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Second trimester maternal dimeric inhibin-A in the multiple-marker screening test for Down's syndrome.

Abstract
The aim of this study was to evaluate the additional value of dimeric inhibin-A serum concentration in second trimester multiple-marker screening tests for pregnancies affected by Down's syndrome. We anticipated that second trimester maternal serum dimeric inhibin-A concentrations would be altered in pregnancies complicated by fetal Down's syndrome and that dimeric inhibin-A would perform better than one of the three substances analysed in the multiple-marker screening test currently in use. A total of 1156 serum samples were screened for dimeric inhibin-A in parallel with the routine classic triple test screening programme performed on a random obstetric population. Classic triple test performance was compared with detection rates obtained after substitution of unconjugated oestriol by inhibin-A and with the performance of inhibin-A and alpha-fetoprotein alone. Absolute dimeric inhibin-A maternal serum concentrations of Down's syndrome pregnancies were indeed significantly higher than those of normal pregnancies in our screened population. The performance of dimeric inhibin-A in combination with the multiple-marker screening test, however, is limited because of its strong correlation with intact human chorionic gonadotrophin.
AuthorsM A Renier, A Vereecken, E Van Herck, D Straetmans, P Ramaekers, P Buytaert
JournalHuman reproduction (Oxford, England) (Hum Reprod) Vol. 13 Issue 3 Pg. 744-8 (Mar 1998) ISSN: 0268-1161 [Print] England
PMID9572446 (Publication Type: Journal Article)
Chemical References
  • Biomarkers
  • Chorionic Gonadotropin, beta Subunit, Human
  • alpha-Fetoproteins
  • Inhibins
  • Estriol
Topics
  • Algorithms
  • Biomarkers
  • Chorionic Gonadotropin, beta Subunit, Human (blood)
  • Dimerization
  • Down Syndrome (blood)
  • Estriol (blood)
  • False Positive Reactions
  • Female
  • Humans
  • Inhibins (blood)
  • Pregnancy
  • Pregnancy Trimester, Second
  • Prenatal Diagnosis
  • Reference Values
  • alpha-Fetoproteins (analysis)

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