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2.
Cell Rep ; 42(4): 112351, 2023 04 25.
Article in English | MEDLINE | ID: mdl-37018074

ABSTRACT

Much progress has been made toward generating analogs of early embryos, such as gastruloids and embryoids, in vitro. However, methods for how to fully mimic the cell movements of gastrulation and coordinate germ-layer patterning to induce head formation are still lacking. Here, we show that a regional Nodal gradient applied to zebrafish animal pole explant can generate a structure that recapitulates the key cell movements of gastrulation. Using single-cell transcriptome and in situ hybridization analysis, we assess the dynamics of the cell fates and patterning of this structure. The mesendoderm differentiates into the anterior endoderm, prechordal plate, notochord, and tailbud-like cells along an anterior-posterior axis, and an anterior-posterior-patterned head-like structure (HLS) progressively forms during late gastrulation. Among 105 immediate Nodal targets, 14 genes contain axis-induction ability, and 5 of them induce a complete or partial head structure when overexpressed in the ventral side of zebrafish embryos.


Subject(s)
Zebrafish Proteins , Zebrafish , Animals , Zebrafish/genetics , Zebrafish Proteins/genetics , Transforming Growth Factor beta/genetics , Cell Differentiation , Mesoderm , Body Patterning/genetics , Gene Expression Regulation, Developmental
3.
Drug Dev Res ; 83(4): 927-939, 2022 06.
Article in English | MEDLINE | ID: mdl-35165900

ABSTRACT

Multi-drug resistance (MDR) is a phenomenon that tumor cells are exposed to a chemotherapeutic drug for a long time and then develop resistance to a variety of other anticancer drugs with different structures and different mechanisms. The in vitro studies of tumor cell lines cannot systematically reflect the role of MDR gene in vivo, and the cost of in vivo studies of transgenic mice as animal models is high. Given the myriad merits of zebrafish relative to other animal models, we aimed to establish a screening system using zebrafish stably expressing ATP-binding cassette (ATP-cassette) superfamily transporters and unveil the potential regulatory mechanism. We first used the Tol2-mediated approach to construct a Tg (abcb4:EGFP) transgenic zebrafish line with ATP-binding cassette (ABC) subfamily B member 4 (abcb4) gene promoter to drive EGFP expression. The expression levels of abcb4 and EGFP were significantly increased when Tg(abcb4:EGFP) transgenic zebrafish embryos were exposed to doxorubicin (DOX) or vincristine (VCR), and the increases were accompanied by a marked decreased accumulation of rhodamine B (RhB) in embryos, indicating a remarkable increase in DOX or VCR efflux. Mechanistically, Akt and Erk signalings were activated upon the treatment with DOX or VCR. With the application of Akt and Erk inhibitors, drug resistance was reversed with differing responsive effects. Notably, downstream NF-κB played a central role in the regulation of abcb4-mediated drug resistance. Taken together, the data indicate that the engineered Tg(abcb4:EGFP) transgenic zebrafish model is a new platform for screening drug resistance in vivo, which may facilitate and accelerate the process of drug development.


Subject(s)
ATP-Binding Cassette Transporters , NF-kappa B , Zebrafish Proteins , Zebrafish , ATP-Binding Cassette Transporters/genetics , ATP-Binding Cassette Transporters/metabolism , Animals , Animals, Genetically Modified , Cell Line, Tumor , Doxorubicin/pharmacology , Drug Resistance , Drug Resistance, Neoplasm , NF-kappa B/metabolism , Proto-Oncogene Proteins c-akt/metabolism , Vincristine/pharmacology , Zebrafish/genetics , Zebrafish/metabolism , Zebrafish Proteins/genetics , Zebrafish Proteins/metabolism
4.
Theranostics ; 11(14): 6891-6904, 2021.
Article in English | MEDLINE | ID: mdl-34093860

