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OmniPlex——一种基于对捷克人群短串联重复序列位点杂合性评估的用于常见非整倍体产前诊断的新型QF-PCR检测方法。

OmniPlex--a new QF-PCR assay for prenatal diagnosis of common aneuploidies based on evaluation of the heterozygosity of short tandem repeat loci in the Czech population.

作者信息

Putzova Martina, Pecnova Lubomira, Dvorakova Lucie, Soldatova Inna, Goetz Petr, Stejskal David

机构信息

Centre for Medical Genetics and Reproductive Medicine GENNET, Prague, Czech Republic.

出版信息

Prenat Diagn. 2008 Dec;28(13):1214-20. doi: 10.1002/pd.2151.

Abstract

OBJECTIVES

The aim of our study was to assess the utility of commonly used multiplex assays of short tandem repeat markers used for quantitative fluorescent polymerase chain reaction (QF-PCR) for prenatal rapid aneuploidy detection (RAD) in routine prenatal diagnosis in the Czech population.

METHODS

Two previously published RAD multiplexes (2M test) were tested on 2906 local prenatal samples and used to calculate the rates of heterozygosity within this population. Most of the markers used in both multiplexes were highly informative. However, some had little utility, either due to a low heterozygosity rate (D21S499, D18S978 and P39) or because they were difficult to evaluate (DXS1283E).

RESULTS

After evaluation of the 2M test results, a new multiplex assay (OmniPlex) was designed, developed and tested on 960 samples. This new assay was evaluated for heterozygosity rates and for the probability of having two or more informative markers on each chromosome.

CONCLUSIONS

OmniPlex assay significantly improved the QF-PCR methodology for rapid prenatal aneuploidy detection in the Czech population. Based on detected heterozygosity of markers used for QF-PCR in this population, OmniPlex is a robust assay for the detection of chromosomes 13, 18, 21, X and Y in a single reaction.

摘要

目的

我们研究的目的是评估用于定量荧光聚合酶链反应(QF-PCR)的常用短串联重复序列标记多重检测法在捷克人群常规产前诊断中进行产前快速非整倍体检测(RAD)的效用。

方法

在2906份当地产前样本上测试了两种先前发表的RAD多重检测法(2M检测),并用于计算该人群中的杂合率。两种多重检测法中使用的大多数标记具有高度信息性。然而,有些标记效用不大,要么是因为杂合率低(D21S499、D18S978和P39),要么是因为难以评估(DXS1283E)。

结果

在评估2M检测结果后,设计、开发了一种新的多重检测法(全基因组检测法),并在960份样本上进行了测试。对这种新检测法的杂合率以及每条染色体上有两个或更多信息性标记的概率进行了评估。

结论

全基因组检测法显著改进了捷克人群中用于快速产前非整倍体检测的QF-PCR方法。基于该人群中用于QF-PCR的标记的检测杂合率,全基因组检测法是一种在单一反应中检测13、18、21、X和Y染色体的可靠检测法。

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