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Erschienen in: Der Gynäkologe 6/2016

01.06.2016 | Trisomien | Leitthema

Nichtinvasive pränatale Tests

Überblick über die Grundlagen und den Einsatz der Methoden

verfasst von: Prof. Dr. med. P. Kozlowski

Erschienen in: Die Gynäkologie | Ausgabe 6/2016

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Zusammenfassung

Nichtinvasive pränatale Tests an zellfreier plazentarer DNA (NIPT) sind in kurzer Zeit zu einer wichtigen Ergänzung des Ersttrimesterscreenings in Bezug auf Aneuploidien geworden. Die Anzahl diagnostischer Punktionen bei unauffälligen Feten hat durch NIPT deutlich abgenommen. Die Sensitivität und Spezifität im Screening auf Trisomie 21 sind höher als die des kombinierten Screenings mittels Nackentransparenz und biochemischer Parameter. Der positive prädiktive Wert des NIPT der Trisomien 21, 18 und 13 hat eine deutliche Abhängigkeit von der altersabhängigen Prävalenz.
Literatur
1.
Zurück zum Zitat Ashoor G, Syngelaki A, Wagner M, Birdir C, Nicolaides KH (2012) Chromosome-selective sequencing of maternal plasma cell-free DNA for first-trimester detection of trisomy 21 and trisomy 18. Am J Obstet Gynecol 206:322–325CrossRefPubMed Ashoor G, Syngelaki A, Wagner M, Birdir C, Nicolaides KH (2012) Chromosome-selective sequencing of maternal plasma cell-free DNA for first-trimester detection of trisomy 21 and trisomy 18. Am J Obstet Gynecol 206:322–325CrossRefPubMed
2.
Zurück zum Zitat Benn P, Cuckle H, Pergament E (2013) Non-invasive prenatal testing for aneuploidy: current status and future prospects. Ultrasound Obstet Gynecol 42:15–33CrossRefPubMed Benn P, Cuckle H, Pergament E (2013) Non-invasive prenatal testing for aneuploidy: current status and future prospects. Ultrasound Obstet Gynecol 42:15–33CrossRefPubMed
3.
Zurück zum Zitat Bevilacqua E, Gil MM, Nicolaides KH, Ordonez E, Cirigliano V, Dierickx H, Willems PJ, Jani JC (2015) Performance of screening for aneuploidies by cell-free DNA analysis of maternal blood in twin pregnancies. Ultrasound Obstet Gynecol 45:61–66CrossRefPubMed Bevilacqua E, Gil MM, Nicolaides KH, Ordonez E, Cirigliano V, Dierickx H, Willems PJ, Jani JC (2015) Performance of screening for aneuploidies by cell-free DNA analysis of maternal blood in twin pregnancies. Ultrasound Obstet Gynecol 45:61–66CrossRefPubMed
4.
Zurück zum Zitat Bianchi DW, Simpson JL, Jackson LG, Elias S, Holzgreve W, Evans MI, Dukes KA, Sullivan LM, Klinger KW, Bischoff FZ, Hahn S, Johnson KL, Lewis D, Wapner RJ, Cruz F de la (2002) Fetal gender and aneuploidy detection using fetal cells in maternal blood: analysis of NIFTY I data. National Institute of Child Health and Development Fetal Cell Isolation Study. Prenat Diagn 22:609–615CrossRefPubMed Bianchi DW, Simpson JL, Jackson LG, Elias S, Holzgreve W, Evans MI, Dukes KA, Sullivan LM, Klinger KW, Bischoff FZ, Hahn S, Johnson KL, Lewis D, Wapner RJ, Cruz F de la (2002) Fetal gender and aneuploidy detection using fetal cells in maternal blood: analysis of NIFTY I data. National Institute of Child Health and Development Fetal Cell Isolation Study. Prenat Diagn 22:609–615CrossRefPubMed
5.
Zurück zum Zitat Bianchi DW, Platt LD, Goldberg JD, Abuhamad AZ, Sehnert AJ, Rava RP, MatErnal BLood IS Source to Accurately diagnose fetal aneuploidy (MELISSA) Study Group (2012) Genome-wide fetal aneuploidy detection by maternal plasma DNA sequencing. Obstet Gynecol 119:890–901CrossRefPubMed Bianchi DW, Platt LD, Goldberg JD, Abuhamad AZ, Sehnert AJ, Rava RP, MatErnal BLood IS Source to Accurately diagnose fetal aneuploidy (MELISSA) Study Group (2012) Genome-wide fetal aneuploidy detection by maternal plasma DNA sequencing. Obstet Gynecol 119:890–901CrossRefPubMed
6.
