Juliette Nectoux, Service de Génétique et Biologie Moléculaires, HUPC Hôpital Cochin, 27 rue du Faubourg Saint Jacques, 75014, Paris, France.
INSERM, U1016, Institut Cochin, CNRS UMR8104, Université Paris Descartes, Paris, France.
Mol Diagn Ther. 2018 Apr;22(2):139-148. doi: 10.1007/s40291-017-0312-x.
Digital PCR (dPCR) approaches have been developed for the detection of nucleic acids of low abundance, such as cell-free DNA, and represent an attractive and sensitive alternative to conventional methods, particularly in the field of non-invasive prenatal diagnosis (NIPD). In this review, we present the principle of dPCR and its applications in the field of prenatal diagnosis from current and emerging uses, such as fetal gender determination, rhesus blood group D antigen genotyping, or monogenic disorders prenatal testing, to future applications, such as the diagnosis and monitoring of pregnancy-related disorders. We also address considerations for implementation of the method in a clinical laboratory and discuss the competiveness of dPCR over other technologies such as quantitative PCR or massively parallel sequencing.
数字 PCR(dPCR)方法已被开发用于检测低丰度的核酸,如游离 DNA,并代表了一种有吸引力和敏感的替代传统方法,特别是在非侵入性产前诊断(NIPD)领域。在这篇综述中,我们介绍了 dPCR 的原理及其在产前诊断领域的应用,包括当前和新兴的应用,如胎儿性别鉴定、Rh 血型 D 抗原基因分型或单基因疾病产前检测,以及未来的应用,如妊娠相关疾病的诊断和监测。我们还讨论了在临床实验室中实施该方法的注意事项,并讨论了 dPCR 相对于其他技术(如定量 PCR 或大规模平行测序)的竞争力。