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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">medgen</journal-id><journal-title-group><journal-title xml:lang="ru">Медицинская генетика</journal-title><trans-title-group xml:lang="en"><trans-title>Medical Genetics</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2073-7998</issn><publisher><publisher-name>Publishing House «Genius Media» LLC</publisher-name></publisher></journal-meta><article-meta><article-id custom-type="elpub" pub-id-type="custom">medgen-314</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>НАУЧНЫЕ ОБЗОРЫ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>REVIEW</subject></subj-group></article-categories><title-group><article-title>Неинвазивные пренатальные тесты: европейские и американские рекомендации по применению в клинической практике</article-title><trans-title-group xml:lang="en"><trans-title>Non-invasive prenatal tests: european and american recomendations</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Баранова</surname><given-names>Е. Е.</given-names></name><name name-style="western" xml:lang="en"><surname>Baranova</surname><given-names>E. E.</given-names></name></name-alternatives><email xlink:type="simple">medgen@rmapo.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Беленикин</surname><given-names>М. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Belenikin</surname><given-names>M. S.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Жученко</surname><given-names>Л. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Zhuchenko</surname><given-names>L. A.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Ижевская</surname><given-names>В. Л.</given-names></name><name name-style="western" xml:lang="en"><surname>Izhevskaya</surname><given-names>V. L.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-3"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГБОУ ДПО РМАНПО Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Russian Medical Academy of Continuous Professional Education</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>ФГБОУ ВПО «Московский физико-технический институт (государственный университет)»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Moscow Institute of Physics and Technology (State University)</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru"><institution>ФГБНУ «Медико-генетический научный центр»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Research Centre for Medical Genetics</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2017</year></pub-date><pub-date pub-type="epub"><day>20</day><month>02</month><year>2018</year></pub-date><volume>16</volume><issue>8</issue><fpage>3</fpage><lpage>10</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Баранова Е.Е., Беленикин М.С., Жученко Л.А., Ижевская В.Л., 2018</copyright-statement><copyright-year>2018</copyright-year><copyright-holder xml:lang="ru">Баранова Е.Е., Беленикин М.С., Жученко Л.А., Ижевская В.Л.</copyright-holder><copyright-holder xml:lang="en">Baranova E.E., Belenikin M.S., Zhuchenko L.A., Izhevskaya V.L.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.medgen-journal.ru/jour/article/view/314">https://www.medgen-journal.ru/jour/article/view/314</self-uri><abstract><p>В обзоре проведен анализ рекомендаций Американского колледжа медицинской генетики и геномики (ACMG) и Европейского и Американского обществ генетики человека по неинвазивному пренатальному тестированию (НИПТ). Сделана попытка оценить НИПТ на хромосомную патологию плода с технологической точки зрения. Обсуждены перспективы расширения областей применения НИПТ в пренатальной диагностике микроделеционных синдромов и моногенной патологии и сопутствующие этические проблемы.</p></abstract><trans-abstract xml:lang="en"><p>The article reviews the clinical recommendations of American College of Medical Genetics and Genomics (ACMG) and joint ESHG/ASHG position concerning non-invasive prenatal testing (NIPT). An attempt to evaluate the NIPT for the fetal chromosomal pathology from the technological point of view was made. The perspectives for using NIPT in prenatal diagnostics of hereditary diseases and ethical problems associated with NIPT are discussed.