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Article

Clinical study of prenatal ultrasonography combined with T‑box transcription factor 1 as a biomarker for the diagnosis of congenital heart disease

  • Authors:
    • Bingcheng Guo
    • Jing Xiao
    • Long Li
    • Shuanglong Wang
    • Lijuan Wang
    • Shuyong Liu
  • View Affiliations / Copyright

    Affiliations: Department of Ultrasound, Jining No. 1 People's Hospital, Jining, Shandong 272011, P.R. China, Department of Hand and Foot Surgery, Jining No. 1 People's Hospital, Jining, Shandong 272011, P.R. China
  • Pages: 7346-7350
    |
    Published online on: March 14, 2018
       https://doi.org/10.3892/mmr.2018.8742
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Abstract

Congenital heart disease (CHD) seriously threatens fetal health. Therefore, prenatal examination to detect deformity is extremely important. The present study aimed to investigate the clinical application value of prenatal ultrasonography combined with molecular biology methods in the diagnosis of fetal CHD. A total of 1,000 pregnant women who had received fetal ultrasonography to examine fetal CHD were enrolled. Ultrasounds were performed for fetal heart examination and diagnosis, mainly on fetal heart position, size, structure and function, and heart valve morphology and function. These indexes were tested again 2 weeks after birth. Blood samples were collected from pregnant women with fetal CHD. Polymerase chain reaction (PCR) and western blotting were performed to detect the association between heart development and T‑box transcription factor 1 (TBX1) expression. The results revealed that 10 fetuses had CHD (1%), of which ultrasound detected 9 cases. The specificity and sensitivity of ultrasounds were 100 and 90%, respectively. Of the 9 cases were identified by prenatal ultrasound screening, including 2 cases had endocardial cushion defect, 1 case had pulmonary stenosis combined with right ventricular dysplasia, 1 case had tetralogy of Fallot combined with a cleft lip and palate, 2 cases had ventricular septal defect, 1 case had a single ventricle defect, 1 case had Ebstein and 1 case had a triatrial heart. One case of ventricular septal defect was missed prior to delivery. PCR and western blotting demonstrated that TBX1 expression may be associated with CHD. Therefore, ultrasonography combined with laboratory examinations represent efficient, economic and safe methods for fetal CHD detection. These methods may be significant to improve the rate of CHD diagnosis, and require further investigation.
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Copy and paste a formatted citation
Spandidos Publications style
Guo B, Xiao J, Li L, Wang S, Wang L and Liu S: Clinical study of prenatal ultrasonography combined with T‑box transcription factor 1 as a biomarker for the diagnosis of congenital heart disease. Mol Med Rep 17: 7346-7350, 2018.
APA
Guo, B., Xiao, J., Li, L., Wang, S., Wang, L., & Liu, S. (2018). Clinical study of prenatal ultrasonography combined with T‑box transcription factor 1 as a biomarker for the diagnosis of congenital heart disease. Molecular Medicine Reports, 17, 7346-7350. https://doi.org/10.3892/mmr.2018.8742
MLA
Guo, B., Xiao, J., Li, L., Wang, S., Wang, L., Liu, S."Clinical study of prenatal ultrasonography combined with T‑box transcription factor 1 as a biomarker for the diagnosis of congenital heart disease". Molecular Medicine Reports 17.5 (2018): 7346-7350.
Chicago
Guo, B., Xiao, J., Li, L., Wang, S., Wang, L., Liu, S."Clinical study of prenatal ultrasonography combined with T‑box transcription factor 1 as a biomarker for the diagnosis of congenital heart disease". Molecular Medicine Reports 17, no. 5 (2018): 7346-7350. https://doi.org/10.3892/mmr.2018.8742
Copy and paste a formatted citation
x
Spandidos Publications style
Guo B, Xiao J, Li L, Wang S, Wang L and Liu S: Clinical study of prenatal ultrasonography combined with T‑box transcription factor 1 as a biomarker for the diagnosis of congenital heart disease. Mol Med Rep 17: 7346-7350, 2018.
APA
Guo, B., Xiao, J., Li, L., Wang, S., Wang, L., & Liu, S. (2018). Clinical study of prenatal ultrasonography combined with T‑box transcription factor 1 as a biomarker for the diagnosis of congenital heart disease. Molecular Medicine Reports, 17, 7346-7350. https://doi.org/10.3892/mmr.2018.8742
MLA
Guo, B., Xiao, J., Li, L., Wang, S., Wang, L., Liu, S."Clinical study of prenatal ultrasonography combined with T‑box transcription factor 1 as a biomarker for the diagnosis of congenital heart disease". Molecular Medicine Reports 17.5 (2018): 7346-7350.
Chicago
Guo, B., Xiao, J., Li, L., Wang, S., Wang, L., Liu, S."Clinical study of prenatal ultrasonography combined with T‑box transcription factor 1 as a biomarker for the diagnosis of congenital heart disease". Molecular Medicine Reports 17, no. 5 (2018): 7346-7350. https://doi.org/10.3892/mmr.2018.8742
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