Isolation of Fetal Nucleated Red Blood Cells from Maternal Blood

To find a simple, effective method of isolating fetal cells from maternal peripheral blood for prenatal diagnosis, 45 women were studied with their gestation being 6-14 weeks and age 21- 30 years. The fetal cells were isolated from maternal blood by using discontinuous density gradient centrifugation. Some of the isolated cells were made smear and counted under the microscope; others were used for predicting fetal sex by PCR amplification of Y chromosome specific DYZ1 gene. The major cells in the upper separation interface were lymphocytes and monocytes, with occasionally seen nucleated red blood cells (NRBC); while those in the middle separation interface were neutrocytes, with NRBC scattering. The ratio of NRBC/nucleated cells was 1. 98±0. 28× 10-5. There was no significant difference between the first and second trimester (P>0. 05). The amount of isolated fetal cells was sufficient for prenatal genetic diagnosis. Male pregnancy was correctly predicted in 10 out of 13 cases. It is concluded that the method of discontinuous density gradient centrifugation was of considerable importance in the development of non-invasive prenatal genetic diagnosis.

Birth Weight in Relation to Maternal Blood Levels of Selected Elements in Slovenian Populations： A Cross-sectional Study

The objective of the present study was to evaluate the relation between maternal blood levels of selected toxic and potentially toxic elements （manganese （Mn）, copper （Cu）, zinc （Zn）, arsenic （As）, selenium （Se）, cadmium （Cd）, lead （Pb） and mercury （Hg）） and birth weight of their new-borns in a Slovenian population, taking into account maternal socio-demographic characteristics and dietary habits. 535 women from 12 regions of Slovenia were recruited at delivery. Maternal blood was collected at 1.5 months after birth. Associations between birth weight and a） predictors obtained through the questionnaires and b） levels of selected elements were tested using bivariate tests and multiple linear regression. Multiple regression models revealed maternal age as an additional predictor for birth weight and confirmed pre-pregnancy body mass, estimated gestational age and gender of the baby as the main predictors for birth weight. Mn in maternal blood was significantly and positively associated with birth weight. The positive association observed between birth weight and Mn in maternal blood could be explained by the essentiality of Mn in foetal development as an important cofactor in enzymereactions in bone formation and in metabolic regulation for amino acid, lipid, protein and carbohydrate levels.

Maternal and Fetal Exposure to Four Carcinogenic Environmental Metals

Objective To examine maternal and fetal exposure levels to four carcinogenic metals, arsenic （As）, cadmium （Cd）, nickel （Ni）, and beryllium （Be）, and to investigate their environmental influences. Methods Metal concentrations in maternal and umbilical cord blood were measured by inductively coupled plasma-mass spectrometry （ICP-MS）. Environmental factors that might play a role in exposure were analyzed using Mann Whitney nonparametric U-tests and multiple linear regression. Results The concentrations of As, Cd, and Ni in umbilical cord blood （5.41, 0.87, and 139.54 gg/L） were significantly lower than those in maternal blood （6.91, 1.93, and 165.93 p.g/L）. There were significant positive correlations between the maternal and cord concentrations of each carcinogen. Our results showed that： （i） exposures to potentially harmful occupational factors during pregnancy were associated with high levels of maternal As, Cd, and Ni; （ii） living close to major transportation routes （〈500 m） or exposure to second-hand smoke during pregnancy increased the maternal Cd levels and （iii） living close to industrial chimneys induced high maternal Ni levels. Multiple linear regression analysis showed that these environmental factors remained significant in models of the influences of these four carcinogens. Conclusion Both mothers and fetuses had been exposed to As, Cd, Ni, and Be. The increased levels of these carcinogens in pregnant women were associated with some detrimental environmental factors, such as occupational exposure, contact with second-hand smoke and living close to major transportation routes or industrial chimneys.