Integration of microarray technology into prenatal diagnosis: counselling issues generated during the NICHD clinical trial.

Abstract:

:Cytogenetic microarray analysis (CMA) in prenatal testing detects chromosome abnormalities and new genetic syndromes that would be missed by conventional cytogenetics and has the potential to significantly enhance prenatal genetic evaluation. A large Eunice Kennedy Shriver National Institute Of Child Health and Human Development (NICHD)-sponsored multicentered trial to assess the role of CMA as a primary prenatal diagnostic tool has been completed, and results will soon be available. Integration of this technology into clinical care will require thoughtful changes in patient counseling. Here, we examine four cases, all ascertained in the NICHD prenatal microarray study, to illustrate the challenges and subtleties of genetic counseling required with prenatal CMA testing. Although the specifics of each case are distinct, the underlying genetic principles of uncertainty, variable expressivity, and lack of precise genotype-phenotype correlation are well known and already part of prenatal counseling. Counselor and practitioner education will need to include both the science of interpreting array findings as well as development of improved approaches to uncertainty. A team approach to interpretation will need to be developed, as will standardized guidelines by professional organizations and laboratories. Of equal import is additional research into patient attitudes and desires, and a better understanding of the full phenotypic spectrum of copy number variants discovered in utero.

journal_name

Prenat Diagn

journal_title

Prenatal diagnosis

authors

Wapner RJ,Driscoll DA,Simpson JL

doi

10.1002/pd.3863

subject

Has Abstract

pub_date

2012-04-01 00:00:00

pages

396-400

issue

4

eissn

0197-3851

issn

1097-0223

journal_volume

32

pub_type

临床试验,杂志文章
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  • What is the role of the 11- to 14-week ultrasound in women with negative cell-free DNA screening for aneuploidy?

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  • Expected, prenatally discovered, and born cases of Down syndrome in Denmark during the period 1980-1998.

    abstract::In order to elucidate the consistency between generally used age-dependent risk values for Down syndrome (DS) and estimates of the probability of miscarriage in Down pregnancies we have compared expected numbers with estimated numbers of births with DS in Denmark had no intervention at all been carried out. The expect...

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    doi:10.1002/pd.113

    authors: Larsen SO,Hansen J,Pedersen BN

    更新日期:2001-08-01 00:00:00

  • Second-trimester prenatal screening for trisomy 21 using biochemical markers: a 7-year experience in one cytogenetic laboratory.

    abstract:BACKGROUND:Screening for trisomy 21 in the second trimester of pregnancy using biochemical markers is an established part of prenatal care in many developed countries. OBJECTIVE:The present study was aimed at determining the incidence of trisomy 21 and other chromosomal abnormalities in women undergoing prenatal chrom...

    journal_title:Prenatal diagnosis

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    doi:10.1002/pd.1398

    authors: Marical H,Douet-Guilbert N,Bages K,Collet M,Le Bris MJ,Morel F,De Braekeleer M

    更新日期:2006-04-01 00:00:00

  • Comparison of maternal serum PlGF and sFlt-1 between pregnancies with and without fetal hemoglobin Bart's disease.

    abstract:OBJECTIVE:The aim of this study was to compare the levels of maternal serum placental growth factor (PlGF) and soluble fms-like tyrosine kinase-1 (sFlt-1) between pregnancies with fetal hemoglobin (Hb) Bart's disease and unaffected pregnancies. METHODS:Ninety-one pregnancies at risk for fetal Hb Bart's disease schedul...

    journal_title:Prenatal diagnosis

    pub_type: 杂志文章

    doi:10.1002/pd.4246

    authors: Tongprasert F,Srisupundit K,Luewan S,Tongsong T

    更新日期:2013-12-01 00:00:00

  • Prenatal diagnosis of sex chromosome aneuploidy: possible reasons for high rates of pregnancy termination.

    abstract::Sex chromosome aneuploidy (SCA), when detected in amniocentesis, is usually an unexpected result of a test carried out for another purpose. For most SCAs, the prognosis is milder and less predictable than trisomy 21, and therefore parents are faced with a difficult decision regarding the option of pregnancy terminatio...

    journal_title:Prenatal diagnosis

    pub_type: 杂志文章

    doi:10.1002/pd.78

    authors: Sagi M,Meiner V,Reshef N,Dagan J,Zlotogora J

    更新日期:2001-06-01 00:00:00

  • Detection of fetal structural abnormalities at the 11-14 week ultrasound scan.

    abstract::The aim of this study was to evaluate the detection of fetal structural abnormalities by the 11-14 week scan. 2853 pregnant women were submitted to a routine ultrasound scan between the 11th and 14th week and the fetal skull, brain, spine, abdominal wall, limbs, stomach and bladder were examined. Following the scans t...