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>неинвазивный пренатальный тест</kwd><kwd>внеклеточная ДНК (вкДНК)</kwd><kwd>рекомендации</kwd><kwd>non-invasive prenatal test</kwd><kwd>cell-free DNA (cfDNA)</kwd><kwd>ACMG recommendation</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Жученко ЛА, Андреева ЕН, Калашникова ЕА. Основные итоги и современное состояние программы комбинированного пренатального скрининга 1 триместра беременности в Российской Федерации. Журнал акушерства и женских болезней. 2013. LXII(3):20-25.</mixed-citation><mixed-citation xml:lang="en">Жученко ЛА, Андреева ЕН, Калашникова ЕА. Основные итоги и современное состояние программы комбинированного пренатального скрининга 1 триместра беременности в Российской Федерации. Журнал акушерства и женских болезней. 2013. LXII(3):20-25.</mixed-citation></citation-alternatives></ref><ref id="cit2"><label>2</label><citation-alternatives><mixed-citation xml:lang="ru">Курцер МА, Гнетецкая ВА. Диагностика хромосомных анеуплодий с помощью неинвазивного пренатального теста. Акушерство и гинекология. 2015. 8:65-69.</mixed-citation><mixed-citation xml:lang="en">Курцер МА, Гнетецкая ВА. Диагностика хромосомных анеуплодий с помощью неинвазивного пренатального теста. Акушерство и гинекология. 2015. 8:65-69.</mixed-citation></citation-alternatives></ref><ref id="cit3"><label>3</label><citation-alternatives><mixed-citation xml:lang="ru">Lo YM, Corbetta N, Chamberlain PF, et al. Presence of fetal DNA in maternal plasma and serum. Lancet. 1997. 350(9076):485-7.</mixed-citation><mixed-citation xml:lang="en">Lo YM, Corbetta N, Chamberlain PF, et al. Presence of fetal DNA in maternal plasma and serum. Lancet. 1997. 350(9076):485-7.</mixed-citation></citation-alternatives></ref><ref id="cit4"><label>4</label><citation-alternatives><mixed-citation xml:lang="ru">Benachi A and Costa JM. Non-invasive prenatal diagnosis of fetal aneuploidies. Lancet. 2007. 369(9560):440-2.</mixed-citation><mixed-citation xml:lang="en">Benachi A and Costa JM. Non-invasive prenatal diagnosis of fetal aneuploidies. Lancet. 2007. 369(9560):440-2.</mixed-citation></citation-alternatives></ref><ref id="cit5"><label>5</label><citation-alternatives><mixed-citation xml:lang="ru">Dhallan R, Guo X, Emche S et al. A non-invasive test for prenatal diagnosis based on fetal DNA present in maternal blood: a preliminary study. Lancet. 2007. 369(9560):474-81.</mixed-citation><mixed-citation xml:lang="en">Dhallan R, Guo X, Emche S et al. A non-invasive test for prenatal diagnosis based on fetal DNA present in maternal blood: a preliminary study. Lancet. 2007. 369(9560):474-81.</mixed-citation></citation-alternatives></ref><ref id="cit6"><label>6</label><citation-alternatives><mixed-citation xml:lang="ru">Lo YM. and Chiu RW. Prenatal diagnosis: progress through plasma nucleic acids. Nat Rev Genet. 2007. 8(1):71-7.</mixed-citation><mixed-citation xml:lang="en">Lo YM. and Chiu RW. Prenatal diagnosis: progress through plasma nucleic acids. Nat Rev Genet. 2007. 8(1):71-7.</mixed-citation></citation-alternatives></ref><ref id="cit7"><label>7</label><citation-alternatives><mixed-citation xml:lang="ru">Finning KM, Martin PG, Soothill PW, Avent ND. Prediction of fetal D status from maternal plasma: introduction of a new noninvasive fetal RHD genotyping service. Transfusion. 2002. 42(8):1079-85.</mixed-citation><mixed-citation xml:lang="en">Finning KM, Martin PG, Soothill PW, Avent ND. Prediction of fetal D status from maternal plasma: introduction of a new noninvasive fetal RHD genotyping service. Transfusion. 2002. 42(8):1079-85.</mixed-citation></citation-alternatives></ref><ref id="cit8"><label>8</label><citation-alternatives><mixed-citation xml:lang="ru">Fan HC, Blumenfeld YJ, Chitkara U, et al. Noninvasive diagnosis of fetal aneuploidy by shotgun sequencing DNA from maternal blood. Proc Natl Acad Sci USA. 2008. 105(42):16266-71.</mixed-citation><mixed-citation xml:lang="en">Fan HC, Blumenfeld YJ, Chitkara U, et al. Noninvasive diagnosis of fetal aneuploidy by shotgun sequencing DNA from maternal blood. Proc Natl Acad Sci USA. 2008. 