ABSTRACT

Rationale: Tanshinone, a type of diterpenes derived from salvia miltiorrhiza, is a particularly promising herbal medicine compound for the treatment of cancers including acute myeloid leukemia (AML). However, the therapeutic function and the underlying mechanism of Tanshinone in AML are not clear, and the toxic effect of Tanshinone limits its clinical application. Methods: Our work utilizes human leukemia cell lines, zebrafish transgenics and xenograft models to study the cellular and molecular mechanisms of how Tanshinone affects normal and abnormal hematopoiesis. WISH, Sudan Black and O-Dianisidine Staining were used to determine the expression of hematopoietic genes on zebrafish embryos. RNA-seq analysis showed that differential expression genes and enrichment gene signature with Tan I treatment. The surface plasmon resonance (SPR) method was used with a BIAcore T200 (GE Healthcare) to measure the binding affinities of Tan I. In vitro methyltransferase assay was performed to verify Tan I inhibits the histone enzymatic activity of the PRC2 complex. ChIP-qPCR assay was used to determine the H3K27me3 level of EZH2 target genes. Results: We found that Tanshinone I (Tan I), one of the Tanshinones, can inhibit the proliferation of human leukemia cells in vitro and in the xenograft zebrafish model, as well as the normal and malignant definitive hematopoiesis in zebrafish. Mechanistic studies illustrate that Tan I regulates normal and malignant hematopoiesis through direct binding to EZH2, a well-known histone H3K27 methyltransferase, and inhibiting PRC2 enzymatic activity. Furthermore, we identified MMP9 and ABCG2 as two possible downstream genes of Tan I's effects on EZH2. Conclusions: Together, this study confirmed that Tan I is a novel EZH2 inhibitor and suggested MMP9 and ABCG2 as two potential therapeutic targets for myeloid malignant diseases.


Subject(s)
ATP Binding Cassette Transporter, Subfamily G, Member 2/metabolism , Abietanes/pharmacology , Antineoplastic Agents, Phytogenic/pharmacology , Enhancer of Zeste Homolog 2 Protein/antagonists & inhibitors , Hematopoiesis/drug effects , Leukemia/drug therapy , Leukemia/metabolism , Matrix Metalloproteinase 9/metabolism , Neoplasm Proteins/metabolism , ATP Binding Cassette Transporter, Subfamily G, Member 2/genetics , Animals , Animals, Genetically Modified , Cell Line, Tumor , Cell Proliferation/drug effects , Cell Proliferation/genetics , Chromatin Immunoprecipitation , Enhancer of Zeste Homolog 2 Protein/genetics , Enhancer of Zeste Homolog 2 Protein/metabolism , Gene Expression Profiling , Gene Expression Regulation, Neoplastic/drug effects , Gene Expression Regulation, Neoplastic/genetics , Hematopoiesis/genetics , Histones/metabolism , Humans , Leukemia/enzymology , Leukemia/genetics , Matrix Metalloproteinase 9/genetics , Neoplasm Proteins/genetics , Polycomb Repressive Complex 2/metabolism , Protein Binding , RNA-Seq , Salvia miltiorrhiza/chemistry , Surface Plasmon Resonance , Transcriptome/genetics , Xenograft Model Antitumor Assays , Zebrafish
5.
Sichuan Da Xue Xue Bao Yi Xue Ban ; 50(5): 649-653, 2019 Sep.
Article in Chinese | MEDLINE | ID: mdl-31762232

