© 2004 BMJ Publishing Group Ltd
LETTER TO JMG
Detection of cell free placental DNA in maternal plasma: direct evidence from three cases of confined placental mosaicism
1 Department of Obstetrics and Gynecology, Graduate School of Biomedical Sciences, Nagasaki University, Nagasaki, Japan
2 Department of Human Genetics, Graduate School of Biomedical Sciences, Nagasaki University, Nagasaki, Japan
3 CREST, Japan Science and Technology Agency (JST), Kawaguchi, Japan
Correspondence to:
Correspondence to:
K Miura, MD, PhD
Department of Obstetrics and Gynecology, Graduate School of Biomedical Sciences, Nagasaki University, 1-7-1 Sakamoto, Nagasaki 852-8501, Japan; kiyonori@net.nagasaki-u.ac.jp
Accepted 15 December 2003
Abbreviations: fetal DNA, cell free fetal DNA
| The first 150 words of the full text of this article appear below. |
Fetal cells are consistently found in the maternal circulation, and polymerase chain reaction based studies have led to the identification of cell free fetal DNA (fetal DNA) in maternal blood. Approximately 1.2 nucleated fetal cells/ml of whole blood from women carrying a male fetus were detectable,1 and relative enrichment of fetal DNA was detected in the maternal plasma and serum.2 The amount of fetal DNA in the maternal blood increases with progression of pregnancy, and 3.46.2% of the total maternal plasma DNA during pregnancy was of fetal origin.3 Therefore, cell free fetal DNA in pregnant womens plasma is useful for non-invasive prenatal diagnosis, especially for detection of fetal sex,3,4 RhD blood type,57 and gene mutations of paternal origin.810 Previous studies indicated that pregnant women with pre-eclampsia,11 placenta previa12 and fetal chromosome abnormalities13 tend to have elevated levels of fetal DNA in their plasma. Since functional or structural abnormalities of the
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