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    pub_type: 杂志文章

    doi:10.1002/pd.200

    authors: Carvalho MH,Brizot ML,Lopes LM,Chiba CH,Miyadahira S,Zugaib M

    更新日期:2002-01-01 00:00:00

  • Prenatal diagnosis of autosomal dominant hereditary spastic paraplegia (SPG4) using direct mutation detection.

    abstract:OBJECTIVE:To present a report on prenatal diagnosis using direct SPG4 gene analysis in a family with autosomal dominant hereditary spastic paraplegia (AD-HSP). METHODS:Genetic linkage and haplotype analysis were previously carried out with chromosome 2p markers. DNA was obtained from affected individuals, the affected...

    journal_title:Prenatal diagnosis

    pub_type: 杂志文章

    doi:10.1002/pd.875

    authors: Nielsen JE,Koefoed P,Kjaergaard S,Jensen LN,Nørremølle A,Hasholt L

    更新日期:2004-05-01 00:00:00

  • Dystrophin protein and RFLP analysis for fetal diagnosis and carrier confirmation of Duchenne muscular dystrophy.

    abstract::A pregnant woman with indeterminate Duchenne muscular dystrophy (DMD) carrier status, but with DMD diagnosed in her deceased brother (unavailable for study), presented for prenatal diagnosis, intending to continue the pregnancy only if proven unaffected with DMD with near absolute certainty. Creatine kinase (CK) assay...

    journal_title:Prenatal diagnosis

    pub_type: 杂志文章

    doi:10.1002/pd.1970101104

    authors: Boelter WD,Burt BA,Spector EB,Hinton DR,Pavlova Z,Fujimoto A

    更新日期:1990-11-01 00:00:00

  • Sex chromosome aneuploidy detection by noninvasive prenatal testing: helpful or hazardous?

    abstract:OBJECTIVES:To assess the incidence of sex chromosome aneuploidy (SCA) predicted by noninvasive prenatal testing (NIPT), assess test performance, and compare it with nuchal translucency (NT) screening among patients seen in our prenatal diagnosis center. METHODS:We identified suspected cases of SCA by reviewing results...

    journal_title:Prenatal diagnosis

    pub_type: 杂志文章

    doi:10.1002/pd.5039

    authors: Reiss RE,Discenza M,Foster J,Dobson L,Wilkins-Haug L

    更新日期:2017-05-01 00:00:00

  • ADAM12s as a first-trimester screening marker of trisomy.

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    journal_title:Prenatal diagnosis

    pub_type: 杂志文章

    doi:10.1002/pd.2300

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

    更新日期:2009-09-01 00:00:00

  • First trimester screening for Down syndrome in rhesus negative women.

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    journal_title:Prenatal diagnosis

    pub_type: 杂志文章

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    authors: Muhcu M,Mungen E,Atay V,Ipcioglu OM,Dundar O,Ergur R,Yergok YZ

    更新日期:2008-05-01 00:00:00

  • Applications of noninvasive prenatal testing in vanishing twin syndrome pregnancies after treatment of assisted reproductive technology in a single center.

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    pub_type: 杂志文章

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    authors: Baião AER,de Carvalho PRN,Moreira MEL,de Sá RAM,Junior SCG

    更新日期:2020-02-01 00:00:00

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    journal_title:Prenatal diagnosis

    pub_type: 杂志文章

    doi:10.1002/(sici)1097-0223(200002)20:2<91::aid-pd759>

    authors: Spencer K

    更新日期:2000-02-01 00:00:00

  • Cytogenetical diagnosis in paraffin-embedded fetoplacental tissue using comparative genomic hybridization.