ABSTRACT

OBJECTIVE: To investigate the molecular mechanism of apoptosis of HL60 cells induced by oncolytic virus Reovirus type 3 (Reo3). METHODS: HL60 cells were infected with Reo3 at different multiplicity of infection (MOI) with the uninfected HL60 cells as control group. After 48 h of infection, the activity of HL60 cells infected with virus at different MOI was detected by CCK8 method to investigate the influence of MOI to cell activity. Simultaneously, the apoptotic rate of HL60 cells was detected by flow cytometry, and the activation level of double-stranded RNA-dependent protein kinase (PKR) and the expression of apoptotic-related protein in HL60 cells were detected by Western blot. Before infection with Reo3 for 48 h, HL60 cells were treated with 2-aminopurine (2-AP), a specific inhibitor of PKR, for 24 h. Afterward, the apoptotic level and expression of apoptotic related proteins were detected. RESULTS: Activity of HL60 cells was obviously inhibited after infected with Reo3 with a MOI of 1 for 48 h. The cell survival rate was (24.333±3.396)% and the apoptotic rate was (29.96±2.06)%. Both rates were all higher than those in the control group (P < 0.05). Western blot results showed that the expression levels of PKR, p-PKR, Bax, Caspase3 and cleaved Caspase3 in HL60 cells infected with Reo3 were higher than those in the control group (P < 0.05), while the expression level of Bcl-2 was lower (P < 0.05). Compared with the group without inhibitor, the apoptotic rate of HL60 cells pretreated with 2-AP decreased (P < 0.05), the phosphorylation level of PKR and the expression level of apoptotic-related protein also decreased (P < 0.05). CONCLUSION: Oncolytic virus Reo3 could activate PKR in HL60 cells and thus induce apoptosis of HL60 cells.


Subject(s)
Apoptosis , Mammalian orthoreovirus 3/physiology , eIF-2 Kinase/metabolism , 2-Aminopurine/pharmacology , Caspase 3/metabolism , Flow Cytometry , HL-60 Cells , Humans , Oncolytic Viruses/physiology , Phosphorylation , Proto-Oncogene Proteins c-bcl-2/metabolism , bcl-2-Associated X Protein/metabolism
6.
Cancer Lett ; 382(2): 215-230, 2016 11 28.
Article in English | MEDLINE | ID: mdl-27612557

ABSTRACT

Leukemia is a common malignancy of blood cells with poor prognosis in many patients. Aurora kinases, a family of serine/threonine kinases, play a key role in regulating cell division and mitosis and are linked to tumorigenesis, metastasis, and poor prognosis in many human cancers including leukemia and lymphoma. Danusertib (Danu) is a pan-inhibitor of Aurora kinases with few data available in leukemia therapy. This study aimed to identify new molecular targets for Aurora kinase inhibition in human leukemia cells using quantitative proteomic analysis followed by verification experiments. There were at least 2932 proteins responding to Danu treatment, including AURKB, p70S6K, and RPL15, and 603 functional proteins and 245 canonical signaling pathways were involved in regulating cell proliferation, metabolism, apoptosis, and autophagy. The proteomic data suggested that Danu-regulated RPL15 signaling might contribute to the cancer cell killing effect. Our verification experiments confirmed that Danu negatively regulated AURKB/p70S6K/RPL15 axis with the involvement of PI3K/Akt/mTOR, AMPK, and p38 MAPK signaling pathways, leading to the induction of apoptosis and autophagy in human leukemia cells. Further studies are warranted to verify the feasibility via targeting AURKB/p70S6K/RPL15 axis for leukemia therapy.


Subject(s)
Antineoplastic Agents/pharmacology , Apoptosis/drug effects , Aurora Kinase B/antagonists & inhibitors , Autophagy/drug effects , Benzamides/pharmacology , Leukemia/drug therapy , Protein Kinase Inhibitors/pharmacology , Pyrazoles/pharmacology , Ribosomal Protein S6 Kinases, 70-kDa/metabolism , Ribosomal Proteins/metabolism , Apoptosis Regulatory Proteins/metabolism , Aurora Kinase B/genetics , Aurora Kinase B/metabolism , Cell Cycle Proteins/metabolism , Cell Proliferation/drug effects , Dose-Response Relationship, Drug , G2 Phase Cell Cycle Checkpoints/drug effects , HL-60 Cells , Humans , K562 Cells , Leukemia/enzymology , Leukemia/genetics , Leukemia/pathology , Mitochondria/drug effects , Mitochondria/metabolism , Mitochondria/pathology , Molecular Targeted Therapy , Proteomics/methods , RNA Interference , Ribosomal Proteins/genetics , Signal Transduction/drug effects , Transfection
7.
Sichuan Da Xue Xue Bao Yi Xue Ban ; 47(1): 7-13, 2016 Jan.
Article in Chinese | MEDLINE | ID: mdl-27062773

