Evidence map›Paper›PMID 32463164›Full record

ArticleMolecular genetics & genomic medicine2020

A rare case of NIPT discrepancy caused by the placental mosaicism of three different karyotypes, 47,XXX, 47,XX,+21, and 48,XXX,+21.

Jin Li, Mingshui Xie, Fang Wang, Jianhong Ma, Jiafu Li, Chen Chen, Zhimin Li, Juan Wang, Yuanzhen Zhang, Yirong Li

Open access · goldAbstract readCase Reports
In one paragraph

Article in Molecular genetics & genomic medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.0field-weighted citation impact, top 23% 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

4 citing papers in PubMed, 5 citations in OpenAlex.

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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

10 authors at 3 institutions in 1 country.

Jin LiDepartment of Laboratory Medicine, Zhongnan Hospital, Wuhan university, Wuhan, Hubei, P. R. China.ORCID 0000-0002-5041-8507
Mingshui XieDepartment of Laboratory Medicine, Suizhou Central People's Hospital, Suizhou, Hubei, P. R. China.
Fang WangHubei Clinical Research Center for prenatal Diagnosis and Birth Health, Wuhan, Hubei, P. R. China.
Jianhong MaHubei Clinical Research Center for prenatal Diagnosis and Birth Health, Wuhan, Hubei, P. R. China.
Jiafu LiHubei Clinical Research Center for prenatal Diagnosis and Birth Health, Wuhan, Hubei, P. R. China.
Chen ChenZhejiang Annoroad Biotechnology Co., Ltd, Zhejiang, P.R. China.ORCID 0000-0002-3782-827X
Zhimin LiAnnoroad Gene Technology (Beijing) Co., Ltd, Beijing, P.R. China.
Juan WangAnnoroad Gene Technology (Beijing) Co., Ltd, Beijing, P.R. China.ORCID 0000-0002-2971-5099
Yuanzhen ZhangHubei Clinical Research Center for prenatal Diagnosis and Birth Health, Wuhan, Hubei, P. R. China.ORCID 0000-0003-4832-7902
Yirong LiDepartment of Laboratory Medicine, Zhongnan Hospital, Wuhan university, Wuhan, Hubei, P. R. China.ORCID 0000-0002-5619-1614
Wuhan University · CNAnnoroad Gene Technology (China) · CNSuizhou Central Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPlacental mosaicism is one of the major reasons for noninvasive prenatal testing (NIPT) discrepancy. Herein, we discovered a rare case of placenta with complex karyotypes that caused false-positive and false-negative results in noninvasive prenatal testing.

methodsNext-generation sequencing (NGS) and Quantitative fluorescent polymerase chain reaction (QF-PCR) were performed on the cord blood sample, fetal tissues, and eight placental biopsies. Fluorescent In Situ Hybridization (FISH) and karyotyping were also carried to confirm the fetal genome status.

resultsThe results suggested that the fetal chromosome was 47,XXX and the placenta had three karyotypes of 48,XXX,+21, 47,XX,+21, and 47,XXX. QF-PCR indicated that the extra chromosome 21 and chromosome X were all from the father. It is speculated that the zygote may have 48,XXX,+21 karyotype and trisomy rescue could be the main mechanism for the development of the homogeneous fetus and complex mosaic placenta.

conclusionOverall, the complicated nature of our case underlines the importance of discussing with parents the possibility of both atypical and discordant results during preconfirmatory amniocentesis counseling and consent.

Indexed as

KaryotypeMosaicismAdultChromosomes, Human, XCraniofacial AbnormalitiesDown SyndromeFalse Negative ReactionsFalse Positive ReactionsFemaleHumansIn Situ Hybridization, FluorescenceIntellectual DisabilityKaryotypingNoninvasive Prenatal TestingPlacentaPregnancychromosomal abnormalitiesconfined placental mosaicismNIPTprenatal diagnosistrisomy

Identifiers

PMID32463164
PMCPMC7434741
OpenAlexW3032506904

What OpenQuestion holds

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Registered trials

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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.