Related Experiment Video
Updated: Jun 27, 2026

Spectral Karyotyping to Study Chromosome Abnormalities in Humans and Mice with Polycystic Kidney Disease
Published on: February 3, 2012
Down syndrome serum screening also identifies an increased risk for multicystic dysplastic kidney, two-vessel cord,
Jodi D Hoffman1, Diana W Bianchi, Lisa M Sullivan
1Tufts Medical Center, Boston, MA 02111, USA.
Insights
Maternal serum markers, used for aneuploidy screening, show significant associations with congenital anomalies like multicystic dysplastic kidney and hydrocele. This finding suggests enhanced benefits for prenatal screening programs.
Area of Science:
- Perinatal medicine
- Maternal-fetal medicine
- Biochemistry
Background:
- Prenatal screening for aneuploidy commonly utilizes maternal serum markers.
- The FASTER trial investigated first and second-trimester screening methods.
- Congenital anomalies represent a significant concern in pediatric outcomes.
Purpose of the Study:
- To examine the relationship between specific maternal serum markers and common congenital anomalies.
- To analyze pediatric outcome data from a large prospective trial.
Main Methods:
- Nested case-control studies were employed.
- Cases were defined by the most frequent congenital anomalies.
- Serum markers were dichotomized as multiples of the median (MoM) and odds ratios (ORs) were calculated.
Main Results:
- Inhibin A > or = 2 MoM associated with multicystic dysplastic kidney (MCDK) and two-vessel cord.
- hCG > or = 2 MoM linked to MCDK and hydrocele.
- PAPP-A > or = 2.0 MoM showed an association with hydrocele.
Conclusions:
- Significant associations exist between maternal serum markers and congenital anomalies.
- These findings suggest potential added value for aneuploidy screening programs.
- Further research can refine screening protocols for congenital anomalies.
Objective:
The FASTER trial compared first and second trimester screening methods for aneuploidy. We examined relationships between maternal serum markers and common congenital anomalies in the pediatric outcome data set of 36 837 subjects.
Methods:
We used nested case-control studies, with cases defined by the most common anomalies in our follow-up database, and up to four controls matched by enrollment site, maternal age and race, enrollment gestational age, and infant gender. Serum markers were dichotomized to > or = 2 or < 0.5 multiples of the median (MoM). Odds ratios (ORs) and 95% confidence intervals (CI) were estimated.
Results:
Statistically significant (p < 0.05) associations were found between inhibin A > or = 2 MoM with fetal multicystic dysplastic kidney (MCDK) (OR = 27.5, 95% CI: 2.8-267.7) and two-vessel cord (OR = 4.22, 95% CI:1.6-10.9); hCG of > or = 2 MoM with MCDK (OR = 19.56, 95% CI: 1.9-196.2) and hydrocele (OR = 2.48, 95% CI: 1.3-4.6); and PAPP-A > or = 2.0 MoM with hydrocele (OR = 1.88, 95% CI:1.1-3.3).
Conclusion:
In this large prospective study, significant associations were found between several maternal serum markers and congenital anomalies. This suggests potential additional benefits to screening programs that are primarily designed to detect aneuploidy.
Related Concept Videos
Karyotyping
Meiosis I
Chronic Kidney Disease II: Clinical Manifestations
Teratogenicity
Imaging Studies for Cardiovascular System III: X-Ray
Definition and Purpose
An X-ray, or radiograph, is a non-invasive method that uses ionizing radiation to take images of internal structures. It is mainly used in cardiac imaging to examine the heart, lungs, and major blood vessels, aiming to identify abnormalities in the heart's size, shape, and position, such as heart failure, congenital defects, and vascular...
Chronic Kidney Disease I: Introduction
