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Updated: Jan 13, 2026

Pre-Implantation Genetic Testing for Aneuploidy on a Semiconductor Based Next-Generation Sequencing Platform
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Copy-Number Profiling and Methylation-Based Tumor Typing during Prenatal Cell-Free DNA Screening.

Stefania Tuveri1, Tatjana Jatsenko1, Dhanya Sudhakaran1

  • 1Laboratory for Cytogenetics and Genome Research, Department of Human Genetics, KU Leuven, Leuven, Belgium.

Clinical Chemistry
|January 7, 2026
PubMed
Summary
This summary is machine-generated.

New prenatal screening using cell-free DNA (cfDNA) can identify fetal chromosomal issues and maternal cancer-derived aneuploidies. This methylation-aware approach improves diagnostic accuracy and cancer management during pregnancy.

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Area of Science:

  • Genomics
  • Molecular Biology
  • Oncology

Background:

  • Prenatal cell-free DNA (cfDNA) screening typically detects fetal chromosomal abnormalities.
  • Incidental findings of aneuploidies from other tissues, like maternal cancer, complicate prenatal diagnosis, causing anxiety and lengthy investigations.

Purpose of the Study:

  • To develop an expedited method for identifying the origin of copy-number aberrations detected during prenatal cfDNA screening.
  • To guide clinical management for pregnant individuals with profiles suggestive of maternal malignancy.

Main Methods:

  • Developed a novel prenatal screening pipeline integrating methylation analysis and aneuploidy detection.
  • Utilized enzymatic conversion of plasma cfDNA to identify methylated cytosines during sequencing.
  • Employed a methylation-based deconvolution algorithm (MetDecode) with a cell-type-specific methylome atlas to predict tissue of origin.

Main Results:

  • Aneuploidy profiling of enzymatically converted cfDNA achieved accuracy comparable to conventional prenatal cfDNA screening for both placental and cancer-derived aneuploidies.
  • The MetDecode algorithm correctly identified the tumor origin in 91.67% of pregnant women with a tumor fraction exceeding 3%.

Conclusions:

  • Methylome and aneuploidy-aware cfDNA screening significantly enhances diagnostic processes during pregnancy.
  • This approach accurately pinpoints the origin of aneuploidies, improving cancer detection and management in expectant mothers.