Clinical Experience with Genome-Wide Noninvasive Prenatal Screening in a Large Cohort of Twin Pregnancies.

Autor: De Falco, Luigia, Savarese, Giovanni, Savarese, Pasquale, Petrillo, Nadia, Ianniello, Monica, Ruggiero, Raffaella, Suero, Teresa, Barbato, Cosimo, Mori, Alessio, Ramiro, Cristina, Della Corte, Luigi, Saccone, Gabriele, Di Spiezio Sardo, Attilio, Fico, Antonio
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Zdroj: Genes; May2023, Vol. 14 Issue 5, p982, 11p
Abstrakt: Non-invasive prenatal screening (NIPS) in twin gestations has been shown to have high detection rates and low false-positive rates for trisomy 21, as seen in singleton pregnancies, although there have been few large cohort twin studies, genome-wide studies in particular, to date. In this study, we looked at the performance of genome-wide NIPT in a large cohort consisting of 1244 twin pregnancy samples collected over a two-year period in a single laboratory in Italy. All samples underwent an NIPS for common trisomies, with 61.5% of study participants choosing to undergo genome-wide NIPS for additional fetal anomalies (namely, rare autosomal aneuploidies and CNVs). There were nine initial no-call results, all of which were resolved upon retest. Based on our NIPS results, 17 samples were at high risk for trisomy 21, one for trisomy 18, six for a rare autosomal aneuploidy, and four for a CNV. Clinical follow-up was available for 27 out of 29 high-risk cases; a sensitivity of 100%, a specificity of 99.9%, and a PPV of 94.4% were noted for trisomy 21. Clinical follow-up was also available for 1110 (96.6%) of the low-risk cases, all of which were true negatives. In conclusion, we found that NIPS was a reliable screening approach for trisomy 21 in twin pregnancies. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index