Non-invasive fetal genotyping for maternal alleles with droplet digital PCR: A comparative study of analytical approaches

Objectives

To develop a flexible droplet digital PCR (ddPCR) workflow to perform non-invasive prenatal diagnosis via relative mutation dosage (RMD) for maternal pathogenic variants with a range of inheritance patterns, and to compare the accuracy of multiple analytical approaches.

Methods

Cell free DNA (cfDNA) was tested from 124 archived maternal plasma samples: 88 cases for sickle cell disease and 36 for rare Mendelian conditions. Three analytical methods were compared: sequential probability ratio testing (SPRT), Bayesian and z-score analyses.

Results

The SPRT, Bayesian and z-score analyses performed similarly well with correct prediction rates of 96%, 97% and 98%, respectively. However, there were high rates of inconclusive results for each cohort, particularly for z-score analysis which was 31% overall. Two samples were incorrectly classified by all three analytical methods; a false negative result predicted for a fetus affected with sickle cell disease and a false positive result predicting the presence of an X-linked IDS variant in an unaffected fetus.

Conclusions

ddPCR can be applied to RMD for diverse conditions and inheritance patterns, but all methods carry a small risk of erroneous results. Further evaluation is required both to reduce the rate of inconclusive results and explore discordant results in more detail.     

The European whitefish, Coregonus lavaretus (L.), under conditions of technogenic pollution in the Kostomuksha tailing pond

The population structure and biological parameters of the European whitefish, Coregonus lavaretus (L.), have been analyzed in a technogenically polluted water body. The biochemical state of the whitefish and the fauna and morphology of helminths parasitizing them have been assessed. It is shown that the species composition of the fish, plankton, benthos, and parasite faunas of this water body are depleted and the morphological parameters of common fish parasites are altered. It is noted that, in addition to adaptive rearrangements in biochemical metabolism, the whitefish from the transformed water body are characterized by a reduction in the level of protein synthesis in muscles and the rate of aerobic energy metabolism in the liver and muscles.