Document Detail


Non-invasive prenatal diagnosis using cell-free fetal DNA in maternal plasma from PGD pregnancies.
MedLine Citation:
PMID:  20021720     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Preimplantation genetic diagnosis (PGD) is usually used to establish a non-affected pregnancy for those couples facing a genetic risk of having an affected child. However, an invasive test is still recommended to all PGD patients due to the risk of misdiagnosis. The discovery of cell-free fetal DNA in maternal plasma provides the possibility for noninvasive prenatal diagnosis. Studies have shown that fetal single-gene disorders can be detected in cell-free fetal DNA by the matrix-assisted laser desorption/ionization time-of-flight mass spectrometry (MALDI-TOF MS) assay with single-allele base extension reaction (SABER) approach or by the size-fractionation approach, whereby cell-free fetal DNA is enriched on the basis of its smaller size compared with maternal DNA fragments. Recent studies have indicated that a combination of the two approaches increases the accuracy of detection. This study combined the two methods and examined fetal paternally inherited gene mutations in maternal plasma obtained from four PGD-conducted pregnancies. The presence or absence of mutations was correctly detected in all cases. This combined method could be used for risk-free prenatal diagnosis of diseases caused by single-gene mutations, and in particular for couples who undergo PGD who opt not to perform invasive prenatal confirmation due to the risk of abortion.
Authors:
Ying Li; Gheona Altarescu; Paul Renbaum; Talia Eldar-Geva; Ephrat Levy-Lahad; Ehud J Margalioth; Xiaoyan Zhong; Sinuhe Hahn; Wolfgang Holzgreve
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Reproductive biomedicine online     Volume:  19     ISSN:  1472-6491     ISO Abbreviation:  Reprod. Biomed. Online     Publication Date:  2009 Nov 
Date Detail:
Created Date:  2009-12-21     Completed Date:  2010-09-09     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101122473     Medline TA:  Reprod Biomed Online     Country:  England    
Other Details:
Languages:  eng     Pagination:  714-20     Citation Subset:  IM    
Affiliation:
University of Women's Hospital, Department of Biomedicine, Basel, Switzerland. yingpluess@yahoo.com
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MeSH Terms
Descriptor/Qualifier:
DNA / blood*
Female
Genotype
Gestational Age
Humans
Male
Maternal-Fetal Exchange / genetics
Polymorphism, Single Nucleotide
Pregnancy
Preimplantation Diagnosis
Prenatal Diagnosis / methods*
Spectrometry, Mass, Matrix-Assisted Laser Desorption-Ionization
Chemical
Reg. No./Substance:
9007-49-2/DNA

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


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