Pre-analytical conditions in non-invasive prenatal testing of cell-free fetal RHD.

<h4>Background</h4>Non-invasive prenatal testing of cell-free fetal DNA (cffDNA) in maternal plasma can predict the fetal RhD type in D negative pregnant women. In Denmark, routine antenatal screening for the fetal RhD gene (RHD) directs the administration of antenatal anti-D prophylaxis...

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Autores principales:	Frederik Banch Clausen, Tanja Roien Jakobsen, Klaus Rieneck, Grethe Risum Krog, Leif Kofoed Nielsen, Ann Tabor, Morten Hanefeld Dziegiel
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2013
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/4d8020cb73d04282ae8f0ac71386cb08
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spelling	oai:doaj.org-article:4d8020cb73d04282ae8f0ac71386cb082021-11-18T08:50:23ZPre-analytical conditions in non-invasive prenatal testing of cell-free fetal RHD.1932-620310.1371/journal.pone.0076990https://doaj.org/article/4d8020cb73d04282ae8f0ac71386cb082013-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/24204719/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4>Non-invasive prenatal testing of cell-free fetal DNA (cffDNA) in maternal plasma can predict the fetal RhD type in D negative pregnant women. In Denmark, routine antenatal screening for the fetal RhD gene (RHD) directs the administration of antenatal anti-D prophylaxis only to women who carry an RhD positive fetus. Prophylaxis reduces the risk of immunization that may lead to hemolytic disease of the fetus and the newborn. The reliability of predicting the fetal RhD type depends on pre-analytical factors and assay sensitivity. We evaluated the testing setup in the Capital Region of Denmark, based on data from routine antenatal RHD screening.<h4>Methods</h4>Blood samples were drawn at gestational age 25 weeks. DNA extracted from 1 mL of plasma was analyzed for fetal RHD using a duplex method for exon 7/10. We investigated the effect of blood sample transportation time (n = 110) and ambient outdoor temperatures (n = 1539) on the levels of cffDNA and total DNA. We compared two different quantification methods, the delta Ct method and a universal standard curve. PCR pipetting was compared on two systems (n = 104).<h4>Results</h4>The cffDNA level was unaffected by blood sample transportation for up to 9 days and by ambient outdoor temperatures ranging from -10 °C to 28 °C during transport. The universal standard curve was applicable for cffDNA quantification. Identical levels of cffDNA were observed using the two automated PCR pipetting systems. We detected a mean of 100 fetal DNA copies/mL at a median gestational age of 25 weeks (range 10-39, n = 1317).<h4>Conclusion</h4>The setup for real-time PCR-based, non-invasive prenatal testing of cffDNA in the Capital Region of Denmark is very robust. Our findings regarding the transportation of blood samples demonstrate the high stability of cffDNA. The applicability of a universal standard curve facilitates easy cffDNA quantification.Frederik Banch ClausenTanja Roien JakobsenKlaus RieneckGrethe Risum KrogLeif Kofoed NielsenAnn TaborMorten Hanefeld DziegielPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 8, Iss 10, p e76990 (2013)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Frederik Banch Clausen Tanja Roien Jakobsen Klaus Rieneck Grethe Risum Krog Leif Kofoed Nielsen Ann Tabor Morten Hanefeld Dziegiel Pre-analytical conditions in non-invasive prenatal testing of cell-free fetal RHD.
description	<h4>Background</h4>Non-invasive prenatal testing of cell-free fetal DNA (cffDNA) in maternal plasma can predict the fetal RhD type in D negative pregnant women. In Denmark, routine antenatal screening for the fetal RhD gene (RHD) directs the administration of antenatal anti-D prophylaxis only to women who carry an RhD positive fetus. Prophylaxis reduces the risk of immunization that may lead to hemolytic disease of the fetus and the newborn. The reliability of predicting the fetal RhD type depends on pre-analytical factors and assay sensitivity. We evaluated the testing setup in the Capital Region of Denmark, based on data from routine antenatal RHD screening.<h4>Methods</h4>Blood samples were drawn at gestational age 25 weeks. DNA extracted from 1 mL of plasma was analyzed for fetal RHD using a duplex method for exon 7/10. We investigated the effect of blood sample transportation time (n = 110) and ambient outdoor temperatures (n = 1539) on the levels of cffDNA and total DNA. We compared two different quantification methods, the delta Ct method and a universal standard curve. PCR pipetting was compared on two systems (n = 104).<h4>Results</h4>The cffDNA level was unaffected by blood sample transportation for up to 9 days and by ambient outdoor temperatures ranging from -10 °C to 28 °C during transport. The universal standard curve was applicable for cffDNA quantification. Identical levels of cffDNA were observed using the two automated PCR pipetting systems. We detected a mean of 100 fetal DNA copies/mL at a median gestational age of 25 weeks (range 10-39, n = 1317).<h4>Conclusion</h4>The setup for real-time PCR-based, non-invasive prenatal testing of cffDNA in the Capital Region of Denmark is very robust. Our findings regarding the transportation of blood samples demonstrate the high stability of cffDNA. The applicability of a universal standard curve facilitates easy cffDNA quantification.
format	article
author	Frederik Banch Clausen Tanja Roien Jakobsen Klaus Rieneck Grethe Risum Krog Leif Kofoed Nielsen Ann Tabor Morten Hanefeld Dziegiel
author_facet	Frederik Banch Clausen Tanja Roien Jakobsen Klaus Rieneck Grethe Risum Krog Leif Kofoed Nielsen Ann Tabor Morten Hanefeld Dziegiel
author_sort	Frederik Banch Clausen
title	Pre-analytical conditions in non-invasive prenatal testing of cell-free fetal RHD.
title_short	Pre-analytical conditions in non-invasive prenatal testing of cell-free fetal RHD.
title_full	Pre-analytical conditions in non-invasive prenatal testing of cell-free fetal RHD.
title_fullStr	Pre-analytical conditions in non-invasive prenatal testing of cell-free fetal RHD.
title_full_unstemmed	Pre-analytical conditions in non-invasive prenatal testing of cell-free fetal RHD.
title_sort	pre-analytical conditions in non-invasive prenatal testing of cell-free fetal rhd.
publisher	Public Library of Science (PLoS)
publishDate	2013
url	https://doaj.org/article/4d8020cb73d04282ae8f0ac71386cb08
work_keys_str_mv	AT frederikbanchclausen preanalyticalconditionsinnoninvasiveprenataltestingofcellfreefetalrhd AT tanjaroienjakobsen preanalyticalconditionsinnoninvasiveprenataltestingofcellfreefetalrhd AT klausrieneck preanalyticalconditionsinnoninvasiveprenataltestingofcellfreefetalrhd AT gretherisumkrog preanalyticalconditionsinnoninvasiveprenataltestingofcellfreefetalrhd AT leifkofoednielsen preanalyticalconditionsinnoninvasiveprenataltestingofcellfreefetalrhd AT anntabor preanalyticalconditionsinnoninvasiveprenataltestingofcellfreefetalrhd AT mortenhanefelddziegiel preanalyticalconditionsinnoninvasiveprenataltestingofcellfreefetalrhd
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Pre-analytical conditions in non-invasive prenatal testing of cell-free fetal RHD.

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