Reliable test for prenatal prediction of fetal RhD type using maternal plasma from RhD negative women
| Autor: | Klaus Rieneck, Morten Hedegaard, Ebbe Dickmeiss, Leif Kofoed Nielsen, Grethe Risum Krog, Rasmus Lundquist, Morten Hanefeld Dziegiel, Kirstin Finning, Frederik Banch Clausen |
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| Rok vydání: | 2005 |
| Předmět: |
medicine.medical_specialty
Genotype Prenatal diagnosis Gestational Age Polymerase Chain Reaction Sensitivity and Specificity Predictive Value of Tests Pregnancy Prenatal Diagnosis Hemolytic disease of the newborn (ABO) Medicine Humans Genetics (clinical) Fetus Rh-Hr Blood-Group System business.industry Obstetrics Obstetrics and Gynecology Gestational age Reproducibility of Results DNA Exons medicine.disease Fetal Diseases Cell-free fetal DNA Immunology Gestation Female business DNA Probes Rh blood group system |
| Zdroj: | Prenatal diagnosis. 25(11) |
| ISSN: | 0197-3851 |
| Popis: | Objectives The objective of this study was to establish a reliable test for prenatal prediction of fetal RhD type using maternal plasma from RhD negative women. This test is needed for future prenatal Rh prophylaxis. Methods A novel real-time PCR-based assay targeting RHD exon 7 combined with a published assay for RHD exon 10 were used to determine the fetal RHD status in DNA extracted from plasma, sampled from 56 pregnant RhD negative women in 15th–36th week of gestation. Thirty-eight samples were from ongoing pregnancies of Danish women and 21 samples from 18 pregnant women were stored anonymized samples from the International Blood Group Reference Laboratory, Bristol, United Kingdom. Prediction of fetal RhD type was compared with the serological result obtained after birth. Results The prediction of the fetal RhD type was in 100% concordance with the serological RhD type from the 16th week of gestation. One sample from the 15th week of gestation was inconclusive. The number of copies of fetal RHD DNA was found to increase with gestational age. Low levels of DNA were found to follow the Poisson distribution (p = 1.0000). Conclusion Our set-up was very reliable for determination of fetal RhD genotype, and thus will be of value in prenatal Rh prophylaxis and in the management of immunized women. Copyright © 2005 John Wiley & Sons, Ltd. |
| Databáze: | OpenAIRE |
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