105(42):16266-71.</mixed-citation></citation-alternatives></ref><ref id="cit9"><label>9</label><citation-alternatives><mixed-citation xml:lang="ru">Kinnings SL, Geis JA, Almasri E, et al. Factors affecting levels of circulating cell-free fetal DNA in maternal plasma and their implications for noninvasive prenatal testing. Prenat Diagn. 2015. 35(8):816-22.</mixed-citation><mixed-citation xml:lang="en">Kinnings SL, Geis JA, Almasri E, et al. Factors affecting levels of circulating cell-free fetal DNA in maternal plasma and their implications for noninvasive prenatal testing. Prenat Diagn. 2015. 35(8):816-22.</mixed-citation></citation-alternatives></ref><ref id="cit10"><label>10</label><citation-alternatives><mixed-citation xml:lang="ru">Gregg AR, Gross SJ, Best RG, et al. ACMG statement on noninvasive prenatal screening for fetal aneuploidy. Genet Med. 2013. 15(5):395-8.</mixed-citation><mixed-citation xml:lang="en">Gregg AR, Gross SJ, Best RG, et al. ACMG statement on noninvasive prenatal screening for fetal aneuploidy. Genet Med. 2013. 15(5):395-8.</mixed-citation></citation-alternatives></ref><ref id="cit11"><label>11</label><citation-alternatives><mixed-citation xml:lang="ru">Wataganara T, Chen AY, LeShane ES, et al. Cell-free fetal DNA levels in maternal plasma after elective first-trimester termination of pregnancy. Fertil Steril. 2004. 81(3):638-44.</mixed-citation><mixed-citation xml:lang="en">Wataganara T, Chen AY, LeShane ES, et al. Cell-free fetal DNA levels in maternal plasma after elective first-trimester termination of pregnancy. Fertil Steril. 2004. 81(3):638-44.</mixed-citation></citation-alternatives></ref><ref id="cit12"><label>12</label><citation-alternatives><mixed-citation xml:lang="ru">Ashoor G, Syngelaki A, Poon LC, et al. Fetal fraction in maternal plasma cell-free DNA at 11-13 weeks’ gestation: relation to maternal and fetal characteristics. Ultrasound Obstet Gynecol. 2012. 41(1):26-32.</mixed-citation><mixed-citation xml:lang="en">Ashoor G, Syngelaki A, Poon LC, et al. Fetal fraction in maternal plasma cell-free DNA at 11-13 weeks’ gestation: relation to maternal and fetal characteristics. Ultrasound Obstet Gynecol. 2012. 41(1):26-32.</mixed-citation></citation-alternatives></ref><ref id="cit13"><label>13</label><citation-alternatives><mixed-citation xml:lang="ru">Krishna I, Badell M, Loucks TL, et al. Adverse perinatal outcomes are more frequent in pregnancies with a low fetal fraction result on noninvasive prenatal testing. Prenat Diagn. 2016. 36(3):210-5.</mixed-citation><mixed-citation xml:lang="en">Krishna I, Badell M, Loucks TL, et al. Adverse perinatal outcomes are more frequent in pregnancies with a low fetal fraction result on noninvasive prenatal testing. Prenat Diagn. 2016. 36(3):210-5.</mixed-citation></citation-alternatives></ref><ref id="cit14"><label>14</label><citation-alternatives><mixed-citation xml:lang="ru">Thurik FF, Lamain-de Ruiter M, Javadi A, et al. Absolute first trimester cell-free DNA levels and their associations with adverse pregnancy outcomes. Prenat Diagn. 2016. 36(12):1104-11.</mixed-citation><mixed-citation xml:lang="en">Thurik FF, Lamain-de Ruiter M, Javadi A, et al. Absolute first trimester cell-free DNA levels and their associations with adverse pregnancy outcomes. Prenat Diagn. 2016. 36(12):1104-11.</mixed-citation></citation-alternatives></ref><ref id="cit15"><label>15</label><citation-alternatives><mixed-citation xml:lang="ru">Lim JH, Kim MH, Han YJ, et al. Cell-free fetal DNA and cell-free total DNA levels in spontaneous abortion with fetal chromosomal aneuploidy. PLoS One. 2013. 8(2):e56787.</mixed-citation><mixed-citation xml:lang="en">Lim JH, Kim MH, Han YJ, et al. Cell-free fetal DNA and cell-free total DNA levels in spontaneous abortion with fetal chromosomal aneuploidy. PLoS One. 2013. 8(2):e56787.</mixed-citation></citation-alternatives></ref><ref id="cit16"><label>16</label><citation-alternatives><mixed-citation xml:lang="ru">Gregg AR, Skotko BG, Benkendorf JL et al. Noninvasive prenatal screening for fetal aneuploidy, 2016 update: a position statement of the American College of Medical Genetics and Genomics. Genet Med. 2016. 