Congenital anomalies in embryos with normal chromosomes

Cytogenetic and histologic analyses of spontaneous abortions

In a study of spontaneous abortions the correlations between karyotype (166 cases), anamnestic data, and macroscopic and histologic findings in placentas (107 cases) and embryos (73 cases) were analyzed. The main results were: 1. The rate of chromosomal aberrations was 39%. Trisomies predominated (60%), followed by monosomy X (20%), triploidies (14%), and structural aberrations (6%). 2. In trisomies a clear prevalence of female sex constitution (2:1) was observed. In normal karyotypes a slight prevalence of females was seen (1.2:1). 3. With increasing maternal age, more trisomies were found in the abortions. 4. Women whose index abortion had a normal karyotype had a history of fewer births but more abortions. 5. Trisomies of acrocentric chromosomes were mainly chorionic sacs with an embryo, while trisomies of the other autosomes resulted in intact empty sacs. 6. The average developmental stage of the embryos was 5 weeks, with a mean gestational age of 14 weeks. Gross malformations were found in 58% of the embryos.

Cytogenetics of postimplantation rabbit conceptuses following delayed fertilization

The chromosome complement and anatomical development of 10-16-day rabbit embryos were studied following delayed fertilization. Preimplantation loss was 40% in the experimental group compared with 17% in control animals. Also, a greater number of embryos retarded in growth or with structural anomalies was seen in the delayed-mated group. Cytogenetic analysis revealed a trisomy for a small metacentric chromosome in 104 control embryos. Only 1 triploid embryo was found in 84 implantation sites from rabbits that had been delayed mated. The incidence of triploidy postimplantation was much less than the 13% found previously in 6-day blastocyts. Increased embryonic loss at the time of or shortly after implantation may be responsible for the discrepancy.