The procedural framework of using mpgs for noninvasive fetal chromosomal aneuploidy detection in maternal plasma is schematically illustrated in fig. The fractional fetal dna concentration also referred as the fetal dna proportion or fetal dna fraction can be determined by quantifying fetalspecific alleles and alleles shared between the fetus and the mother shared alleles in the maternal plasma based on their genotype information liao et al. Here, we report low biomass background correction lbbc, a tool to filter. Early noninvasive detection of fetal y chromosome sequences. Fetal genome mapped from mothers blood for first time. Jul 04, 2012 sequencing of fetal genomes using only maternal blood sample date. T1 detection of singlecopy fetal dna sequence from maternal blood. If mpgs could sequence fetal dna in maternal plasma, one should be able to. Two hours after delivery, cffdna is no longer detectable in maternal blood. New method enables sequencing of fetal genomes using only. Page 5 of 33 found is due to the current pregnancy. Original research genomewide fetal aneuploidy detection by maternal plasma dna sequencing diana w. Detection of singlecopy fetal dna sequence from maternal blood previous article origins of genetic disease next article reperfusion injury and lipid peroxidation.
Hence, we used massively parallel genomic sequencing to quantify maternal plasma dna sequences for the noninvasive prenatal detection of fetal trisomy 21. If mpgs could sequence fetal dna in maternal plasma, one should be able to detect chry dna from plasma of women carrying male fetuses. Sensitivity of noninvasive prenatal detection of fetal. Genomewide fetal aneuploidy detection by maternal plasma. However, the mechanisms underlying transcriptomic changes are poorly understood. Psiblast allows the user to build a pssm positionspecific scoring matrix using the results of the first blastp run. Fetal dna can often be detected by the fifth postmenstrual week and can almost always be detected by the 9th postmenstrual week. Despite this, fetal dna finds in either its nucleated form or as cellfree dna still finds its way into the maternal blood. In this study, we used the sequencingbysynthesis solexa method.
Dna sequencing of maternal plasma reliably identifies trisomy 18 and trisomy as well as down syndrome. Typically, mps data is parsed to calculate a risk score, which is used to predict whether a fetal chromosome is normal or not. Separating the signal from the noise in metagenomic cell. Fetal dna concentrations increased with advancing gestation. Fetal exposure to the maternal microbiota in humans and mice. Fetal aneuploidy trisomy 21, and 18 dna sequence analysis of selected regions using maternal plasma, algorithm reported as a risk score for each trisomy. Ncbi microbial database using blast 11 blastn, ncbi blast 2. Our results show that fetal dna is present in high concentrations in maternal plasma, reaching a mean of 25.
Contextnoninvasive prenatal diagnostic tests using free fetal dna provide an. Fetal genome mapped from mothers blood for first time new. The total biomass of microbialderived cfdna in clinical isolates is low, which makes metagenomic cfdna sequencing susceptible to contamination and. An r package for deep sequencingbased detection of. Us20120208708a1 diagnosing fetal chromosomal aneuploidy. The chromosomal distribution of dna molecules in the maternal plasma samples 1a and 2a was also similar to that of adult male plasma sample 3a. It shows how to install, build and run the simulator using an. As the maternal plasma dna maternal and fetal molecules were already fragmented in nature, 19, no further fragmentation was required. Main outcome measure percentage of free fetal dna in samples of maternal blood. Integrative analysis of methylomic and transcriptomic data in. By comparing the fathers genome and fetal dna extracted by cvs with billions of fragments of dna from the womans blood, lo was able to construct maps of the entire fetal and maternal genomes. This study aims to validate a reliable method for noninvasive prenatal diagnosis of fetal gender using maternal plasma cellfree fetal dna cffdna for fetal sex assessment in the first trimester of pregnancy and test its clinical utility in the diagnosis of potentially affected pregnancies in. Researchers have for the first time sequenced the genome of an. Comparison of current blast software on nucleotide.