18(10):1056-65.</mixed-citation><mixed-citation xml:lang="en">Gregg AR, Skotko BG, Benkendorf JL et al. Noninvasive prenatal screening for fetal aneuploidy, 2016 update: a position statement of the American College of Medical Genetics and Genomics. Genet Med. 2016. 18(10):1056-65.</mixed-citation></citation-alternatives></ref><ref id="cit17"><label>17</label><citation-alternatives><mixed-citation xml:lang="ru">Smith M, Lewis KM, Holmes A, Visootsak J. A Case of False Negative NIPT for Down Syndrome-Lessons Learned. Case Rep Genet. 2014. 2014:823504.</mixed-citation><mixed-citation xml:lang="en">Smith M, Lewis KM, Holmes A, Visootsak J. A Case of False Negative NIPT for Down Syndrome-Lessons Learned. Case Rep Genet. 2014. 2014:823504.</mixed-citation></citation-alternatives></ref><ref id="cit18"><label>18</label><citation-alternatives><mixed-citation xml:lang="ru">Ashoor G, Syngelaki A, Wang E, et al. Trisomy 13 detection in the first trimester of pregnancy using a chromosome-selective cell-free DNA analysis method. Ultrasound Obstet Gynecol. 2013. 41(1):21-5.</mixed-citation><mixed-citation xml:lang="en">Ashoor G, Syngelaki A, Wang E, et al. Trisomy 13 detection in the first trimester of pregnancy using a chromosome-selective cell-free DNA analysis method. Ultrasound Obstet Gynecol. 2013. 41(1):21-5.</mixed-citation></citation-alternatives></ref><ref id="cit19"><label>19</label><citation-alternatives><mixed-citation xml:lang="ru">Наследственные болезни: национальное руководство : краткое издание / под ред. Е.К. Гинтера, В.П. Пузырева. - М: ГЭОТАР-Медиа, 2017. - 464 с</mixed-citation><mixed-citation xml:lang="en">Наследственные болезни: национальное руководство : краткое издание / под ред. Е.К. Гинтера, В.П. Пузырева. - М: ГЭОТАР-Медиа, 2017. - 464 с</mixed-citation></citation-alternatives></ref><ref id="cit20"><label>20</label><citation-alternatives><mixed-citation xml:lang="ru">Pan Q, Sun B, Huang X, et al. A prenatal case with discrepant findings between non-invasive prenatal testing and fetal genetic testings. Mol Cytogenet. 2014. 7:48.</mixed-citation><mixed-citation xml:lang="en">Pan Q, Sun B, Huang X, et al. A prenatal case with discrepant findings between non-invasive prenatal testing and fetal genetic testings. Mol Cytogenet. 2014. 7:48.</mixed-citation></citation-alternatives></ref><ref id="cit21"><label>21</label><citation-alternatives><mixed-citation xml:lang="ru">Bianchi DW, Parker RL, Wentworth J, et al. DNA sequencing versus standard prenatal aneuploidy screening. N Engl J Med. 370(9):799-808.</mixed-citation><mixed-citation xml:lang="en">Bianchi DW, Parker RL, Wentworth J, et al. DNA sequencing versus standard prenatal aneuploidy screening. N Engl J Med. 370(9):799-808.</mixed-citation></citation-alternatives></ref><ref id="cit22"><label>22</label><citation-alternatives><mixed-citation xml:lang="ru">Mennuti MT, Cherry AM, Morrissette JJ, Dugoff L. Is it time to sound an alarm about false-positive cell-free DNA testing for fetal aneuploidy? Am J Obstet Gynecol. 2013. 209(5):415-9.</mixed-citation><mixed-citation xml:lang="en">Mennuti MT, Cherry AM, Morrissette JJ, Dugoff L. Is it time to sound an alarm about false-positive cell-free DNA testing for fetal aneuploidy? Am J Obstet Gynecol. 2013. 209(5):415-9.</mixed-citation></citation-alternatives></ref><ref id="cit23"><label>23</label><citation-alternatives><mixed-citation xml:lang="ru">Wang JC, Sahoo T, Schonberg S, et al. Discordant noninvasive prenatal testing and cytogenetic results: a study of 109 consecutive cases. Genet Med. 2015. 17(3):234-6.</mixed-citation><mixed-citation xml:lang="en">Wang JC, Sahoo T, Schonberg S, et al. Discordant noninvasive prenatal testing and cytogenetic results: a study of 109 consecutive cases. Genet Med. 2015. 17(3):234-6.</mixed-citation></citation-alternatives></ref><ref id="cit24"><label>24</label><citation-alternatives><mixed-citation xml:lang="ru">Dar P, Curnow KJ, Gross SJ, et al. Clinical experience and follow-up with large scale single-nucleotide polymorphism-based noninvasive prenatal aneuploidy testing. Am J Obstet Gynecol. 