Skip to main content
Log in

Test non invasif et diagnostic de sexe fœtal : où en est-on ?

Non-invasive testing and determination of foetal sex: What stage are we at?

  • Mise au Point / Update
  • Published:
Revue de médecine périnatale

Résumé

Le génotypage non invasif du sexe fœtal a révolutionné la prise en charge des femmes conductrices de maladies génétiques liées à l’X. Ce test est également employé dans d’autres situations comme la prise en charge des malformations des organes génitaux externes (OGE) ou des grossesses de patientes souffrant d’hyperplasie congénitale des surrénales, à risque de virilisation des OGE féminins. Il bénéficie d’une excellente performance diagnostique dès le premier trimestre de la grossesse.

Abstract

Non-invasive genotyping of the sex of a foetus has revolutionised the care given to female carriers of genetic disorders linked to the X chromosome. This test is also used in other circumstances, such as in the treatment of congenital external genital organ (EGO) deformities or in pregnancies with congenital adrenal hyperplasia, at risk of virilisation of the female EGOs. This test has excellent diagnostic success in the first trimester of pregnancy.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Références

  1. Colmant C, Morin-Surroca M, Fuchs F, et al (2013) Non-invasive prenatal testing for fetal sex determination: is ultrasound still relevant? Eur J Obstet Gynecol Reprod Biol 171:197–204

    Article  PubMed  Google Scholar 

  2. Lo YM, Corbetta N, Chamberlain PF, et al (1997) Presence of fetal DNA in maternal plasma and serum. Lancet 350:485–7

    Article  CAS  PubMed  Google Scholar 

  3. Sekizawa A, Kondo T, Iwasaki M, et al (2001) Accuracy of fetal gender determination by analysis of DNA in maternal plasma. Clin Chem 47:1856–8

    CAS  PubMed  Google Scholar 

  4. Costa JM, Benachi A, Gautier E, et al (2001) First-trimester fetal sex determination in maternal serum using real-time PCR. Prenat Diagn 21:1070–4

    Article  CAS  PubMed  Google Scholar 

  5. Bustamante-Aragones A, Rodriguez de Alba M, Gonzalez-Gonzalez C, et al (2008) Foetal sex determination in maternal blood from the seventh week of gestation and its role in diagnosing haemophilia in the foetuses of female carriers. Haemophilia 14:593–8

    Article  CAS  PubMed  Google Scholar 

  6. Kolialexi A, Tounta G, Apostolou P, et al (2012) Early noninvasive detection of fetal Y chromosome sequences in maternal plasma using multiplex PCR. Eur J Obstet Gynecol Reprod Biol 161:34–7

    Article  CAS  PubMed  Google Scholar 

  7. Devaney SA, Palomaki GE, Scott JA, Bianchi DW (2011) Noninvasive fetal sex determination using cell-free fetal DNA: a systematic review and meta-analysis. JAMA 306:627–36

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  8. Wright CF, Wei Y, Higgins JP, Sagoo GS (2012) Non-invasive prenatal diagnostic test accuracy for fetal sex using cell-free DNA a review and meta-analysis. BMC Res Notes 5:476

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  9. Lo YM, Tein MS, Lau TK, et al (1998) Quantitative analysis of fetal DNA in maternal plasma and serum: implications for noninvasive prenatal diagnosis. Am J Hum Genet 62:768–75

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  10. Benott B (1999) Early fetal gender determination. Ultrasound Obstet Gynecol 13:299–300

    Article  CAS  PubMed  Google Scholar 

  11. Whitlow BJ, Lazanakis MS, Economides DL (1999) The sonographic identification of fetal gender from 11 to 14 weeks of gestation. Ultrasound Obstet Gynecol 13:301–4

    Article  CAS  PubMed  Google Scholar 

  12. Efrat Z, Akinfenwa OO, Nicolaides KH (1999) First-trimester determination of fetal gender by ultrasound. Ultrasound Obstet Gynecol 13:305–7

    Article  CAS  PubMed  Google Scholar 

  13. Mazza V, Falcinelli C, Paganelli S, et al (2001) Sonographic early fetal gender assignment: a longitudinal study in pregnancies after in vitro fertilization. Ultrasound Obstet Gynecol 17:513–6

    Article  CAS  PubMed  Google Scholar 

  14. Picchiassi E, Coata G, Fanetti A, et al (2008) The best approach for early prediction of fetal gender by using free fetal DNA from maternal plasma. Prenat Diagn 28:525–30