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    journal_title:Prenatal diagnosis

    pub_type: 杂志文章

    doi:

    authors: Ozcan T,Burki N,Parkash V,Huang X,Pejovic T,Mahoney MJ,Ward DC

    更新日期:2000-01-01 00:00:00

  • Simulation-based fetal shunting training.

    abstract:OBJECTIVES:To develop a simulation model and assess the learning curve of fetal shunting. METHODS:Three staff and three trainees performed fetal shunting on a model using the fetal bladder stent. The model was evaluated according to various sources of validity evidence. The number of procedures to reach competency was...

    journal_title:Prenatal diagnosis

    pub_type: 杂志文章

    doi:10.1002/pd.5599

    authors: Phithakwatchara N,Nawapun K,Viboonchart S,Jaingam S,Wataganara T

    更新日期:2019-12-01 00:00:00

  • Prenatal diagnosis of a mosaic extra structurally abnormal chromosome by spectral karyotyping.

    abstract::A de novo mosaic extra structurally abnormal chromosome (ESAC) was detected in 33 per cent of cultured amniotic fluid cells from a pregnant woman. Neither Q-banding nor fluorescence in situ hybridization (FISH) employing a DNA probe for nucleolar organizer region demonstrated the presence of satellites on the ESAC. Sp...

    journal_title:Prenatal diagnosis

    pub_type: 杂志文章

    doi:

    authors: Ning Y,Laundon CH,Schröck E,Buchanan P,Ried T

    更新日期:1999-05-01 00:00:00

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    pub_type: 杂志文章

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    authors: Picchiassi E,Coata G,Centra M,Pennacchi L,Bini V,Di Renzo GC

    更新日期:2010-08-01 00:00:00

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    pub_type: 杂志文章

    doi:10.1002/pd.1485

    authors: Long A,Moran P,Robson S

    更新日期:2006-08-01 00:00:00

  • International perspectives on the implementation of reproductive carrier screening.

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    pub_type: 杂志文章,评审

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    authors: Delatycki MB,Alkuraya F,Archibald A,Castellani C,Cornel M,Grody WW,Henneman L,Ioannides AS,Kirk E,Laing N,Lucassen A,Massie J,Schuurmans J,Thong MK,van Langen I,Zlotogora J

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  • A case of maternal uniparental disomy of chromosome 9 diagnosed prenatally and the related problem of residual trisomy.

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    pub_type: 杂志文章

    doi:10.1002/1097-0223(200011)20:11<930::aid-pd955>3.0.

    authors: Slater HR,Ralph A,Daniel A,Worthington S,Roberts C

    更新日期:2000-11-01 00:00:00

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    pub_type: 杂志文章

    doi:10.1002/pd.1970091205

    authors: Winsor EJ,Van Allen MI

    更新日期:1989-12-01 00:00:00

  • Can we predict 22q11 status of fetuses with tetralogy of Fallot?

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    journal_title:Prenatal diagnosis

    pub_type: 杂志文章

    doi:10.1002/pd.295

    authors: Boudjemline Y,Fermont L,Le Bidois J,Villain E,Sidi D,Bonnet D

    更新日期:2002-03-01 00:00:00

  • Reduction of sera requirements in amniotic fluid cell culture.

    abstract::Reduction in serum requirement for culture of primary human amniotic fluid cells can be achieved by the addition of 10 growth-promoting factors to the nutrient medium. This supplemented medium preserves cell types normally found in amniotic fluid cell cultures supplemented with 20-30 per cent fetal bovine serum. The v...

    journal_title:Prenatal diagnosis

    pub_type: 杂志文章

    doi:10.1002/pd.1970050502

    authors: Chang HC,Jones OW

    更新日期:1985-09-01 00:00:00

  • Prenatal diagnosis of a partial 6q trisomy: a case report.

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    pub_type: 杂志文章

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    authors: Valerio D,Di Domenico A,Felicetti M,La Boccetta A,Ferrara C,Antonio N,Borrelli AL

    更新日期:2006-10-01 00:00:00

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    pub_type: 杂志文章

    doi:10.1002/pd.5594

    authors: Maurice P,Letourneau A,Benachi A,Jouannic JM

    更新日期:2019-12-01 00:00:00

  • Preimplantation genetic diagnosis for single gene disorders: experience with five single gene disorders.

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    pub_type: 杂志文章

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    authors: Neveling K,Tjwan Thung D,Beulen L,van Rens-Buijsman W,Gomes I,van den Heuvel S,Mieloo H,Derks-Prinsen I,Kater-Baats E,Faas BH

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    pub_type: 临床试验,杂志文章,随机对照试验

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    authors: Smidt-Jensen S,Lind AM,Permin M,Zachary JM,Lundsteen C,Philip J

    更新日期:1993-08-01 00:00:00