Circulating Maternal Serum Cell Free Fetal DNA Levels for Prediction of Preeclampsia
https://doi.org/10.18705/1607-419X-2025-2480
EDN: VELVEM
Abstract
Objective. To measure the maternal serum cell free fetal DNA (CFFDNA) and establish the relationship between preeclampsia (PE) and maternal serum (CFFDNA) levels. Design and methods. A nested case-control study was carried out on 30 (PE) subjects and 30 matched controls aged 18–40 years old who were submitted at the Ain-S hams University maternity hospital. All subjects had a single viable fetus beyond 20-week gestational age. Upon enrollment, blood samples were collected, and the CFFDNA was subsequently measured in subjects and controls. Results. The CFFDNA level differed significantly between the analyzed groups, showing higher levels in PE diagnosed individuals than in controls. Additionally, the maternal serum CFFDNA level, utilizing an area under the curve of 0,979, predicted PE. Conclusion. Maternal serum cell free DNA can be utilized for PE prediction. The mean levels of CFFDNA correlate with developing maternal complications in PE.
About the Authors
S. A.M. NassarEgypt
Salma Ashraf Mohamed Nassar, MD, Lecturer of Obstetrics and Gynecology, Department of Obstetrics and Gynecology, Faculty of Medicine,
Cairo
A. M.B. El Din
Egypt
Ahmed Mohamed Bahaa El Din, MD, PhD, DSc, Professor of Obstetrics and Gynecology, Department of Obstetrics and Gynecology, Faculty of Medicine,
Cairo.
M. E.M. Ibrahim
Egypt
Mohamed El Mandouh Mohamed Ibrahim, MD, PhD, DSc, Professor of Obstetrics and Gynecology, Department of Obstetrics and Gynecology, Faculty of Medicine,
Cairo.
M. M.M. Helmy
Egypt
Mohamed Mahmoud Mohamed Helmy, MD, Department of Obstetrics and Gynecology, Faculty of Medicine,
Cairo.
M. S. Elsewefy
Egypt
Mohamed Sameh Elsewefy, MD, Lecturer of Obstetrics and Gynecology, Department of Obstetrics and Gynecology, Faculty of Medicine,
Cairo.
References
1. Timofeeva AV, Gusar VA, Kan NE, Prozorovskaya KN, Karapetyan AO, Bayev OR, et al. Identification of potential early biomarkers of preeclampsia. Placenta. 2018;61:61–71. https://doi.org/10.1016/j.placenta.2018.01.007
2. Wang J, Hu H, Liu X, Zhao S, Zheng Y, Jia Z, et al. Predictive values of various serum biomarkers in women with suspected preeclampsia: a prospective study. J Clin Lab Analysis. 2021;35(5): e23740. https://doi.org/10.1002/jcla.23740
3. Redman C. Pre-eclampsia and the placenta. Placenta. 1991;12:301–8. https://doi.org/10.1016/0143-4004(91)90339-H
4. McMaster-Fay RA. Oxidative stress and inflammatory biomarkers in normal and preeclamptic pregnancies. Am J Obstet Gynecol. 2017;217(4):492–3. https://doi.org/10.1016/j.ajog.2017.06.030
5. Lo YD, Lau TK, Zhang J, Leung TN, Chang AM, Hjelm NM, et al. Increased fetal DNA concentrations in the plasma of pregnant women carrying fetuses with trisomy 21. Clin Chem 1999;45(10):1747–51. https://doi.org/10.1093/clinchem/45.10.1747
6. Sifakis S, Papantoniou N, Kappou D, Antsaklis A. Noninvasive prenatal diagnosis of Down syndrome: current knowledge and novel insights. J Perinat Med. 2012;40(4):319–27. https://doi.org/10.1515/jpm-2011-0282
7. Soroura M, El Shorbagy M, Shawky M, Borg TA, Wahba K, Reyad A. Circulating maternal serum cell free fetal DNA levels for prediction of preeclampsia. Evidence Based Women’s Health J. 2022;12(1):77–85. https://doi.org/10.21608/ebwhj.2020.28158.1093
8. Silver RM, Myatt L, Hauth JC, Leveno KJ, Peaceman AM, Ramin SM, et al. Cell-free total and fetal DNA in first trimester maternal serum and subsequent development of preeclampsia. Am J Perinatol. 2017;34(02):191–8.