ABSTRACT

OBJECTIVE: To determine the effect of doxorubicin (DOX) on abcb4 gene expression and the role of abcb4 gene in multidrug-resistance. METHODS: Zebrafish embryos were treated with 2 mL/L DMSO, 10 µmol/L DOX and 2 mL/L DMSO+10 µmol/L DOX, respectively. The zebrafish embryos treated with Eggwater served as controls. Exposures started at 4 to 16 cell stage of the embryos and terminated 120 hours post fertilization (hpf). The expression of abcb4 gene in zebrafish embryos was examined on 48, 72, 96, and 120 hpf with whole-mount in situ hybridization (WISH) and quantitative real-time PCR (qPCR). RESULTS: Compared with the controls, DOX-exposed embryos had higher level of abcb4 gene expression (P < 0.05), but not for abcb5 gene. WISH showed that abcb4 gene was expressed in the guts of zebrafish embryos. However, those exposed to DOX also showed strong WISH signals in the brain and heart. CONCLUSION: Doxorubicin increases the expression of abcb4 gene in zebrafish embryos. abcb4 gene may play an imoortant role in multidrug-resistance.


Subject(s)
ATP-Binding Cassette Transporters/metabolism , Doxorubicin/pharmacology , Gene Expression/drug effects , Zebrafish Proteins/metabolism , Zebrafish/genetics , ATP-Binding Cassette Transporters/genetics , Animals , Embryo, Nonmammalian/metabolism , In Situ Hybridization , Zebrafish Proteins/genetics
8.
Am J Transl Res ; 7(11): 2442-61, 2015.
Article in English | MEDLINE | ID: mdl-26807190

ABSTRACT

Alisertib (MLN8237, ALS), an Aurora kinase A (AURKA) inhibitor, exerts potent anti-tumor effects in the treatment of solid tumor and hematologic malignancies in preclinical and clinical studies. However, the fully spectrum of molecular targets of ALS and its anticancer effect in the treatment of chronic myeloid leukemia (CML) are not clear. This study aimed to examine the proteomic responses to ALS treatment and unveil the molecular interactome and possible mechanisms for its anticancer effect in K562 cells using stable-isotope labeling by amino acids in cell culture (SILAC) approach. The proteomic data identified that ALS treatment modulated the expression of 1541 protein molecules (570 up; 971 down). The pathway analysis showed that 299 signaling pathways and 459 cellular functional proteins directly responded to ALS treatment in K562 cells. These targeted molecules and signaling pathways were mainly involved in cell growth and proliferation, cell metabolism, and cell survival and death. Subsequently, the effects of ALS on cell cycle distribution, apoptosis, and autophagy were verified. The flow cytometric analysis showed that ALS significantly induced G2/M phase arrest and the Western blotting assays showed that ALS induced apoptosis via mitochondria-dependent pathway and promoted autophagy with the involvement of PI3K/Akt/mTOR, p38 MAPK, and AMPK signaling pathways in K562 cells. Collectively, this study provides a clue to quantitatively evaluate the proteomic responses to ALS and assists in globally identifying the potential molecular targets and elucidating the underlying mechanisms of ALS for CML treatment, which may help develop new efficacious and safe therapies for CML treatment.