Zurück zum Zitat Bianchi DW, Parker RL, Wentworth J, Madankumar R, Saffer C, Das AF, Craig JA, Chudova DI, Devers PL, Jones KW, Oliver K, Rava RP, Sehnert AJ, CARE Study Group (2014) DNA sequencing versus standard prenatal aneuploidy screening. N Engl J Med 370:799–808CrossRefPubMed Bianchi DW, Parker RL, Wentworth J, Madankumar R, Saffer C, Das AF, Craig JA, Chudova DI, Devers PL, Jones KW, Oliver K, Rava RP, Sehnert AJ, CARE Study Group (2014) DNA sequencing versus standard prenatal aneuploidy screening. N Engl J Med 370:799–808CrossRefPubMed
7.
Zurück zum Zitat Canick JA, Palomaki GE, Kloza EM, Lambert-Messerlian GM, Haddow JE (2013) The impact of maternal plasma DNA fetal fraction on next generation sequencing tests for common fetal aneuploidies. Prenat Diagn 33:667–674CrossRefPubMed Canick JA, Palomaki GE, Kloza EM, Lambert-Messerlian GM, Haddow JE (2013) The impact of maternal plasma DNA fetal fraction on next generation sequencing tests for common fetal aneuploidies. Prenat Diagn 33:667–674CrossRefPubMed
8.
Zurück zum Zitat Chitty LS, Mason S, Barrett AN, McKay F, Lench N, Daley R, Jenkins LA (2015) Non-invasive prenatal diagnosis of achondroplasia and thanatophoric dysplasia: next-generation sequencing allows for a safer, more accurate, and comprehensive approach. Prenat Diagn 35:656–662CrossRefPubMedPubMedCentral Chitty LS, Mason S, Barrett AN, McKay F, Lench N, Daley R, Jenkins LA (2015) Non-invasive prenatal diagnosis of achondroplasia and thanatophoric dysplasia: next-generation sequencing allows for a safer, more accurate, and comprehensive approach. Prenat Diagn 35:656–662CrossRefPubMedPubMedCentral
9.
Zurück zum Zitat Dhallan R, Guo X, Emche S, Damewood M, Bayliss P, Cronin M, Barry J, Betz J, Franz K, Gold K, Vallecillo B, Varney J (2007) A non-invasive test for prenatal diagnosis base on fetal DNA present in maternal blood: a preliminary study. Lancet 369:474–481CrossRefPubMed Dhallan R, Guo X, Emche S, Damewood M, Bayliss P, Cronin M, Barry J, Betz J, Franz K, Gold K, Vallecillo B, Varney J (2007) A non-invasive test for prenatal diagnosis base on fetal DNA present in maternal blood: a preliminary study. Lancet 369:474–481CrossRefPubMed
10.
Zurück zum Zitat Evans MI, Wright DA, Pergament E, Cuckle HS, Nicolaides KH (2012) Digital PCR for noninvasive detection of Aneuploidy: power analysis equations for feasibility. Fetal Diagn Ther 31:244–247CrossRefPubMed Evans MI, Wright DA, Pergament E, Cuckle HS, Nicolaides KH (2012) Digital PCR for noninvasive detection of Aneuploidy: power analysis equations for feasibility. Fetal Diagn Ther 31:244–247CrossRefPubMed
11.
12.
Zurück zum Zitat Gil MM, Quezada MS, Bregant B, Syngelaki A (2014) Cell-free DNA analysis for trisomy risk assessment in first-trimester twin pregnancies. Fetal Diagn Ther 35:204–211CrossRef Gil MM, Quezada MS, Bregant B, Syngelaki A (2014) Cell-free DNA analysis for trisomy risk assessment in first-trimester twin pregnancies. Fetal Diagn Ther 35:204–211CrossRef
13.
