首页|NIPT-plus筛查染色体MMS的应用评价

NIPT-plus筛查染色体MMS的应用评价

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目的 探讨扩展性无创产前检测(NIPT-plus)在筛查染色体微缺失/重复综合征(MMS)上的应用.方法 选取中山大学附属第一医院2018年1月至2020年12月3 860例孕妇及2022年10例室间质评样本的NIPT和NIPT-plus检测结果,其中24例孕妇进行染色体微阵列分析(CMA)产前诊断.结果 24例孕妇及10例质评样本NIPT-plus游离DNA浓度明显高于NIPT,总测序数据量提高了1.39~1.58倍,有效测序数据量提高了1.20~1.35倍;24例孕妇样本NIPT-plus提示1例18-三体,1例21-三体,2例MMS,NIPT提示1例18-三体,1例21-三体;10例质评样本NIPT-plus提示9例MMS且9号样本同时存在性染色体非整倍体(SCAs),NIPT仅提示1例SCAs.结论 在本院系统检测范围内NIPT-plus能有效应用于MMS的筛查,减少出生缺陷.
Evaluation of the application of NIPT-plus inscreenin chromosome MMS
Objective To explore the application of expanded non-invasive prenatal testing(NIPT-plus)in screening chromosome microdeletion/microduplication syndrome(MMS).Methods The NIPT and NIPT plus test results of 3 860 pregnant women from January 2018 to December 2020 in the First Af-filiated Hospital of Sun Yat sen University and 10 samples from the room quality assessment in 2022 were se-lected.Among them,24 pregnant women underwent prenatal diagnosis by chromosome microarray analysis(CMA)were involved.Results The concentration of fetal free DNA of NIPT-plus in 24 pregnant women and 10 quality evaluation samples was significantly higher than that in NIPT.The total sequencing data in-creased by 1.39~1.58 times,and the effective sequencing data increased by 1.20~1.35 times.NIPT plus of 24 pregnant women samples showed 1 trisomy 18,1 trisomy 21,2 MMS,NIPT showed 1 trisomy 18,1 trisomy 21;NIPT plus of 10 quality evaluation samples showed 9 MMS and 9th sample had sex chromosome aneuploi-dies(SCAs),while NIPT only showed 1 case of SCAs.Conclusion NIPT plus can be effectively applied to the screening of MMS within the scope of our hospital's system detection to reduce birth defects.

NIPT-plusChromosome MMSSensitivity

陈英、童晓青、余学高、黄浩、黄彬、陈培松

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海南省人民医院检验科,海南,海口 570311

中山大学附属第一医院检验科,广东,广州 510000

扩展性无创产前检测 染色体微缺失/重复综合征 灵敏度

海南省临床医学中心建设项目

琼卫医函[2021]276号

2024

分子诊断与治疗杂志
中山大学

分子诊断与治疗杂志

CSTPCD
影响因子:0.65
ISSN:1674-6929
年,卷(期):2024.16(1)
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