Clinical applications of cell-free fetal DNA from maternal plasma.

Abstract:

OBJECTIVE:To describe our clinical experience with detection and analysis of cell-free fetal DNA derived from maternal plasma for prenatal sexing and fetal rhesus-D typing. METHODS:Real-time quantitative polymerase chain reactions (PCRs) of rhesus-D sequences and the SRY gene were validated and offered to patients with an enhanced risk for sex-linked fetal pathology and patients with rhesus-D antibodies. RESULTS:In the validation group, 72 samples were analyzed. Sensitivity of the rhesus-D real-time quantitative PCR in maternal plasma was 100% (95% confidence interval [CI]91.8%, 100%) and specificity was 96.6% (95% CI 82.2%, 99.9%). Sensitivity of the SRY real-time quantitative PCR was 97.2% (95% CI 85.5%, 99.9%), and specificity was 100% (95% CI 88.1%, 100%). The technique was used successfully in a clinical setting in 24 women. Overall, invasive tests were avoided in 41.7% of these patients. CONCLUSION:Detection of cell-free fetal DNA from maternal plasma is a reliable technique that can substantially reduce invasive prenatal tests.

journal_name

Obstet Gynecol

authors

Rijnders RJ,Christiaens GC,Bossers B,van der Smagt JJ,van der Schoot CE,de Haas M

doi

10.1097/01.AOG.0000103996.44503.F1

subject

Has Abstract

pub_date

2004-01-01 00:00:00

pages

157-64

issue

1

eissn

0029-7844

issn

1873-233X

pii

103/1/157

journal_volume

103

pub_type

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