Zurück zum Zitat Gil MM, Quezada MS, Revello R, Akolekar R, Nicolaides KH (2015) Analysis of cell-free DNA in maternal blood in screening for fetal aneuploidies: updated meta-analysis. Ultrasound Obstet Gynecol 45:249–266CrossRefPubMed Gil MM, Quezada MS, Revello R, Akolekar R, Nicolaides KH (2015) Analysis of cell-free DNA in maternal blood in screening for fetal aneuploidies: updated meta-analysis. Ultrasound Obstet Gynecol 45:249–266CrossRefPubMed
14.
Zurück zum Zitat Gross SJ, Stosic M, McDonald-McGinn DM, Bassett AS, Norvez A, Dhamankar R, Kobara K, Kirkizlar E, Zimmermann B, Wayham N, Babiarz JE, Ryan A, Jinnett KN, Demko Z, Benn P (2016) Clinical experience with single-nucleotide polymorphism-based non-invasive prenatal screening for 22q11.2 deletion syndrome. Ultrasound Obstet Gynecol 47:177–183CrossRefPubMed Gross SJ, Stosic M, McDonald-McGinn DM, Bassett AS, Norvez A, Dhamankar R, Kobara K, Kirkizlar E, Zimmermann B, Wayham N, Babiarz JE, Ryan A, Jinnett KN, Demko Z, Benn P (2016) Clinical experience with single-nucleotide polymorphism-based non-invasive prenatal screening for 22q11.2 deletion syndrome. Ultrasound Obstet Gynecol 47:177–183CrossRefPubMed
15.
Zurück zum Zitat Gutensohn K, Müller SP, Thomann K, Stein W, Suren A, Körtge-Jung S, Schlüter G, Legler TJ (2010) Diagnostic accuracy of non invasive polymerase chain reaction testing for the determination of fetal rhesus C, c and E status in early pregnancy. Br J Obstet Gynaecol 117:722–729CrossRef Gutensohn K, Müller SP, Thomann K, Stein W, Suren A, Körtge-Jung S, Schlüter G, Legler TJ (2010) Diagnostic accuracy of non invasive polymerase chain reaction testing for the determination of fetal rhesus C, c and E status in early pregnancy. Br J Obstet Gynaecol 117:722–729CrossRef
16.
Zurück zum Zitat Holzgreve W, Garritsen HS, Gänshirt-Ahlers D (1992) Fetal cells in the maternal circulation. J Reprod Med 37:410–418PubMed Holzgreve W, Garritsen HS, Gänshirt-Ahlers D (1992) Fetal cells in the maternal circulation. J Reprod Med 37:410–418PubMed
17.
Zurück zum Zitat Jani J, Rego de Sousa M‑J, Benachi A (2015) Cell-free DNA testing: how to choose which laboratory to use? Ultrasound Obstet Gynecol 46:515–517CrossRefPubMed Jani J, Rego de Sousa M‑J, Benachi A (2015) Cell-free DNA testing: how to choose which laboratory to use? Ultrasound Obstet Gynecol 46:515–517CrossRefPubMed
18.
Zurück zum Zitat Juneau K, Bogard PE, Huang S, Mohseni M, Wang ET, Ryvkin P, Kingsley C, Struble CA, Oliphant A, Zahn JM (2014) Micorarray-based cell-free DNA analysis improves noninvasive prenatal testing. Fetal Diagn Ther 36:282–286CrossRefPubMed Juneau K, Bogard PE, Huang S, Mohseni M, Wang ET, Ryvkin P, Kingsley C, Struble CA, Oliphant A, Zahn JM (2014) Micorarray-based cell-free DNA analysis improves noninvasive prenatal testing. Fetal Diagn Ther 36:282–286CrossRefPubMed
19.
Zurück zum Zitat Kagan KO, Eiben B, Kozlowski P (2014) Combined first trimester screening and cell-free fetal DNA – „Next Generation Screening“. Ultraschall Med 35:229–236CrossRefPubMed Kagan KO, Eiben B, Kozlowski P (2014) Combined first trimester screening and cell-free fetal DNA – „Next Generation Screening“. Ultraschall Med 35:229–236CrossRefPubMed
20.
Zurück zum Zitat Kagan KO, Hoopmann M, Hammer R, Stressig R, Kozlowski P (2015) Screening for chromosomal abnormalities by first trimester combined screening and noninvasive prenatal testing. Ultraschall Med 36:40–46PubMed Kagan KO, Hoopmann M, Hammer R, Stressig R, Kozlowski P (2015) Screening for chromosomal abnormalities by first trimester combined screening and noninvasive prenatal testing. Ultraschall Med 36:40–46PubMed
21.
