A change in the concentration of extracellular DNA during pregnancy


Дәйексөз келтіру

Толық мәтін

Ашық рұқсат Ашық рұқсат
Рұқсат жабық Рұқсат берілді
Рұқсат жабық Рұқсат ақылы немесе тек жазылушылар үшін

Аннотация

Objective. To determine the plasma concentrations of total extracellular DNA (tDNA) and its fractions during pregnancy, by taking into account the possible impact of the body mass index (BMI) of women, anemia in pregnant women, fetal and placenta weight. Material and methods. The blood concentrations of tDNA, fetal DNA (fDNA) and maternal DNA (mDNA) were determined in women at 11-14, 24-26, and 30-32 weeks. The level of tDNA was estimated by quantitative PCR through determination of the concentration of the RASSF1A gene and that of fDNA was calculated through determination of the hypermethylated RASSF1A gene. Results. The concentration of extracellular tDNA and mDNA did not change substantially during pregnancy. Until mid-gestation, there was a relatively stable fDNA level (averaged 1265.11+577.51 GE/ml at 11-14 weeks and 1309.09+561.01 GE/ml at 24-26 weeks) and its considerable increase in the second half of pregnancy. The level of extracellular DNA and its fractions did not change in relation to the women’s BMI and fetal and placental weight. In anemia, the concentration of mDNA averaged 12362.33+5533.22 GE/ml and was significantly lower than in healthy pregnant women (an average of 15268.49+5973.43) (p < 0.05). Conclusion. The f indings conf irm the change in the concentration of total extracellular DNA during pregnancy, which must be taken into account when predicting its complications. To eliminate the effects of other maternal and fetal factors, it is necessary to continue investigations.

Толық мәтін

Рұқсат жабық

Авторлар туралы

Anna Karapetyan

National Medical Research Center of Obstetrics, Gynecology, and Perinatologynamed after Academician V.I. Kulakov

Email: anne-89@mail.ru
post-graduate student

Alexey Krasnyi

National Medical Research Center of Obstetrics, Gynecology, and Perinatologynamed after Academician V.I. Kulakov

Email: a_krasnyi@oparina4.ru
Ph.D., head. Laboratory of Cytology

Alsu Sadekova

National Medical Research Center of Obstetrics, Gynecology, and Perinatologynamed after Academician V.I. Kulakov

Email: a_sadekova@oparina4.ru
Researcher, Laboratory of Cytology

Galina Khlestova

National Medical Research Center of Obstetrics, Gynecology, and Perinatologynamed after Academician V.I. Kulakov

Email: g_khlestova@oparina4.ru
post-graduate student

Ivan Balashov

National Medical Research Center of Obstetrics, Gynecology, and Perinatologynamed after Academician V.I. Kulakov

Email: i_balashov@oparina4.ru
Junior Researcher, Laboratory of Bioinformatics

Oleg Baev

National Medical Research Center of Obstetrics, Gynecology, and Perinatologynamed after Academician V.I. Kulakov; I.M. Sechenov First Moscow State Medical University

