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Overview of Optima NIPT Plus+

Optima NIPT Plus+ is an advanced non-invasive prenatal screening test that combines chromosomal analysis with screening for inherited genetic conditions in a single, integrated workflow. By analyzing both maternal and paternal DNA alongside fetal cell-free DNA, it provides a comprehensive assessment of the risk for chromosomal abnormalities, clinically relevant microdeletions, and a broad panel of monogenic disorders. Designed to deliver clear, clinically actionable insights early in pregnancy, Optima NIPT Plus+ supports more informed decision-making and a deeper understanding of fetal health.

Optima NIPT Plus+ prenatal screening consultation

What is Optima NIPT Plus+?

Optima NIPT Plus+ is a next-generation prenatal screening test that expands on traditional NIPT by including screening for inherited genetic (monogenic) conditions.

In addition to analyzing fetal DNA from a maternal blood sample, the test incorporates paternal DNA analysis to assess the risk of genetic conditions that may be passed on to the baby.

The test can be performed from the 9th week of pregnancy and is designed for comprehensive prenatal risk assessment in a single test.

Clinician explaining prenatal genetic screening to a patient

What does Optima NIPT Plus+ screen for?

Optima NIPT Plus+ provides an expanded scope of screening:

Down syndrome is a genetic condition caused by the presence of an extra copy of chromosome 21. It is associated with varying degrees of intellectual disability and may include characteristic physical features. Individuals with Down syndrome may also have associated medical conditions, such as congenital heart defects or thyroid disorders, which can require ongoing medical care. With advances in medical management, early intervention, and supportive therapies, many individuals lead active and fulfilling lives. While some pregnancies with Down syndrome may result in miscarriage, it remains one of the most commonly occurring chromosomal conditions identified in prenatal screening.

Edwards syndrome is caused by an extra copy of chromosome 18 and is associated with severe developmental and medical complications. Affected pregnancies have a high likelihood of miscarriage or stillbirth. Babies born with this condition often have significant health challenges, including heart defects, growth restriction, and organ abnormalities. Survival beyond the first year of life is uncommon, and those who do survive typically require intensive medical support.

Patau syndrome results from an extra copy of chromosome 13 and is associated with severe intellectual and physical abnormalities. Common findings include brain and heart defects, cleft lip or palate, and other organ malformations. Many affected pregnancies result in miscarriage or stillbirth. Infants born with trisomy 13 often have a limited life expectancy and require specialized medical care.

Turner syndrome (Monosomy X) affects females and may be associated with short stature, infertility, and certain medical conditions such as heart or kidney abnormalities.

Triple X (XXX) is often associated with mild or no physical symptoms, though some individuals may experience learning or developmental differences.

Klinefelter syndrome (XXY) affects males and may be associated with reduced fertility, learning difficulties, and hormonal differences.

Jacobs syndrome (XYY) is often associated with mild or no physical symptoms, though some individuals may experience learning or developmental differences.

XXYY syndrome is a rare sex chromosome condition that occurs in males when there are two extra chromosomes (XXYY instead of XY). It is associated with developmental differences, including speech and learning difficulties, as well as behavioral and social challenges. Some individuals may also have medical features such as low testosterone levels, which can affect puberty and fertility. The severity and combination of features can vary between individuals. With appropriate medical care, educational support, and early intervention, many individuals with XXYY syndrome can make meaningful developmental progress and lead fulfilling lives.

This condition is caused by a small missing segment of chromosome 22 and can affect multiple systems in the body. It is commonly associated with heart defects, immune system differences, and developmental delays. The severity can vary significantly between individuals. Early diagnosis allows for appropriate medical management and developmental support.

1p36 deletion syndrome is caused by a missing segment at the end of chromosome 1. It is associated with developmental delay, intellectual disability, and, in some cases, seizures or heart conditions. The clinical presentation can vary, and early intervention can help improve developmental outcomes.

This condition is caused by a deletion on chromosome 4 and is associated with growth restriction, developmental delay, and characteristic facial features. Medical complications can include seizures and congenital anomalies. The severity varies, and care typically involves multidisciplinary support.

