Non-Invasive Prenatal Testing (NIPT): Reliability, Challenges, and Future Directions

Author:

Jayashankar Siva Shantini1,Nasaruddin Muhammad Luqman1ORCID,Hassan Muhammad Faiz2,Dasrilsyah Rima Anggrena3ORCID,Shafiee Mohamad Nasir4,Ismail Noor Akmal Shareela1ORCID,Alias Ekram1ORCID

Affiliation:

1. Department of Biochemistry, Faculty of Medicine, Universiti Kebangsaan Malaysia, Jalan Yaacob Latif, Bandar Tun Razak, Kuala Lumpur 56000, Malaysia

2. Department of Surgery, Hospital Batu Pahat, Batu Pahat 83000, Malaysia

3. Department of Obstetrics and Gynaecology, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang 43400, Malaysia

4. Department of Obstetrics and Gynaecology, Faculty of Medicine, Universiti Kebangsaan Malaysia, Jalan Yaacob Latif, Bandar Tun Razak, Kuala Lumpur 56000, Malaysia

Abstract

Non-invasive prenatal testing was first discovered in 1988; it was primarily thought to be able to detect common aneuploidies, such as Patau syndrome (T13), Edward Syndrome (T18), and Down syndrome (T21). It comprises a simple technique involving the analysis of cell-free foetal DNA (cffDNA) obtained through maternal serum, using advances in next-generation sequencing. NIPT has shown promise as a simple and low-risk screening test, leading various governments and private organizations worldwide to dedicate significant resources towards its integration into national healthcare initiatives as well as the formation of consortia and research studies aimed at standardizing its implementation. This article aims to review the reliability of NIPT while discussing the current challenges prevalent among different communities worldwide.

Funder

Universiti Kebangsaan Malaysia

Publisher

MDPI AG

Subject

Clinical Biochemistry

Reference144 articles.

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3. American College of Obstetricians and Gynecologists’ Committee on Practice Bulletins—Obstetrics Committee on Genetics Society for Maternal-Fetal Medicine. Screening for Fetal Chromosomal Abnormalities;Rose;Obstet. Gynecol.,2020

4. No. 348-Joint SOGC-CCMG Guideline: Update on Prenatal Screening for Fetal Aneuploidy, Fetal Anomalies, and Adverse Pregnancy Outcomes;Audibert;J. Obstet. Gynaecol. Can.,2017

5. (2023, July 28). Antenatal Care. NICE Guideline [NG201]. Available online: https://www.nice.org.uk/guidance/ng201/resources/antenatal-care-pdf-66143709695941.

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