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Predicting fetoplacental chromosomal mosaicism during non‐invasive prenatal testing
Author(s) -
Brison Nathalie,
Neofytou Maria,
Dehaspe Luc,
Bayindir Baran,
Van Den Bogaert Kris,
Dardour Leila,
Peeters Hilde,
Van Esch Hilde,
Van Buggenhout Griet,
Vogels Annick,
Ravel Thomy,
Legius Eric,
Devriendt Koen,
Vermeesch Joris R.
Publication year - 2018
Publication title -
prenatal diagnosis
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.956
H-Index - 97
eISSN - 1097-0223
pISSN - 0197-3851
DOI - 10.1002/pd.5223
Subject(s) - cell free fetal dna , aneuploidy , prenatal diagnosis , trisomy , biology , fetus , chorionic villus sampling , genetic testing , obstetrics , placenta , genetics , pregnancy , medicine , chromosome , gene
Objective Non‐invasive prenatal detection of aneuploidies can be achieved with high accuracy through sequencing of cell‐free maternal plasma DNA in the maternal blood plasma. However, false positive and negative non‐invasive prenatal testing (NIPT) results remain. Fetoplacental mosaicism is the main cause for false positive and false negative NIPT. We set out to develop a method to detect placental chromosomal mosaicism via genome‐wide circulating cell‐free maternal plasma DNA screening. Method Aneuploidy detection was combined with fetal fraction determination to enable the detection of placental mosaicism. This pipeline was applied to whole genome sequencing data derived from 19 735 plasma samples. Following an abnormal NIPT, test results were validated by conventional invasive prenatal or postnatal genetic testing. Results Respectively 3.2% (5/154), 12.8% (5/39), and 13.3% (2/15) of trisomies 21, 18, and 13 were predicted and confirmed to be mosaic. The incidence of other, rare autosomal trisomies was ~0.3% (58/19,735), 45 of which were predicted to be mosaic. Twin pregnancies with discordant fetal genotypes were predicted and confirmed. Conclusion This approach permits the non‐invasive detection of fetal autosomal aneuploidies and identifies pregnancies with a high risk of fetoplacental mosaicism. Knowledge about the presence of chromosomal mosaicism in the placenta influences risk estimation, genetic counseling, and improves prenatal management.