Discordant results between fetal karyotyping and non-invasive prenatal testing by maternal plasma sequencing in a case of uniparental disomy 21 due to trisomic rescue

作者：Pan, Min; Li, Fa Tao; Li, Yan; Jiang, Fu Man; Li, Dong Zhi; Lau, Tze Kin; Liao, Can^*

来源：Prenatal Diagnosis, 2013, 33(6): 598-601.

DOI：10.1002/pd.4069

• CONFINED PLACENTAL MOSAICISM
• DNA

Uniparental disomy (UPD) is an uncommon chromosome condition, but UPD involving chromosome 21 is rarely reported. We reported here a case who had first trimester screening test for Down syndrome, chorionic villus sampling for fetal karyotyping, quantitative fluorescence polymerase chain reaction (QF-PCR), as well as non-invasive prenatal testing (NIPT) by maternal plasma sequencing. There were discordant results between fetal karyotyping and NIPT due to UPD 21combined with confined placental mosaicism of trisomy 21. This demonstrated that it is possible to detect placental mosaicism by NIPT, but further studies are required to confirm its sensitivity. Therefore, all positive NIPT results must be confirmed by conventional invasive test and karyotyping. QF-PCR has the additional benefit in diagnosing UPD.

• 出版日期2013-6
• 单位广州市妇女儿童医疗中心; 深圳华大生命科学研究院