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      Prediction, prevention and personalisation of medication for the prenatal period: genetic prenatal tests for both rare and common diseases

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          Abstract

          Genetic testing usually helps physicians to determine possible genetic diseases in unborn babies, genetic disorders of patients and the carriers who might pass the mutant gene on to their children. They are performed on blood, tissues or other body fluids. In recent years, the screening tests and diagnostic tests have improved quickly and, as a result, the risks of pregnancy can be determined more commonly and physicians can diagnose several genetic disorders in the prenatal period. Detecting the abnormalities in utero enables correct management of the pregnancy, prenatal and postnatal medical care, and it is also important for making well informed decisions about continuing or terminating a pregnancy. Besides the improvements of conventional invasive diagnostic tests, the discovery of circulating cell-free foetal nucleic acids in maternal plasma has developed a new point of view for non-invasive prenatal diagnosis recently.

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          Most cited references65

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          Identification of the cystic fibrosis gene: genetic analysis.

          Approximately 70 percent of the mutations in cystic fibrosis patients correspond to a specific deletion of three base pairs, which results in the loss of a phenylalanine residue at amino acid position 508 of the putative product of the cystic fibrosis gene. Extended haplotype data based on DNA markers closely linked to the putative disease gene locus suggest that the remainder of the cystic fibrosis mutant gene pool consists of multiple, different mutations. A small set of these latter mutant alleles (about 8 percent) may confer residual pancreatic exocrine function in a subgroup of patients who are pancreatic sufficient. The ability to detect mutations in the cystic fibrosis gene at the DNA level has important implications for genetic diagnosis.
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                Author and article information

                Contributors
                dundar@erciyes.edu.tr
                Journal
                EPMA J
                EPMA J
                The EPMA Journal
                Springer Netherlands (Dordrecht )
                1878-5077
                1878-5085
                6 May 2011
                June 2011
                : 2
                : 2
                : 181-195
                Affiliations
                Erciyes University, Kayseri, Turkey
                Article
                80
                10.1007/s13167-011-0080-3
                3405382
                23199148
                f239e729-3e50-42b3-be5d-2482a2516ee9
                © European Association for Predictive, Preventive and Personalised Medicine 2011
                History
                : 19 February 2011
                : 24 March 2011
                Categories
                Review Article
                Custom metadata
                © European Association for Predictive, Preventive and Personalised Medicine 2011

                Molecular medicine
                prenatal diagnosis,prenatal screening tests,common genetic disorders,genetic counselling,prediction,prevention and personalised medicine,pppm early in life

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