PMID- 12478636 OWN - NLM STAT- MEDLINE DCOM- 20030603 LR - 20171116 IS - 0197-3851 (Print) IS - 0197-3851 (Linking) VI - 22 IP - 13 DP - 2002 Dec TI - Limited expression of Fas and Fas ligand in fetal nucleated erythrocytes isolated from first trimester maternal blood. PG - 1213-8 AB - OBJECTIVE: Intact fetal cells isolated from maternal blood can be used for non-invasive gender determination and genetic diagnosis. Recent studies demonstrating a large amount of cell-free fetal DNA in maternal plasma suggest that the circulating fetal DNA may result from fetal cells undergoing apoptosis. In the present study we evaluated the potential role of Fas and Fas ligand (FasL) cell surface expression with respect to apoptosis induction in fetal cells isolated from maternal blood. METHODS: We flow sorted candidate fetal cells that were gamma chain-positive and Fas- or FasL-positive or -negative, and subsequently analysed them by fluorescence in situ hybridization (FISH) analysis using X and Y chromosome-specific probes. RESULTS: Among all gamma hemoglobin-positive cells, there was a significant difference in the percent of cells expressing Fas versus FasL (4.4 and 12.3, respectively). We found no significant correlation between the total number of fetal nucleated red blood cells (NRBCs) and gestational age or the presence of Fas- and FasL-positive cells. From approximately 7 ml of maternal peripheral blood, most of the confirmed fetal (XY) cells were found in the Fas- and FasL-negative sorted population; the average numbers were 12.8 and 15.7, respectively. CONCLUSION: We conclude that fetal NRBCs express FasL more than Fas, although most fetal NRBCs in first trimester maternal blood samples do not express Fas or FasL. This suggests the absence of a functional Fas/FasL apoptotic system in fetal NRBCs, and that programmed cell death in these cells, which may lead to circulating fetal DNA in maternal plasma, probably occurs by another pathway. CI - Copyright 2002 John Wiley & Sons, Ltd. FAU - Sohda, Satoshi AU - Sohda S AD - Division of Genetics, Department of Pediatrics, New England Medical Center, Tufts University School of Medicine, Boston, MA 02111, USA. FAU - Samura, Osamu AU - Samura O FAU - Johnson, Kirby L AU - Johnson KL FAU - Falco, Vincent M AU - Falco VM FAU - Elmes, R Sarah AU - Elmes RS FAU - Bianchi, Diana W AU - Bianchi DW LA - eng GR - N01-HD-4-3204/HD/NICHD NIH HHS/United States PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. PL - England TA - Prenat Diagn JT - Prenatal diagnosis JID - 8106540 RN - 0 (FASLG protein, human) RN - 0 (Fas Ligand Protein) RN - 0 (Membrane Glycoproteins) RN - 0 (fas Receptor) RN - 9007-49-2 (DNA) SB - IM MH - Adult MH - Apoptosis/physiology MH - DNA/analysis MH - DNA Fragmentation MH - Erythroblasts/*metabolism MH - Fas Ligand Protein MH - Female MH - Fetal Blood/*cytology/metabolism MH - Fetomaternal Transfusion MH - Flow Cytometry MH - Humans MH - In Situ Hybridization, Fluorescence MH - Membrane Glycoproteins/*metabolism MH - Pregnancy/*blood MH - Pregnancy Trimester, First MH - fas Receptor/*metabolism EDAT- 2002/12/13 04:00 MHDA- 2003/06/05 05:00 CRDT- 2002/12/13 04:00 PHST- 2002/12/13 04:00 [pubmed] PHST- 2003/06/05 05:00 [medline] PHST- 2002/12/13 04:00 [entrez] AID - 10.1002/pd.480 [doi] PST - ppublish SO - Prenat Diagn. 2002 Dec;22(13):1213-8. doi: 10.1002/pd.480.