Post date: Mar 07, 2011 4:23:23 PM
Pregnant women may soon be able to have a blood test to predict whether their babies are likely to have Down's Syndrome instead of undergoing risky, invasive tests, scientists say.
NICOSIA, CYPRUS (MARCH 6 2011) REUTERS - Researchers in Cyprus say a new test to predict whether a baby is likely to have Down's Syndrome will end the need for pregnant women to undergo the current risky, invasive tests for the condition.
In a study published in the Nature Medicine journal, the team from the Cyprus Institute of Neurology and Genetics, said a trial on 40 pregnancies using the test, which involves analysing the woman's blood to detect DNA differences between the mother and the foetus, showed it accurately predicted which foetuses were at risk of developing the syndrome."In the scientific community for many years now we are working through research to identify a new method that is not invasive. If it is not invasive it will carry no risks for the pregnancy, for the foetus, it can be offered to all pregnant women, and the prevention of downs syndrome will be more effective. We have just announced the results of our study with a new method that basically involves the collection of 10 millimetres of blood from the mother at the eleventh to thirteenth weeks of gestation and following a procedure we developed, we can call - we can say with 100 percent certainty that the foetus is normal or is downs syndrome, so in other words this can be offered probably to all pregnant women without any risks for the embryo," said the lead researcher, Philippos Patsalis.
Patsalis said the results were "very exciting" and the test now needed to be trialled in a larger study of about 1,000 pregnancies, but could lead to changes in clinical practice within two years.
"We believe that we can modify this test and make it much easier and simple and also following a big clinical study with probably a thousand pregnancies we can have something ready to be introduced in the clinical practice. We believe we that can do this in less than two years."
Down's Syndrome is the most common genetic cause of mental retardation, occurring in one out of 700 live births worldwide.
The risk of having a baby with Down's -- which occurs when a child has three copies of chromosome 21 instead of the normal two -- increases sharply as women get older. The risk for a 40-year-old mother is 16 times that for one who is 25.
Doctors currently use a test known as amniocentesis to check whether a baby is likely to be born with Down's. This test is generally done at about 15 or 16 weeks gestation and involves taking amniotic fluid from the mother by inserting a hollow needle into the uterus.
Since amniocentesis carries a small risk of spontaneous miscarriage -- Patsalis put it at around one or two percent -- scientists have been looking for new less invasive ways to test for Down's and other potential genetic problems.
Patsalis' method takes advantage of differences in the DNA methylation patterns -- which are important to control levels of genes -- between mother and foetus.
It involves taking a small amount of blood from the mother when she is between the 11th and 13th week of her pregnancy and detecting extra copies chromosome 21 in the foetus by analysing the maternal blood.
In a small trial, Patsalis' team were able to correctly diagnose 14 cases where there were extra copies of the chromosome, and 26 normal foetuses -- results they said highlighted its clinical potential.
"Such a non-invasive approach will avoid the risk of miscarriages of normal pregnancies caused by current, more invasive procedures," the scientists wrote in their paper.