Document Detail


Human chromosome 21-specific DNA markers are useful in prenatal detection of Down syndrome.
MedLine Citation:
PMID:  15487707     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Trisomy 21 is the most common chromosomal aberration in live births. In this study we employed human chromosome 21-specific short tandem repeat (STR) DNA markers to determine the numbers of chromosome 21 present in fetal cells. Forty amniotic fluid samples from pregnancies complicated with fetal Down syndrome and 98 samples from euploid pregnancies were analyzed for D21S11 and interferon-alpha receptor (IFNAR) gene intervening sequence. Fluorescent dye-labeled primers were used in PCR amplification of these 2 markers. The PCR amplicon was analyzed with an automatic DNA sequence analyzer. The results showed that 35 of 40 fetal Down syndrome samples analyzed for IFNAR showed 3 distinct peaks, while 24 of 30 cases analyzed for D21S11 showed 3 distinct peaks. Two Down syndrome samples showed two uneven peaks. By analyzing 98 euploid pregnancies as controls, the ratios of area under the peaks were determined to be 1.31 +/- 0.22 and 1.96 +/- 0.18 (mean +/- SD) for the euploid pregnancies and pregnancies complicated by fetal Down syndrome with 2 peaks, respectively. Our data showed that altogether 39 of 40 (97.5%) Down syndrome cases were correctly identified based on either the 3-peak pattern in one or more of the DNA markers or the relative peak area ratio calculation. In conclusion, polymorphic STR DNA markers are useful for determining the numbers of chromosome 21 in fetal cells. The high sensitivity and automation of the procedures suggest a good prospect for use of this method in prenatal detection of fetal Down syndrome. However, this is a preliminary investigation and a large-scale study is necessary to validate the clinical application of this protocol.
Authors:
Jui-Der Liou; Da-Chang Chu; Po-Jen Cheng; Shuenn-Dyh Chang; Chien-Feng Sun; Ying-Chung Wu; Wen-Yin Liou; D T Y Chiu
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Annals of clinical and laboratory science     Volume:  34     ISSN:  0091-7370     ISO Abbreviation:  Ann. Clin. Lab. Sci.     Publication Date:  2004  
Date Detail:
Created Date:  2004-10-18     Completed Date:  2005-02-03     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0410247     Medline TA:  Ann Clin Lab Sci     Country:  United States    
Other Details:
Languages:  eng     Pagination:  319-23     Citation Subset:  IM    
Affiliation:
Department of OB/GYN, Chang Gung Memorial Hospital, Taipei, Taiwan, ROC.
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MeSH Terms
Descriptor/Qualifier:
Adult
Amniotic Fluid / chemistry
Chromosomes, Human, Pair 21 / genetics*
DNA / analysis
Down Syndrome / diagnosis*,  genetics
Female
Genetic Markers
Humans
Microsatellite Repeats
Polymerase Chain Reaction
Pregnancy
Prenatal Diagnosis / methods*
Receptor, Interferon alpha-beta
Receptors, Interferon / genetics
Chemical
Reg. No./Substance:
0/Genetic Markers; 0/Receptors, Interferon; 156986-95-7/Receptor, Interferon alpha-beta; 9007-49-2/DNA

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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