Prenatal diagnosis of Down syndrome using cell-free fetal DNA in amniotic fluid by quantitative fluorescent polymersase chain reaction / 中华医学杂志(英文版)
Chinese Medical Journal
; (24): 1897-1901, 2014.
Article
en En
| WPRIM
| ID: wpr-248084
Biblioteca responsable:
WPRO
ABSTRACT
<p><b>BACKGROUND</b>Amniotic fluid (AF) supernatant contains cell-free fetal DNA (cffDNA) fragments. This study attempted to take advantage of cffDNA as a new material for prenatal diagnosis, which could be combined with simple quantitative fluorescent polymerase chain reaction (QF-PCR) to provide an ancillary method for the prenatal diagnosis of trisomy 21 syndrome.</p><p><b>METHODS</b>AF supernatant samples were obtained from 27 women carrying euploid fetuses and 28 women carrying aneuploid fetuses with known cytogenetic karyotypes. Peripheral blood samples of the parents were collected at the same time. Short tandem repeat (STR) fragments on chromosome 21 were amplified by QF-PCR. Fetal condition and the parental source of the extra chromosome could be determined by the STR peaks.</p><p><b>RESULTS</b>The sensitivity of the assay for the aneuploid was 93% (26/28; confidence interval, CI: 77%-98%) and the specificity was 100% (26/26; CI: 88%-100%). The determination rate of the origin of the extra chromosome was 69%. The sensitivity and the specificity of the assay in the euploid were 100% (27/27).</p><p><b>CONCLUSIONS</b>Trisomy 21 can be prenatally diagnosed by the QF-PCR method in AF supernatant. This karyotype analysis method greatly reduces the requirement for the specimen size. It will be a benefit for early amniocentesis and could avoid pregnancy complications. The method may become an ancillary method for prenatal diagnosis of trisomy 21.</p>
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Base de datos:
WPRIM
Asunto principal:
Diagnóstico Prenatal
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Cromosomas Humanos Par 21
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Reacción en Cadena de la Polimerasa
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Síndrome de Down
/
Repeticiones de Microsatélite
/
Diagnóstico
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Genética
/
Líquido Amniótico
/
Metabolismo
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Métodos
Tipo de estudio:
Diagnostic_studies
Límite:
Female
/
Humans
/
Pregnancy
Idioma:
En
Revista:
Chinese Medical Journal
Año:
2014
Tipo del documento:
Article