#PAGE_PARAMS# #ADS_HEAD_SCRIPTS# #MICRODATA#

Rapid prenatal aneuploidy testing.


Authors: K. Melišová 1;  V. Ferák 2;  M. Ondrejčák 1;  J. Hinšt 3;  P. Kleskeň 3;  J. Matušek 2
Authors‘ workplace: Oddelenie klinickej genetiky ŽNaP NOVAPHARM s.  r.  o. Bratislava 1;  DNA TEST s.  r.  o. Bratislava 2;  I. gynekologicko-pôrodnícka klinika SZU a FNsP Bratislava 3
Published in: Prakt Gyn 2009; 13(4): 234-238

Overview

Rapid prenatal aneuploidy testing has been introduced as a validated diagnostic method. Quantitative fluorescent polymerase chain reaction (QF PCR) allows to confirm or exclude aneuploidy 13, 18, 21 and sex chromosomes in pregnant at risk within 24– 48 hours. If the chromosomal pathology is confirmed the termination of pregnancy can be reduced in 2– 3 weeks. Our objective was the implementation of QF PCR into clinical praxis. The principle of the method is elucidated, series of 184 tests follows. The abnormality rate was 4,9 % and an optimal management was established. Comparison of QF PCR and FISH method, residual pathology and the role of QF PCR in clinical praxis is discussed (Fig. 1, Tab. 2) [26].

Key words:
prenatal diagnosis –  QF PCR –  STR –  rapid aneuploidy detection, residual risk


Sources

1. Steele MV, Breg VR jr. Chromosome analysis of human amniotic fluid cells. Lancet 1966; 1: 383– 385.

2. Valenti C, Schutta EF, Kehaty T. Cytogenetic diagnosis of Down’s syndrome in utero. Am J Med Assoc 1969; 207: 1513.

3. Ondrejčák M. Prenatálna cytogenetická diagnostika z buniek plodovej vody. Lek Obzor 1985; 34(6): 329– 333.

4. von Eggeling F, Freytag M, Fahsold R et al. Rapid detection of trisomy 21 by quantitative PCR. Hum Genet 1993; 91(6): 567– 570.

5. Divane A, Carter NP, Spathas DH et al. Rapid prenatal diagnosis of aneuploidy from unculltured amniotic fluid cells using five –  colour fluorescence in situ hybridization. Prenat Diagn 1994; 14(11): 1061– 1069.

6. Pertl B, Yau SC, Sherlock J et al. Rapid molecular method for prenatal detection of Down’s syndrome. Lancet 1994; 343: 1197– 1198.

7. Kuo WL, Temjin H, Segraves R et al. Detection of aneuploidy involving chromosomes 13, 18 and 21 by fluorescence in situ hybridization (FISH) to interphase and metaphase amniocytes. Am J Hum Genet 1991; 49(1),: 112– 119.

8. Roberts E, Ely A, Hulten M et al. The impact of FISH/ PCR technology on routine prenatal diagnosis for chromosome abnormality. Cytogenet Cell Genet 1999; 85: 57– 58.

9. Leung WC, Chitayat D, Seaward G et al. Role of amniotic fluid interphase fluorescence in situ hybridization (FISH) analysis in patient management. Prenat Diagn 2001; 21(4): 327– 332.

10. Bryndorf T, Christensen B, Vad M et al. Prenatal detection of chromosome aneuploidies by fluorescence in situ hybridization: experience with 2000 uncultured amniotic fluid samples in a prospective preclinical trial. Prenat Diagn 1997; 17(4): 333– 341.

11. Eiben B, Trawicki W, Hammans W et al. Rapid prenatal diagnosis of aneuploidies in uncultured amniocytes by fluorescence in situ hybridization. Evaluation of ≥ 3,000 cases. Fetal Diagn Ther 1999; 14(4), 193– 197.

