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无创产前检测(NIPT):可靠性、挑战与未来方向。

Non-Invasive Prenatal Testing (NIPT): Reliability, Challenges, and Future Directions.

作者信息

Jayashankar Siva Shantini, Nasaruddin Muhammad Luqman, Hassan Muhammad Faiz, Dasrilsyah Rima Anggrena, Shafiee Mohamad Nasir, Ismail Noor Akmal Shareela, Alias Ekram

机构信息

Department of Biochemistry, Faculty of Medicine, Universiti Kebangsaan Malaysia, Jalan Yaacob Latif, Bandar Tun Razak, Kuala Lumpur 56000, Malaysia.

Department of Surgery, Hospital Batu Pahat, Batu Pahat 83000, Malaysia.

出版信息

Diagnostics (Basel). 2023 Aug 2;13(15):2570. doi: 10.3390/diagnostics13152570.

DOI:10.3390/diagnostics13152570
PMID:37568933
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10417786/
Abstract

Non-invasive prenatal testing was first discovered in 1988; it was primarily thought to be able to detect common aneuploidies, such as Patau syndrome (T13), Edward Syndrome (T18), and Down syndrome (T21). It comprises a simple technique involving the analysis of cell-free foetal DNA (cffDNA) obtained through maternal serum, using advances in next-generation sequencing. NIPT has shown promise as a simple and low-risk screening test, leading various governments and private organizations worldwide to dedicate significant resources towards its integration into national healthcare initiatives as well as the formation of consortia and research studies aimed at standardizing its implementation. This article aims to review the reliability of NIPT while discussing the current challenges prevalent among different communities worldwide.

摘要

无创产前检测于1988年首次被发现;最初人们主要认为它能够检测常见的非整倍体,如帕陶综合征(T13)、爱德华兹综合征(T18)和唐氏综合征(T21)。它包括一项简单的技术,即利用下一代测序技术的进展,分析通过母体血清获得的游离胎儿DNA(cffDNA)。无创产前检测已显示出作为一种简单且低风险筛查测试的前景,促使全球各国政府和私人组织投入大量资源,将其纳入国家医疗保健计划,并成立联盟和开展研究,旨在规范其实施。本文旨在回顾无创产前检测的可靠性,同时讨论全球不同群体中普遍存在的当前挑战。

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Non-Invasive Prenatal Testing (NIPT): Reliability, Challenges, and Future Directions.无创产前检测(NIPT):可靠性、挑战与未来方向。
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本文引用的文献

1
Comprehensive analysis of circulating viral DNA in maternal plasma at population-scale using low-pass whole-genome sequencing.采用低深度全基因组测序技术对人群规模母体外周血循环病毒 DNA 进行全面分析。
Genomics. 2023 Mar;115(2):110556. doi: 10.1016/j.ygeno.2022.110556. Epub 2023 Jan 1.
2
Cell-Free Fetal Deoxyribonucleic Acid (cffDNA) Analysis as a Remarkable Method of Non-Invasive Prenatal Screening.游离胎儿脱氧核糖核酸(cffDNA)分析作为一种卓越的无创产前筛查方法。
Cureus. 2022 Oct 5;14(10):e29965. doi: 10.7759/cureus.29965. eCollection 2022 Oct.
3
Health professionals and scientists' views on genome-wide NIPT in the French public health system: Critical analysis of the ethical issues raised by prenatal genomics.健康专业人员和科学家对法国公共卫生系统中全基因组 NIPT 的看法:对产前基因组学引发的伦理问题的批判性分析。
PLoS One. 2022 Nov 1;17(11):e0277010. doi: 10.1371/journal.pone.0277010. eCollection 2022.
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Whole genome non-invasive prenatal testing in prenatal screening algorithm: clinical experience from 12,700 pregnancies.全基因组非侵入性产前检测在产前筛查算法中的应用:来自 12700 例妊娠的临床经验。
BMC Pregnancy Childbirth. 2022 Aug 9;22(1):633. doi: 10.1186/s12884-022-04966-8.
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Potential Serum Biomarkers in Prenatal Diagnosis of Placenta Accreta Spectrum.胎盘植入谱系产前诊断中的潜在血清生物标志物
Front Med (Lausanne). 2022 May 30;9:860186. doi: 10.3389/fmed.2022.860186. eCollection 2022.
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A study on non-invasive prenatal screening for the detection of aneuploidy.一项关于非侵入性产前筛查检测非整倍体的研究。
Ginekol Pol. 2022;93(9):716-720. doi: 10.5603/GP.a2021.0254. Epub 2022 Mar 22.
7
Genetic Counseling and Management: The First Study to Report NIPT Findings in a Romanian Population.遗传咨询和管理:第一项报告罗马尼亚人群 NIPT 结果的研究。
Medicina (Kaunas). 2022 Jan 5;58(1):79. doi: 10.3390/medicina58010079.
8
Trends in Non-invasive Prenatal Screening and Invasive Testing in Denmark (2000-2019) and Israel (2011-2019).丹麦(2000 - 2019年)和以色列(2011 - 2019年)的无创产前筛查与侵入性检测趋势
Front Med (Lausanne). 2021 Nov 17;8:768997. doi: 10.3389/fmed.2021.768997. eCollection 2021.
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Genomic medicine in the Middle East.中东的基因组医学。
Genome Med. 2021 Nov 23;13(1):184. doi: 10.1186/s13073-021-01003-9.
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The ethical landscape(s) of non-invasive prenatal testing in England, France and Germany: findings from a comparative literature review.英国、法国和德国的非侵入性产前检测的伦理景观:一项比较文献综述的研究结果。
Eur J Hum Genet. 2022 Jun;30(6):676-681. doi: 10.1038/s41431-021-00970-2. Epub 2021 Oct 4.