THE IMPORTANCE AND ROLE OF NON-INVASIVE PRENATAL TESTING (NIPT) IN THE PRENATAL SURVEILLANCE SYSTEM

THE IMPORTANCE AND ROLE OF NON-INVASIVE PRENATAL TESTING (NIPT) IN THE PRENATAL SURVEILLANCE SYSTEM

Authors

  • KONSTANTINE KHARABADZE Tbilisi State Medical University image/svg+xml
  • ZAZA BOKHUA LLC “Imedi Clinic”; Tbilisi, Georgia

DOI:

https://doi.org/10.52340/jecm.2025.06.10

Keywords:

NIPT, CVS, CPM, CMA, prenatal testing

Abstract

The issues regarding the practical application of cf DNA testing are discussed.
cf DNA is mainly used for screening chromosomal and monogenic aberrations. The advantages of cf DNA testing compared with combined screening (biochemical markers + ultrasound) should be noted, including detection rate, frequency of false-positive results, and positive predictive value. The benefits of amniocentesis compared with chorionic villus sampling (CVS) in cases of confined placental mosaicism (CPM) are demonstrated. The importance of chromosomal microarray analysis (CMA) in detecting microdeletions and microduplications, as well as in the genetic evaluation of abortuses and stillbirths, is emphasized.

Additionally, the application of cf DNA testing in cases of congenital adrenal hyperplasia (CAH), autosomal dominant, autosomal recessive, and X-linked disorders, as well as for the determination of the fetal RhD genotype, is presented.

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References

Allen S., Young E., et al. Noninvasive prenatal diagnosis for single gene disorders.

„Curr. Opin. Obstet. Gynecol.“, 2017; 29:73.

American College of obstetricians and Gynecologists committee on Practice Bulletins-Obstetrics, Committee on Genetics, Society for Maternal-Fetal Medicine. Screening for Fetal Chromosomal Abnormalities: ACOG practice Bulletin, Number 226. „Obstetrics Gynecology“, 2020; 136:e48.

Benn P., Valenti E., et al. Factors associated with informative redraw after an initial no result in noninvasive prenatal testing. „Obstetrics Gynecology“, 2018; 132:428.

Bills VL., Soothill PW. Fetal blood grouping using cell free DNA-an improved service for RhD negative pregnant women. „Transfus. Apher. CSI.“, 2014; 50:148.

Canick JA., Palomaki GE., et al. The impact of maternal plasma DNA fetal fraction on next generation sequencing tests for common fetal aneuploidies. „Prenatal Diagnosis“, 2013; 33:667.

Chiu RWK., LO YMD. Cell-free fetal DNA coming in all sizes and shapes.

„Prenatal Diagnosis“, 2021; 41:1193.

Committee on Genetics and the Society for Maternal-Fetal Medicine. Committee Opinion No. 682: Microarrays and Next-Generation Sequencing Technology: The Use of Advanced Genetic Diagnostic Tools in Obstetrics and Gynecology. Obstetrics Gynecology“, 2016; 128:e262. Reaffirmed 2019.

Fiorentino F., Napoletano S., et al. Chromosomal microarray analysis as a first-line test in pregnancies with a priori low risk for the detection of submicroscopic chromosomal abnormalities. „European journal of Human Genetics“, 2013; 21:725.

Grati FR., Bajaj K., et al.The type of feto-placental aneuploidy detected by cf DNA testing may influence the choice of confirmatory diagnostic procedure.„Prenatal Diagnosis“., 2015; 35:994.

Gromminger S., Erkan S., et al. The influence of low molecular weight heparin medication on plasma DNA is pregnant women. „Prenatal Diagnosis“, 2015; 35:1155.

Guibert J., et al. Kinetics of SRY gene appearance in maternal serum: Detection by real time PCR in early pregnancy after assisted reproductive technique. „Human Reproductology“, 2003; 18:1733.

Kalousek DK., Howard-Peebles PN., et al. Confirmation of CVS mosaicism in term placentae and high frequency of intrauterine growth retardation associated with confined placental mosaicism. „Prenatal Diagnosis“, 1991; 11:743.

Lee TJ., Rolnik DL., et al. Cell-free fetal DNA testing in singleton IVF conceptions.

„Human Reproductology“, 2018; 33:572.

Lo YM., Lo ES., et al. Two-way cell traffic between mother and fetus: biologic and clinical implications. „Blood“, 1996; 88:4390.

Lo YM., Zhang j., et al. Rapid clearance of fetal DNA from maternal plasma.

„American journal of Human genetics“, 1999; 64:218.

Machin G.A., Crolla J.A. Chromosome constitution of 500 infants dying during the perinatal period. With an appendix concerning other genetic disorders among these infants. „Humangenetic“, 1974; 23:183.

McWeeney DT., Manne S., et al. Pregnancy complicated by triploidy: a comparison of the three Karyotypes. „Am. J. Perinatal“. 2009; 26:641.

Niebuhr E., The Cri du Chat syndrome: epidemiology, cytogenetics and clinical features. „Hum. Genet“, 1978; 44:227.

Norton ME., Jacobsson B., et al. Cell-free DNA analysis for noninvasive examination of trisomy.

„New England j. of Medicine“, 2015; 372:1589.

Palomaki G.E., Kriza EM., et al. DNA sequencing of maternal plasma to detect Down syndrome: an international clinical validation study. „Genet. Med.“, 2011; 13:913.

Ravitsky V., Roy MC., et al. The emergency and Global Speed of Noninvasive Prenatal Testing.

„Annu. Rev. Genomics Hum. Genet.“, 2021; 22:309.

Riccardi VM. Trisomy 8: an international study of 70 patients. „Birth Defects Orig. Artic. Ser.“, 1977; 13:171.

Sekizawa A., Samura O., et al. Apoptosis in fetal nucleated erythrocytes circulating in maternal blood. „Prenat. Diagnosis“, 2000; 20:886.

Tjoa ML., Cindrova-Daviev T., et al. Trophoblastic oxidative stress and the release of cell-free feto-placental DNA. „Am. J. Pathology.“, 2006; 169:400.

Wang E., Bateu A., et al. Gestational age and maternal weight effects on fetal cell-free DNA in maternal plasma. „Prenatal Diagnosis“., 2013; 33:662.

Wellesley D., Dolk H., et al. Rare chromosome abnormalities, prevalence and prenatal diagnosis rates from population-based congenital anomaly registers in Europe. „Eur. J. Hum. Genet.“, 2012; 20:521.

Shang H., Gao Y., et al. Non-invasive prenatal testing for trisomies 21, 18 and 13: clinical experience from 146.958 pregnancies. „Ultrasound in Obstetrics Gynecology.“, 2015; 45:530.

Zhong XY., Holzgreve W., et al. Cell-free fetal DNA in the maternal circulation does not stem from the transplacental passage of fetal erythroblasts. „Molecular Human Reproductology.“, 2002; 8:864.

Zhong LP W., Chiu RWK. The next Frontier in Noninvasive Prenatal Diagnostics: Cell-free Fetal DNA Analysis for Monogenic Disease Assessment. „Annu. Rev. Genomics Hum. Genet.“, 2022; 23:413.

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Published

2025-12-04

How to Cite

KHARABADZE, K., & BOKHUA, Z. (2025). THE IMPORTANCE AND ROLE OF NON-INVASIVE PRENATAL TESTING (NIPT) IN THE PRENATAL SURVEILLANCE SYSTEM. Experimental and Clinical Medicine Georgia, (6), 69–78. https://doi.org/10.52340/jecm.2025.06.10

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