Overview of Five-Years of Experience Performing Non-Invasive Fetal Sex Assessment in Maternal Blood

Since the discovery of the presence of fetal DNA in maternal blood, non-invasive fetal sex determination has been the test most widely translated into clinical practice. To date there is no agreement between the different laboratories performing such tests in relation to which is the best protocol....

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Main Authors: Maria Jose Trujillo-Tiebas, Laura Horcajada, Marta Ruiz Ramos, Marta Rodriguez de Alba, Javier Plaza, Isabel Lorda-Sanchez, Ana Bustamante-Aragones, Sara Perlado-Marina
Format: Article
Language:English
Published: MDPI AG 2013-05-01
Series:Diagnostics
Subjects:
Online Access:http://www.mdpi.com/2075-4418/3/2/283
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author Maria Jose Trujillo-Tiebas
Laura Horcajada
Marta Ruiz Ramos
Marta Rodriguez de Alba
Javier Plaza
Isabel Lorda-Sanchez
Ana Bustamante-Aragones
Sara Perlado-Marina
author_facet Maria Jose Trujillo-Tiebas
Laura Horcajada
Marta Ruiz Ramos
Marta Rodriguez de Alba
Javier Plaza
Isabel Lorda-Sanchez
Ana Bustamante-Aragones
Sara Perlado-Marina
author_sort Maria Jose Trujillo-Tiebas
collection DOAJ
description Since the discovery of the presence of fetal DNA in maternal blood, non-invasive fetal sex determination has been the test most widely translated into clinical practice. To date there is no agreement between the different laboratories performing such tests in relation to which is the best protocol. As a consequence there are almost as many protocols as laboratories offering the service, using different methodologies and thus obtaining different diagnostic accuracies. By the end of 2007, after a validation study performed in 316 maternal samples collected between the 5th and 12th week of gestation, the fetal sex determination was incorporated into clinical practice in our Service. The test is performed in the first trimester of pregnancy, and it is offered as part of the genetic counseling process for couples at risk of X-linked disorders. As a general rule and in order to avoid misdiagnosis, two samples at different gestational ages are tested per patient. The analysis is performed by the study of the SRY gene by RT-PCR. Two hundred and twenty six pregnancies have been tested so far in these 5 years. Neither false positives nor false negatives diagnoses have been registered, thus giving a diagnostic accuracy of 100%.
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spelling doaj.art-25abda6b363444568244003a697f155c2022-12-22T03:58:44ZengMDPI AGDiagnostics2075-44182013-05-013228329010.3390/diagnostics3020283Overview of Five-Years of Experience Performing Non-Invasive Fetal Sex Assessment in Maternal BloodMaria Jose Trujillo-TiebasLaura HorcajadaMarta Ruiz RamosMarta Rodriguez de AlbaJavier PlazaIsabel Lorda-SanchezAna Bustamante-AragonesSara Perlado-MarinaSince the discovery of the presence of fetal DNA in maternal blood, non-invasive fetal sex determination has been the test most widely translated into clinical practice. To date there is no agreement between the different laboratories performing such tests in relation to which is the best protocol. As a consequence there are almost as many protocols as laboratories offering the service, using different methodologies and thus obtaining different diagnostic accuracies. By the end of 2007, after a validation study performed in 316 maternal samples collected between the 5th and 12th week of gestation, the fetal sex determination was incorporated into clinical practice in our Service. The test is performed in the first trimester of pregnancy, and it is offered as part of the genetic counseling process for couples at risk of X-linked disorders. As a general rule and in order to avoid misdiagnosis, two samples at different gestational ages are tested per patient. The analysis is performed by the study of the SRY gene by RT-PCR. Two hundred and twenty six pregnancies have been tested so far in these 5 years. Neither false positives nor false negatives diagnoses have been registered, thus giving a diagnostic accuracy of 100%.http://www.mdpi.com/2075-4418/3/2/283non-invasive prenatal diagnosisfetal DNAmaternal plasmafetal sex determination
spellingShingle Maria Jose Trujillo-Tiebas
Laura Horcajada
Marta Ruiz Ramos
Marta Rodriguez de Alba
Javier Plaza
Isabel Lorda-Sanchez
Ana Bustamante-Aragones
Sara Perlado-Marina
Overview of Five-Years of Experience Performing Non-Invasive Fetal Sex Assessment in Maternal Blood
Diagnostics
non-invasive prenatal diagnosis
fetal DNA
maternal plasma
fetal sex determination
title Overview of Five-Years of Experience Performing Non-Invasive Fetal Sex Assessment in Maternal Blood
title_full Overview of Five-Years of Experience Performing Non-Invasive Fetal Sex Assessment in Maternal Blood
title_fullStr Overview of Five-Years of Experience Performing Non-Invasive Fetal Sex Assessment in Maternal Blood
title_full_unstemmed Overview of Five-Years of Experience Performing Non-Invasive Fetal Sex Assessment in Maternal Blood
title_short Overview of Five-Years of Experience Performing Non-Invasive Fetal Sex Assessment in Maternal Blood
title_sort overview of five years of experience performing non invasive fetal sex assessment in maternal blood
topic non-invasive prenatal diagnosis
fetal DNA
maternal plasma
fetal sex determination
url http://www.mdpi.com/2075-4418/3/2/283
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