Quantification of free fetal DNA in multiple pregnancies and relationship with chorionicity

Objective Free fetal DNA (ffDNA) in the maternal plasma appears to originate mainly from the trophoblast. We tested the hypothesis that ffDNA concentration is increased in multiple pregnancies where trophoblastic mass has been shown to be increased. Methods Quantitative real‐time PCR was used to mea...

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Veröffentlicht in:Prenatal diagnosis 2011-10, Vol.31 (10), p.967-972
Hauptverfasser: Attilakos, George, Maddocks, Deborah G., Davies, Teresa, Hunt, Linda P., Avent, Neil D., Soothill, Peter W., Grant, Simon R.
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container_end_page 972
container_issue 10
container_start_page 967
container_title Prenatal diagnosis
container_volume 31
creator Attilakos, George
Maddocks, Deborah G.
Davies, Teresa
Hunt, Linda P.
Avent, Neil D.
Soothill, Peter W.
Grant, Simon R.
description Objective Free fetal DNA (ffDNA) in the maternal plasma appears to originate mainly from the trophoblast. We tested the hypothesis that ffDNA concentration is increased in multiple pregnancies where trophoblastic mass has been shown to be increased. Methods Quantitative real‐time PCR was used to measure the plasma concentration of DYS14 in singleton and twin pregnancies with one or two male fetuses. Royston and Wright's regression method was used to relate ffDNA to gestational age in singleton controls; z‐scores were calculated for the multiple pregnancy subgroups. Results Fifty‐five singleton and 65 twin pregnancies (36 with one and 29 with two male fetuses) were analysed. There was significantly higher ffDNA concentration in twin pregnancies with two male fetuses compared with pregnancies with one male fetus. In cases with two male fetuses, there was no statistically significant difference between monochorionic and dichorionic pregnancies. Conclusions There is higher ffDNA concentration in multiple pregnancies, and this must be taken into account for future quantitative ffDNA applications. Copyright © 2011 John Wiley & Sons, Ltd.
doi_str_mv 10.1002/pd.2814
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We tested the hypothesis that ffDNA concentration is increased in multiple pregnancies where trophoblastic mass has been shown to be increased. Methods Quantitative real‐time PCR was used to measure the plasma concentration of DYS14 in singleton and twin pregnancies with one or two male fetuses. Royston and Wright's regression method was used to relate ffDNA to gestational age in singleton controls; z‐scores were calculated for the multiple pregnancy subgroups. Results Fifty‐five singleton and 65 twin pregnancies (36 with one and 29 with two male fetuses) were analysed. There was significantly higher ffDNA concentration in twin pregnancies with two male fetuses compared with pregnancies with one male fetus. In cases with two male fetuses, there was no statistically significant difference between monochorionic and dichorionic pregnancies. Conclusions There is higher ffDNA concentration in multiple pregnancies, and this must be taken into account for future quantitative ffDNA applications. Copyright © 2011 John Wiley &amp; Sons, Ltd.</description><identifier>ISSN: 0197-3851</identifier><identifier>ISSN: 1097-0223</identifier><identifier>EISSN: 1097-0223</identifier><identifier>DOI: 10.1002/pd.2814</identifier><identifier>PMID: 21769896</identifier><identifier>CODEN: PRDIDM</identifier><language>eng</language><publisher>Chichester, UK: John Wiley &amp; Sons, Ltd</publisher><subject>Adolescent ; Adult ; Biological and medical sciences ; Biomarkers - blood ; Cell Cycle Proteins - blood ; Cell Cycle Proteins - genetics ; Chorion - anatomy &amp; histology ; Chorion - metabolism ; Chorionic Gonadotropin, beta Subunit, Human - blood ; Chromosomes, Human, Y - genetics ; Delivery. Postpartum. Lactation ; DNA - blood ; Female ; fetal DNA ; fetal nucleic acids ; Fetus - metabolism ; Fundamental and applied biological sciences. Psychology ; Genetics of eukaryotes. Biological and molecular evolution ; Gynecology. Andrology. 