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Real-Time Quantitative PCR for the Detection of Fetal Aneuploidies

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Prenatal Diagnosis

Part of the book series: Methods in Molecular Biology™ ((MIMB,volume 444))

Summary

In prenatal analysis, one of the major concerns is the detection of fetal aneuploidies. Several molecular methods have been described recently for the rapid analysis of amniotic fluid and chorionic villi. Fluorescence in situ hybridization (FISH) and polymerase chain reaction (PCR) of short tandem repeats are already implemented in prenatal laboratories and permit the evaluation of the major chromosomal aberrations within 24 h. However, both methods have their disadvantages.

The advent of real-time PCR has revolutionized the measurement of nucleic acid copy numbers in recent years. Quantitative PCR, a term that was only 10 years ago considered to be an oxymoron, is now widely accepted. We demonstrated previously the feasibility of detection of trisomy 21 by real-time PCR, and here we describe the modified test that permits simultaneous analysis of trisomies 18 and 21. This approach has been demonstrated in a recent large-scale analysis, and it is presented in detail in this chapter.

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References

  1. Thorp, J. A., Helfgott, A. W., King, E. A., King, A. A., and Minyard, A. N. (2005) Maternal death after second-trimester genetic amniocentesis. Obstet. Gynecol. 105, 1213–1215.

    Article  PubMed  Google Scholar 

  2. Cicero, S., Spencer, K., Avgidou, K., Faiola, S., and Nicolaides, K. h. (2005) Maternal serum biochemistry at 11–13(+6) weeks in relation to the presence or absence of the fetal nasal bone on ultrasonography in chromosomally abnormal fetuses: an updated analysis of integrated ultrasound and biochemical screening. Prenat. Diagn. 25, 977–983.

    Article  CAS  PubMed  Google Scholar 

  3. Wald, N., Cuckle, h., Wu, T. S., and George, L. (1991) Maternal serum unconjugated oestriol and human chorionic gonadotrophin levels in twin pregnancies: implications for screening for Down’s syndrome. Br. J. Obstet. Gynaecol. 98, 905–908.

    Article  CAS  PubMed  Google Scholar 

  4. Nicolaides, K. h., Azar, G., Byrne, D., Mansur, C., and Marks, K. (1992) Fetal nuchal translucency: ultrasound screening for chromosomal defects in first trimester of pregnancy. BMJ 304, 867–869.

    Article  CAS  PubMed  Google Scholar 

  5. Cicero, S., Longo, D., Rembouskos, G., Sacchini, C., and Nicolaides, K. h. (2003) Absent nasal bone at 11–14 weeks of gestation and chromosomal defects. Ultrasound Obstet. Gynecol. 22, 31–35.

    Article  CAS  PubMed  Google Scholar 

  6. Falcon, O., Auer, M., Gerovassili, A., Spencer, K., and Nicolaides, K. h. (2006) Screening for trisomy 21 by fetal tricuspid regurgitation, nuchal translucency and maternal serum free beta-hCG and PAPP-A at 11 + 0 to 13 + 6 weeks. Ultrasound Obstet. Gynecol. 27, 151–155.

    Google Scholar 

  7. Brambati, B., Macintosh, M. C., Teisner, B., et al. (1993) Low maternal serum levels of pregnancy associated plasma protein A (PAPP-A) in the first trimester in association with abnormal fetal karyotype. Br. J. Obstet. Gynaecol. 100, 324–326.

    Article  CAS  PubMed  Google Scholar 

  8. Macri, J. N., Spencer, K., Aitken, D., et al. (1993) First-trimester free beta (hCG) screening for Down syndrome. Prenat. Diagn. 13, 557–562.

    Article  CAS  PubMed  Google Scholar 

  9. Witters, I., Devriendt, K., Legius, E., et al. ( 2002) Rapid prenatal diagnosis of trisomy 21 in 5049 consecutive uncultured amniotic fluid samples by fluorescence in situ hybridisation (FISH). Prenat. Diagn. 22, 29–33.

