Fetal DNA Clearance from Maternal Plasma Is Impaired in Preeclampsia

作者: Tai-Wah Lau , Tse N Leung , Lisa YS Chan , Tze K Lau , KC Allen Chan

DOI: 10.1093/CLINCHEM/48.12.2141

关键词:

摘要: Background: Increased fetal DNA in maternal plasma/serum has been reported pregnancies complicated by preeclampsia. We hypothesized that impaired clearance of might contribute, at least part, to the above-mentioned phenomenon. Methods: studied 7 preeclamptic and 10 control pregnant women. All had male fetuses. Serial blood samples were obtained from before delivery 6 h postpartum. Male plasma was measured real-time quantitative PCR for SRY gene on Y chromosome. Results: The median concentrations significantly higher women than controls (521 vs 227 genome-equivalents/mL women, respectively; Mann–Whitney rank-sum test, P = 0.017). after also different between two groups (208 0 0.002). A first-order model found best describe kinetics clearance. Moreover, we observed a significant difference apparent half-lives (114 min) (28 min; 0.007). Conclusions: This study represents first documentation Such an abnormality circulating may be present other medical conditions associated with aberrations concentrations.

参考文章(16)
M Mannik, W Emlen, Effect of DNA size and strandedness on the in vivo clearance and organ localization of DNA. Clinical and Experimental Immunology. ,vol. 56, pp. 185- 192 ,(1984)
YM Dennis Lo, Tse N Leung, Mark SC Tein, Ian L Sargent, Jun Zhang, Tze K Lau, Christopher J Haines, Christopher WG Redman, Quantitative Abnormalities of Fetal DNA in Maternal Serum in Preeclampsia Clinical Chemistry. ,vol. 45, pp. 184- 188 ,(1999) , 10.1093/CLINCHEM/45.2.184
Dorine W Swinkels, Jacques B de Kok, Jan CM Hendriks, Erwin Wiegerinck, Petra LM Zusterzeel, Eric AP Steegers, Hemolysis, Elevated Liver Enzymes, and Low Platelet Count (HELLP) Syndrome as a Complication of Preeclampsia in Pregnant Women Increases the Amount of Cell-free Fetal and Maternal DNA in Maternal Plasma and Serum Clinical Chemistry. ,vol. 48, pp. 650- 653 ,(2002) , 10.1093/CLINCHEM/48.4.650
BHW Faas, EA Beuling, GC ML Christiaens, AEG Kr von dem Borne, CE van der School, Detection of fetal RHD-specific sequences in maternal plasma. The Lancet. ,vol. 352, pp. 1196- ,(1998) , 10.1016/S0140-6736(05)60534-X
J.M Roberts, C.W.G Redman, Pre-eclampsia: more than pregnancy-induced hypertension The Lancet. ,vol. 341, pp. 1447- 1451 ,(1993) , 10.1016/0140-6736(93)90889-O
TORU TSUMITA, MICHIKO IWANAGA, Fate of injected deoxyribonucleic acid in mice. Nature. ,vol. 198, pp. 1088- 1089 ,(1963) , 10.1038/1981088A0
Pietro Invernizzi, Maria Biondi, Pier Battezzati, Francesca Perego, Carlo Selmi, Federica Cecchini, Mauro Podda, Giuseppe Simoni, Presence of fetal DNA in maternal plasma decades after pregnancy. Human Genetics. ,vol. 110, pp. 587- 591 ,(2002) , 10.1007/S00439-002-0725-3
Nathalie C. Lambert, Y. M. Dennis Lo, Timothy D. Erickson, Tracy S. Tylee, Katherine A. Guthrie, Daniel E. Furst, J. Lee Nelson, Male microchimerism in healthy women and women with scleroderma: cells or circulating DNA? A quantitative answer Blood. ,vol. 100, pp. 2845- 2851 ,(2002) , 10.1182/BLOOD-2002-01-0295
Jean-Marc Costa, Alexandra Benachi, Evelyne Gautier, Jean-Marie Jouannic, Pauline Ernault, Yves Dumez, First-trimester fetal sex determination in maternal serum using real-time PCR Prenatal Diagnosis. ,vol. 21, pp. 1070- 1074 ,(2001) , 10.1002/PD.219
Xiao Yan Zhong, Hannele Laivuori, Jeffrey C. Livingston, Olavi Ylikorkala, Baha M. Sibai, Wolfgang Holzgreve, Sinuhe Hahn, Elevation of both maternal and fetal extracellular circulating deoxyribonucleic acid concentrations in the plasma of pregnant women with preeclampsia. American Journal of Obstetrics and Gynecology. ,vol. 184, pp. 414- 419 ,(2001) , 10.1067/MOB.2001.109594