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. 1971 Oct 9;4(5779):69–74. doi: 10.1136/bmj.4.5779.69

Chromosome Analysis before Birth and its Value in Genetic Counselling

M E Ferguson-Smith, M A Ferguson-Smith, N C Nevin, M Stone
PMCID: PMC1799312  PMID: 4255487

Abstract

Chromosome analysis of amniotic cell cultures was achieved in 29 out of 30 consecutive patients who were referred for genetic counselling during pregnancy. Amniocentesis was performed without any apparent untoward maternal or fetal complication. The only pregnancy terminated was that of a carrier of X-linked granulomatous disease, in whom the amniotic cells showed that the fetus was male and also had Down's syndrome (trisomy G). Chromosome analysis in the remaining 28 patients showed normal karyotypes. The interval between amniocentesis and a definitive karyotype varied from 7 to 31 (average 18·4) days.

The reliability of chromosome analysis from amniotic cell culture and of fetal sex determination by means of the sex chromatin and Y-fluorescence techniques was studied further in amniotic fluid from cases of therapeutic abortion and of rhesus incompatibility. The fetal sex was correctly determined in all cases. It is concluded that antenatal diagnosis of genetic disease by amniocentesis now permits a more practical approach to genetic counselling.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Abbo G., Zellweger H. Prenatal determination of fetal sex and chromosomal complement. Lancet. 1970 Jan 31;1(7640):216–217. doi: 10.1016/s0140-6736(70)90574-x. [DOI] [PubMed] [Google Scholar]
  2. Borgaonkar D. S., Hollander D. H. Quinacrine fluorescence of the human Y chromosome. Nature. 1971 Mar 5;230(5288):52–52. doi: 10.1038/230052a0. [DOI] [PubMed] [Google Scholar]
  3. Butler L. J., Reiss H. E. Antenatal detection of chromosome abnormalities. J Obstet Gynaecol Br Commonw. 1970 Oct;77(10):902–907. doi: 10.1111/j.1471-0528.1970.tb03424.x. [DOI] [PubMed] [Google Scholar]
  4. CARR D. H. CHROMOSOME STUDIES IN SPONTANEOUS ABORTIONS. Obstet Gynecol. 1965 Sep;26:308–326. [PubMed] [Google Scholar]
  5. Danes B. S., Bearn A. G. Hurler's syndrome. A genetic study in cell culture. J Exp Med. 1966 Jan 1;123(1):1–16. doi: 10.1084/jem.123.1.1. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Fratantoni J. C., Neufeld E. F., Uhlendorf B. W., Jacobson C. B. Intrauterine diagnosis of the hurler and hunter syndromes. N Engl J Med. 1969 Mar 27;280(13):686–688. doi: 10.1056/NEJM196903272801303. [DOI] [PubMed] [Google Scholar]
  7. Fujimoto W. Y., Seegmiller J. E., Uhlendorf B. W., Jacobson C. B. Biochemical diagnosis of an X-linked disease in utero. Lancet. 1968 Aug 31;2(7566):511–512. doi: 10.1016/s0140-6736(68)90671-5. [DOI] [PubMed] [Google Scholar]
  8. Gerbie A. B., Nadler H. L., Gerbie M. V. Amniocentesis in genetic counseling. Safety and reliability in early pregnancy. Am J Obstet Gynecol. 1971 Mar 1;109(5):765–770. doi: 10.1016/0002-9378(71)90762-9. [DOI] [PubMed] [Google Scholar]
  9. Gertner M., Hsu L. Y., Martin J., Hirshhorn K. The use of amniocentesis for prenatal genetic counseling. Bull N Y Acad Med. 1970 Nov;46(11):916–921. [PMC free article] [PubMed] [Google Scholar]