2014. 211(5):527.e1-527.e17.</mixed-citation><mixed-citation xml:lang="en">Dar P, Curnow KJ, Gross SJ, et al. Clinical experience and follow-up with large scale single-nucleotide polymorphism-based noninvasive prenatal aneuploidy testing. Am J Obstet Gynecol. 2014. 211(5):527.e1-527.e17.</mixed-citation></citation-alternatives></ref><ref id="cit25"><label>25</label><citation-alternatives><mixed-citation xml:lang="ru">Zhang H, Gao Y, Jiang F, et al. Noninvasive Prenatal Testing for Trisomy 21, 18 and 13 - Clinical Experience from 146,958 Pregnancies. Ultrasound Obstet Gynecol. 2015 May;45(5):530-8.</mixed-citation><mixed-citation xml:lang="en">Zhang H, Gao Y, Jiang F, et al. Noninvasive Prenatal Testing for Trisomy 21, 18 and 13 - Clinical Experience from 146,958 Pregnancies. Ultrasound Obstet Gynecol. 2015 May;45(5):530-8.</mixed-citation></citation-alternatives></ref><ref id="cit26"><label>26</label><citation-alternatives><mixed-citation xml:lang="ru">Colosi E, D’Ambrosio V, and Periti E. First trimester contingent screening for trisomies 21,18,13: is this model cost efficient and feasible in public health system? J Matern Fetal Neonatal Med. 2017 Jan 4:1-6.</mixed-citation><mixed-citation xml:lang="en">Colosi E, D’Ambrosio V, and Periti E. First trimester contingent screening for trisomies 21,18,13: is this model cost efficient and feasible in public health system? J Matern Fetal Neonatal Med. 2017 Jan 4:1-6.</mixed-citation></citation-alternatives></ref><ref id="cit27"><label>27</label><citation-alternatives><mixed-citation xml:lang="ru">Gil MM, Revello R, Poon LC, et al. Clinical implementation of routine screening for fetal trisomies in the UK NHS: cell-free DNA test contingent on results from first-trimester combined test. Ultrasound Obstet Gynecol. 2016 Jan; 47(1)45-52.</mixed-citation><mixed-citation xml:lang="en">Gil MM, Revello R, Poon LC, et al. Clinical implementation of routine screening for fetal trisomies in the UK NHS: cell-free DNA test contingent on results from first-trimester combined test. Ultrasound Obstet Gynecol. 2016 Jan; 47(1)45-52.</mixed-citation></citation-alternatives></ref><ref id="cit28"><label>28</label><citation-alternatives><mixed-citation xml:lang="ru">Sonek JD. and Cuckle HS. What will be the role of first-trimester ultrasound if cell-free DNA screening for aneuploidy becomes routine? Ultrasound Obstet Gynecol. 2014. 44(6):621-30.</mixed-citation><mixed-citation xml:lang="en">Sonek JD. and Cuckle HS. What will be the role of first-trimester ultrasound if cell-free DNA screening for aneuploidy becomes routine? Ultrasound Obstet Gynecol. 2014. 44(6):621-30.</mixed-citation></citation-alternatives></ref><ref id="cit29"><label>29</label><citation-alternatives><mixed-citation xml:lang="ru">Wang L, Meng Q, Tang X, et al. Maternal mosaicism of sex chromosome causes discordant sex chromosomal aneuploidies associated with noninvasive prenatal testing. Taiwan J Obstet Gynecol. 2015. 54(5):527-31.</mixed-citation><mixed-citation xml:lang="en">Wang L, Meng Q, Tang X, et al. Maternal mosaicism of sex chromosome causes discordant sex chromosomal aneuploidies associated with noninvasive prenatal testing. Taiwan J Obstet Gynecol. 2015. 54(5):527-31.</mixed-citation></citation-alternatives></ref><ref id="cit30"><label>30</label><citation-alternatives><mixed-citation xml:lang="ru">Vanstone M, King C, de Vrijer B, Nisker J. Non-invasive prenatal testing: ethics and policy considerations. J Obstet Gynaecol Can. 2014. 36(6):515-26.</mixed-citation><mixed-citation xml:lang="en">Vanstone M, King C, de Vrijer B, Nisker J. Non-invasive prenatal testing: ethics and policy considerations. J Obstet Gynaecol Can. 2014. 36(6):515-26.</mixed-citation></citation-alternatives></ref><ref id="cit31"><label>31</label><citation-alternatives><mixed-citation xml:lang="ru">Медведев МВ, Алтынник НА. Основы ультразвукового скрининга в 11-14 недель беременности: практическое пособие для врачей. 2009. 2-е изд., доп. - М.: Реал Тайм: 96 с.