9.
Clin Exp Pharmacol Physiol ; 42(12): 1275-86, 2015 Dec.
Article in English | MEDLINE | ID: mdl-26743678

ABSTRACT

Hemangioblast, including primitive hematopoietic progenitor cells, play an important role in hematopoietic development, however, the underlying mechanism for the propagation of hematopoietic progenitor cells remains elusive. A variety of regulatory molecules activated in early embryonic development play a critical role in the maintenance of function of hematopoietic progenitor cells. Homeobox transcription factors are an important class of early embryonic developmental regulators determining hematopoietic development. However, the effect of homeobox protein Hox-B4 (HOXB4) ectopic expression on the development of hemangioblasts has not been fully addressed. This study aimed to investigate the role of Hoxb4a, an ortholog gene of HOXB4 in zebrafish, in the hematopoietic development in zebrafish. A transgenic zebrafish line was established with Cre-loxP system that stably overexpressed enhanced green fluorescent protein (EGFP)-tagged Hoxb4a protein under the control of hemangioblast-specific lmo2 promoter. Overexpression of Hoxb4a in the development of hemangioblasts resulted in a considerable increase in the number of stem cell leukemia (scl) and lmo2-positive primitive hematopoietic progenitor cells occurring in the posterior intermediate cell mass (ICM). Interestingly, Hoxb4a overexpression also disrupted the development of myelomonocytes in the anterior yolk sac and the posterior ICM, without affecting erythropoiesis in the posterior ICM. Taken together, these results indicate that Hoxb4a favours the development of hematopoietic progenitor cells originated from hemangioblasts in vivo.


Subject(s)
Ectopic Gene Expression , Embryonic Development/genetics , Hemangioblasts/metabolism , Hematopoiesis/genetics , Homeodomain Proteins/genetics , Zebrafish Proteins/genetics , Zebrafish/embryology , Zebrafish/genetics , Animals , Animals, Genetically Modified , Base Sequence , Gene Expression Regulation, Developmental , LIM Domain Proteins/genetics , Molecular Sequence Data , Promoter Regions, Genetic/genetics , Recombination, Genetic , Transcription Factors/genetics
10.
PLoS One ; 9(6): e100357, 2014.
Article in English | MEDLINE | ID: mdl-24956277

ABSTRACT

BACKGROUND: Erigeron breviscapus (Vant.) Hand-Mazz. is a famous medicinal plant. Scutellarin and chlorogenic acids are the primary active components in this herb. However, the mechanisms of biosynthesis and regulation for scutellarin and chlorogenic acids in E. breviscapus are considerably unknown. In addition, genomic information of this herb is also unavailable. PRINCIPAL FINDINGS: Using Illumina sequencing on GAIIx platform, a total of 64,605,972 raw sequencing reads were generated and assembled into 73,092 non-redundant unigenes. Among them, 44,855 unigenes (61.37%) were annotated in the public databases Nr, Swiss-Prot, KEGG, and COG. The transcripts encoding the known enzymes involved in flavonoids and in chlorogenic acids biosynthesis were discovered in the Illumina dataset. Three candidate cytochrome P450 genes were discovered which might encode flavone 6-hydroase converting apigenin to scutellarein. Furthermore, 4 unigenes encoding the homologues of maize P1 (R2R3-MYB transcription factors) were defined, which might regulate the biosynthesis of scutellarin. Additionally, a total of 11,077 simple sequence repeat (SSR) were identified from 9,255 unigenes. Of SSRs, tri-nucleotide motifs were the most abundant motif. Thirty-six primer pairs for SSRs were randomly selected for validation of the amplification and polymorphism. The result revealed that 34 (94.40%) primer pairs were successfully amplified and 19 (52.78%) primer pairs exhibited polymorphisms. CONCLUSION: Using next generation sequencing (NGS) technology, this study firstly provides abundant genomic data for E. breviscapus. The candidate genes involved in the biosynthesis and transcriptional regulation of scutellarin and chlorogenic acids were obtained in this study. Additionally, a plenty of genetic makers were generated by identification of SSRs, which is a powerful tool for molecular breeding and genetics applications in this herb.