Email: o_baev@oparina4.ru
MD, professor, head of the maternity department

Әдебиет тізімі

  1. Сухих Г.Т., Трофимов Д.Ю., Барков И.Ю., Донников А.Е., Шубина Е.С., Коростин Д.О., Екимов А.Н., Гольцов А.Ю., Бахарев В.А., Каретникова Н.А., Боровиков П.И., Тетруашвили Н.К., Ким Л.В., Гата А.С., Павлович С.В., Скрябин К.Г., Прохорчук Е.Б., Мазур А.М., Пантюх К.С. Новые подходы к проведению пренатального скрининга хромосомной патологии: ДНК-скрининг по крови матери. Акушерство и гинекология. 2016; 8: 72-8. http://dx.doi.org/10.18565/aig.2016.8.72-78
  2. Тетруашвили Н.К., Ким Л.В., Парсаданян Н.Г., Федорова Н.И., Барков И.Ю., Шубина Е.С., Трофимов Д.Ю. Неинвазивный пренатальный ДНК-тест в качестве скрининговой методики у женщин различных групп риска: взгляд на проблему. Акушерство и гинекология. 2016; 8: 24-8. http://dx.doi.org/10.18565/aig.2016.8.24-28
  3. Alberry M., Maddocks D., Jones M., Abdel Hadi M., Abdel-Fattah S., Avent N. et al. Free fetal DNA in maternal plasma in anembryonic pregnancies: Confirmation that the origin is the trophoblast. Prenat. Diagn. 2007; 27(5): 415-8.
  4. Грачева М.И., Кан Н.Е., Красный А.М. Роль внекдеточной фетальной ДНК в ранней диагностике осложнений беременности. Акушерство и гинекология. 2016; 10: 5-10. ttp://dx.doi.org/10.18565/aig.2016.10.5-10
  5. Sharp A.N., Heazell A.E., Crocker I.P., Mor G. Placental apoptosis in health and disease. Am. J. Reprod. Immunol. 2010; 64(3): 159-69.
  6. Haghiac M., Vora N.L., Basu S., Johnson K.L., Presley L., Bianchi D.W. et al. Increased death of adipose cells, a path to release cell-free DNA into systemic circulation of obese women. Obesity (Silver Spring). 2012; 20(11): 2213-9.
  7. Lapaire O., Volgmann T., Grill S., Hösli I., Zanetti-daellenbach R., Zhong X.Y. et al. Significant correlation between maternal body mass index at delivery and in the second trimester, and second trimester circulating total cell-free DNA levels. Reprod. Sci. 2009; 16(3): 274-9.
  8. Smid M., Galbiati S., Vassallo A., Gambini D., Ferrari A., Restagno G. et al. Fetal DNA in maternal plasma in twin pregnancies. Clin. Chem. 2003; 49(9): 1526-8.
  9. Zamanpoor M., Rosli R., Yazid M.N., Husain Z., Nordin N., Thilakavathy K. Quantitative analysis of fetal DNA in maternal plasma in gestational diabetes mellitus, iron deficiency anemia and gestational hypertension pregnancies J. Matern. Fetal Neonatal Med. 2013; 26(10): 960-6.
  10. Chan K.C., Ding C., Gerovassili A., Yeung S.W., Chiu R.W., Leung T.N. et al. Hypermethylated RASSF1A in maternal plasma: A universal fetal DNA marker that improves the reliability of noninvasive prenatal diagnosis. Clin. Chem. 2006; 52(12): 2211-8.
  11. Rolnik D.L., O’Gorman N., Fiolna M., van den Boom D., Nicolaides K.H., Poon L.C. Maternal plasma cell-free DNA in the prediction of preeclampsia. Ultrasound Obstet. Gynecol. 2015; 45(1): 106-11.
  12. Levine R.J., Qian C., Leshane E.S., Yu K.F., England L.J., Schisterman E.F. et al. Two-stage elevation of cell-free fetal DNA in maternal sera before onset of preeclampsia. Am. J. Obstet. Gynecol. 2004; 190(3): 707-13.
  13. Galbiati S., Smid M., Gambini D., Ferrari A., Restagno G., Viora E. et al. Fetal DNA detection in maternal plasma throughout gestation. Hum. Genet. 2005; 117(2-3): 243-8.
  14. Zhou Y., Zhu Z., Gao Y., Yuan Y., Guo Y., Zhou L. et al. Effects of maternal and fetal characteristics on cell-Free fetal DNA fraction in maternal plasma. Reprod. Sci. 2015; 22(11): 1429-35.
  15. Kim M.J., Kim S.Y., Park S.Y., Ahn H.K., Chung J.H., Ryu H.M. Association of fetal-derived hypermethylated RASSF1A concentration in placenta-mediated pregnancy complications. Placenta. 2013; 34(1): 57-61.
  16. Lo Y.M., Leung T.N., Tein M.S., Sargent I.L., Zhang J., Lau T.K. et al. Quantitative abnormalities of fetal DNA in maternal serum in preeclampsia. Clin. Chem. 1999; 45(2): 184-8.
  17. Wang E., Batey A., Struble C., Musci T., Song K., Oliphant A. Gestational age and maternal weight effects on fetal cell-free DNA in maternal plasma. Prenat. Diagn. 2013; 33(7): 662-6.
  18. Ashoor G., Syngelaki A., Poon L.C., Rezende J.C., Nicolaides K.H. Fetal fraction in maternal plasma cell-free DNA at 11-13 weeks’ gestation: Relation to maternal and fetal characteristics. Ultrasound Obstet. Gynecol. 2013; 41(1): 26-32.
  19. Kinnings S.L., Geis J.A., Almasri E., Wang H., Guan X., Mccullough R.M. et al. Factors affecting levels of circulating cell-free fetal DNA in maternal plasma and their implications for noninvasive prenatal testing. Prenat. Diagn. 2015; 35(8): 816-22.
  20. Wataganara T., Peter I., Messerlian G.M., Borgatta L., Bianchi D.W. Inverse correlation between maternal weight and second trimester circulating cell-free fetal DNA levels. Obstet. Gynecol. 2004; 104(3): 545-50.
  21. Wataganara T., Metzenbauer M., Peter I., Johnson K.L., Bianchi D.W. Placental volume, as measured by 3-dimensional sonography and levels of maternal plasma cell-free fetal DNA. Am. J. Obstet. Gynecol. 2005; 193(2): 496-500.
  22. Stangret A., Wnuk A., Szewczyk G., Pyzlak M., Szukiewicz D. Maternal hemoglobin concentration and hematocrit values may affect fetus development by influencing placental angiogenesis. J. Matern. Fetal Neonatal Med. 2017; 30(2): 199-204.
  23. Тамкович С.Н., Власов В.В., Лактионов П.П. Циркулирующие ДНК крови и их использование в медицинской диагностике. Молекулярная биология. 2008; 42(1): 12-23.

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