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Diagn</addtitle><description>Objective Free fetal DNA (ffDNA) in the maternal plasma appears to originate mainly from the trophoblast. We tested the hypothesis that ffDNA concentration is increased in multiple pregnancies where trophoblastic mass has been shown to be increased. Methods Quantitative real‐time PCR was used to measure the plasma concentration of DYS14 in singleton and twin pregnancies with one or two male fetuses. Royston and Wright's regression method was used to relate ffDNA to gestational age in singleton controls; z‐scores were calculated for the multiple pregnancy subgroups. Results Fifty‐five singleton and 65 twin pregnancies (36 with one and 29 with two male fetuses) were analysed. There was significantly higher ffDNA concentration in twin pregnancies with two male fetuses compared with pregnancies with one male fetus. In cases with two male fetuses, there was no statistically significant difference between monochorionic and dichorionic pregnancies. Conclusions There is higher ffDNA concentration in multiple pregnancies, and this must be taken into account for future quantitative ffDNA applications. Copyright © 2011 John Wiley &amp; Sons, Ltd.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Biomarkers - blood</subject><subject>Cell Cycle Proteins - blood</subject><subject>Cell Cycle Proteins - genetics</subject><subject>Chorion - anatomy &amp; histology</subject><subject>Chorion - metabolism</subject><subject>Chorionic Gonadotropin, beta Subunit, Human - blood</subject><subject>Chromosomes, Human, Y - genetics</subject><subject>Delivery. Postpartum. Lactation</subject><subject>DNA - blood</subject><subject>Female</subject><subject>fetal DNA</subject><subject>fetal nucleic acids</subject><subject>Fetus - metabolism</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Genetics of eukaryotes. Biological and molecular evolution</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Molecular and cellular biology</subject><subject>multiple pregnancies</subject><subject>Pregnancy</subject><subject>Pregnancy, Twin - blood</subject><subject>prenatal diagnosis</subject><subject>Prenatal Diagnosis - methods</subject><subject>Twins</subject><subject>Young Adult</subject><issn>0197-3851</issn><issn>1097-0223</issn><issn>1097-0223</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp90EFvFCEUB3BiNHZbjd_AcDGamKnwYAY4Nq2tmqZWo_HggbDwcNHZmRFmUvfbO-uu7UlPEN6P_0v-hDzh7JgzBq-GcAyay3tkwZlRFQMQ98mC8fkudM0PyGEp32eowaiH5AC4aow2zYJ8_TC5bkwxeTemvqN9pDEj0oija-nZ1QlNHV1P7ZiGFumQ8VvnOp-wUNcFmrH9862s0kBv0riiftXn-SH5NG4ekQfRtQUf788j8vn89afTN9Xl-4u3pyeXlZdcySrEKDEEB9oAQJCgPQ_Cg2FKSTEPNKsFLo3nkYmlQK8V1MwbDX4ZtPbiiDzf5Q65_zlhGe06FY9t6zrsp2K1kZo30MAsX_xXcgZMSyaZuQv1uS8lY7RDTmuXNzOy287tEOy281k-3YdOyzWGW_e35Bk82wNXvGtj3jZY7pysRaNhG_Ry525Si5t_7bPXZ_u11U6nMuKvW-3yD9sooWr75erCMnGt3zUfhdXiN8R-pWk</recordid><startdate>201110</startdate><enddate>201110</enddate><creator>Attilakos, George</creator><creator>Maddocks, Deborah G.</creator><creator>Davies, Teresa</creator><creator>Hunt, Linda P.</creator><creator>Avent, Neil D.</creator><creator>Soothill, Peter W.</creator><creator>Grant, Simon R.</creator><general>John Wiley &amp; Sons, Ltd</general><general>Wiley</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TM</scope><scope>7X8</scope></search><sort><creationdate>201110</creationdate><title>Quantification of free fetal DNA in multiple pregnancies and relationship with chorionicity</title><author>Attilakos, George ; Maddocks, Deborah G. ; Davies, Teresa ; Hunt, Linda P. ; Avent, Neil D. ; Soothill, Peter W. ; Grant, Simon R.