Subject(s)
Apigenin/biosynthesis , Chlorogenic Acid/metabolism , Erigeron/genetics , Genetic Markers/genetics , Glucuronates/biosynthesis , High-Throughput Nucleotide Sequencing/methods , Plant Proteins/genetics , Transcriptome , Erigeron/growth & development , Erigeron/metabolism , Phylogeny , Plant Proteins/metabolism , Polymorphism, Genetic/genetics
11.
Sichuan Da Xue Xue Bao Yi Xue Ban ; 44(3): 371-4, 2013 May.
Article in Chinese | MEDLINE | ID: mdl-23898515

ABSTRACT

OBJECTIVE: To investigate the mechanism of HOXC4 gene during early development in zebrafish, study it's expression in hematopoiesis system with whole mount in situ hybridization (WISH), then make a foundation work for further study of HOXC4 gene in hematopoiesis development. METHODS: The total RNA of different phases of zebrafish embryos was extracted, and a fragment of HOXC4 gene was cloned with RT-PCR, then HOXC4 gene fragment and pCS2 was digested with BamH I and Xho I restriction enzyme, after that HOXC4 gene fragment was inserted into pCS2+ vector. After confirming the constructed plasmid, the digoxingenin-labeled anti-sence mRNA probe of HOXC4 gene was synthesized in vitro by using T3 RNA polymerase, the exprression pattern of HOXC4 during zebrafish embryogenesis using anti-sence probe with WISH was conducted. RESULTS: HOXC4 gene was cloned by RT-PCR and HOXC4-pCS2+ plasmid was constructed and confirmed, expression of HOXC4 showed that it was expressed highly in nervous system of wild-type (WT) Tuebingen zebrafish. CONCLUSION: The expression pattern of HOXC4 during early development in zebrafish was obtained, and it is very important for further study of HOXC4 gene function in zebrafish.


Subject(s)
Embryonic Development/genetics , Homeodomain Proteins/metabolism , Zebrafish Proteins/genetics , Zebrafish/genetics , Animals , Gene Expression Regulation, Developmental , Homeodomain Proteins/genetics , Zebrafish/embryology , Zebrafish Proteins/metabolism
12.
Zhejiang Da Xue Xue Bao Yi Xue Ban ; 41(1): 69-74, 2012 Jan.
Article in Chinese | MEDLINE | ID: mdl-22419467

ABSTRACT

OBJECTIVE: To investigate the expression pattern of hoxd3 gene during early embryogenesis and angiogenesis of wild-type zebrafish. METHODS: Total RNA was extracted from embryos of zebrafish in different development stages by trizol. The cDNA of hoxd3 gene was amplified by RT-PCR. The RT-PCR product was ligated to pCS(2+) vector by T4 DNA ligatase polymerase and sequenced. T3 RNA polymerase in vitro transcription system was used to obtain the probe of digoxin-labeled anti-sense mRNA of hoxd3 gene. The expression pattern of hoxd3 was detected by whole embryo in situ hybridization (WISH) with anti-sense mRNA probe. RESULTS: pCS(2+)-hoxd3 plasmid was successfully constructed, which was used to prepare anti-sense mRNA probe of hoxd3 in vitro. Expression pattern of hoxd3 gene was detected by WISH during zebrafish early embryogenesis and angiogenesis. It was observed that hoxd3 mRNA was expressed at the junction region of midbrain and hindbrain in wild-type zebrafish in embryos at 24 ≊72h postfertilization(hpf). CONCLUSION: hoxd3 gene is mainly expressed in nervous system of wide-type zebrafish embryos.


