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Proceedings of the National Academy of Sciences, Vol 87, 3279-3283, Copyright © 1990 by National Academy of Sciences
DW Bianchi, AF Flint, MF Pizzimenti, JHM Knoll and SA Latt
Fetal nucleated cells within maternal blood represent a potential source of
fetal genes obtainable by venipuncture. We used monoclonal antibody against
the transferrin receptor (TfR) to identify nucleated erythrocytes in the
peripheral blood of pregnant women. Candidate fetal cells from 19
pregnancies were isolated by flow sorting at 121/2-17 weeks gestation. The
DNA in these cells was amplified for a 222-base-pair (bp) sequence present
on the short arm of the Y chromosome as proof that the cells were derived
from the fetus. The amplified DNA was compared with standardized DNA
concentrations; 0.1-1 ng of fetal DNA was obtained in the 20-ml maternal
samples. In 7/19 cases, a 222-bp band of amplified DNA was detected,
consistent with the presence of male DNA in the isolated cells; 6/7 of
these were confirmed as male pregnancies by karyotyping amniocytes. In the
case of the female fetus, DNA prepared from samples at 32 weeks of
gestation and cord blood at delivery also showed the presence of the Y
chromosomal sequence, suggesting Y sequence mosaicism or translocation. In
10/12 cases where the 222-bp band was absent, the fetuses were female.
Thus, we were successful in detecting the Y chromosomal sequence in 75% of
the male-bearing pregnancies, demonstrating that it is possible to isolate
fetal gene sequences from cells in maternal blood. Further refinement in
methodology should increase sensitivity and facilitate noninvasive
screening for fetal gene mutations.
ARTICLE
Isolation of Fetal DNA from Nucleated Erythrocytes in Maternal Blood
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