2018
DOI: 10.1126/science.aar3819
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Noninvasive blood tests for fetal development predict gestational age and preterm delivery

Abstract: Noninvasive blood tests that provide information about fetal development and gestational age could potentially improve prenatal care. Ultrasound, the current gold standard, is not always affordable in low-resource settings and does not predict spontaneous preterm birth, a leading cause of infant death. In a pilot study of 31 healthy pregnant women, we found that measurement of nine cell-free RNA (cfRNA) transcripts in maternal blood predicted gestational age with comparable accuracy to ultrasound but at substa… Show more

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Cited by 216 publications
(258 citation statements)
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“…Recent developments in noninvasive prenatal testing (NIPT) have revolutionized prenatal care. Recent reports suggest that this field may evolve to enable noninvasive prenatal transcriptomic and epigenomic profiling in utero . This is an extremely exciting concept because it may enable noninvasive monitoring for the detection and management of complex diseases of pregnancy such as preeclampsia and growth restriction.…”
Section: Introductionmentioning
confidence: 99%
“…Recent developments in noninvasive prenatal testing (NIPT) have revolutionized prenatal care. Recent reports suggest that this field may evolve to enable noninvasive prenatal transcriptomic and epigenomic profiling in utero . This is an extremely exciting concept because it may enable noninvasive monitoring for the detection and management of complex diseases of pregnancy such as preeclampsia and growth restriction.…”
Section: Introductionmentioning
confidence: 99%
“…Protein coding gene such as CGA, CSH1 and CSH2, and long non-coding gene such as PLAC4 15 , were very low or undetected in nonpregnant females, and increased during pregnancy. S100A8 which are related to pregnant immunomodulation 15 , also increased ( Fig. 5c).…”
Section: Palm-seq Was a Robust Methods For Plasma Rna-seqmentioning
confidence: 80%
“…Although the kits designed for total RNA such as Ribo-Zero Gold Kit NuGen's 13 or RNA-Seq Ovation System Kit 14 , were used before, they are not proper for cell-free RNA. Now, Small RNA Seq, SMARTer Seq and ScriptSeq are considered as optimized choices 15,[22][23][24] . However, Small RNA Seq method requires 5' phosphorylated and 3' hydroxyl 36…”
Section: Discussionmentioning
confidence: 99%
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“…Our work demonstrates that machine learning algorithms applied to quantitative miRNA expression estimates also detect changes related to the cell type composition of tissues, such as the shift in hematopoietic cell abundance in the postnatal compared to the fetal liver. Given the emerging evidence of ncRNA stability in the blood and its rapid propagation throughout the body within extracellular vesicles (Bhome et al, 2018), we anticipate that the current space of markers used to non-invasively monitor development (Ngo et al, 2018) could be further expanded to small ncRNA.…”
Section: Discussionmentioning
confidence: 99%