Subject(s)
Homeodomain Proteins/genetics , Zebrafish Proteins/genetics , Zebrafish/genetics , Animals , Cloning, Molecular , Gene Expression Regulation, Developmental , Genetic Vectors , Homeodomain Proteins/metabolism , In Situ Hybridization , Plasmids/genetics , RNA, Messenger/genetics , Transfection , Zebrafish/embryology , Zebrafish Proteins/metabolism
14.
Article in Chinese | MEDLINE | ID: mdl-15640856

ABSTRACT

OBJECTIVE: To study the susceptibility of Aedes albopictus to dengue virus infection. METHODS: Aedes albopictus from 15 collections in Guizhou province were challenged orally with dengue virus 1-4 types, respectively. The total RNA from mosquitos were extracted. The viral NS1 gene fragment was amplified with reverse transcriptase polymerase chain reaction (RT-PCR). Dengue virus in mosquitoes was isolated with C6/36 cells. Then the viral antigen was detected by indirect immunofluorescence assay (IFA). Antigen and nucleic acid of dengue virus from 15 geographic strains of Aedes albopictus orally infected with dengue viruses (DEN-1, DEN-2, DEN-3 and DEN-4) were detected by IFA, RT-PCR and the virus was isolated with C6/36 cells, respectively. RESULTS: The rates of Aedes albopictus orally infected with DEN-1, DEN-2, DEN-3 and DEN-4 were 12/15, 12/15, 8/15 and 13/15, respectively. CONCLUSIONS: Different geographic strains of Aedes albopitus in Guizhou were susceptible to dengue viruses.


Subject(s)
Aedes/virology , Antigens, Viral/analysis , DNA, Viral/analysis , Dengue Virus/isolation & purification , Aedes/cytology , Animals , Cell Line , China , Dengue Virus/genetics , Disease Susceptibility , Ecosystem , Reverse Transcriptase Polymerase Chain Reaction , Viral Nonstructural Proteins/genetics
15.
Ultrasound Med Biol ; 29(12): 1667-74, 2003 Dec.
Article in English | MEDLINE | ID: mdl-14698332

ABSTRACT

The aim of this study was to achieve one-stage screening for trisomy 21 using a combination of nuchal translucency (NuT) measurement and maternal serum alpha-fetoprotein (AFP) and free beta-human chorionic gonadotrophin (hCG) biochemistry levels in the second trimester among a high-risk study population. From January 1998 to June 2001, 45 cases of trisomy 21 were prenatally found and confirmed in the hospital-based cytogenetic diagnosis laboratory. A total of 867 normal singleton pregnancies were enrolled as controls from the antenatal care clinics in the hospital. All study and control subjects between 13 weeks and 18 weeks of gestation with a mean age of 15.2 +/- 1.3 weeks underwent one-stage nuchal translucence measurements and maternal serum biochemical screening for Down syndrome. The final logistic model contained beta-hCG (multiples of the gestational median or MoM), maternal age (matA), nuchal translucence (NuT MoM) and AFP (MoM) as covariates. Also, the estimated coefficients of the regression were highly significant. This model provided the estimated probability of Down syndrome as follows: Pr (Down syndrome) = exp (Z)/ [1 + exp (Z)], where Z = -11.18 + 0.64 x (beta-hCG MoM) + 0.25 x matA + 1.32 x NuT MoM -2.23 x AFP MoM. The logistic regression with estimated coefficients was installed in a Palm digital assistant (PDA) equipped with Excel (Microsoft). The risk probability of Down syndrome could be readily calculated after inputting data for all four predictor variables.


Subject(s)
Down Syndrome/diagnosis , Neck/diagnostic imaging , Ultrasonography, Prenatal/methods , Adult , Biomarkers/blood , Down Syndrome/blood , Down Syndrome/diagnostic imaging , Epidemiologic Methods , Female , Humans , Maternal Age , Neck/embryology , Pregnancy , Pregnancy Complications/blood , Pregnancy Trimester, Second , Pregnancy, High-Risk , alpha-Fetoproteins/analysis
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