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Can we rely on the multiplex ligation-dependent probe amplification method (MLPA) for prenatal diagnosis?

机译:我们可以依靠多重连接依赖探针扩增法(MLPA)进行产前诊断吗?

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摘要

>Background: The major aneuploidies that are diagnosed prenatally involve the autosomal chromosomes 13, 18, and 21, as well as sex chromosomes, X and Y. Because multiplex ligation-dependent probe amplification (MLPA) is rapid and non-invasive, it has replaced traditional culture methods for the screening and diagnosis of common aneuploidies in some countries. >Objective: To evaluate the sensitivity and specificity of MLPA in a cross-sectional descriptive study for the detection of chromosomal aneuploidies in comparison to other methods. >Materials and Methods: Genomic DNA was extracted from the peripheral blood samples of 10 normal controls and the amniotic fluid of 55 patients. Aneuploidies screening of chromosomes 13, 18, 21, X and Y were carried out using specific MLPA probe mixes (P095-A2). For comparison purposes, samples were also tested by Quantitative Fluorescent-PCR (QF-PCR) and routine chromosomal culture method. >Results: Using this specific MLPA technique and data-analyzing software (Genemarker v1.85), one case was diagnosed with 45, X (e.g. Monosomy X or Turner’s Syndrome), and the remaining 54 cases revealed normal karyotypes. These results were concordant with routine chromosomal culture and QF-PCR findings. >Conclusion: The experiment demonstrates that MLPA can provide a rapid and accurate clinical method for prenatal identification of common chromosomal aneuploidies with 100% sensitivity and 100% specificity.
机译:>背景:出生前被诊断出的主要非整倍体涉及常染色体13、18和21染色体,以及性染色体X和Y。由于多重连接依赖探针扩增(MLPA)快速且快速非侵入性的,它已取代了传统的培养方法,用于某些国家常见非整倍体的筛查和诊断。 >目的:与其他方法相比,在横截面描述性研究中评估MLPA的敏感性和特异性,用于检测染色体非整倍性。 >材料和方法:从10位正常对照的外周血样本和55位患者的羊水中提取基因组DNA。使用特定的MLPA探针混合物(P095-A2)对13号,18号,21号,X和Y染色体进行非整倍性筛选。为了进行比较,还通过定量荧光PCR(QF-PCR)和常规染色体培养方法对样品进行了测试。 >结果:使用这种特定的MLPA技术和数据分析软件(Genemarker v1.85),一例被诊断出患有45例X病(例如X单体症或特纳氏综合症),其余54例表现出正常核型。这些结果与常规染色体培养和QF-PCR结果一致。 >结论:该实验表明MLPA可以以100%的敏感性和100%的特异性为产前鉴定常见的染色体非整倍性提供一种快速准确的临床方法。

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