Analysis of cffdna is a method of noninvasive prenatal diagnosis frequently ordered for pregnant women of advanced maternal age. Circulation of cffdnas was demonstrated within maternal plasma and serum from healthy pregnant women, in surprisingly high mean concentrations of 3. Embodiments of this invention provide methods, systems, and apparatus for determining whether a fetal chromosomal aneuploidy exists from a biological sample obtained from a pregnant female. Table 2 results of studies using cell free fetal dna to screen for fetal aneuploidy ta criterion 3. Deltablast constructs a pssm using the results of a conserved domain database search and searches a sequence database. Noninvasive prenatal testing for chromosomal abnormality using maternal plasma dna 1. Ep1996728b1 ep07752121a ep07752121a ep1996728b1 ep 1996728 b1 ep1996728 b1 ep 1996728b1 ep 07752121 a ep07752121 a ep 07752121a ep 07752121 a ep07752121 a ep 07752121a ep 1996728 b1 ep1996728 b1 ep 1996728b1 authority ep european patent office prior art keywords gt lt dna homo sapiens single nucleotide prior art date 20060228 legal status the legal status is an. Source of cellfree fetal nucleic acids cffnas in maternal circulation.
Plasma samples obtained from four pregnant women carrying euploid fetuses three males and one female were processed using the beta chipseq protocol from illumina, which included amplification of the adaptorligated. Cgh is a technology that can be used for the detection of genomic. Noninvasive prenatal diagnosis using massively parallel. Analyzing dna sequence using blast nadim naimur rahman abstract this paper attempts to use the blast simulator to analyze a dna sequence and interpret the results in a way that are understandable for biotechnologists. Oct 22, 2008 once the cellfree dna fragments have been purified, small differences between the fetal and maternal dna sequences are exploited in order to make a specific fetal diagnosis. This prospective study demonstrates the efficacy of massively parallel sequencing of maternal plasma dna to detect fetal aneuploidy for multiple chromosomes across the genome. Sex determination using circulating cellfree fetal dna in. Positive bacterial cultures from placental and fetal tissue samples were. Yass is a genomic similarity search tool, for nucleic dnarna sequences in. In 2008, quakes lab pioneered the use of the relative levels of fetal dna in maternal blood to diagnose conditions caused by missing or extra chromosomes, such as down syndrome. Size distributions of maternal and fetal dna in maternal plasma k.
Massively parallel sequencing mps of dna in maternal plasma has been demonstrated to be a powerful tool for the noninvasive prenatal diagnosis of fetal chromosomal aneuploidies. Phi blast performs the search but limits alignments to those that match a pattern in the query. Nucleic acid sequencingbased testing of maternal plasma for trisomy andor 18 is not covered, other than in the situations specified above. Here we reasoned that instead of using approaches that target specific. Realtime quantitative pcr was performed to detect fetal dna using a multicopy sequence on the y. Analysis of the size distributions of fetal and maternal cell. Commercial noninvasive, sequencingbased testing using cellfree dna from maternal serum for fetal trisomy 21, 18, and has recently become available e. Pdf noninvasive prenatal diagnosis of fetal chromosomal. Detection of singlecopy fetal dna sequence from maternal blood. Delta blast constructs a pssm using the results of a conserved domain database search and searches a sequence database. Later we showed that fetal dna comprised a mean of 3. Quantitative analysis of fetal dna in maternal plasma and.
To date, the majority of studies have focused on the detection of paternally inherited sequences that are entirely absent from the maternal genotype, such as those on the. Cellfree fetal dna in the maternal circulation as an. Differential dna methylation between fetus and mother as a. Noninvasive prenatal testing for chromosomal abnormality. Dec 23, 2008 chromosomal aneuploidy is the major reason why couples opt for prenatal diagnosis.
