How to screen for fetal trisomy
A trisomy, fetal technique for screening and identification of fetal trisomies, addressing issues such as time consuming, high false negative rates, lack of specificity and/or sensitivity
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Embodiment 1
[0299] Example 1 - Metabolic Group LC / MS Experimental Conditions
[0300] In an experiment, a set of trimetic 21 samples is distinguished from the control case group as described below.
[0301] Serum samples were selected from the uninteduted pregnancy and tri-body 21 infected pregnancy. According to the Folz (Folchjet) J Biol Chem. 226 (1): 497-509.) These serum samples were extracted into two copies. Serum (25 L) was added to 25 L of deionized water to extract 1 hour (minimum), and added 1000 μl of chloroform in a 1.5 ml glass tube having a polytetrafluoroethylene liner: methanol (2: 1, v / v), It was stirred vigorously in the first 10 minutes. This stage is added to the inner standard (deuterated (D4) blood-soluble phosphatidylcholine, 0.125 μg / sample, produced by Avanti Polar Lipids Inc.). 200 L of 0.1 m of potassium chloride solution was added and stirred vigorously for 5 minutes, and phase separation was produced, and centrifugally was separated. In the case where the d...
Embodiment 2
[0332] Example 2 Kit
[0333] Typically, a kit for the methods described herein include one or more standards, calibrators, reagents and instructions / method for from biological samples such as serum lipids extracted and / or analyzed.
[0334] It may include software, comprising a statistical method to predict the range of samples in uninfected or may be infected.
[0335] Samples were extracted in the presence of a plurality of generally standard, such as the stable isotopes and / or physiologic lipid (e.g., deuterated (d4) lysophosphatidyl choline, 0.125μg / 20uL serum samples from Avanti polar lipids Inc. Production ) case where the presence of a mixture thereof. Extraction may be carried out using stable isotope dilution method to determine the relative amounts of various types of lipids, and use of the herein Folch extraction (as described in Example 1) method.
[0336] Typically, compounds - which differ uninfected the presence of trisomy in both cases - can be quantitativ...
Embodiment 3
[0337] Example 3 based on the likelihood ratio trisomy 21 on risk assessment
[0338] By determining the likelihood ratio (LR) is calculated by the following algorithm of the form, thereby determining an increased risk of pregnancy:
[0339] LR = i [ln (MoM lipids i)] + j [ln (MoM lipid j)] + k [ln (MoM lipid k)] + ... n [ln (MoM lipids n)] + n + 1 [ln (n + 1MoM lipids n + 1)].
[0340] (Ages using published - risk formula, the possibility before (prior odds) usually comes from maternal age) LR can be used to revise the risk of age-related or as a single point of action.
[0341] One example, the use of such standardized discriminant analysis to generate canonical discriminant function coefficients -11.6 (lnMoM index#19 ) +9.931
[0342] (LnMoM index#26 ) -0.972 (lnMoM index#42 ) -0.191 (lnMoM index#43 ) -0.176 (lnMoM index#44 ) +4.524
[0343] (LnMoM index#45 ) +1.605 (lnMoM index#46 ) -1.777 (lnMoM index#175 ) +1.679 (lnMoM index#186 ) -2.12
[0344] (LnMoM index#195 ) + 0.669ln...
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