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First-trimester maternal serum biochemical indicators in Down syndrome
Authors:Professor D J H Brock  Lilias Barron  Susan Holloway  W A Liston  S G Hillier  M Seppala
Institution:1. Human Genetics Unit, University of Edinburgh, Edinburgh;2. Simpson Memorial Maternity Pavilion, Edinburgh;3. Cenlrefor Reproductive Biology, University of Edinburgh, Edinburgh, U.K.;4. University Central Hospital, Helsinki, Finland
Abstract:A set of 21 early maternal serum samples (19 first-trimester and two at 14 weeks) from pregnancies resulting in a child with Down syndrome was matched for gestation and length of storage with 63 samples from unaffected pregnancies. The concentrations of alpha-fetoprotein (AFP), unconjugated oestriol (uE3), human chorionic gonadotrophin (hCG), pregnancy-specific β1–glycoprotein (SP1), and placental alkaline phosphatase (PALP) were measured. The ratios of the medians for Down syndrome pregnancies compared with the medians for controls were AFP 0·71, uE3 0·67, hCG 1·43, SP1 0·79, and PALP 0·92. Although the differences between the medians for affected and unaffected pregnancies were not significant, the trends for AFP, uE3, and hCG confirm earlier findings on first-trimester samples.
Keywords:Down syndrome  First-trimester screening  Alpha-fetoprotein  Human chorionic gonadotrophin  Unconjugated oestriol  Pregnancy-specific β1-glycoprotein  Placental alkaline phosphatase
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