</mixed-citation><mixed-citation xml:lang="en">Медведев МВ, Алтынник НА. Основы ультразвукового скрининга в 11-14 недель беременности: практическое пособие для врачей. 2009. 2-е изд., доп. - М.: Реал Тайм: 96 с.</mixed-citation></citation-alternatives></ref><ref id="cit32"><label>32</label><citation-alternatives><mixed-citation xml:lang="ru">Cheung SW, Shaw CA, Yu W, et al. Development and validation of a CGH microarray for clinical cytogenetic diagnosis. Genet Med. 2005. 7(6):422-32.</mixed-citation><mixed-citation xml:lang="en">Cheung SW, Shaw CA, Yu W, et al. Development and validation of a CGH microarray for clinical cytogenetic diagnosis. Genet Med. 2005. 7(6):422-32.</mixed-citation></citation-alternatives></ref><ref id="cit33"><label>33</label><citation-alternatives><mixed-citation xml:lang="ru">Munne S. Preimplantation genetic diagnosis for aneuploidy and translocations using array comparative genomic hybridization. Curr Genomics. 2012. 13(6):463-70.</mixed-citation><mixed-citation xml:lang="en">Munne S. Preimplantation genetic diagnosis for aneuploidy and translocations using array comparative genomic hybridization. Curr Genomics. 2012. 13(6):463-70.</mixed-citation></citation-alternatives></ref><ref id="cit34"><label>34</label><citation-alternatives><mixed-citation xml:lang="ru">Liu H, Gao Y, Hu Z, et al. Performance Evaluation of NIPT in Detection of Chromosomal Copy Number Variants Using Low-Coverage Whole-Genome Sequencing of Plasma DNA. PLoS One. 2016. 11(7):e0159233.</mixed-citation><mixed-citation xml:lang="en">Liu H, Gao Y, Hu Z, et al. Performance Evaluation of NIPT in Detection of Chromosomal Copy Number Variants Using Low-Coverage Whole-Genome Sequencing of Plasma DNA. PLoS One. 2016. 11(7):e0159233.</mixed-citation></citation-alternatives></ref><ref id="cit35"><label>35</label><citation-alternatives><mixed-citation xml:lang="ru">Jensen TJ, Dzakula Z, Deciu C, et al. Detection of microdeletion 22q11.2 in a fetus by next-generation sequencing of maternal plasma. Clin Chem. 2012. 58(7):1148-51.</mixed-citation><mixed-citation xml:lang="en">Jensen TJ, Dzakula Z, Deciu C, et al. Detection of microdeletion 22q11.2 in a fetus by next-generation sequencing of maternal plasma. Clin Chem. 2012. 58(7):1148-51.</mixed-citation></citation-alternatives></ref><ref id="cit36"><label>36</label><citation-alternatives><mixed-citation xml:lang="ru">Srinivasan A, Bianchi DW, Huang H, et al. Noninvasive detection of fetal subchromosome abnormalities via deep sequencing of maternal plasma. Am J Hum Genet. 2013 Feb 7;92(2):167-76.</mixed-citation><mixed-citation xml:lang="en">Srinivasan A, Bianchi DW, Huang H, et al. Noninvasive detection of fetal subchromosome abnormalities via deep sequencing of maternal plasma. Am J Hum Genet. 2013 Feb 7;92(2):167-76.</mixed-citation></citation-alternatives></ref><ref id="cit37"><label>37</label><citation-alternatives><mixed-citation xml:lang="ru">Yu SC, Jiang P, Choy KW, et al., Noninvasive prenatal molecular karyotyping from maternal plasma. PLoS One. 2013 Apr 17;8(4):e60968.</mixed-citation><mixed-citation xml:lang="en">Yu SC, Jiang P, Choy KW, et al., Noninvasive prenatal molecular karyotyping from maternal plasma. PLoS One. 2013 Apr 17;8(4):e60968.</mixed-citation></citation-alternatives></ref><ref id="cit38"><label>38</label><citation-alternatives><mixed-citation xml:lang="ru">Brison N, Van Den Bogaert K, Dehaspe L, et al. Accuracy and clinical value of maternal incidental findings during noninvasive prenatal testing for fetal aneuploidies. Genet Med. 2017 Mar;19(3):306-313.</mixed-citation><mixed-citation xml:lang="en">Brison N, Van Den Bogaert K, Dehaspe L, et al. Accuracy and clinical value of maternal incidental findings during noninvasive prenatal testing for fetal aneuploidies. Genet Med. 2017 Mar;19(3):306-313.</mixed-citation></citation-alternatives></ref><ref id="cit39"><label>39</label><citation-alternatives><mixed-citation xml:lang="ru">Lun FM, Chiu RW, Chan KC, et al. Microfluidics digital PCR reveals a higher than expected fraction of fetal DNA in maternal plasma. Clin Chem. 2008. 54(10):1664-72.</mixed-citation><mixed-citation xml:lang="en">Lun FM, Chiu RW, Chan KC, et al. Microfluidics digital PCR reveals a higher than expected fraction of fetal DNA in maternal plasma. Clin Chem. 2008. 