** micropenis (MESH:C536649), learning disabilities (MESH:D007859), disomy of the X chromosome (MESH:C536470), renal abnormalities (MESH:D007674), skeletal anomalies (MESH:C535534), patent ductus arteriosus (MESH:D004374), Edwards syndrome (MESH:D000073842), muscle hypotonia (MESH:D009123), tetralogy of Fallot (MESH:D013771), rare Mendelian disorder (MESH:D035583), Central nervous system anomalies (MESH:D009421), 47, XXX (MESH:C535318), developmental delay (MESH:D002658), delays in speech and language development (MESH:D007805), 47,XXY (MESH:D007713), hypogonadism (MESH:D007006), infertility (MESH:D007246), developmental defects (MESH:D000094602), micrognathia (MESH:D008844), malformed ears (MESH:D004427), autosomal and sex chromosome aneuploidies (MESH:D012729), intellectual disability (MESH:D008607), cerebellar hypoplasia (MESH:C562568), microcephaly (MESH:D008831), miscarriage (MESH:D000022), Aneuploidies (MESH:D000782), atlantoaxial instability (MESH:C563472), gynecomastia (MESH:D006177), cognitive, social, or learning impairments (MESH:D003072), a triangular face (OMIM:616827), Turner syndrome (MESH:D014424), pulmonary hypoplasia (MESH:C562992), tumor (MESH:D009369), hydrocephalus (MESH:D006849), impaired coordination (MESH:D001259), Patau syndrome (MESH:D000073839), atrial septal defect (MESH:D006344), premature ovarian failure (MESH:D016649), Disorders (MESH:D009358), Genitourinary anomalies (MESH:D014564), XYY syndrome (MESH:C535317), sex aneuploidies (MESH:D058533), Chromosomal abnormalities (MESH:D002869), congenital heart defects (MESH:D006330), ventricular or atrial septal defects (MESH:D006345), alobar holoprosencephaly (MESH:D016142), double-outlet right ventricle (MESH:D004310), developmental abnormalities (MESH:D006130), Down syndrome (MESH:D004314), Genetic (MESH:D030342), microphthalmia (MESH:D008850), pyloric stenosis (MESH:D011707), psychomotor delay (MESH:D011596), hypospadias (MESH:D007021), Sex chromosomes aneuploidies (MESH:D025064), delay in motor skill development and muscle tone (MESH:D019957), atrioventricular septal defect (MESH:C562831), anophthalmia (MESH:D000853)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Figures

5 figures with captions in the complete paper: https://tomesphere.com/paper/PMC13032822/full.md

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Source: https://tomesphere.com/paper/PMC13032822