Diagnostic accuracy of random massively parallel sequencing for non-invasive prenatal detection of common autosomal aneuploidies: a collaborative study in Europe.

Abstract:

OBJECTIVE:The objective of this study is to validate the diagnostic accuracy of a non-invasive prenatal test for detecting trisomies 13, 18, and 21 for a population in Germany and Switzerland. METHODS:Random massively parallel sequencing was applied using Illumina sequencing platform HiSeq2000. Fetal aneuploidies were identified using a median absolute deviation based z-score equation. A bioinformatics algorithm based on guanine-cytosine normalization was applied after the data were unblinded. Results of massively parallel sequencing and invasive procedures were compared. RESULTS:Overall, 40/42 samples were correctly classified as trisomy 21-positive, including a translocation trisomy 21 [46,XY,der(13;21),+21] and a structural aberration of chromosome 21 [46,XX,rec(21)dup(21q)inv(21)(p12q21.1)] but not including a low percentage mosaic trisomy 21 [47,XY,+21/46,XY], [sensitivity: 95.2%; one-sided lower confidence limit: 85.8%]; 430/430 samples were correctly classified as trisomy 21-negative (specificity: 100%; one-sided lower CL: 99.3%). Using a new bioinformatics algorithm with guanine-cytosine normalization, detection of trisomy 21 was facilitated, and five of five trisomy 13 cases and eight of eight trisomy 18 cases were correctly identified. CONCLUSION:Our newly established non-invasive prenatal test allows detection of fetal trisomies 13, 18, and 21 with high accuracy in a population in Germany and Switzerland.

journal_name

Prenat Diagn

journal_title

Prenatal diagnosis

authors

Stumm M,Entezami M,Haug K,Blank C,Wüstemann M,Schulze B,Raabe-Meyer G,Hempel M,Schelling M,Ostermayer E,Langer-Freitag S,Burkhardt T,Zimmermann R,Schleicher T,Weil B,Schöck U,Smerdka P,Grömminger S,Kumar Y,Hofmann W

doi

10.1002/pd.4278

subject

Has Abstract

pub_date

2014-02-01 00:00:00

pages

185-91

issue

2

eissn

0197-3851

issn

1097-0223

journal_volume

34

pub_type

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