Current methods for definitive diagnosis rely on invasive procedures, such as chorionic villus sampling and amniocentesis, and are associated with a risk of fetal miscarriage. Quantitative analysis of male fetal dna in maternal serum of gravid. Methods to increase the percentage of free fetal dna recovered. Nucleic acid molecules of the biological sample are sequenced, such that a fraction of the genome is sequenced. Diagnosing fetal chromosomal aneuploidy using genomic sequencing with enrichment nov 6, 2009 the chinese university of hong kong embodiments of this invention provide methods, systems, and apparatus for determining whether a fetal chromosomal aneuploidy exists from a biological sample obtained from a pregnant female. Dna sequencing of maternal plasma to detect down syndrome. In 1997, we reported the existence of fetalderived dna in maternal plasma by demonstrating the amplifiability of ychromosomespecific sequences in women carrying male fetuses. Diagnosing fetal chromosomal aneuploidy using genomic. Plasma was separated from whole blood by centrifugation, and cellfree dna was isolated using a commercial dna extraction kit. Fetal dna sequencing from maternal blood zme science.
In midlate e1718 and late e1920 pregnancies, the microbiota of the fetal gut and skin were more. In 1997 the presence of cellfree fetal dna cffdna in the maternal. Sequencing of fetal genomes using only maternal blood. Forward and reverse reads were trimmed using dna baser software. In a study published in march 6, 2011 online issue of nature, using this noninvasive technique a group of investigators from greece and uk achieved correct diagnosis of 14 trisomy. Aug 20, 2012 despite this, fetal dna finds in either its nucleated form or as cellfree dna still finds its way into the maternal blood. Noninvasive prenatal diagnosis of fetal chromosomal. Dec 08, 2010 by comparing the fathers genome and fetal dna extracted by cvs with billions of fragments of dna from the womans blood, lo was able to construct maps of the entire fetal and maternal genomes. Phiblast performs the search but limits alignments to those that match a pattern in the query.
Analysis of circulating dna distribution in pregnant and. Sequencing of fetal genomes using only maternal blood sample. Genetic studies have showed a measurable amount of fetal cellfree dna detectable in maternal blood, however, the sensitivity of dnabased sex determination does vary according to gestational age. Noninvasive prenatal diagnosis of fetal chromosomal aneuploidy by. We have developed a realtime quantitative pcr assay to measure the concentration of fetal dna in maternal plasma and serum. Noninvasive prenatal testing for fetal aneuploidies and microdeletions using cellfree fetal dna 3 c. Dna methylation is an epigenetic mark regulating transcription. Respective amounts of a clinicallyrelevant chromosome and of background chromosomes are. A proportion of cfdna is derived from bacteria and viruses, creating opportunities for the diagnosis of infection via metagenomic sequencing. Ep1996728b1 detecting fetal chromosomal abnormalities. To date, most proposals for such a marker have focused on the use of genetic polymorphisms between the mother and fetus 22, 23.
Nucleic acid sequencingbased testing of maternal plasma if not covered for fetal sex. An alternative to existing methods for prenatal diagnosis is to use fetal cells and fetal dna that exist in the maternal circulation. Properties of fetal, maternal, and microbial cfdna in amniotic fluid. The first 36 bp are sequenced, and then aligned to the human genome. Numerous studies have established a link between maternal diet and the physiological and metabolic phenotypes of their offspring. To our knowledge, this is the first reported examination demonstrating the existence of fetal cellfree dna in the maternal circulation in elephants.
Maternal plasma cellfree fetal dna sequencing for fetal. Measurement of fetal fraction in cellfree dna from maternal. Struble 1, wade barrett, renee stokowski, celeste mcbride, jacob zahn, kevin lee1, naiping shen 1, jigna doshi, michel sun 1, jill garrison, jay sandler, desiree hollemon, patrick pattee1, aoy tomitamitchell2. Maternal capillary blood samples were obtained from pregnant women 624week gestation by finger stick. Cell free vs nucleated fetal dna the maternal blood supply will contain. Small fragments of fetal dna that cross the placenta and enter the maternal blood. Once the cellfree dna fragments have been purified, small differences between the fetal and maternal dna sequences are exploited in order to make a specific fetal diagnosis.
