产前遗传筛查的发展趋势

Kirolos Eskandar
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摘要

根据《2021年全球出生缺陷报告》,估计每年有800万儿童出生时患有遗传缺陷。这些先天缺陷的严重程度各不相同;有些类型是轻微的,不需要治疗,但其他类型可能需要终身药物治疗,甚至在出生后立即死亡。这就是为什么产前筛查毫无疑问是必要的,以便在出生前发现这些遗传缺陷,旨在减少这些孩子的悲剧。最近,这种方法已经向非侵入性技术发展,以减少流产的风险,这在老式的侵入性技术中很常见。染色体微阵列分析(CMA)和无细胞胎儿DNA (cffDNA)等无创产前检测(nipt)在染色体非整倍体筛查方法上取得了突破。由于其益处,nipt在许多国家被认为是孕妇筛查的基本临床方法。因此,本文突出了nipt的近代性以及每个nipt的资产、负债和前瞻性建议。此外,它将证明现代分子技术的重要性,如下一代测序(NGS),这些技术是为应用nipt而强制执行的。
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Progressive trends in prenatal genetic screening
According to the global report on birth defects in 2021, it is estimated that 8 million children are born with birth defects of genetic origin annually. These birth defects vary in their degree of severity; where some types are mild and do not require treatment but others may necessitate lifelong medications or even cause instant death just after birth. That is why prenatal screening is doubtless necessary to detect such genetic defects before birth aiming to drop the tragedy of these children off. Recently, this approach has been developing towards non-invasive techniques that reduce the risk of miscarriage, which was common in the old-fashioned invasive ones. Non-invasive Prenatal Tests (NIPTs) like Chromosomal Microarray Analysis (CMA) and cell-free fetal DNA (cffDNA) caused a breakthrough in the screening methods of chromosomal aneuploidies. Thanks to their benefits, NIPTs are considered a fundamental clinical approach for pregnant women’ screening in multiple countries. Thence, this paper gives prominence to the recentness of NIPTs along with each’s assets, liabilities, and prospective recommendations. In addition, it would demonstrate the importance of modern molecular technologies like next-generation sequencing (NGS) which are enforced for the appliance of NIPTs.
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