    Article  CAS  PubMed  Google Scholar 

  15. Zhou L, Thorson JA, Nugent C, et al (2005) Noninvasive prenatal RHD genotyping by real-time polymerase chain reaction using plasma from D-negative pregnant women. Am J Obstet Gynecol 193:1966–71

    Article  CAS  PubMed  Google Scholar 

  16. Flori E, Doray B, Gautier E, et al (2004) Circulating cell-free fetal DNA in maternal serum appears to originate from cyto-and syncytio-trophoblastic cells. Case report. Hum Reprod 19:723–4

    Article  CAS  PubMed  Google Scholar 

  17. Daniels G, Finning K, Martin P, Summers J (2006) Fetal blood group genotyping: present and future. Ann N Y Acad Sci 1075:88–95

    Article  CAS  PubMed  Google Scholar 

  18. Tsui DW, Chiu RW, Lo YD (2010) Epigenetic approaches for the detection of fetal DNA in maternal plasma. Chimerism 1:30–5

    Article  PubMed  PubMed Central  Google Scholar 

  19. White HE, Dent CL, Hall VJ, et al (2012) Evaluation of a novel assay for detection of the fetal marker RASSF1A: facilitating improved diagnostic reliability of noninvasive prenatal diagnosis. PLoS ONE 7:e45073

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  20. Mazza V, Falcinelli C, Percesepe A, et al (2002) Non-invasive first trimester fetal gender assignment in pregnancies at risk for X-linked recessive diseases. Prenat Diagn 22:919–24

    Article  CAS  PubMed  Google Scholar 

  21. Costa JM, Benachi A, Gautier E (2002) New strategy for prenatal diagnosis of X-linked disorders. N Engl J Med 346:1502

    Article  PubMed  Google Scholar 

  22. Rijnders RJ, Christiaens GCML, Bossers B, et al (2004) Clinical applications of cell-free fetal DNA from maternal plasma. Obstet Gynecol 103:157–64

    Article  CAS  PubMed  Google Scholar 

  23. Hyett JA, Gardener G, Stojilkovic-Mikic T, et al (2005) Reduction in diagnostic and therapeutic interventions by non-invasive determination of fetal sex in early pregnancy. Prenat Diagn 25:1111–6

    Article  PubMed  Google Scholar 

  24. Santacroce R, Vecchione G, Tomaiyolo M, et al (2006) Identification of fetal gender in maternal blood is a helpful tool in the prenatal diagnosis of haemophilia. Haemophilia 12:417–22

    Article  CAS  PubMed  Google Scholar 

  25. Boyle L, Kaufmann WE (2010) The behavioral phenotype of FMR1 mutations. Am J Med Genet C Semin Med Genet 154:469–76

    Article  Google Scholar 

  26. Tachdjian G, Frydman N, Audibert F, et al (2002) Clinical applications of fetal sex determination in maternal blood in a preimplantation genetic diagnosis centre. Hum Reprod 17:2183–6

    Article  PubMed  Google Scholar 

  27. HAS/service des bonnes pratiques professionnelles (avril 2011) Hyperplasie congénitale des surrénales par déficit en 21-hydroxylase. Protocole national de diagnostic et de soins pour les maladies rares

  28. Tardy-Guidollet V, Menassa R, Costa JM, et al (2014) New management strategy of pregnancies at risk of congenital adrenal hyperplasia using fetal sex determination in maternal serum: French cohort of 258 cases (2002–2011) J Clin Endocrinol Metab 99:1180–8

    Article  CAS  PubMed  Google Scholar 

  29. Carmichael SL, Shaw GM, Ma C, et al (2007) Maternal corticosteroid use and orofacial clefts. Am J Obstet Gynecol 197:585.e1–e7; discussion 683–4, e1–e7

    PubMed  Google Scholar 

  30. Miller WL (2015) Fetal endocrine therapy for congenital adrenal hyperplasia should not be done. Best Pract Res Clin Endocrinol Metab 29:469–83

    Article  PubMed  Google Scholar 

  31. Thiele AT, Leier B (2010) Towards an ethical policy for the prevention of fetal sex selection in Canada. J Obstet Gynaecol Can 32:54–7

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to J.-M. Costa.

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Vivanti, A., Benachi, A. & Costa, JM. Test non invasif et diagnostic de sexe fœtal : où en est-on ?. Rev. med. perinat. 8, 26–30 (2016). https://doi.org/10.1007/s12611-016-0357-9

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12611-016-0357-9

Mots clés

Keywords

Navigation