1. A multiplex PCR for non-invasive fetal RHD genotyping using cell-free fetal DNA
- Author
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Georgia, Tounta, Christina, Vrettou, Aggeliki, Kolialexi, Nikolas, Papantoniou, Aspasia, Destouni, George T, Tsangaris, Aris, Antsaklis, Emmanuel, Kanavakis, and Ariadni, Mavrou
- Subjects
Male ,Fetus ,Rh-Hr Blood-Group System ,Blood Grouping and Crossmatching ,Pregnancy ,Prenatal Diagnosis ,SOXB1 Transcription Factors ,Tumor Suppressor Proteins ,Humans ,Reproducibility of Results ,Female ,Lymphocytes ,Polymerase Chain Reaction - Abstract
To design a protocol for non-invasive prenatal diagnosis of fetal Rhesus D (RhD) status.A total of 112 single lymphocytes were used to test the efficiency of the assay. The protocol was validated using blood samples from 84 RhD-negative pregnant women at 7-24 weeks of gestation. Cell-free DNA (cfDNA) was enzymatically digested using AciI and analyzed by a polymerase chain reaction (PCR) that allowed simultaneous amplification of RHD exons 7 and 10, SRY, RASFF1A and ACTB.On the one genome-equivalent level, the efficiency of the protocol was ≥ 94.6% for each locus amplified. Conclusive results from the first set of PCRs were obtained for 79 cases with one false-positive. In five cases the analysis was repeated and, subsequently, all cases were accurately diagnosed.The proposed protocol is rapid, applicable in most molecular diagnostic laboratories and provides the basis for non-invasive examination of fetal RhD with 96.7% specificity and 100% sensitivity.
- Published
- 2011