BACKGROUND:We describe a novel approach that harnesses the ubiquity of copy number deletion polymorphisms in human genomes to definitively detect and quantify chimeric DNA in clinical samples. Unlike other molecular approaches to chimerism analysis, the copy number deletion (CND) method targets genomic loci (Ͼ50 base pairs in length) that are wholly absent from wild-type (i.e., self) background DNA sequences in a sex-independent manner.
METHODS:Bespoke quantitative PCR (qPCR) CND assays were developed and validated using a series of DNA standards and chimeric plasma DNA samples collected from 2 allogeneic kidney transplant recipients and 12 pregnant women. Assay performance and informativeness were assessed using appropriate statistical methods.
RESULTS:The CND qPCR assays showed high sensitivity, precision, and reliability for linear quantification of DNA chimerism down to 16 genomic equivalents (i.e., 106 pg). Fetal fraction (%) in 12 singleton male pregnancies was calculated using the CND qPCR approach, which showed closer agreement with single-nucleotide polymorphism-based massively parallel sequencing than the SRY (sex determining region Y) (Y chromosome) qPCR assay. The latter consistently underestimated the fetal fraction relative to the other methods. We also were able to measure biological changes in plasma nonself DNA concentrations in 2 renal transplant recipients.
CONCLUSIONS:The CND qPCR technique is suitable for measurement of chimerism for monitoring of rejection in allogeneic organ transplantation and quantification of the cell-free fetal DNA fraction in maternal plasma samples used for noninvasive prenatal genetic testing.
© 2014 American Association for Clinical ChemistryGenomic chimerism describes the coexistence of DNA or cells originating from more than one individual. The most frequently encountered examples are donorrecipient mixtures in individuals who have received an allogeneic organ transplant and fetal-maternal mixtures in the blood of pregnant women. Plasma DNA chimerism, which refers to the situation in which mixtures of "self" and "nonself" circulating cell-free DNA (ccfDNA) 9 are present in an individual's blood plasma, has recently acquired major clinical significance and application in noninvasive detection of fetal chromosome aneuploidy in pregnancy. In a research context, plasma DNA chimerism analysis promises new avenues for monitoring the immunological rejection of organ transplants.Quantitative assessment of the concentration of nonself plasma ccfDNA relies on distinct genetic differences between recipient and donor or mother and fetus. Copy number variants (CNVs) have not hitherto been used for this purpose. CNVs are losses or gains of segments of the genome, ranging from a few hundred base pairs to several megabases, which vary in copy number between individuals in a population (1 ). Genome analyses using massively parallel sequencing (MPS) and microarray technologies have revealed that 10%-15% of the genome is subject to copy number variation (2 ). The ubiquity, size, ...