ADAM12s as a first-trimester screening marker of trisomy.

Abstract:

OBJECTIVE:To evaluate the potential of maternal serum A Disintegrin And Metalloprotease 12-S (ADAM12s) as an additional marker for the combined test in the Dutch first-trimester national Down syndrome (DS) screening program. METHODS:Serum samples were collected between 2004 and 2007 as part of the national program. A total of 218 singleton cases of trisomy 21 (DS), 62 trisomy 18 (Edwards syndrome) and 29 trisomy 13 (Patau syndrome) were identified. All cases were matched with controls for gestation, maternal weight and maternal age. The serum concentration of ADAM12s was determined 'blind' to outcome and expressed in multiples of the gestation-specific median for controls (MoM). RESULTS:The median ADAM12s was 1.00 MoM in controls and in the DS cases at 8, 9, 10, 11, 12, 13 weeks it was 0.45 (n = 3), 0.73 (22), 0.74 (53), 0.85 (37), 0.92 (71), 1.06 (32) MoM, respectively. The median for trisomy 18 was 0.85 MoM and for trisomy 13 0.63 MoM. CONCLUSION:The ADAM12s MoM values were clearly reduced in early first-trimester for all trisomies. However, the screening performance for DS did not greatly improve adding ADAM12s. ADAM12s could be an additional biochemical marker for first-trimester screening for trisomies other than DS.

journal_name

Prenat Diagn

journal_title

Prenatal diagnosis

authors

Wortelboer EJ,Linskens IH,Koster MP,Stoutenbeek P,Cuckle H,Blankenstein MA,Visser GH,van Vugt JM,Schielen PC

doi

10.1002/pd.2300

subject

Has Abstract

pub_date

2009-09-01 00:00:00

pages

866-9

issue

9

eissn

0197-3851

issn

1097-0223

journal_volume

29

pub_type

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