54(10):1664-72.</mixed-citation></citation-alternatives></ref><ref id="cit40"><label>40</label><citation-alternatives><mixed-citation xml:lang="ru">Amicucci P, Gennarelli M, Novelli G, Dallapiccola B. Prenatal diagnosis of myotonic dystrophy using fetal DNA obtained from maternal plasma. Clin Chem. 2000. 46(2):301-2.</mixed-citation><mixed-citation xml:lang="en">Amicucci P, Gennarelli M, Novelli G, Dallapiccola B. Prenatal diagnosis of myotonic dystrophy using fetal DNA obtained from maternal plasma. Clin Chem. 2000. 46(2):301-2.</mixed-citation></citation-alternatives></ref><ref id="cit41"><label>41</label><citation-alternatives><mixed-citation xml:lang="ru">Saito H, Sekizawa A, Morimoto T. et al. Prenatal DNA diagnosis of a single-gene disorder from maternal plasma. Lancet. 2000. 356(9236):1170.</mixed-citation><mixed-citation xml:lang="en">Saito H, Sekizawa A, Morimoto T. et al. Prenatal DNA diagnosis of a single-gene disorder from maternal plasma. Lancet. 2000. 356(9236):1170.</mixed-citation></citation-alternatives></ref><ref id="cit42"><label>42</label><citation-alternatives><mixed-citation xml:lang="ru">Gonzalez-Gonzalez MC, Trujillo MJ, Rodriguez de Alba M, et al. Huntington disease-unaffected fetus diagnosed from maternal plasma using QF-PCR. Prenat Diagn. 2003. 23(3):232-4.</mixed-citation><mixed-citation xml:lang="en">Gonzalez-Gonzalez MC, Trujillo MJ, Rodriguez de Alba M, et al. Huntington disease-unaffected fetus diagnosed from maternal plasma using QF-PCR. Prenat Diagn. 2003. 23(3):232-4.</mixed-citation></citation-alternatives></ref><ref id="cit43"><label>43</label><citation-alternatives><mixed-citation xml:lang="ru">van den Oever JM, Bijlsma EK, Feenstra I, et al. Noninvasive prenatal diagnosis of Huntington disease: detection of the paternally inherited expanded CAG repeat in maternal plasma. Prenat Diagn. 2015. 35(10):945-9.</mixed-citation><mixed-citation xml:lang="en">van den Oever JM, Bijlsma EK, Feenstra I, et al. Noninvasive prenatal diagnosis of Huntington disease: detection of the paternally inherited expanded CAG repeat in maternal plasma. Prenat Diagn. 2015. 35(10):945-9.</mixed-citation></citation-alternatives></ref><ref id="cit44"><label>44</label><citation-alternatives><mixed-citation xml:lang="ru">Bustamante-Aragones A, Trujillo-Tiebas MJ, Gallego-Merlo J, et al., Prenatal diagnosis of Huntington disease in maternal plasma: direct and indirect study. Eur J Neurol. 2008. 15(12):1338-44.</mixed-citation><mixed-citation xml:lang="en">Bustamante-Aragones A, Trujillo-Tiebas MJ, Gallego-Merlo J, et al., Prenatal diagnosis of Huntington disease in maternal plasma: direct and indirect study. Eur J Neurol. 2008. 15(12):1338-44.</mixed-citation></citation-alternatives></ref><ref id="cit45"><label>45</label><citation-alternatives><mixed-citation xml:lang="ru">Chiu RW, Lau TK, Leung TN, et al. Prenatal exclusion of beta thalassaemia major by examination of maternal plasma. Lancet. 2002. 360(9338):998-1000.</mixed-citation><mixed-citation xml:lang="en">Chiu RW, Lau TK, Leung TN, et al. Prenatal exclusion of beta thalassaemia major by examination of maternal plasma. Lancet. 2002. 360(9338):998-1000.</mixed-citation></citation-alternatives></ref><ref id="cit46"><label>46</label><citation-alternatives><mixed-citation xml:lang="ru">Ding C., Chiu RW, Lau TK, et al. MS analysis of single-nucleotide differences in circulating nucleic acids: Application to noninvasive prenatal diagnosis. Proc Natl Acad Sci USA. 2004. 101(29):10762-7.</mixed-citation><mixed-citation xml:lang="en">Ding C., Chiu RW, Lau TK, et al. MS analysis of single-nucleotide differences in circulating nucleic acids: Application to noninvasive prenatal diagnosis. Proc Natl Acad Sci USA. 2004. 101(29):10762-7.</mixed-citation></citation-alternatives></ref><ref id="cit47"><label>47</label><citation-alternatives><mixed-citation xml:lang="ru">Chang MY, Kim AR, Kim MY, et al. Development of novel noninvasive prenatal testing protocol for whole autosomal recessive disease using picodroplet digital. Sci Rep. 2016 Dec 7;6:37153.