Zurück zum Zitat Kamhieh-Milz J, Moftah RF, Bal G, Futschik M, Sterzer V, Khorramshahi O, Burow M, Thiel G, Stuke-Sontheimer A, Chaoui R, Kamhieh-Milz S, Salama A (2014) Differentially expressed microRNAs in maternal plasma for the noninvasive prenatal diagnosis of Down syndrome (trisomy 21). Biomed Res Int 2014:402475CrossRefPubMedPubMedCentral Kamhieh-Milz J, Moftah RF, Bal G, Futschik M, Sterzer V, Khorramshahi O, Burow M, Thiel G, Stuke-Sontheimer A, Chaoui R, Kamhieh-Milz S, Salama A (2014) Differentially expressed microRNAs in maternal plasma for the noninvasive prenatal diagnosis of Down syndrome (trisomy 21). Biomed Res Int 2014:402475CrossRefPubMedPubMedCentral
22.
Zurück zum Zitat Kitzman JO, Snyder MW, Ventura M, Lewis AP, Qiu R, Simons LE, Gammill HS, Rubens CE, Santillan DA, Murray JC, Tabor HK, Bamshad MJ, Eichler EE, Shendure J (2012) Noninvasive whole-genome sequencing of a human fetus. Sci Transl Med 4:137ra76CrossRefPubMedPubMedCentral Kitzman JO, Snyder MW, Ventura M, Lewis AP, Qiu R, Simons LE, Gammill HS, Rubens CE, Santillan DA, Murray JC, Tabor HK, Bamshad MJ, Eichler EE, Shendure J (2012) Noninvasive whole-genome sequencing of a human fetus. Sci Transl Med 4:137ra76CrossRefPubMedPubMedCentral
23.
Zurück zum Zitat Li R, Wan J, Zhang Y, Fu F, Ou Y, Jing X, Li J, Li D, Liao C (2016) Detection of fetal copy number variants by non-invasive prenatal testing for common aneuploidies. Ultrasound Obstet Gynecol 47:53–57CrossRefPubMed Li R, Wan J, Zhang Y, Fu F, Ou Y, Jing X, Li J, Li D, Liao C (2016) Detection of fetal copy number variants by non-invasive prenatal testing for common aneuploidies. Ultrasound Obstet Gynecol 47:53–57CrossRefPubMed
24.
Zurück zum Zitat Lo YM, Corbetta N, Chamberlain PF, Rai V, Sargent IL, Redman CW, Wainscoat JS (1997) Presence of fetal DNA in maternal plasma and serum. Lancet 350:485–487CrossRefPubMed Lo YM, Corbetta N, Chamberlain PF, Rai V, Sargent IL, Redman CW, Wainscoat JS (1997) Presence of fetal DNA in maternal plasma and serum. Lancet 350:485–487CrossRefPubMed
25.
Zurück zum Zitat Lo YM, Tein MS, Lau TK, Haines CJ, Leung TN, Poon PM, Wainscoat JS, Johnson PJ, Chang AM, Hjelm NM (1998) Quantitative analysis of fetal DNA in maternal plasma and serum: implications for noninvasive prenatal diagnosis. Am J Hum Genet 62:768–775CrossRefPubMedPubMedCentral Lo YM, Tein MS, Lau TK, Haines CJ, Leung TN, Poon PM, Wainscoat JS, Johnson PJ, Chang AM, Hjelm NM (1998) Quantitative analysis of fetal DNA in maternal plasma and serum: implications for noninvasive prenatal diagnosis. Am J Hum Genet 62:768–775CrossRefPubMedPubMedCentral
26.
Zurück zum Zitat Lo YM, Hjelm NM, Fidler C, Sargent IL, Murphy MF, Chamberlain PF, Poon PM, Redman CW, Waisncoat JS (1998) Prenatal diagnosis of fetal RhD status by molecular analysis of maternal plasma. N Engl J Med 339:1734–1738CrossRefPubMed Lo YM, Hjelm NM, Fidler C, Sargent IL, Murphy MF, Chamberlain PF, Poon PM, Redman CW, Waisncoat JS (1998) Prenatal diagnosis of fetal RhD status by molecular analysis of maternal plasma. N Engl J Med 339:1734–1738CrossRefPubMed
27.