Next article reperfusion injury and lipid peroxidation. Separating the signal from the noise in metagenomic cellfree dna. Cellfree dna cfdna in blood, urine, and other biofluids provides a unique window into human health. Using bacterial source tracking of the 16s rrna gene asvs to determine the most likely maternal microbiota sources for the fetal gut and skin, the predicted source of the fetal microbiota varied by gestational age at the time of sampling. Theoretically, a nonpresent fetal allele gives a calculated fetal fraction of 0, whereas the fetal fraction dna in the maternal circulation can be as low as 3% with an average of 10%. Blast in 1990, researchers at the national center for biotechnology information ncbi released a new software package for rapid dna and protein sequence.
Selective analysis of cellfree dna in maternal blood for. Fetal dna has been found in maternal plasma but exists as a minor fraction among a high background of maternal dna. In 1997, we reported the existence of fetal derived dna in maternal plasma by demonstrating the amplifiability of ychromosomespecific sequences in women carrying male fetuses 1. Hence, quantitative perturbations caused by an aneuploid chromosome in the fetal genome to the overall representation of sequences from that chromosome in maternal plasma would be small.
No consistent evidence for microbiota in murine placental and fetal. In this study, we used the sequencing bysynthesis solexa method, 18. Dec 23, 2008 detection of fetal dna in maternal plasma. In fact, the amount of circulating fetal dna increases steadily during pregnancy, and late in the third trimester can be as high as 30 percent of the total. Oct 30, 2017 cellfree fetal dna in maternal plasma cfdna accounts for about 10% to 15% 53, 54, and circulatingtumor dna comprises about 0. Fetal aneuploidy testing using cellfree fetal nucleic. Apr 10, 20 theoretically, a nonpresent fetal allele gives a calculated fetal fraction of 0, whereas the fetal fraction dna in the maternal circulation can be as low as 3% with an average of 10%. Analysis of the size distributions of fetal and maternal cellfree dna by pairedend sequencing h. The technology must improve the net health outcomes.
Size distributions of maternal and fetal dna in maternal plasma. This observation suggested that it would be unlikely for the maternal and fetal dna sequences in maternal plasma to bear significant discrepancies among their genomic distributions. Of these tag sequences, seven originated from genomic regions and from repetitive. Dna sequencing of maternal plasma reliably identifies.
Pdf measurement of fetal fraction in cellfree dna from. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed. Next generation sequencing of snps for noninvasive prenatal. Rava, phd, on behalf of the maternal blood is source to accurately diagnose fetal aneuploidy melissa study group. With the development of massively parallel sequencing mps, noninvasive prenatal diagnosis using maternal cellfree dna is fast becoming the preferred method of fetal chromosomal abnormality detection, due to its inherent high accuracy and low risk. The fractional fetal dna concentration is one of the critical parameters for noninvasive prenatal diagnosis based on the analysis of dna in maternal plasma. Fetal aneuploidy detection by maternal plasma dna sequencing. Over the past two years an alternative screen, noninvasive prenatal testing nipt using massively parallel sequencing of cff dna in maternal plasma, has become clinically and commercially available. Integrative analysis of methylomic and transcriptomic data. The difference in methylation of specific dna sequences between mother and fetus can be used to identify fetal specific dna in the blood circulation of the mother. Original article selective analysis of cellfree dna in maternal blood for evaluation of fetal trisomy andrew b. Oct 24, 2019 genetic studies have showed a measurable amount of fetal cellfree dna detectable in maternal blood, however, the sensitivity of dna based sex determination does vary according to gestational age.