</mixed-citation><mixed-citation xml:lang="en">Chang MY, Kim AR, Kim MY, et al. Development of novel noninvasive prenatal testing protocol for whole autosomal recessive disease using picodroplet digital. Sci Rep. 2016 Dec 7;6:37153.</mixed-citation></citation-alternatives></ref><ref id="cit48"><label>48</label><citation-alternatives><mixed-citation xml:lang="ru">Dondorp W, de Wert G, Bombard Y, et al. Non-invasive prenatal testing for aneuploidy and beyond: challenges of responsible innovation in prenatal screening. Eur J Hum Genet. 2015. 23(11):1438-50.</mixed-citation><mixed-citation xml:lang="en">Dondorp W, de Wert G, Bombard Y, et al. Non-invasive prenatal testing for aneuploidy and beyond: challenges of responsible innovation in prenatal screening. Eur J Hum Genet. 2015. 23(11):1438-50.</mixed-citation></citation-alternatives></ref><ref id="cit49"><label>49</label><citation-alternatives><mixed-citation xml:lang="ru">Van den Berg M, Timmermans DRM, ten Kate LP et al. Are pregnant women making informed choices about prenatal screening? Genet. Med. 2005. V. 7. P.332-337</mixed-citation><mixed-citation xml:lang="en">Van den Berg M, Timmermans DRM, ten Kate LP et al. Are pregnant women making informed choices about prenatal screening? Genet. Med. 2005. V. 7. P.332-337</mixed-citation></citation-alternatives></ref><ref id="cit50"><label>50</label><citation-alternatives><mixed-citation xml:lang="ru">Stapleton G. Qualifying choice: ethical reflection on the scope of prenatal screening. Med Health Care Philos. 2016 Sep 8.</mixed-citation><mixed-citation xml:lang="en">Stapleton G. Qualifying choice: ethical reflection on the scope of prenatal screening. Med Health Care Philos. 2016 Sep 8.</mixed-citation></citation-alternatives></ref><ref id="cit51"><label>51</label><citation-alternatives><mixed-citation xml:lang="ru">De Jong A, Maya I, and van Lith JM. Prenatal screening: current practice, new developments, ethical challenges. Bioethics. 2015. 29(1):1-8.</mixed-citation><mixed-citation xml:lang="en">De Jong A, Maya I, and van Lith JM. Prenatal screening: current practice, new developments, ethical challenges. Bioethics. 2015. 29(1):1-8.</mixed-citation></citation-alternatives></ref><ref id="cit52"><label>52</label><citation-alternatives><mixed-citation xml:lang="ru">Hill M, Johnson JA, Langlois S, et al. Preferences for prenatal tests for Down syndrome: an international comparison of the views of pregnant women and health professionals. Eur J Hum Genet. 2016. 24(7):968-75.</mixed-citation><mixed-citation xml:lang="en">Hill M, Johnson JA, Langlois S, et al. Preferences for prenatal tests for Down syndrome: an international comparison of the views of pregnant women and health professionals. Eur J Hum Genet. 2016. 24(7):968-75.</mixed-citation></citation-alternatives></ref><ref id="cit53"><label>53</label><citation-alternatives><mixed-citation xml:lang="ru">Neyt M, Hulstaert F, and Gyselaers W. Introducing the non-invasive prenatal test for trisomy 21 in Belgium: a cost-consequences analysis. BMJ Open. 2014. 4(11):e005922.</mixed-citation><mixed-citation xml:lang="en">Neyt M, Hulstaert F, and Gyselaers W. Introducing the non-invasive prenatal test for trisomy 21 in Belgium: a cost-consequences analysis. BMJ Open. 2014. 4(11):e005922.</mixed-citation></citation-alternatives></ref><ref id="cit54"><label>54</label><citation-alternatives><mixed-citation xml:lang="ru">Сухих ГТ, Трофимов ДЮ, Барков ИЮ и др. Неинвазивный пренатальный ДНК-скрининг анеуплоидий плода по крови матери методом высокопроизводительного секвенирования (Клинические рекомендации). Акушерство и гинекология, 2016. №6.</mixed-citation><mixed-citation xml:lang="en">Сухих ГТ, Трофимов ДЮ, Барков ИЮ и др. Неинвазивный пренатальный ДНК-скрининг анеуплоидий плода по крови матери методом высокопроизводительного секвенирования (Клинические рекомендации). Акушерство и гинекология, 2016. №6.</mixed-citation></citation-alternatives></ref></ref-list><fn-group><fn fn-type="conflict"><p>The authors declare that there are no conflicts of interest present.</p></fn></fn-group></back></article>
