Evidence map›Paper›PMID 18838674›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2008

Noninvasive diagnosis of fetal aneuploidy by shotgun sequencing DNA from maternal blood.

H Christina Fan, Yair J Blumenfeld, Usha Chitkara, Louanne Hudgins, Stephen R Quake

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01511458 (Non-invasive Chromosomal Examination of Trisomy), which is not on this map. Cited by 392 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
392citing papers in PubMed, 2 pooled it
84.2field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01511458 completednot on this mapstarted 2012, after this paper: background citation

Non-invasive Chromosomal Examination of Trisomy

TypeobservationalSponsorRoche Sequencing SolutionsRan2012 to 2014Enrolled18,955ConditionsTrisomy 21
3 · Its place in the literature

Who cites it

392 citing papers in PubMed, 2 syntheses or guidelines pooled it, 1,123 citations in OpenAlex.

  1. Pooled it
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  8. Medizinische Genetik : Mitteilungsblatt des Berufsverbandes Medizinische Genetik e.V · 2026
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  9. Adapting Clinical Chemistry Plasma as a Source for Liquid Biopsies.medRxiv : the preprint server for health sciences · 2026
    Article
  10. Observational
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332 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

H Christina FanDepartment of Bioengineering, Stanford University and Howard Hughes Medical Institute, 318 Campus Drive, Clark Center, Room E300, Stanford, CA 94305, USA.
Yair J Blumenfeld
Usha Chitkara
Louanne Hudgins
Stephen R Quake
Stanford University · USHoward Hughes Medical Institute · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We directly sequenced cell-free DNA with high-throughput shotgun sequencing technology from plasma of pregnant women, obtaining, on average, 5 million sequence tags per patient sample. This enabled us to measure the over- and underrepresentation of chromosomes from an aneuploid fetus. The sequencing approach is polymorphism-independent and therefore universally applicable for the noninvasive detection of fetal aneuploidy. Using this method, we successfully identified all nine cases of trisomy 21 (Down syndrome), two cases of trisomy 18 (Edward syndrome), and one case of trisomy 13 (Patau syndrome) in a cohort of 18 normal and aneuploid pregnancies; trisomy was detected at gestational ages as early as the 14th week. Direct sequencing also allowed us to study the characteristics of cell-free plasma DNA, and we found evidence that this DNA is enriched for sequences from nucleosomes.

Indexed as

AneuploidyMothersBase SequenceCell-Free SystemChromosomes, HumanDNAFemaleHumansMalePregnancyPrenatal DiagnosisTranscription, GeneticDNA

Identifiers

PMID18838674
PMCPMC2562413
OpenAlexW2123370218

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.