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SAFE: Special Non-Invasive Advances in Foetal and Neonatal Evaluation Network

Subproject of: SAFE: Special Non-Invasive Advances in Foetal and Neonatal Evaluation Network

Abstract
The establishment of non-invasive markers for prenatal diagnosis and neo-natal screening is a very important research goal. Current invasive procedures have (1)a significant risk of induced abortion (1-2%) or maternal injury and (2) considerable discomfort and psycological distress. Currently around 5 % of pregnant women in the developed world undergo invasive prenatal diagnosis procedures, mainly due to an increased risk for foetal chromosome abnormalities(such as trisomy 21 Down syndrome). In populations with a high penetrance of an inherited genetic disorder, such as the hemoglobinopathies, cystic fibrosis or Tay Sachs syndrome, it may be advantageous to determine the genotype early in life (neonates), as this will alert individuals, who are found o be carriers of the risk of having an affected child.
The transplacental passage of foetal cells into the maternal circulation is now well established, and a number of studies have been undertaken in order to isolate these rare foetal cells for prenatal diagnostic purposes. In spite of the technical problems imposed by the scarcity of these foetal cells, substantial progress has been made by individual research groups in Europe. There is now an urgent need to integrate these fragmented and diverse activities into a coherent strategy for non-invasive prenatal diagnosis.
The recent discovery of relatively abundant quantities of cell free DNA in maternal plasma and serum has opened a new avenue for the prenatal diagnosis of the latter group of genetic disorders as well as the determination of the foetal RhD genotype in pregnancies at risk for HDN (haemolytic disease of the foetus and newborn). In addition elevations in the concentration of the new found molecular analyte may be indicative of pregnancies bearing an aneuploid foetus or those at risk for pregnancy related disorders such as preterm labour or preeclampsia. This opens the possibility for new screening tools.
The advent of high throughput gene-CHIP technology will facilitate effective screening programs for common inherited genetic disorders. Thir will alert individuals to the possibility of having an affected foetus if the partner has a certain genetic constellation; a frequent dispensation in certain populations. The program will create a leading European Network of Excellence in the area of non-invasive prenatal diagnosis and neonatal screening.
Local Subprojectlead:
Pertl Barbara
Duration:
01.03.2004-28.02.2009
Programme:
EU (FP-6)
EU-Project Instruments
Network of Excellence (NoE)
Type of Research
basic research
Staff
Pertl, Barbara, Project Leader
MUG Research Units
Center for Medical Research (ZMF)
Department of Obstetrics and Gynaecology
Project partners
All India Institute of Medical Sciences, India
Alma Mater Studiorum-Universita di Bologna Dipartimento di Medicina Interna Cardioangiologia Epatologia, Italy
American Hospital of Paris, France
Charles University Prague, 2nd Medical Faculty, Czech Republic
Danek Gertner Institute of human genetics sheba medical center, Israel
Department of Clinical Chemistry/University Medical Center Nijmegen , Netherlands
Dept. of Medical Genetics/Athens University School of Medicine , Greece
Dipartimento di Scienza della Cognizione e della Formazione/Università degli Studi di Trenti (DISCOF) , Italy
Ecole Pratique des Hautes Etudes, France
Estonian Biocentre (EBC), Estonia
Fondazione Centro San Raffaele del Monte Tabor (FCSR), Italy
Georg-August-University Goettingen/Bereich Humanmedizin , Germany
Helsinki University, Finland
Hospital Universitario Central de Asturias, Spain
Imperial College London, United Kingdom
IMSTAR SA, France
Institut National de Sante et Recherche Medicale, France
Institute of Genetics and Biophysics "A. Buzzati Traverso", Italy
Karolinska Institut, Sweden
KELLANTIS S.A.R.L, France
King's College London, United Kingdom
Leon Kozminski Academy of Entrepreneurship and Management, Poland
Lund University Hospital Blood Centre, Sweden
Meta Systems GmbH, Germany
Microbiology Research Centre Holland, Netherlands
National Blood Authority, United Kingdom
Oxford Brookes University, United Kingdom
PALM Microlaser Technologies AG, Germany
Rigshospitalet University of Copenhagen, Denmark
Sanquin Blood Supply Foundation, Netherlands
Statens Serum Institut, Denmark
Statistik Dr. M. Buser, Switzerland
The Cyprus Institute of Neurology and Genetics, Cyprus
The Genetic interest group, United Kingdom
The open University Centre for education in Medicine, United Kingdom
The Rare Chromosome Disorder Support group, United Kingdom
Universitat Rovira i Virgili, Spain
University College, London, United Kingdom
University Court of the University of Aberdeen (UNIABDN), United Kingdom
University of Bari, Italy
University of Basel, Switzerland
University of Bristol, United Kingdom
University of Copenhagen, Denmark
University of Perugia, Italy
University of the West fo England, Bristol, United Kingdom
University of Trieste, Italy
University of Warwick, United Kingdom
University of Zurich, Switzerland
Up-to-date Informatik AG, Switzerland
Zhongshan Medical College/Sun Yat-Sen University , China
Funded by
Europäische Kommission, Rue de la Loi, Brussels, Belgium
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