Zurück zum Zitat Lo YM, Chan KC, Sun H, Chen EZ, Jiang P, Lun FM, Zheng YW, Leung TY, Lau TK, Cantor CR, Chiu RW (2010) Maternal plasma DNA sequencing reveals the genome-wide genetic and mutational profile of the fetus. Sci Transl Med 2:61–91CrossRef Lo YM, Chan KC, Sun H, Chen EZ, Jiang P, Lun FM, Zheng YW, Leung TY, Lau TK, Cantor CR, Chiu RW (2010) Maternal plasma DNA sequencing reveals the genome-wide genetic and mutational profile of the fetus. Sci Transl Med 2:61–91CrossRef
28.
Zurück zum Zitat Metzker ML (2010) Sequencing technologies – the next generation. Nat Rev Genet 11:11–31CrossRef Metzker ML (2010) Sequencing technologies – the next generation. Nat Rev Genet 11:11–31CrossRef
29.
Zurück zum Zitat Nicolaides KH (2011) A model for a new pyramid of prenatal care base on the 11 to 13 weeks’ assessment. Prenat Diagn 31:3–6CrossRefPubMed Nicolaides KH (2011) A model for a new pyramid of prenatal care base on the 11 to 13 weeks’ assessment. Prenat Diagn 31:3–6CrossRefPubMed
30.
Zurück zum Zitat Nicolaides KH, Syngelaki A, Ashoor G, Birdir C, Touzet G (2012) Noninvasive prenatal testing for fetal trisomies in a routinely screened first-trimester population. Am J Obstet Gynecol 207(374):e1–e6PubMed Nicolaides KH, Syngelaki A, Ashoor G, Birdir C, Touzet G (2012) Noninvasive prenatal testing for fetal trisomies in a routinely screened first-trimester population. Am J Obstet Gynecol 207(374):e1–e6PubMed
31.
Zurück zum Zitat Norton ME, Brar H, Weiss J, Karimi A, Laurent LC, Caughey AB, Rodriguez MH, Williams J 3rd, Mitchell ME, Adair CD, Lee H, Jacobsson B, Tomlinson MW, Oepkes D, Hollemon D, Sparks AB, Oliphant A, Song K (2012) Non-Invasive Chromosomal Evaluation (NICE) Study: results of a multicenter prospective cohort study for detection of fetal trisomy 21 and trisomy 18. Am J Obstet Gynecol 207(137):e1–e8PubMed Norton ME, Brar H, Weiss J, Karimi A, Laurent LC, Caughey AB, Rodriguez MH, Williams J 3rd, Mitchell ME, Adair CD, Lee H, Jacobsson B, Tomlinson MW, Oepkes D, Hollemon D, Sparks AB, Oliphant A, Song K (2012) Non-Invasive Chromosomal Evaluation (NICE) Study: results of a multicenter prospective cohort study for detection of fetal trisomy 21 and trisomy 18. Am J Obstet Gynecol 207(137):e1–e8PubMed
32.
Zurück zum Zitat Norton ME, Jacobsson B, Swamy GK, Laurent LC, Ranzini AC, Brar H, Tomlinson MW, Pereira L, Spitz JL, Hollemon D, Cuckle H, Musci TJ, Wapner RJ (2015) Cell-free DNA analysis for noninvasive examination of trisomy. N Engl J Med 372:1589–1597CrossRefPubMed Norton ME, Jacobsson B, Swamy GK, Laurent LC, Ranzini AC, Brar H, Tomlinson MW, Pereira L, Spitz JL, Hollemon D, Cuckle H, Musci TJ, Wapner RJ (2015) Cell-free DNA analysis for noninvasive examination of trisomy. N Engl J Med 372:1589–1597CrossRefPubMed
33.
Zurück zum Zitat Oepkes D, Yaron Y, Kozlowski P, Rego de Sousa MJ, Bartha JL, Akker ES van den, Dornan SM, Krampl-Bettelheim E, Schmid M, Wielgos M, Cirigliano V, Renzo GC di, Cameron A, Calda P, Tabor A (2014) Counseling for non-invasive prenatal testing (NIPT): what pregnant women may want to know. Ultrasound Obstet Gynecol 44:1–5CrossRefPubMed Oepkes D, Yaron Y, Kozlowski P, Rego de Sousa MJ, Bartha JL, Akker ES van den, Dornan SM, Krampl-Bettelheim E, Schmid M, Wielgos M, Cirigliano V, Renzo GC di, Cameron A, Calda P, Tabor A (2014) Counseling for non-invasive prenatal testing (NIPT): what pregnant women may want to know. Ultrasound Obstet Gynecol 44:1–5CrossRefPubMed
34.
