Non-invasive prenatal DNA screening using high-throughput sequencing in pregnant women with recurrent miscarriage

Sukhikh G.T., Tetruashvili N.K., Kim L.V., Trofimov D.Yu., Barkov I.Yu., Shubina E.S., Parsadanyan N.G., Fedorova N.I., Goltsov A.Yu.

National Medical Research Center of Obstetrics, Gynecology and Perinatology named after Academician V.I. Kulakov, Ministry of Health of Russia, Moscow 117997, Ac. Oparina str. 4, Russia
Aim. To investigate the effectiveness of non-invasive prenatal DNA screening (NIPS) for aneuploidy using high-throughput sequencing for the detection of trisomy 21, 18, 13 and fetal sex chromosomes in maternal plasma of women both with and without a history of recurrent pregnancy loss. Material and methods. NIPS using the high-throughput sequencing was carried out and the results obtained from 600 pregnant women with recurrent miscarriage (n=270) and uncomplicated obstetric history (n=330). To confirm chromosomal aneuploidy (CA), karyotyping was used. Results. After 12 weeks of gestation, the frequency of CA in each study group was 3.0% and did not differ between women with recurrent miscarriage and uncomplicated obstetric history. The sensitivity and specificity of NIPS in detecting the most frequent CA was 92% and 99%, respectively. Down syndrome was determined with 100% specificity. Conclusion. The study finding showed that NIPS is accurate in screening for fetal CA from early pregnancy, which is especially important in patients with recurrent miscarriage since it spares them from invasive testing thus preventing iatrogenic complications.

Keywords

noninvasive prenatal DNA screening
screening
NIPS
aneuploidy
pregnancy
recurrent miscarriage
threatened miscarriage

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Received 07.03.2018

Accepted 20.04.2018

About the Authors

Sukhikh, Gennady T., MD, PhD, Professor, Academician of Russian Academy of Sciences, Director of National Medical Research Center of Obstetrics,
Gynecology and Perinatology, Ministry of Health of Russia. 117997, Russia Moscow, Ac. Oparina str. 4. Tel.: +74954381800. E-mail: gtsukhikh@mail.ru
Tetruashvili, Nana K., Doctor of Medicine, Head of the Department of Pregnancy Loss Prevention and Therapy, National Medical Research Center of Obstetrics,
Gynecology and Perinatology, Ministry of Health of Russia. 117997, Russia Moscow, Ac. Oparina str. 4. Tel.: +74954381477. E-mail: tetrauly@mail.ru
Kim, Lyudmila V., Graduate student, Department of Pregnancy Loss Prevention and Therapy, National Medical Research Center of Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia. 117997, Russia Moscow, Ac. Oparina str. 4. Tel.: +79162338372. E-mail: kimika@list.ru
Trofimov, Dmitry Y., Ph.D., Head of Clinical and molecular genetics department, National Medical Research Center of Obstetrics, Gynecology and Perinatology,
Ministry of Health of Russia. 117997, Russia Moscow, Ac. Oparina str. 4. Tel.: +74954384951. E-mail: d_trofimov@oparina4.ru
Barkov, Ilya Y., MD, clinical geneticist at molecular genetics laboratory, National Medical Research Center of Obstetrics, Gynecology and Perinatology,
Ministry of Health of Russia. 117997, Russia Moscow, Ac. Oparina str. 4. Tel.: +74957929095. E-mail: i_barkov@oparina4.ru
Shubina, Ekaterina S., Junior researcher, of molecular genetics laboratory, National Medical Research Center of Obstetrics, Gynecology and Perinatology,
Ministry of Health of Russia. 117997, Russia Moscow, Ac. Oparina str. 4. Tel.: +79267218717. E-mail: e_shubina@oparina4.ru
Parsadanyan, Nane G., candidate of Medicine, obstetrician-gynecologist, Department of Pregnancy Loss Prevention and Therapy, National Medical Research Center
of Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia. 117997, Russia Moscow, Ac. Oparina str. 4. Tel.: +79263304241. E-mail: nnnpars@mail.ru
Fedorova, Nataliy I., candidate of Medicine, obstetrician-gynecologist National Medical Research Center of Obstetrics, Gynecology and Perinatology, Ministry of Health
of Russia. 117997, Russia Moscow, Ac. Oparina str. 4. Tel.: +74954381477. E-mail: natasha_fedorova@mail.ru
Goltsov, Andrey Y., researcher at molecular genetic methods laboratory, National Medical Research Center of Obstetrics, Gynecology and Perinatology, Ministry of Health
of Russia. 117997, Russia Moscow, Ac. Oparina str. 4. Tel.: +74954381800. Е-mail: g_golcov@oparina4.ru

For citation: Sukhikh G.T., Tetruashvili N.K., Kim L.V., Trofimov D.Yu., Barkov I.Yu., Shubina E.S., Parsadanyan N.G., Fedorova N.I., Goltsov A.Yu. Non-invasive prenatal DNA screening using high-throughput sequencing in pregnant women with recurrent miscarriage. Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2018; (8): 48-55. (in Russian)
https://dx.doi.org/10.18565/aig.2018.8.48-55

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