    Article  CAS  PubMed  Google Scholar 

  10. Klinger, K., Landes, G., Shook, D., et al. (1992) Rapid detection of chromosome aneuploidies in uncultured amniocytes by using fluorescence in situ hybridization (FISH). Am. J. Hum. Genet. 51, 55–65.

    CAS  PubMed  Google Scholar 

  11. von Eggeling, F., Freytag, M., Fahsold, R., Horsthemke, B., and Claussen, U. (1993) Rapid detection of trisomy 21 by quantitative PCR. Hum. Genet. 91, 567–570.

    Google Scholar 

  12. Levett, L. J., Liddle, S., and Meredith, R. (201) A large-scale evaluation of amnio-PCR for the rapid prenatal diagnosis of fetal trisomy. Ultrasound Obstet. Gynecol. 17, 115–118.

    Google Scholar 

  13. Hulten, M. A., Dhanjal, S., and Pertl, B. (2003) Rapid and simple prenatal diagnosis of common chromosome disorders: advantages and disadvantages of the molecular methods FISH and QF-PCR. Reproduction 126, 279–297.

    Article  CAS  PubMed  Google Scholar 

  14. Dudarewicz, L., Holzgreve, W., Jeziorowska, A., Jakubowski, L., and Zimmermann, B. (2005) Molecular methods for rapid detection of aneuploidy. J. Appl. Genet. 46, 207–215.

    PubMed  Google Scholar 

  15. Gingeras, T. R., Higuchi, R., Kricka, L. J., Lo, Y. M., and Wittwer, C. T. (2005) Fifty years of molecular (DNA/RNA) diagnostics. Clin. Chem. 51, 661–671.

    Article  CAS  PubMed  Google Scholar 

  16. Bustin, S. A. and Mueller, R. (2005) Real-time reverse transcription PCR (qRT-PCR) and its potential use in clinical diagnosis. Clin. Sci. 109, 365–379.

    Article  CAS  PubMed  Google Scholar 

  17. Zimmermann, B., Holzgreve, W., Wenzel, F., and Hahn, S. (2002) Novel real-time quantitative PCR test for trisomy 21. Clin. Chem. 48, 362–363.

    CAS  PubMed  Google Scholar 

  18. Hahn, S., Zhong, X. Y., Burk, M. R., Troeger, C., and Holzgreve, W. (2000) Multiplex and real-time quantitative PCR on fetal DNA in maternal plasma. A comparison with fetal cells isolated from maternal blood. Ann. N Y Acad. Sci. 906, 148–152.

    Article  CAS  PubMed  Google Scholar 

  19. Zimmermann, B., El-Sheikhah, A., Nicolaides, K., Holzgreve, W., and Hahn, S. (2005) Optimized real-time quantitative PCR measurement of male fetal DNA in maternal plasma. Clin. Chem. 51, 1598–1604.

    Article  CAS  PubMed  Google Scholar 

  20. Livak, K. J. and Schmittgen, T. D. (2001) Analysis of relative gene expression data using real-time quantitative PCR and the 2(-Delta Delta C(T)) method. Methods 5, 402–408.

    Article  Google Scholar 

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Zimmermann, B.G., Dudarewicz, L. (2008). Real-Time Quantitative PCR for the Detection of Fetal Aneuploidies. In: Hahn, S., Jackson, L.G. (eds) Prenatal Diagnosis. Methods in Molecular Biology™, vol 444. Humana Press. https://doi.org/10.1007/978-1-59745-066-9_7

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  • DOI: https://doi.org/10.1007/978-1-59745-066-9_7

  • Publisher Name: Humana Press

  • Print ISBN: 978-1-58829-803-4

  • Online ISBN: 978-1-59745-066-9

  • eBook Packages: Springer Protocols

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