  10. Hamerton J. L. Fetal sex. Lancet. 1970 Mar 7;1(7645):516–517. doi: 10.1016/s0140-6736(70)91595-3. [DOI] [PubMed] [Google Scholar]
  11. Jacobson C. B., Barter R. H. Intrauterine diagnosis and management of genetic defects. Am J Obstet Gynecol. 1967 Nov 15;99(6):796–807. doi: 10.1016/0002-9378(67)90395-x. [DOI] [PubMed] [Google Scholar]
  12. Jeffcoate T. N., Fliegner J. R., Russell S. H., Davis J. C., Wade A. P. Diagnosis of the adrenogenital syndrome before birth. Lancet. 1965 Sep 18;2(7412):553–555. doi: 10.1016/s0140-6736(65)90864-0. [DOI] [PubMed] [Google Scholar]
  13. Kersey J. H., Yunis J. J., Lee J. C., Bendel R. P. Antenatal detection of partial C (6-12) trisomy. Lancet. 1971 Apr 3;1(7701):702–703. doi: 10.1016/s0140-6736(71)92711-5. [DOI] [PubMed] [Google Scholar]
  14. Macfarlane P. S., Speirs A. L., Sommerville R. G. Fatal granulomatous disease of childhood and benign lymphocytic infiltration of the skin (congenital dysphagocytosis). Lancet. 1967 Feb 25;1(7487):408–410. doi: 10.1016/s0140-6736(67)91174-9. [DOI] [PubMed] [Google Scholar]
  15. Nadler H. L. Antenatal detection of hereditary disorders. Pediatrics. 1968 Dec;42(6):912–918. [PubMed] [Google Scholar]
  16. Nadler H. L., Gerbie A. B. Role of amniocentesis in the intrauterine detection of genetic disorders. N Engl J Med. 1970 Mar 12;282(11):596–599. doi: 10.1056/NEJM197003122821105. [DOI] [PubMed] [Google Scholar]
  17. Nadler H. L. Prenatal detection of genetic defects. J Pediatr. 1969 Jan;74(1):132–143. doi: 10.1016/s0022-3476(69)80023-5. [DOI] [PubMed] [Google Scholar]
  18. Nelson M. M., Emery A. E. Amniotic fluid cells; prenatal sex prediction and culture. Br Med J. 1970 Feb 28;1(5695):523–526. doi: 10.1136/bmj.1.5695.523. [DOI] [PMC free article] [PubMed] [Google Scholar]
  19. Pearson P. L., Bobrow M., Vosa C. G. Technique for identifying Y chromosomes in human interphase nuclei. Nature. 1970 Apr 4;226(5240):78–80. doi: 10.1038/226078a0. [DOI] [PubMed] [Google Scholar]
  20. Polani P. E., Mutton D. E. Y-fluorescence of interphase nuclei, especially circulating lymphocytes. Br Med J. 1971 Jan 16;1(5741):138–142. doi: 10.1136/bmj.1.5741.138. [DOI] [PMC free article] [PubMed] [Google Scholar]
  21. Schneck L., Valenti C., Amsterdam D., Friedland J., Adachi M., Volk B. W. Prenatal diagnosis of Tay-Sachs disease. Lancet. 1970 Mar 21;1(7647):582–584. doi: 10.1016/s0140-6736(70)91624-7. [DOI] [PubMed] [Google Scholar]
  22. Valenti C., Kehaty T. Culture of cells obtained by amniocentesis. J Lab Clin Med. 1969 Feb;73(2):355–358. [PubMed] [Google Scholar]
  23. Votta R. A., de Gagneten C. B., Parada O., Giulietti M. Cytologic study of amniotic fluid in pregnancy. Am J Obstet Gynecol. 1968 Oct 15;102(4):571–577. doi: 10.1016/0002-9378(68)90540-1. [DOI] [PubMed] [Google Scholar]
  24. Wachtel E., Gordon H., Olsen E. Cytology of amniotic fluid. J Obstet Gynaecol Br Commonw. 1969 Jul;76(7):596–602. doi: 10.1111/j.1471-0528.1969.tb06145.x. [DOI] [PubMed] [Google Scholar]
  25. Walker S., Lee C. L., Gregson N. M. Polyploidy in cells cultured from amniotic fluid. Lancet. 1970 Nov 28;2(7683):1137–1137. doi: 10.1016/s0140-6736(70)92333-0. [DOI] [PubMed] [Google Scholar]

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