1. Cell‐free DNA fetal fraction in twin gestations in single‐nucleotide polymorphism‐based noninvasive prenatal screening
- Author
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Hedriana, Herman, Martin, Kimberly, Saltzman, Daniel, Billings, Paul, Demko, Zachary, and Benn, Peter
- Subjects
Reproductive Medicine ,Biomedical and Clinical Sciences ,Genetics ,Pediatric ,Perinatal Period - Conditions Originating in Perinatal Period ,Clinical Research ,Reproductive health and childbirth ,Adult ,Aneuploidy ,Cell-Free Nucleic Acids ,Female ,Humans ,Noninvasive Prenatal Testing ,Pregnancy ,Pregnancy ,Twin ,Twins ,Dizygotic ,Twins ,Monozygotic ,Clinical Sciences ,Paediatrics and Reproductive Medicine ,Obstetrics & Reproductive Medicine ,Clinical sciences ,Reproductive medicine - Abstract
ObjectivesThe performance of noninvasive prenatal screening (NIPS) for fetal aneuploidy in twin pregnancies is dependent on the amount of placentally derived cell-free DNA, the "fetal fraction (FF)," present in maternal plasma. We report FF values in monozygotic (MZ) and dizygotic (DZ) pregnancies.MethodsWe reviewed FF in pregnancies at 10 to 20 completed weeks gestational age based on single-nucleotide polymorphism (SNP)-based NIPS where zygosity was routinely established in twin pregnancies. The cohort included 121 446 (96.3%) singleton, 1454 (1.2%) MZ, and 3161 (2.5%) DZ pregnancies. For DZ twins, individual FFs were measured.ResultsCombined FF for DZ and MZ fetuses were 35% and 26% greater than singletons, respectively. The individual FF contributions from each fetus in DZ twins were, on average, 32% less than singletons. FF in DZ twin pairs were moderately correlated (Pearson correlation coefficient.66). When a threshold of 2.8% FF was applied to define uninterpretable results, 1.7% (2102/121 446) of singletons, 0.8% (11/1454) of MZ pairs, and 5.6% (178/3161) of DZ pairs were uninterpretable.ConclusionFor optimal aneuploidy NIPS in twin pregnancies, zygosity should be established and in DZ twins FF for both fetuses should be determined to identify those cases where results can be reliably interpreted.
- Published
- 2020