Pregnant women may find out whether their baby is likely to
be born with Down syndrome or other genetic disorders by undergoing a prenatal
genetic test that appears to be just as accurate but much safer than current
methods to diagnose these disorders.
Down syndrome, also called Trisomy 21, is a chromosomal
disorder triggered by the presence of all or part of an extra 21st chromosome.
This genetic disorder, the most common one, causes mental retardation, unusual
facial characteristics, and a high risk of heart defects and occurs in 1 in
every 733 infants, according to the National Down Syndrome Society.
Currently, moms-to-be have three options to find out whether
their babies have Down syndrome. Either they undergo amniocentesis or chorionic
villus sampling (CVS), which require inserting a needle in the uterus, or they
skip the tests and miss the chance to learn of genetic defects before birth. Amniocentesis
and CVS are done typically after the 15th week of pregnancy and carry a small
risk, roughly 1 percent, of causing a miscarriage or birth defects. Despite the
small risk, these tests were offered mainly to women 35 or older and others
most at risk of having a baby with Down syndrome. Moreover, by the time all
these tests confirm Down syndrome, the pregnancy is often 18 or 19 weeks along,
making the decision to terminate even more emotionally difficult.
The new test, developed by researchers from Stanford University, California,
identifies Down syndrome in a safer way, requiring only a simple sample of the
mother’s blood to spot chromosomal disorders such as Down syndrome. The test
was used on 18 women at the Prenatal
Diagnostic Center
at Lucile Packard Children’s Hospital. The women were previously tested for
Down syndrome via standard tests. The new test accurately identified the nine
women with a Down’s syndrome pregnancy and three others with fetuses with
different chromosomal disorders.
“It’s the first universal, noninvasive test for Down
syndrome. So this should be the first step in putting and end to invasive
testing procedures like amniocentesis and chorionic villus sampling,” said
Stephen Quake, a Stanford professor of bioengineering and the study's senior
author. He developed the tests after his wife underwent amniocentesis with
their first child and CVS with their second. “Both were nerve-wracking
experiences,” he added.
The new test could be administered much earlier in a
pregnancy than amniocentesis or CVS, potentially as early as five weeks after
conception, making the decision to terminate easier from an emotional point of
view.
However, more study needs to be done in order to prove the
test’s efficiency. In fact, Dr. Quake said the next step is a larger study
involving hundreds of women. If effective, the new test could be widely
available in two or three years and could become a routine prenatal test of a
baby’s health, Dr. Quake added.
The findings of the study were published in the journal Proceedings of the
National Academy of Sciences.