Cell-free DNA test for pathogenic copy number variations: A retrospective study
Objective: To evaluate the detection rate (DR) by prenatal cell-free DNA test for pathogenic copy number variations (CNVs)>2 Mb among pregnancies with fetal ultrasound abnormalities. Materials and methods: This was a retrospective study on 29 pregnant women with fetuses diagnosed as microdeletion/mi...
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2021
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oai:doaj.org-article:1e44f1a8164f4de582d0dd4789bb99712021-11-18T04:44:45ZCell-free DNA test for pathogenic copy number variations: A retrospective study1028-455910.1016/j.tjog.2021.09.018https://doaj.org/article/1e44f1a8164f4de582d0dd4789bb99712021-11-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S1028455921002588https://doaj.org/toc/1028-4559Objective: To evaluate the detection rate (DR) by prenatal cell-free DNA test for pathogenic copy number variations (CNVs)>2 Mb among pregnancies with fetal ultrasound abnormalities. Materials and methods: This was a retrospective study on 29 pregnant women with fetuses diagnosed as microdeletion/microduplication syndromes by prenatal chromosome microarray analysis (CMA). Cell-free DNA from the maternal plasma was sequenced on the NextSeq CN500 sequencer. The quality standard of unique map reads in a single sample was greater than 10 M and only gains and losses of more than 2 Mb were reported. Results: A total of 24 CNVs were identified by cell-free DNA test among the 21 fetuses with pathogenic CNVs identified by prenatal CMA, including 20 consistent CNVs and 4 inconsistent CNVs. Overall, the DR of cell-free DNA test for pathogenic CNVs >2 Mb was 69%. Microdeletions or microduplications at 22q11.2 were the most common CNVs, with a DR of 4/5 (80%) and 3/4 (75%) respectively. Conclusion: Cell-free DNA test exhibited a moderate DR for pathogenic CNVs >2 Mb among fetuses with ultrasound abnormalities. Cell-free DNA test could provide an opportunity for early screening before the appearance of abnormalities on fetal ultrasound, while further clinical data and cost-effectiveness assessment are needed.Hong-Lei DuanJie LiWan-Jun WangDavid S. CramWei LiuPei-Xuan CaoXiang-Yu ZhuYa-Li HuElsevierarticleCell-free DNACopy number variations (CNVs)Detection rate (DR)Microdeletion syndromesMicroduplication syndromesGynecology and obstetricsRG1-991ENTaiwanese Journal of Obstetrics & Gynecology, Vol 60, Iss 6, Pp 1066-1071 (2021) |
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DOAJ |
collection |
DOAJ |
language |
EN |
topic |
Cell-free DNA Copy number variations (CNVs) Detection rate (DR) Microdeletion syndromes Microduplication syndromes Gynecology and obstetrics RG1-991 |
spellingShingle |
Cell-free DNA Copy number variations (CNVs) Detection rate (DR) Microdeletion syndromes Microduplication syndromes Gynecology and obstetrics RG1-991 Hong-Lei Duan Jie Li Wan-Jun Wang David S. Cram Wei Liu Pei-Xuan Cao Xiang-Yu Zhu Ya-Li Hu Cell-free DNA test for pathogenic copy number variations: A retrospective study |
description |
Objective: To evaluate the detection rate (DR) by prenatal cell-free DNA test for pathogenic copy number variations (CNVs)>2 Mb among pregnancies with fetal ultrasound abnormalities. Materials and methods: This was a retrospective study on 29 pregnant women with fetuses diagnosed as microdeletion/microduplication syndromes by prenatal chromosome microarray analysis (CMA). Cell-free DNA from the maternal plasma was sequenced on the NextSeq CN500 sequencer. The quality standard of unique map reads in a single sample was greater than 10 M and only gains and losses of more than 2 Mb were reported. Results: A total of 24 CNVs were identified by cell-free DNA test among the 21 fetuses with pathogenic CNVs identified by prenatal CMA, including 20 consistent CNVs and 4 inconsistent CNVs. Overall, the DR of cell-free DNA test for pathogenic CNVs >2 Mb was 69%. Microdeletions or microduplications at 22q11.2 were the most common CNVs, with a DR of 4/5 (80%) and 3/4 (75%) respectively. Conclusion: Cell-free DNA test exhibited a moderate DR for pathogenic CNVs >2 Mb among fetuses with ultrasound abnormalities. Cell-free DNA test could provide an opportunity for early screening before the appearance of abnormalities on fetal ultrasound, while further clinical data and cost-effectiveness assessment are needed. |
format |
article |
author |
Hong-Lei Duan Jie Li Wan-Jun Wang David S. Cram Wei Liu Pei-Xuan Cao Xiang-Yu Zhu Ya-Li Hu |
author_facet |
Hong-Lei Duan Jie Li Wan-Jun Wang David S. Cram Wei Liu Pei-Xuan Cao Xiang-Yu Zhu Ya-Li Hu |
author_sort |
Hong-Lei Duan |
title |
Cell-free DNA test for pathogenic copy number variations: A retrospective study |
title_short |
Cell-free DNA test for pathogenic copy number variations: A retrospective study |
title_full |
Cell-free DNA test for pathogenic copy number variations: A retrospective study |
title_fullStr |
Cell-free DNA test for pathogenic copy number variations: A retrospective study |
title_full_unstemmed |
Cell-free DNA test for pathogenic copy number variations: A retrospective study |
title_sort |
cell-free dna test for pathogenic copy number variations: a retrospective study |
publisher |
Elsevier |
publishDate |
2021 |
url |
https://doaj.org/article/1e44f1a8164f4de582d0dd4789bb9971 |
work_keys_str_mv |
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1718425084131016704 |