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Non-invasive, prenatal, in-vitro method for detecting the normal healthy condition, the condition of a healthy carrier or the condition of a carrier inflicted with cystic fibrosis

机译:用于检测正常健康状况,健康携带者状况或患有囊性纤维化的携带者状况的非侵入性产前体外方法

摘要

Non-invasive, in vitroprenatal diagnosis of a normal healthy state; a healthy carrier or an affected carrier of cystic fibrosis (CF), comprises analysis of DNA-containing fetal cells (FC) isolated from a maternal sample. Non-invasive, in vitroprenatal diagnosis of a normal healthy state; a healthy carrier or an affected carrier of cystic fibrosis (CF) by analysis of DNA-containing fetal cells (FC) isolated from a maternal sample. The method comprises: (a) concentrating FC from the maternal sample; (b) analysis of retained cells and selecting those presumed to be of fetal origin; (c) confirming fetal origin of selected cells; (d) analyzing DNA of selected cells for alleles of the CFTR (= cystic fibrosis transmembrane conductance regulator) gene that contain the ~DF508, or other known, mutation, or for alleles of a locus carrying a polymorphism that is genotypically linked to an unidentified disease mutation. Step (d) comprises: (i) amplification of fetal DNA, using primers that can amplify a locus that may contain a known mutation or a locus as described above; (ii) identifying, on alleles that correspond to amplified DNA, presence or absence of a known mutation or locus; and (iii) comparing the fetal alleles with control samples to classify the CF status of the fetus. Independent claims are included for: (1) sixteen oligonucleotides (ON), sequences given in the specification, useful as primers for DNA amplification, also pairs of them and analogous sequences with at least 60, preferably 95, % identity; (2) combinations of pairs of external and internal primers (i.e. ON) for use, respectively, in first and second stage amplifications; and (3) a kit for the new process containing ON as primers, reagents for DNA amplification and/or instructions for use.
机译:正常健康状态的非侵入性体外产前诊断;健康的或囊性纤维化(CF)的受影响载体包括对从母体样品中分离的含DNA胎儿细胞(FC)的分析。正常健康状态的非侵入性体外产前诊断;通过分析从母体样品中分离出的含DNA胎儿细胞(FC)来分析健康的或囊性纤维化(CF)的健康载体。该方法包括:(a)从母体样品中浓缩FC; (b)分析保留的细胞并选择推测是胎儿来源的细胞; (c)确认所选细胞的胎儿起源; (d)分析所选细胞的DNA,以寻找含有〜DF508或其他已知突变的CFTR(=囊性纤维化跨膜电导调节剂)基因的等位基因,或分析携带多态性的基因座的等位基因疾病突变。步骤(d)包括:(i)使用可以扩增可能含有已知突变的基因座或上述基因座的引物扩增胎儿DNA; (ii)在与扩增的DNA相对应的等位基因上鉴定是否存在已知突变或基因座; (iii)将胎儿等位基因与对照样品进行比较,以对胎儿的CF状态进行分类。包括以下独立权利要求:(1)十六个寡核苷酸(ON),说明书中给出的序列,可用作DNA扩增的引物,还包括它们对以及具有至少60%,优选95%同一性的类似序列; (2)分别用于第一阶段和第二阶段扩增的一对内部和内部引物(即ON)的组合; (3)用于新工艺的试剂盒,其中包含ON作为引物,DNA扩增试剂和/或使用说明。

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