PMID- 15750010 OWN - NLM STAT- MEDLINE DCOM- 20050422 LR - 20101118 IS - 0022-1554 (Print) IS - 0022-1554 (Linking) VI - 53 IP - 3 DP - 2005 Mar TI - FISH analysis of all fetal nucleated cells in maternal whole blood: improved specificity by the use of two Y-chromosome probes. PG - 319-22 AB - Current cytogenetic approaches in noninvasive prenatal diagnosis focus on fetal nucleated red blood cells in maternal blood. This practice may be too restrictive because a vast proportion of other fetal cells is ignored. Recent studies have indicated that fetal cells can be directly detected, without prior enrichment, in maternal blood samples by fluorescence in situ hybridization (FISH) analysis for chromosomes X and Y (XY-FISH). In our blinded analysis of 40 maternal blood samples, we therefore examined all fetal cells without any enrichment. Initial examinations using conventional XY-FISH indicated a low specificity of 69.4%, which could be improved to 89.5% by the use of two different Y-chromosome-specific probes (YY-FISH) with only a slight concomitant decrease in sensitivity (52.4% vs 42.9%). On average, 12-20 male fetal cells/ml of maternal blood were identified by XY- and YY-FISH, respectively. FAU - Mergenthaler, Susanne AU - Mergenthaler S AD - Laboratory for Prenatal Medicine, University Women's Hospital, Spitalstr. 21, 4031 Basel, Switzerland. FAU - Babochkina, Tatiana AU - Babochkina T FAU - Kiefer, Vivian AU - Kiefer V FAU - Lapaire, Olaf AU - Lapaire O FAU - Holzgreve, Wolfgang AU - Holzgreve W FAU - Hahn, Sinuhe AU - Hahn S LA - eng PT - Journal Article PL - United States TA - J Histochem Cytochem JT - The journal of histochemistry and cytochemistry : official journal of the Histochemistry Society JID - 9815334 SB - IM MH - Cell Count MH - Chromosomes, Human, X MH - *Chromosomes, Human, Y MH - False Positive Reactions MH - Female MH - Fetal Blood/cytology MH - Fetus/*cytology MH - Humans MH - In Situ Hybridization, Fluorescence MH - Male MH - Pregnancy/*blood MH - Sensitivity and Specificity MH - Sex Determination Analysis EDAT- 2005/03/08 09:00 MHDA- 2005/04/23 09:00 CRDT- 2005/03/08 09:00 PHST- 2005/03/08 09:00 [pubmed] PHST- 2005/04/23 09:00 [medline] PHST- 2005/03/08 09:00 [entrez] AID - 53/3/319 [pii] AID - 10.1369/jhc.4A6404.2005 [doi] PST - ppublish SO - J Histochem Cytochem. 2005 Mar;53(3):319-22. doi: 10.1369/jhc.4A6404.2005.