PMID- 22477041 OWN - NLM STAT- MEDLINE DCOM- 20131203 LR - 20211021 IS - 0973-7693 (Electronic) IS - 0019-5456 (Linking) VI - 79 IP - 12 DP - 2012 Dec TI - Prenatal diagnosis of LAD-I on cord blood by flowcytometry. PG - 1605-9 LID - 10.1007/s12098-012-0737-5 [doi] AB - OBJECTIVES: To optimize a simple flowcytometric technique for Prenatal diagnosis (PND) for Leukocyte adhesions defect (LAD-I) on cordocentesis sample at 18 wk gestation. METHODS: Normal reference ranges for expression of CD18/CD11-integrins in neutrophils and lymphocytes at 18 wk of gestation were established by flowcytometry. PND for LAD-I was then performed on the cordocentesis samples in three 'at risk' pregnancies after ruling out maternal contamination. RESULTS: CD18 and CD11a expression on fetal lymphocytes were found to be the most useful parameters for PND of LAD-I. All the three fetuses tested showed normal expression of CD18/CD11-integrins and thus were unaffected. This was confirmed by testing the cord blood (CB) samples after delivery and normal growth and absence of serious infections on follow-up. CONCLUSIONS: Flowcytometry offers a rapid and sensitive technique for PND of LAD-I in the absence of facilities for molecular diagnosis. Obstetricians, even in developing countries with modest facilities, can offer considerable relief for the families. FAU - Madkaikar, Manisha Rajan AU - Madkaikar MR AD - National Institute of Immunohematlogy, Pediatric Immunology and Leukocyte Biology, 13th Flr, KEM Hospital, Parel, Mumbai, Maharashtra, 400012, India. madkaikarm@icmr.org.in FAU - Gupta, Maya AU - Gupta M FAU - Rao, Meghana AU - Rao M FAU - Ghosh, Kanjaksha AU - Ghosh K LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20120404 PL - India TA - Indian J Pediatr JT - Indian journal of pediatrics JID - 0417442 RN - 0 (CD11 Antigens) RN - 0 (CD18 Antigens) SB - IM MH - Adult MH - CD11 Antigens/blood MH - CD18 Antigens/blood MH - Female MH - *Fetal Blood MH - Flow Cytometry MH - Gestational Age MH - Humans MH - Leukocyte-Adhesion Deficiency Syndrome/*blood/*diagnosis MH - Pregnancy MH - *Prenatal Diagnosis EDAT- 2012/04/06 06:00 MHDA- 2013/12/16 06:00 CRDT- 2012/04/06 06:00 PHST- 2011/07/26 00:00 [received] PHST- 2012/03/14 00:00 [accepted] PHST- 2012/04/06 06:00 [entrez] PHST- 2012/04/06 06:00 [pubmed] PHST- 2013/12/16 06:00 [medline] AID - 10.1007/s12098-012-0737-5 [doi] PST - ppublish SO - Indian J Pediatr. 2012 Dec;79(12):1605-9. doi: 10.1007/s12098-012-0737-5. Epub 2012 Apr 4.