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利用聚合酶链反应改进从母体血液中检测胎儿细胞的方法。

Improved detection of fetal cells from maternal blood with polymerase chain reaction.

作者信息

Adkison L R, Andrews R H, Vowell N L, Koontz W L

机构信息

Division of Biomedical Sciences, Mercer University School of Medicine, Macon, GA 31207.

出版信息

Am J Obstet Gynecol. 1994 Mar;170(3):952-5. doi: 10.1016/s0002-9378(94)70312-4.

Abstract

OBJECTIVE

The objective was to test the reliability of new deoxyribonucleic acid primers that have previously been used very efficiently by this laboratory with amniolysate samples to amplify a 248 bp Y-specific, repeated sequence from maternal blood during pregnancy.

STUDY DESIGN

Blood samples were obtained from 50 women during weeks 11 and 16 of pregnancy and were analyzed for the presence of the Y chromosome-specific sequences.

RESULTS

Y-specific fragments were identified in 19 of 24 (79.2%) women after one complete amplification. A second amplification of these samples negative for Y-specific fragments revealed three additional samples positive for the Y chromosome-specific fragment. Only two male fetuses remained unidentified. Overall, 91.7% male fetuses and 96% of all fetuses (48/50) in these women were correctly identified.

CONCLUSIONS

The primers described in this study provide an additional or alternative tool for the determination, by means of the polymerase chain reaction, of Y chromosome-bearing cells in maternal circulation.

摘要

目的

本研究旨在测试新的脱氧核糖核酸引物的可靠性,本实验室此前已成功地使用这些引物与羊水样本进行扩增,以在孕期从母血中扩增出一段248 bp的Y染色体特异性重复序列。

研究设计

在妊娠第11周和第16周从50名女性中采集血样,并分析其中Y染色体特异性序列的存在情况。

结果

在一次完整扩增后,24名女性中有19名(79.2%)检测到Y特异性片段。对这些Y特异性片段呈阴性的样本进行第二次扩增后,又发现了3个Y染色体特异性片段呈阳性的样本。仅2名男性胎儿未能识别。总体而言,这些女性中91.7%的男性胎儿和96%的所有胎儿(48/50)被正确识别。

结论

本研究中描述的引物为通过聚合酶链反应测定母血循环中携带Y染色体的细胞提供了一种额外的或替代的工具。

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