12. Witters I, Devriendt K, Legius E et al. Rapid prenatal diagnosis of trisomy 21 in 5049 consecutive uncultured amniotic fluid samples by fluorescence in situ hybridisation (FISH). Prenat Diagn 2002; 22(1): 29– 33.

13. Chen CP, Chern SR, Wang W. Rapid determination of zygosity and common aneuploidies from amniotic fluid cells using quantitative fluorescent polymerase chain reaction following genetic amniocentesis in multiple pregnancies. Hum Reprod 2000; 15(4): 929– 934.

14. Putzova M, Soldatova I, Pecnova L et al. QF‑PCR‑based prenatal detection of common aneuploidies in the Czech population: five years of experience. Eur J Med Genet 2008; 51(3): 209– 218.

15. Levett LJ, Liddle S, Meredith R. A large scale evaluation of amnio‑PCR for the rapid prenatal diagnosis of fetal trisomy. Ulrasound Obstet Gynecol 2001; 17(2): 115– 118.

16. Billi C, Divane A, Apessos A et al. Prenatal diagnosis of common aneuploidies using quantitative fluorescent PCR. Prenat Diagn 2002; 22(5): 360– 365.

17. Mann K, Fox SP, Abbs SJ et al. Development and implementation of a new rapid aneuploid diagnostic service within the UK National Health service and implication for the future of prenatal diagnosis. Lancet 2001; 358: 1057– 1061.

18. Ogilvie CM. Prenatal diagnosis for chromosome abnormalities: past, present and future. Path Biol 2003; 51(3): 156– 160.

19. Leung WC, Lau ET, Lao TT et al. Rapid aneuploidy screening (FISH or QF‑PCR): the changing scene in prenatal diagnosis? Expert Rev Mol Diagn 2004; 4(3): 333– 337.

20. Homer J, Bhatt S, Huang B et al. Residual risk for cytogenetic abnormalities after prenatal diagnosis by interphase fluorescence in situ hybridization (FISH). Prenat Diagn 2003; 23(7): 566– 571.

21. Cirigliano V, Voglino G, Marongiu A et al. Rapid prenatal diagnosis by QF‑PCR: Evaluation of 30,000 consecutive clinical samples and future application. Ann NY Acad Sci 2006; 1075: 288– 298.

22. Evans MI, Henry GP, Miller WA et al. International, collaborative assessment of 146,000 prenatal karyotypes: expected limitations if only chromosome- specific probes and fluorescent in‑situ hybridization are used. Hum Reprod 1999; 14(5): 1213– 1216.

23. van Zwieten MC, Willems DL, Litjens LL et al. How unexpected are unecpected findings in prenatal cytogenetic diagnosis? A literature review. Eur J Obstet Gynecol Reprod Biol 2005; 120(1): 15– 21.

24. Ogilvie CM, Lashwood A, Chitty L et al. The future of prenatal diagnosis: rapid testing or full karyotype? An audit of chromosome abnormalities and pregnancy outcomes for women referred for Down’s syndrome testing. Br J Obstet Gynecol 2005; 112(10): 1369– 1375.

25. Schmidt W, Jenderny J, Hecher K et al. Detection of aneuploidy in chromosomes X, Y, 13, 18 a 21 by QF‑PCR in 662 selected pregnancies at risk. Mol Hum Reprod 2000; 6(9): 855– 860.

26. Cirigliano V, Ejarque M, Canadas MP et al. Clinical application of multiplex quantitative fluorecsent polymerase chain reaction (QF‑PCR) for the rapid prenatal detection of common chromosome aneuploidies. Mol Hum Reprod 2001; 7(10): 1001– 1006.

Labels
Paediatric gynaecology Gynaecology and obstetrics Reproduction medicine
Topics Journals
Login
Forgotten password

Enter the email address that you registered with. We will send you instructions on how to set a new password.

Login

Don‘t have an account?  Create new account

#ADS_BOTTOM_SCRIPTS#