2020
Two Reliable Methodical Approaches for Non-Invasive RHD Genotyping of a Fetus from Maternal Plasma
BOHMOVA, Jana; Marek LUBUSKY; Iva HOLUSKOVA; Martina STUDNICKOVA; Romana KRATOCHVILOVA et al.Základní údaje
Originální název
Two Reliable Methodical Approaches for Non-Invasive RHD Genotyping of a Fetus from Maternal Plasma
Autoři
BOHMOVA, Jana; Marek LUBUSKY; Iva HOLUSKOVA; Martina STUDNICKOVA; Romana KRATOCHVILOVA; Eva KREJCIRIKOVA; Veronika DURDOVA; Tereza KRATOCHVILOVA; Ladislav DUŠEK; Martin PROCHAZKA a Radek VODICKA
Vydání
Diagnostics, Basel, MDPI, 2020, 2075-4418
Další údaje
Jazyk
angličtina
Typ výsledku
Článek v odborném periodiku
Obor
30218 General and internal medicine
Stát vydavatele
Švýcarsko
Utajení
není předmětem státního či obchodního tajemství
Odkazy
Impakt faktor
Impact factor: 3.706
Označené pro přenos do RIV
Ano
Kód RIV
RIV/00216224:14110/20:00116484
Organizační jednotka
Lékařská fakulta
UT WoS
000568020600001
EID Scopus
2-s2.0-85090251997
Klíčová slova anglicky
non-invasive fetal genotyping; RHDgene; cell-free fetal DNA; real-time PCR; QF PCR; Rh blood group system; red blood cell alloimmunization; hemolytic disease of the fetus and newborn
Příznaky
Mezinárodní význam, Recenzováno
Změněno: 24. 9. 2020 07:08, Mgr. Tereza Miškechová
Anotace
V originále
Noninvasive fetalRHDgenotyping is an important tool for predicting RhD incompatibility between a pregnant woman and a fetus. This study aimed to assess a methodological approach other than the commonly used one for noninvasive fetalRHDgenotyping on a representative set of RhD-negative pregnant women. The methodology must be accurate, reliable, and broadly available for implementation into routine clinical practice. A total of 337 RhD-negative pregnant women from the Czech Republic region were tested in this study. The fetalRHDgenotype was assessed using two methods: real-time PCR and endpoint quantitative fluorescent (QF) PCR. We used exon-7-specific primers from theRHDgene, along with internal controls. Plasma samples were analyzed and measured in four/two parallel reactions to determine the accuracy of theRHDgenotyping. TheRHDgenotype was verified using DNA analysis from a newborn buccal swab. Both methods showed an excellent ability to predict theRHDgenotype. Real-time PCR achieved its greatest accuracy of 98.6% (97.1% sensitivity and 100% specificity (95% CI)) if all four PCRs were positive/negative. The QF PCR method also achieved its greatest accuracy of 99.4% (100% sensitivity and 98.6% specificity (95% CI)) if all the measurements were positive/negative. Both real-time PCR and QF PCR were reliable methods for precisely assessing the fetalRHDallele from the plasma of RhD-negative pregnant women.