Transabdominal coelocentesis as early source of fetal DNA for chromosomal and molecular diagnosis

J Matern Fetal Neonatal Med. 2014 Nov;27(16):1656-60. doi: 10.3109/14767058.2013.871697. Epub 2014 Apr 9.

Abstract

This study reports a comparative analysis between results of transabdominal coelocentesis and traditional invasive procedure in order to assess the usefulness of coelocentesis as a source of fetal DNA for molecular and chromosomal analysis. A number of 28 women were included in the study. A successful sampling of coelomic fluid was obtained in 25 women by transabdominal procedure. A positive amplification of DNA with QF-PCR techniques was obtained in 90% of cases, while 10% of cases failed to reveal interpretable results. Although all samples were cultured, the growth rate was not sufficient to determine karyotypes within 2 weeks. Five samples were selected to be analyzed by array-based comparative genomic hybridization (a-CGH) but the interpretation of these results was difficult and ambiguous. Our results suggest that transabdominal coelocentesis is suitable for the detection of single DNA variation and for QF-PCR analysis, while further experiments are needed to develop optimized protocols for traditional karyotyping and array-analysis.

Keywords: Array-based comparative genomic hybridization; QF-PCR; coelomic fluid; fetal DNA; transabdominal coelocentesis.

Publication types

  • Clinical Trial
  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Comparative Genomic Hybridization
  • Female
  • Genetic Testing
  • Humans
  • Paracentesis / methods*
  • Polymerase Chain Reaction
  • Pregnancy
  • Prenatal Diagnosis / methods*
  • Prospective Studies
  • Young Adult