Zurück zum Zitat Palomaki GE, Kloza EM, Lambert-Messerlian GM, Haddow JE, Neveux LM, Ehrich M, Boom D van den, Bombard AT, Deciu C, Grody WW, Nelson SF, Canick JA (2011) DNA sequencing of maternal plasma to detect Down syndrome: an international clinical validation study. Genet Med 13:913–920CrossRefPubMed Palomaki GE, Kloza EM, Lambert-Messerlian GM, Haddow JE, Neveux LM, Ehrich M, Boom D van den, Bombard AT, Deciu C, Grody WW, Nelson SF, Canick JA (2011) DNA sequencing of maternal plasma to detect Down syndrome: an international clinical validation study. Genet Med 13:913–920CrossRefPubMed
35.
Zurück zum Zitat Papageorgiou EA, Karagrigoriou A, Tsaliki E, Velissariou V, Carter NP, Patsalis PC (2011) Fetal-specific DNA methylation ratio permits noninvasive prenatal diagnosis of trisomy 21. Nat Med 17:510–513CrossRefPubMedPubMedCentral Papageorgiou EA, Karagrigoriou A, Tsaliki E, Velissariou V, Carter NP, Patsalis PC (2011) Fetal-specific DNA methylation ratio permits noninvasive prenatal diagnosis of trisomy 21. Nat Med 17:510–513CrossRefPubMedPubMedCentral
36.
Zurück zum Zitat Pergament E, Cuckle H, Zimmermann B, Banjevic M, Sigurjonsson S, Ryan A, Hall MP, Dodd M, Lacroute P, Stosic M, Chopra N, Hunkapiller N, Prosen DE, McAdoo S, Demko Z, Siddiqui A, Hill M, Rabinowitz M (2014) Single-nucleotide polymorphism-based noninvasive prenatal screening in a high-risk and low-risk cohort. Obstet Gynecol 124:210–218CrossRefPubMedPubMedCentral Pergament E, Cuckle H, Zimmermann B, Banjevic M, Sigurjonsson S, Ryan A, Hall MP, Dodd M, Lacroute P, Stosic M, Chopra N, Hunkapiller N, Prosen DE, McAdoo S, Demko Z, Siddiqui A, Hill M, Rabinowitz M (2014) Single-nucleotide polymorphism-based noninvasive prenatal screening in a high-risk and low-risk cohort. Obstet Gynecol 124:210–218CrossRefPubMedPubMedCentral
37.
Zurück zum Zitat Poon LC, Musci T, Song K, Syngelaki A, Nicolaides KH (2013) Maternal plasma cell-free fetal and maternal DNA at 11–13 weeks’ gestation: relation to fetal and maternal characteristics and pregnancy outcomes. Fetal Diagn Ther 33:215–223CrossRefPubMed Poon LC, Musci T, Song K, Syngelaki A, Nicolaides KH (2013) Maternal plasma cell-free fetal and maternal DNA at 11–13 weeks’ gestation: relation to fetal and maternal characteristics and pregnancy outcomes. Fetal Diagn Ther 33:215–223CrossRefPubMed
38.
Zurück zum Zitat Poon LL, Leung TN, Lau TK, Lo YM (2002) Differential DNA methylation between fetus and mother as a strategy for detecting fetal DNA in maternal plasma. Clin Chem 48:35–41PubMed Poon LL, Leung TN, Lau TK, Lo YM (2002) Differential DNA methylation between fetus and mother as a strategy for detecting fetal DNA in maternal plasma. Clin Chem 48:35–41PubMed
39.
Zurück zum Zitat Quezada MS, Gil MM, Francisco C, Oròsz G, Nicolaides KH (2015) Screening for trisomies 21, 18 and 13 by cell-free DNA analysis of maternal blood at 10–11 weeks’ gestation and the combined test at 11–13 weeks. Ultrasound Obstet Gynecol 45:36–41CrossRefPubMed Quezada MS, Gil MM, Francisco C, Oròsz G, Nicolaides KH (2015) Screening for trisomies 21, 18 and 13 by cell-free DNA analysis of maternal blood at 10–11 weeks’ gestation and the combined test at 11–13 weeks. Ultrasound Obstet Gynecol 45:36–41CrossRefPubMed
40.