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4174-dff4edda289222d428c1d3c2907743dda8053eb9c1f03b3ec87250c982cbd88c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Biomarkers - blood</topic><topic>Cell Cycle Proteins - blood</topic><topic>Cell Cycle Proteins - genetics</topic><topic>Chorion - anatomy &amp; histology</topic><topic>Chorion - metabolism</topic><topic>Chorionic Gonadotropin, beta Subunit, Human - blood</topic><topic>Chromosomes, Human, Y - genetics</topic><topic>Delivery. Postpartum. Lactation</topic><topic>DNA - blood</topic><topic>Female</topic><topic>fetal DNA</topic><topic>fetal nucleic acids</topic><topic>Fetus - metabolism</topic><topic>Fundamental and applied biological sciences. Psychology</topic><topic>Genetics of eukaryotes. Biological and molecular evolution</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Molecular and cellular biology</topic><topic>multiple pregnancies</topic><topic>Pregnancy</topic><topic>Pregnancy, Twin - blood</topic><topic>prenatal diagnosis</topic><topic>Prenatal Diagnosis - methods</topic><topic>Twins</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Attilakos, George</creatorcontrib><creatorcontrib>Maddocks, Deborah G.</creatorcontrib><creatorcontrib>Davies, Teresa</creatorcontrib><creatorcontrib>Hunt, Linda P.</creatorcontrib><creatorcontrib>Avent, Neil D.</creatorcontrib><creatorcontrib>Soothill, Peter W.</creatorcontrib><creatorcontrib>Grant, Simon R.</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Nucleic Acids Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Prenatal diagnosis</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Attilakos, George</au><au>Maddocks, Deborah G.</au><au>Davies, Teresa</au><au>Hunt, Linda P.</au><au>Avent, Neil D.</au><au>Soothill, Peter W.</au><au>Grant, Simon R.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Quantification of free fetal DNA in multiple pregnancies and relationship with chorionicity</atitle><jtitle>Prenatal diagnosis</jtitle><addtitle>Prenat. Diagn</addtitle><date>2011-10</date><risdate>2011</risdate><volume>31</volume><issue>10</issue><spage>967</spage><epage>972</epage><pages>967-972</pages><issn>0197-3851</issn><issn>1097-0223</issn><eissn>1097-0223</eissn><coden>PRDIDM</coden><abstract>Objective Free fetal DNA (ffDNA) in the maternal plasma appears to originate mainly from the trophoblast. We tested the hypothesis that ffDNA concentration is increased in multiple pregnancies where trophoblastic mass has been shown to be increased. Methods Quantitative real‐time PCR was used to measure the plasma concentration of DYS14 in singleton and twin pregnancies with one or two male fetuses. Royston and Wright's regression method was used to relate ffDNA to gestational age in singleton controls; z‐scores were calculated for the multiple pregnancy subgroups. Results Fifty‐five singleton and 65 twin pregnancies (36 with one and 29 with two male fetuses) were analysed. There was significantly higher ffDNA concentration in twin pregnancies with two male fetuses compared with pregnancies with one male fetus. In cases with two male fetuses, there was no statistically significant difference between monochorionic and dichorionic pregnancies. Conclusions There is higher ffDNA concentration in multiple pregnancies, and this must be taken into account for future quantitative ffDNA applications. Copyright © 2011 John Wiley &amp; Sons, Ltd.</abstract><cop>Chichester, UK</cop><pub>John Wiley &amp; Sons, Ltd</pub><pmid>21769896</pmid><doi>10.1002/pd.2814</doi><tpages>6</tpages></addata></record>
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subjects Adolescent
Adult
Biological and medical sciences
Biomarkers - blood
Cell Cycle Proteins - blood
Cell Cycle Proteins - genetics
Chorion - anatomy & histology
Chorion - metabolism
Chorionic Gonadotropin, beta Subunit, Human - blood
Chromosomes, Human, Y - genetics
Delivery. Postpartum. Lactation
DNA - blood
Female
fetal DNA
fetal nucleic acids
Fetus - metabolism
Fundamental and applied biological sciences. Psychology
Genetics of eukaryotes. Biological and molecular evolution
Gynecology. Andrology. Obstetrics
Humans
Male
Medical sciences
Middle Aged
Molecular and cellular biology
multiple pregnancies
Pregnancy
Pregnancy, Twin - blood
prenatal diagnosis
Prenatal Diagnosis - methods
Twins
Young Adult
title Quantification of free fetal DNA in multiple pregnancies and relationship with chorionicity
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