Cytogenetic features in adolescent girls with abnormal uterine bleeding which is comorbid with multi­factor diseases

Abstract

Objective — to study the state of chromosomal apparatus in adolescent girls with abnormal uterine bleeding which is comorbid with multi-­factor diseases.
 Materials and methods. Cytogenetic analysis has been carried out in 25 girls aged 14 to 17 with abnormal uterine bleeding (AUB) which is comorbid with multifactor diseases (endocrine and nervous). The comparison group included 25 age-matching healthy girls. All the girls have been examined in the Laboratory of Medical Genetics of the Institute. Statistical processing of the study results has been carried out following the Student’s t­test with the use of Excel software package.
 Results and discussion. According to the data of cytogenetic analysis, it has been established that the total level of chromosome aberrations in blood lymphocytes of sick girls constituted 5.44 % and exceeded this value by a factor of 2.2 in comparison with the frequency in healthy girls. A 1.8-­fold increase of the number of chromosome aberrations was observed; among them the paired acentric fragments have been recorded twice as often. Chromatid­type aberrations in blood lymphocytes were observed in 2.9 times oftener in girls with AUB, mainly due to an increase in the number of single acentric fragments. The frequency of genomic disorders was 0.60 % that is five times more than their frequency in blood lymphocytes of healthy girls.
 Conclusions. Cytogenetic analysis conducted in adolescent girls with abnormal uterine bleeding and comorbid pathology have revealed an increase of the overall level of chromosome aberrations in comparison with healthy girls. Paired acentric fragments prevailed among chromosome aberrations, single acentric fragments prevailed among chromatid-­type aberrations, polyploid cells prevailed among genomic disorders.