Literature DB >> 1699417

Maternal serum Down syndrome screening: free beta-protein is a more effective marker than human chorionic gonadotropin.

J N Macri1, R V Kasturi, D A Krantz, E J Cook, N D Moore, J A Young, K Romero, J W Larsen.   

Abstract

The use of quantitative human chorionic gonadotropin measurement in obstetrics has a long and successful history. Prior studies on the utility of human chorionic gonadotropin in Down syndrome screening have utilized assays that measure the intact human chorionic gonadotropin molecule. This study targeted a distinct marker, the human chorionic gonadotropin free beta-protein, which is present in second-trimester maternal serum at much lower concentrations than is intact human chorionic gonadotropin. Our study of 29 cases of trisomy 21 and 450 control samples shows 80% detection efficiency with maternal serum alpha-fetoprotein, the free beta-protein, and maternal age in pregnancies under 17 weeks' gestation. We conclude that the combination of maternal serum alpha-fetoprotein and the human chorionic gonadotropin free beta-protein will be useful in the prenatal detection of trisomy 21.

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Year:  1990        PMID: 1699417     DOI: 10.1016/0002-9378(90)90700-h

Source DB:  PubMed          Journal:  Am J Obstet Gynecol        ISSN: 0002-9378            Impact factor:   8.661


  19 in total

1.  Antenatal screening for Down's syndrome.

Authors:  V J Macri; R Clark
Journal:  BMJ       Date:  1992-09-26

2.  Antenatal screening for Down's syndrome.

Authors:  K Spencer
Journal:  BMJ       Date:  1992-09-26

3.  Risk of Down's syndrome and amniocentesis rate.

Authors:  K Spencer; P Carpenter
Journal:  BMJ       Date:  1992-03-07

4.  Screening for Down's syndrome based on individual risk.

Authors:  M Lewis; M J Faed; P W Howie
Journal:  BMJ       Date:  1991-09-07

5.  Prenatal screening for Down's syndrome.

Authors: 
Journal:  BMJ       Date:  1991-08-24

Review 6.  A historical and practical review of first trimester aneuploidy screening.

Authors:  Melissa L Russo; Karin J Blakemore
Journal:  Semin Fetal Neonatal Med       Date:  2013-12-14       Impact factor: 3.926

Review 7.  Down's syndrome screening: a controversial test, with more controversy to come!

Authors:  T M Reynolds
Journal:  J Clin Pathol       Date:  2000-12       Impact factor: 3.411

Review 8.  New discoveries on the biology and detection of human chorionic gonadotropin.

Authors:  Laurence A Cole
Journal:  Reprod Biol Endocrinol       Date:  2009-01-26       Impact factor: 5.211

9.  Prenatal screening for trisomy 18 with free beta human chorionic gonadotrophin as a marker.

Authors:  K Spencer; A S Mallard; E J Coombes; J N Macri
Journal:  BMJ       Date:  1993-12-04

10.  Prospective study of prenatal screening for Down's syndrome with free beta human chorionic gonadotrophin.

Authors:  K Spencer; P Carpenter
Journal:  BMJ       Date:  1993-09-25
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