
Center for Medical Ethics and Health Policy Staff Publications
Publication Date
9-1-2023
Journal
Clinical Obstetrics and Gynecology
DOI
10.1097/GRF.0000000000000798
PMID
37650673
PMCID
PMC10491429
PubMedCentral® Posted Date
9-1-2024
PubMedCentral® Full Text Version
Author MSS
Published Open-Access
yes
Keywords
Female, Pregnancy, Humans, Noninvasive Prenatal Testing, Fetus, Physicians, Prenatal Care, Cell-based NIPT, cell-free DNA, noninvasive prenatal testing, circulating trophoblasts, fetal nucleated red blood cells, endocervical trophoblasts
Abstract
Considering the diagnostic limitations of cfDNA-based noninvasive prenatal testing (NIPT), scientists have long been interested in isolating and analyzing rare intact fetal and trophoblast cells from maternal blood or endocervical samples to diagnose fetal genetic conditions. These cells may be scarce and difficult to isolate, but they are a direct source of pure fetal genetic material. In this review, we summarize the history of cell-based NIPT, present an updated review on its current developments, evaluate its genetic diagnostic potential, and discuss its future prospects for clinical use.