Microfluidic digital PCR enables rapid prenatal diagnosis of fetal aneuploidy

被引:92
作者
Fan, H. Christina [1 ,2 ]
Blumenfeld, Yair J. [3 ]
El-Sayed, Yasser Y. [3 ]
Chueh, Jane [3 ]
Quake, Stephen R. [1 ,2 ]
机构
[1] Stanford Univ, Dept Bioengn, Stanford, CA 94305 USA
[2] Howard Hughes Med Inst, Stanford, CA USA
[3] Stanford Univ, Div Maternal Fetal Med, Dept Obstet & Gynecol, Stanford, CA 94305 USA
关键词
aneuploidy; digital PCR; rapid prenatal diagnosis; FLUORESCENCE INSITU HYBRIDIZATION; DEPENDENT PROBE AMPLIFICATION; POLYMERASE-CHAIN-REACTION; COMPARATIVE GENOMIC HYBRIDIZATION; AMNIOTIC-FLUID; UNCULTURED AMNIOCYTES; ARRAY-CGH; CHROMOSOMAL ANEUPLOIDIES; COUNTING ALLELES; COPY NUMBER;
D O I
10.1016/j.ajog.2009.03.002
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
OBJECTIVE: The purpose of this study was to demonstrate that digital polymerase chain reaction (PCR) enables rapid, allele independent molecular detection of fetal aneuploidy. STUDY DESIGN: Twenty-four amniocentesis and 16 chorionic villus samples were used for microfluidic digital PCR analysis. Three thousand and sixty PCR reactions were performed for each of the target chromosomes ( X, Y, 13, 18, and 21), and the number of single molecule amplifications was compared to a reference. The difference between target and reference chromosome counts was used to determine the ploidy of each of the target chromosomes. RESULTS: Digital PCR accurately identified all cases of fetal trisomy ( 3 cases of trisomy 21, 3 cases of trisomy 18, and 2 cases of triosmy 13) in the 40 specimens analyzed. The remaining specimens were determined to have normal ploidy for the chromosomes tested. CONCLUSION: Microfluidic digital PCR allows detection of fetal chromosomal aneuploidy utilizing uncultured amniocytes and chorionic villus tissue in less than 6 hours.
引用
收藏
页码:543.e1 / 543.e7
页数:7
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