Clinical Laboratory & Zhuhai Institute of Medical Genetics, Zhuhai Centre for Maternity and Child Healthcare & Zhuhai Women and Children's Hospital, Zhuhai City, Guangdong Province, China.
Brief Funct Genomics. 2022 Sep 16;21(5):376-386. doi: 10.1093/bfgp/elac024.
In the past decade, digital PCR (dPCR), as a new nucleic acid absolute quantification technology, has been widely used in clinical research. dPCR does not rely on the standard curve and has a higher tolerance to inhibitors. Therefore, it is more accurate than quantitative real-time PCR (qPCR) for the absolute quantification of target sequences. In this article, we aim to review the application of dPCR in noninvasive prenatal testing (NIPT). We focused on the progress of dPCR in screening and identifying fetal chromosome aneuploidies and monogenic mutations. We introduced some common strategies for dPCR in NIPT and analyzed the advantages and disadvantages of different methods. In addition, we compared dPCR with qPCR and next-generation sequencing, respectively, and described their superiority and shortcomings in clinical applications. Finally, we envisaged what the future of dPCR might be in NIPT. Although dPCR can provide reproducible results with improved accuracy due to the digital detection system, it is essential to combine the merits of dPCR and other molecular techniques to achieve more effective and accurate prenatal diagnostic strategies.
在过去的十年中,数字 PCR(dPCR)作为一种新的核酸绝对定量技术,已广泛应用于临床研究。dPCR 不依赖标准曲线,对抑制剂的耐受性更高,因此在对目标序列进行绝对定量时比定量实时 PCR(qPCR)更准确。本文旨在综述 dPCR 在无创产前检测(NIPT)中的应用。我们重点介绍了 dPCR 在筛查和鉴定胎儿染色体非整倍体和单基因突变方面的进展。我们介绍了 dPCR 在 NIPT 中的一些常见策略,并分析了不同方法的优缺点。此外,我们分别比较了 dPCR 与 qPCR 和下一代测序,并描述了它们在临床应用中的优势和不足。最后,我们设想了 dPCR 在 NIPT 中的未来发展。虽然由于数字检测系统,dPCR 可以提供可重复的结果和更高的准确性,但结合 dPCR 和其他分子技术的优点对于实现更有效和准确的产前诊断策略至关重要。