Next generation sequencing of snps for noninvasive. As the maternal plasma dna maternal and fetal molecules were already fragmented in nature, no further fragmentation was required. Blumenfeld,2 usha chitkara,2 louanne hudgins,3 and stephen r. In previous studies in sheep, we demonstrated that different maternal diets altered the transcriptome of fetal tissues. In this study, we used the sequencingbysynthesis solexa method, 18. In human pregnancy, an early transfer of fetal dna to the maternal. This study aims to validate a reliable method for noninvasive prenatal diagnosis of fetal gender using maternal plasma cellfree fetal dna cffdna for fetal sex assessment in the first trimester of pregnancy and test its clinical utility in the diagnosis of potentially affected pregnancies in carriers of xlinked disorders. Introduction fetal genetic testing and aneuploidy diagnosis have until recently both needed invasive diagnostic sampling procedures carrying a small but significant risk of miscarriage. Psi blast allows the user to build a pssm positionspecific scoring matrix using the results of the first blastp run. With nipt, cellfree fetal and maternal dna fragments around 150200 base pairs bp in size are isolated from maternal plasma.
The difference in methylation of specific dna sequences between mother and fetus can be used to identify fetalspecific dna in the blood circulation of the mother. Fragments that are mapped to the genome are known as tags. Cellfree fetal dna in maternal plasma cfdna accounts for about 10% to 15% 53, 54, and circulatingtumor dna comprises about 0. Cellfree fetal dna cffdna is fetal dna that circulates freely in the maternal blood. The fractional fetal dna concentration also referred as the fetal dna proportion or fetal dna fraction can be determined by quantifying fetal specific alleles and alleles shared between the fetus and the mother shared alleles in the maternal plasma based on their genotype information liao et al.
Ep1996728b1 detecting fetal chromosomal abnormalities using. Detection of singlecopy fetal dna sequence from maternal. Sequencing of fetal genomes using only maternal blood sample date. The high sensitivity and specificity for the detection of trisomies 21, 18, and monosomy x suggest that massively parallel sequencing can be incorporated.
Cellfree fetal dna cffdna is fetal dna which circulates freely in the maternal blood. Analysis of the size distributions of fetal and maternal. In a mitochondrial dna comparison test, individuals mtdna sequences are compared to see if they share certain regions of the dna that indicate they come from the same maternal line. Noninvasive prenatal testing for fetal aneuploidies using. Fetal aneuploidy testing using cellfree fetal nucleic acids. Genomewide fetal aneuploidy detection by maternal plasma dna. Metagenomic sequencing of cellfree dna cfdna offers a highly sensitive. Methods to increase the percentage of free fetal dna. Fragments can be measured using different dna testing techniques in the first trimester allyse and wick, 2018. Size distributions of maternal and fetal dna in maternal. The most used method nowadays is massively parallel sequencing mps. Properties of fetal, maternal and microbial cfdna in amniotic fluid. Jan 01, 2002 the possible introduction of fetal dna in maternal plasma as a routine prenatal diagnostic tool has raised questions with regard to the need of a generic marker for circulating fetal dna 5, 21. Since the removal of sequencing artifacts revealed that the sampling of sequences followed the poisson distribution, we could estimate the total number of sequence tags i.
The possible introduction of fetal dna in maternal plasma as a routine prenatal diagnostic tool has raised questions with regard to the need of a generic marker for circulating fetal dna 5, 21. The percentage of fetal dna increases with increasing gestational age. The 1997 discovery that 36% of cellfree dna in maternal blood was of fetal origin prompted studies to determine whether down syndrome could be detected noninvasively. To determine if this test will help you in your particular situation, please call 18006817162 18006816598.
1606 1354 1103 1333 494 54 109 490 1476 173 746 877 62 204 759 1680 1168 249 684 1629 867 1679 277 475 106 959 116 1471 99 657 658 1262 817 1037 363 180 1421 1461 353 1221 137 1318 1231 144 1159