Zurück zum Zitat Rava RP, Srinivasan A, Sehnert AJ, Bianchi DW (2014) Circulating fetal cell-free DNA fractions differ in autosomal aneuploidies and monosomy X. Clin Chem 60:243–250CrossRefPubMed Rava RP, Srinivasan A, Sehnert AJ, Bianchi DW (2014) Circulating fetal cell-free DNA fractions differ in autosomal aneuploidies and monosomy X. Clin Chem 60:243–250CrossRefPubMed
41.
Zurück zum Zitat Revello R, Sarno L, Ispas A, Akolekar R, Nicolaides KH (2016) Screening for trisomies by cell-free DNA testing of maternal blood: consequences of failed result. Ultrasound Obstet Gynecol. doi:10.1001/uog.15851 Revello R, Sarno L, Ispas A, Akolekar R, Nicolaides KH (2016) Screening for trisomies by cell-free DNA testing of maternal blood: consequences of failed result. Ultrasound Obstet Gynecol. doi:10.1001/uog.15851
42.
Zurück zum Zitat Sparks AB, Wang ET, Struble CA, Barrett W, Stokowski R, McBride C, Zahn J, Lee K, Shen N, Doshi J, Sun M, Garrison J, Sandler J, Hollemon D, Pattee P, Tomita-Mitchell A, Mitchell M, Stuelpnagel J, Song K, Oliphant A (2012) Selective analysis of cell-free DNA in maternal blood for evaluation of fetal trisomy. Prenat Diagn 32:3–9CrossRefPubMedPubMedCentral Sparks AB, Wang ET, Struble CA, Barrett W, Stokowski R, McBride C, Zahn J, Lee K, Shen N, Doshi J, Sun M, Garrison J, Sandler J, Hollemon D, Pattee P, Tomita-Mitchell A, Mitchell M, Stuelpnagel J, Song K, Oliphant A (2012) Selective analysis of cell-free DNA in maternal blood for evaluation of fetal trisomy. Prenat Diagn 32:3–9CrossRefPubMedPubMedCentral
43.
Zurück zum Zitat Stokowski R, Wang E, White K, Batey A, Jacobsson B, Brar H, Balanarasimha M, Hollemon D, Sparks A, Nicolaides K, Musci TJ (2015) Clinical performance of non-invasive testing (NIPT) using targeted cell-free DNA analysis in maternal plasma with microarrays of next generation sequencing (NGS) is consistent across multiple controlled clinical studies. Prenat Diagnosis 35:1243–1246CrossRef Stokowski R, Wang E, White K, Batey A, Jacobsson B, Brar H, Balanarasimha M, Hollemon D, Sparks A, Nicolaides K, Musci TJ (2015) Clinical performance of non-invasive testing (NIPT) using targeted cell-free DNA analysis in maternal plasma with microarrays of next generation sequencing (NGS) is consistent across multiple controlled clinical studies. Prenat Diagnosis 35:1243–1246CrossRef
44.
Zurück zum Zitat Struble CA, Syngelaki A, Oliphant A, Song K, Nicolaides KH (2014) Fetal fraction estimate in twin pregnancies using directed cell-free DNA analysis. Fetal Diagn Ther 35:199–203CrossRefPubMed Struble CA, Syngelaki A, Oliphant A, Song K, Nicolaides KH (2014) Fetal fraction estimate in twin pregnancies using directed cell-free DNA analysis. Fetal Diagn Ther 35:199–203CrossRefPubMed
45.
Zurück zum Zitat Stumm M, Entezami M, Trunk N, Beck M, Löcherbach J, Wegner RD, Hagen A, Becker R, Hofmann W (2012) Noninvasive prenatal detection of chromosomal aneuploidies using different next generation sequencing strategies and algorithms. Prenat Diagn 32:569–577CrossRefPubMed Stumm M, Entezami M, Trunk N, Beck M, Löcherbach J, Wegner RD, Hagen A, Becker R, Hofmann W (2012) Noninvasive prenatal detection of chromosomal aneuploidies using different next generation sequencing strategies and algorithms. Prenat Diagn 32:569–577CrossRefPubMed
46.
