Evidence map›Paper›PMID 27167625›Full record

ArticlePloS one2016

Could Digital PCR Be an Alternative as a Non-Invasive Prenatal Test for Trisomy 21: A Proof of Concept Study.

Laïla Allach El Khattabi, Christelle Rouillac-Le Sciellour, Dominique Le Tessier, Armelle Luscan, Audrey Coustier, Raphael Porcher, Rakia Bhouri, Juliette Nectoux, Valérie Sérazin, Thibaut Quibel and 4 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
11.8field-weighted citation impact, top 2% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 51 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Review
  13. Review
  14. Review
  15. Three-color crystal digital PCR.Biomolecular detection and quantification · 2016
    Article
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

14 authors at 9 institutions in 1 country.

Laïla Allach El KhattabiINSERM, U1016, Institut Cochin, CNRS UMR8104, Université Paris Descartes, Paris, France.
Christelle Rouillac-Le SciellourFédération de Génétique, CHI de Poissy St Germain, Poissy, France.
Dominique Le TessierLaboratoire de Cytogénétique, Hôpital Cochin-Maternité Port-Royal, AP-HP, Paris, France.
Armelle LuscanLaboratoire de Cytogénétique, Hôpital Cochin-Maternité Port-Royal, AP-HP, Paris, France.
Audrey CoustierLaboratoire de Cytogénétique, Hôpital Cochin-Maternité Port-Royal, AP-HP, Paris, France.
Raphael PorcherCentre d'Epidémiologie Clinique, Hôtel Dieu, Paris, France.
Rakia BhouriLaboratoire de Cytogénétique, Hôpital Cochin-Maternité Port-Royal, AP-HP, Paris, France.
Juliette NectouxAssistance Publique-Hôpitaux de Paris, Hôpital Cochin, Laboratoire de Biochimie et Génétique Moléculaire, Paris, France.
Valérie SérazinFédération de Génétique, CHI de Poissy St Germain, Poissy, France.
Thibaut QuibelDépartement d'Obstétrique et de Gynécologie, CHI de Poissy St Germain, Poissy, France.
Laurent MandelbrotService de Gynécologie-Obstétrique, Hôpital Louis Mourier, Hôpitaux Universitaires Paris-Nord Val de Seine, Colombes, France; Université Paris-Diderot, Paris, France.
Vassilis TsatsarisDépartement d'Obstétrique et de Gynécologie, Hôpital Cochin-Maternité Port-Royal, Université Paris Descartes, Paris, France.
François VialardFédération de Génétique, CHI de Poissy St Germain, Poissy, France.
Jean-Michel DupontINSERM, U1016, Institut Cochin, CNRS UMR8104, Université Paris Descartes, Paris, France.
Assistance Publique – Hôpitaux de Paris · FRCentre Hospitalier Intercommunal de Poissy · FRMaternité Port Royal · FRUniversité de Versailles Saint-Quentin-en-Yvelines · FRHôpital Cochin · FRHôpital Louis-Mourier · FRHôtel-Dieu de Paris · FRInstitut Cochin · FRUniversité Paris Cité · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveNIPT for fetal aneuploidy by digital PCR has been hampered by the large number of PCR reactions needed to meet statistical requirements, preventing clinical application. Here, we designed an octoplex droplet digital PCR (ddPCR) assay which allows increasing the number of available targets and thus overcomes statistical obstacles.

methodAfter technical optimization of the multiplex PCR on mixtures of trisomic and euploid DNA, we performed a validation study on samples of plasma DNA from 213 pregnant women. Molecular counting of circulating cell-free DNA was performed using a mix of hydrolysis probes targeting chromosome 21 and a reference chromosome.

resultsThe results of our validation experiments showed that ddPCR detected trisomy 21 even when the sample's trisomic DNA content is as low as 5%. In a validation study of plasma samples from 213 pregnant women, ddPCR discriminated clearly between the trisomy 21 and the euploidy groups.

conclusionOur results demonstrate that digital PCR can meet the requirements for non-invasive prenatal testing of trisomy 21. This approach is technically simple, relatively cheap, easy to implement in a diagnostic setting and compatible with ethical concerns regarding access to nucleotide sequence information. These advantages make it a potential technique of choice for population-wide screening for trisomy 21 in pregnant women.

Indexed as

Chromosomes, Human, Pair 21DNADNA ProbesDown SyndromeHumansMultiplex Polymerase Chain ReactionPrenatal DiagnosisReproducibility of ResultsROC CurveDNADNA Probes

Identifiers

PMID27167625
PMCPMC4864235
OpenAlexW2359422898

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.