MEASUREMENT OF ADULT HEMOGLOBIN IN FETAL BLOOD-SAMPLES BY HIGH-PERFORMANCE LIQUID-CHROMATOGRAPHY AS PURITY CONTROL FOR THE PRENATAL-DIAGNOSIS OF CHROMOSOMAL-ABNORMALITIES

被引:2
作者
DUCROCQ, R
TACHDJIAN, G
OURY, JF
BRUNIE, G
FENNETEAU, O
SCHLEGEL, N
BLOT, P
ELION, J
机构
[1] Service de Biochimie Génétique, Hôpital Robert-Debré, Paris
[2] Service de Cytogénétique, Hôpital Robert-Debré, Paris
[3] Service de Gynécologie-Obstétrique Hôpital Robert-Debré, Paris
[4] Service de d’Hématologie, Hôpital Robert-Debré, Paris
[5] Service de INSERM U120, Hôpital Robert-Debré, Paris
关键词
FETAL BLOOD; PURITY CONTROL; PRENATAL DIAGNOSIS; CORDOCENTESIS; HIGH-PERFORMANCE LIQUID CHROMATOGRAPHY; HEMOGLOBIN; CHROMOSOMAL ABNORMALITIES; KARYOTYPING;
D O I
10.1159/000263846
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
This study was aimed at testing if measurement of adult hemoglobin (HbA) by ion exchange high-performance liquid chromatography could serve as a purity control of fetal blood samples. We studied 240 samples obtained for karyotyping by cordocentesis under ultrasound guidance. Mean red cell volume (MCV), red cell distribution width (RDW) and HbA were measured on each sample. HbA was determined from 5 mul of blood in 8 min. From 18 to 30 weeks of gestation, HbA values in fetal blood do not vary and are tightly clustered around 5.4% (SD:1.1%). After 30 weeks, HbA increases as the fetal to adult switch begins. Experimental contaminations of fetal blood by maternal blood show that HbA variations are more pronounced than MCV or RDW variations. A 5% contamination is readily detected. This approach is rapid, sensitive and reliable. Incidentally, it readily detects the presence of an abnormal hemoglobin.
引用
收藏
页码:317 / 324
页数:8
相关论文
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  • [1] Daffos F., Capella-Pavlovsky M., Forestier F., Fetal blood sampling during pregnancy with use of a needle guided by ultrasound: A study of 606 consecutive cases, Am J Obstet Gynecol, 153, pp. 655-660, (1985)
  • [2] Forestier F., Daffos F., Galacteros F., Bardakjian J., Rainaut M., Beuzard Y., Hematological values of 163 normal fetuses between 18 and 30 weeks of gestation, Pediatr Res, 20, pp. 342-346, (1986)
  • [3] Daffos F., Forestier F., Médecine et biologie du foetus humain, pp. 80-89, (1988)
  • [4] Betke K., Marti H.R., Schlicht I., Estimation of small percentages of fetal hemoglobin, Nature, 184, pp. 1877-1878, (1959)
  • [5] Kikutani M., Ishiguro M., Kitagawa T., Imamura S., Miura S., Enzyme immunoassay of human chorionic gonadotrophin employing beta-galactosidase as label, J Clin Endocrinol Metab, 47, pp. 980-984, (1978)
  • [6] Forestier F., Daffos F., Rainaut M., Bruneau M., Trivin F., Blood chemistry of normal human fetuses at mid trimester of pregnancy, Pediatr Res, 21, pp. 579-583, (1987)
  • [7] Habibi B., Bretagne M., Forestier F., Daffos F., Blood group antigens on fetal red cells obtained by umbilical vein puncture under ultrasound guidance. A rapid hemagglutination test to check for contamination with maternal blood, Pediatr Res, 20, pp. 1082-1084, (1986)
  • [8] Forestier F., Cox W.L., Daffos F., Rainaut M., The assessment of fetal blood samples, Am J Obstet Gynecol, 158, pp. 1184-1188, (1988)
  • [9] Daffos F., Capella-Pavlovsky M., Forestier F., Fetal blood sampling via the umbilical cord using a needle guided by ultrasound: Report of 66 cases, Prenat Diagn, 3, pp. 271-277, (1983)
  • [10] Nicolaides K.H., Snijders R.J.M., Thorpe-Beeston J.G., Van den Hof M.C., Gosden C.M., Belligham A.J., Mean red cell volume in normal, anemic, small, trisomic and triploid fetuses, Fetal Ther, 4, pp. 1-13, (1989)