Zurück zum Zitat Takoudes T, Hamar B (2015) Performance of non-invasive prenatal testing when cell-free DNA is absent. Ultrasound Obstet Gynecol 45:112CrossRefPubMed Takoudes T, Hamar B (2015) Performance of non-invasive prenatal testing when cell-free DNA is absent. Ultrasound Obstet Gynecol 45:112CrossRefPubMed
47.
Zurück zum Zitat Tong YK, Jin S, Chiu RW, Ding C, Chan KC, Leung TY, Yu L, Lau TK, Lo YM (2010) Noninvasive prenatal detection of trisomy 21 by an epigenetic-genetic chromosome-dosage approach. Clin Chem 56:90–98CrossRefPubMed Tong YK, Jin S, Chiu RW, Ding C, Chan KC, Leung TY, Yu L, Lau TK, Lo YM (2010) Noninvasive prenatal detection of trisomy 21 by an epigenetic-genetic chromosome-dosage approach. Clin Chem 56:90–98CrossRefPubMed
48.
Zurück zum Zitat Wang E, Batey A, Struble C, Musci T, Song K, Oliphant A (2013) Gestational age and maternal weight effects on fetal cell-free DNA in maternal plasma. Prenat Diagn 33:662–666CrossRefPubMed Wang E, Batey A, Struble C, Musci T, Song K, Oliphant A (2013) Gestational age and maternal weight effects on fetal cell-free DNA in maternal plasma. Prenat Diagn 33:662–666CrossRefPubMed
49.
Zurück zum Zitat Yaron Y, Jani J, Schmid M, Oepkes D (2015) Current status of testing for microdeletion syndromes and rare autosomal trisomies using cell-free DNA technology. Obstet Gynecol 126:1095–1099CrossRefPubMed Yaron Y, Jani J, Schmid M, Oepkes D (2015) Current status of testing for microdeletion syndromes and rare autosomal trisomies using cell-free DNA technology. Obstet Gynecol 126:1095–1099CrossRefPubMed
50.
Zurück zum Zitat Yu SC, Chan KC, Zheng YW, Jiang P, Liao GJ, Sun H, Akolekar R, Leung TY, Go AT, Vugt JM van, Minekawa R, Oudejans CB, Nicolaides KH, Chiu RW, Lo YM (2014) Size-based molecular diagnostics using plasma DNA for noninvasive prenatal testing. Proc Natl Acad Sci U S A 111:583–8588 Yu SC, Chan KC, Zheng YW, Jiang P, Liao GJ, Sun H, Akolekar R, Leung TY, Go AT, Vugt JM van, Minekawa R, Oudejans CB, Nicolaides KH, Chiu RW, Lo YM (2014) Size-based molecular diagnostics using plasma DNA for noninvasive prenatal testing. Proc Natl Acad Sci U S A 111:583–8588
51.
Zurück zum Zitat Zimmermann B, Hill M, Gemelos G, Demko Z, Banjevic M, Baner J, Ryan A, Sigurjonsson S, Chopra N, Dodd M, Levy B, Rabinowitz M (2012) Noninvasive prenatal aneuploidy testing of chromosomes 13, 18, 21, X, and Y, using targeted sequencing of polymorphic loci. Prenat Diagn 32:1233–1241CrossRefPubMedPubMedCentral Zimmermann B, Hill M, Gemelos G, Demko Z, Banjevic M, Baner J, Ryan A, Sigurjonsson S, Chopra N, Dodd M, Levy B, Rabinowitz M (2012) Noninvasive prenatal aneuploidy testing of chromosomes 13, 18, 21, X, and Y, using targeted sequencing of polymorphic loci. Prenat Diagn 32:1233–1241CrossRefPubMedPubMedCentral
Metadaten
Titel
Nichtinvasive pränatale Tests
Überblick über die Grundlagen und den Einsatz der Methoden
verfasst von
Prof. Dr. med. P. Kozlowski
Publikationsdatum
01.06.2016
Verlag
Springer Berlin Heidelberg
Erschienen in
Die Gynäkologie / Ausgabe 6/2016
Print ISSN: 2731-7102
Elektronische ISSN: 2731-7110
DOI
https://doi.org/10.1007/s00129-016-3889-y

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