South Sarah T, Chen Zhong, Brothman Arthur R
Department of Pediatrics, University of Utah, Salt Lake City, Utah, USA.
Clin Obstet Gynecol. 2008 Mar;51(1):62-73. doi: 10.1097/GRF.0b013e3181616509.
Prenatal diagnostics has seen a rapid increase in the number of genetic disorders amenable to prenatal detection owing to advances in technology and research into the genetic etiology of many conditions. This article reviews the more traditional prenatal diagnostic techniques, such as amniocentesis and chorionic villus sampling for chromosome abnormalities and single gene disorders, and chromosome analysis of products of conception to determine the etiology of a spontaneous abortion, plus more recent advances such as rapid aneuploidy detection via fluorescence in situ hybridization and polymerase chain reaction, preimplantation genetic diagnosis, noninvasive analysis of cell-free fetal DNA in maternal circulation, and array-based comparative genomic hybridization.
由于技术进步以及对许多疾病遗传病因的研究,可进行产前检测的遗传疾病数量在产前诊断领域迅速增加。本文回顾了更传统的产前诊断技术,如用于检测染色体异常和单基因疾病的羊膜穿刺术和绒毛取样,以及对妊娠产物进行染色体分析以确定自然流产的病因,此外还介绍了一些最新进展,如通过荧光原位杂交和聚合酶链反应进行快速非整倍体检测、植入前基因诊断、对母体循环中游离胎儿DNA进行无创分析以及基于微阵列的比较基因组杂交。