巢式PCR扩增孕妇血浆中胎儿ZFY基因的研究
The study of fetal DNA in maternal plasma using the nested polymerase chain reaction
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摘要: 目的: 建立一种无创伤性产前基因诊断的方法。方法: 自行建立巢式PCR方法对46例10~40孕周的初孕妇血浆中游离胎儿Y染色体ZFY基因进行扩增,扩增片段分别为354bp和307bp,46例均采用母体血浆直接作为模板进行巢式PCR。结果: 39例妊娠男性胎儿孕妇血浆中有32例出现ZFY基因条带,检出率为82.1%(32/39),其中24例2次扩增均为阳性,8例第2次扩增才出现阳性条带,巢式PCR可明显提高检测敏感性(从61.5%提高到82.1%)。7例妊娠女性胎儿孕妇血浆2次均未出现阳性扩增带,无假阳性结果。本研究的性别总符合率为84.8%(39/46)。结论: 巢式聚合酶链反应检测母体血浆中游离胎儿DNA的敏感性和特异性较高,有希望成为无创伤性产前基因诊断方法应用于临床。Abstract: Objective: To establish a new method for non-invasive prenatal diagnosis. Methods: A single-copy ZFY gene of Y-chromosome of fetal DNA was amplified by nested polymerase chain reaction (PCR) from 46 pregnant maternal plasma (10-40 weeks). A 354 bp and 307 bp specific fragment were obtained. The maternal plasma samples of 46 pregnant women were used directly for nested PCR. Results: The fragment was identified in 32 of 39 pregnant women plasma bearing male fetuses. The diagnostic rate was 82.1%(32/39), 24 of 32 women have positive band in both amplifications, 8 of 32 women have positive band at the second amplification. The positive rate was increased by nested PCR (from 61.5% to 82.1%). The total accuracy was 84.8%(39/46). Conclusion: The circulating fetal DNA in maternal plasma may have been detected by nested PCR which have high sensitivity and specificity for the clinical application.
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