9. Jiang L, Tang K, Magee LA, von Dadelszen P, Ekeroma A, Li X, et al. A global view of hypertensive disorders and diabetes mellitus during pregnancy. Nat Rev Endocrinol. 2022;18(12):760–75. https://doi.org/10.1038/s41574-022-00734-y
10. Chappell LC, Cluver CA, Tong S. Pre-eclampsia. Lancet. 2021;398(10297):341–54. https://doi.org/10.1016/S0140-6736(20)32335-7
11. Sarzynska- Nowacka U, Kosinski P, Wielgos M. Is there a future for cell-free fetal DNA tests in screening for preeclampsia? Ginekol Pol. 2019;90(1):55–60. https://doi.org/10.5603/GP.2019.0009
12. Kwak DW, Kim SY, Kim HJ, Lim JH, Kim YH, Ryu HM. Maternal total cell-free DNA in preeclampsia with and without intrauterine growth restriction. Sci Rep. 2020;10(1):11848. https://doi.org/10.1038/s41598-020-68842-1
13. Kolarova TR, Gammill HS, Nelson JL, Lockwood CM, Shree R. At preeclampsia diagnosis, total cell‐free DNA concentration is elevated and correlates with disease severity. J Am Heart Assoc. 2021;10(15):e021477. https://doi.org/10.1161/jaha.121.021477
14. Yu H, Shen Y, Ge Q, He Y, Qiao D, Ren M, et al. Quantification of maternal serum cell-free fetal DNA in early-o nset preeclampsia. Int J Molecul Sci. 2013;14(4):7571–82. https://doi.org/10.3390/ijms14047571
15. Kang JH, Farina A, Park JH, Kim SH, Kim JY, et al. Down syndrome biochemical markers and screening for preeclampsia at first and second trimester: correlation with the week of onset and the severity. Prenat Diagn. 2008;28(8):704–9. https://doi.org/10.1002/pd.1997
16. Kim SY, Kim HJ, Park SY, Han YJ, Choi JS, Ryu HM. Early prediction of hypertensive disorders of pregnancy using cell-free fetal DNA, cell-free total DNA, and biochemical markers. Fetal Diagnosis Ther. 2016;40(4):255–62. https://doi.org/10.1159/000444524
17. Leung TN, Zhang J, Lau TK, Chan LY, Lo YD. Increased maternal plasma fetal DNA concentrations in women who eventually develop preeclampsia. Clin Chem. 2001;47(1):137–9. https://doi.org/10.1093/clinchem/47.1.137.
18. Zhong XY, Holzgreve W, Hahn S. The levels of circulatory fetal DNA in maternal plasma are elevated prior to the onset of preeclampsia. Hypertens Preg. 2002;21(1):77–83. https://doi.org/10.1081/PRG-120002911
19. Darghahi R, Mobaraki-A sl N, Ghavami Z, Pourfarzi F, Hosseini- Asl S, Jalilvand F. Effect of cell-free fetal DNA on spontaneous preterm labor. J Adv Pharm Technol Res. 2019;10(3): 117–20. https://doi.org/10.4103/japtr.JAPTR_371_18
20. Divon MY, Ferber A. Umbilical artery Doppler velocimetry — an update. Semin Perinatol. 2001;25(1):44–47. https://doi.org/10.1053/sper.2001.22892
Review
For citations:
Nassar S.A., El Din A.M., Ibrahim M.E., Helmy M.M., Elsewefy M.S. Circulating Maternal Serum Cell Free Fetal DNA Levels for Prediction of Preeclampsia. "Arterial’naya Gipertenziya" ("Arterial Hypertension"). 2025;31(1):54-62. https://doi.org/10.18705/1607-419X-2025-2480. EDN: VELVEM