Smith–Magenis syndrome is a developmental condition caused by a deletion on chromosome 17. It is associated with intellectual disability, behavioral differences, and sleep disturbances. Early diagnosis allows for better management of symptoms and supportive care.

Cri-du-chat syndrome is caused by a deletion on chromosome 5. It is named after the characteristic cry observed in some affected infants. The condition is associated with developmental delay, intellectual disability, and distinct facial features. Supportive care and early intervention can improve quality of life.

Prader–Willi syndrome is a genetic condition affecting appetite regulation, growth, and development. Infants may have low muscle tone and feeding difficulties, while later in life, individuals may develop increased appetite and require careful management to prevent obesity. With appropriate care and monitoring, individuals can benefit from structured support and therapies.

Angelman syndrome is a neurological condition characterized by developmental delay, speech impairment, and movement or balance difficulties. Individuals often have a happy demeanor and may experience seizures. Early diagnosis and supportive therapies can significantly improve quality of life.

Cystic fibrosis is an inherited genetic condition that affects the lungs and digestive system. It is caused by changes in a gene that regulates salt and fluid balance in the body, leading to the production of thick, sticky mucus. This can result in chronic lung infections, breathing difficulties, and problems with nutrient absorption. The severity of cystic fibrosis can vary, but it typically requires lifelong medical care. Advances in treatment have significantly improved quality of life and life expectancy, allowing many individuals to live into adulthood with appropriate management.

Beta-thalassemia is an inherited blood disorder that affects the body’s ability to produce hemoglobin, the protein in red blood cells that carries oxygen. This can lead to anemia, fatigue, and other complications. The condition ranges from mild to severe. In more severe cases, individuals may require regular blood transfusions and ongoing medical care. With appropriate treatment and monitoring, many individuals can manage the condition and maintain a good quality of life.

Tay-Sachs disease is a rare inherited neurological condition caused by the absence of an enzyme needed to break down certain fatty substances in the brain. As a result, these substances accumulate and lead to progressive damage to the nervous system. The most severe form presents in early infancy and is associated with developmental regression, loss of motor skills, and reduced life expectancy. Although there is currently no cure, early identification is important for family planning and supportive care.

These conditions may occur even in families with no known history.

Why choose Optima NIPT Plus+?

Comprehensive Screening in One Test

Combines chromosomal, microdeletion, and monogenic disease screening into a single workflow.

Parental Genetic Insight

Uses both maternal and paternal DNA to assess inherited risk more accurately.

Early and Actionable Information

Provides meaningful insights early in pregnancy to support planning and clinical decision-making.

Reduces the Need for Multiple Tests

Reduces the need for separate carrier screening and multiple follow-up tests.

Clinically Focused Design

Targets conditions with established clinical relevance and clear care pathways.

How is Optima NIPT Plus+ different?

  • Unlike broad whole-genome screening approaches, Optima NIPT Plus+ uses targeted capture enrichment and high read-depth sequencing to focus on clinically meaningful regions of the genome.
  • This approach provides:
  • Greater precision
  • Reduced noise and false positives
  • Clearer, more reliable results
  • The result is a test designed not to maximize the number of findings, but to maximize clinical value.

Who can consider Optima NIPT Plus+?

  • Pregnant individuals from 9th week gestation
  • Singleton and twin pregnancies
  • IVF pregnancies (self-egg)
  • The test is not suitable for donor egg or surrogate pregnancies
  • The test is not suitable for cases where the biological father is not available

What to expect?

  • Maternal blood sample
  • Paternal cheek (buccal) swab sample
  • No risk to the fetus
  • Results typically available within 5–7 working days
  • Clear and structured reporting

Important Considerations

Optima NIPT Plus+ is a screening test, not a diagnostic test.

Any high-risk result should be confirmed with diagnostic testing such as amniocentesis.

References

  1. Dungan JS, Klugman S, Darilek S, et al. Noninvasive prenatal screening (NIPS) for fetal chromosome abnormalities in a general-risk population: an evidence-based clinical guideline of the American College of Medical Genetics and Genomics (ACMG). Genet Med. 2023;25(2):100336.
  2. ACOG Committee on Practice Bulletins. Screening for fetal chromosomal abnormalities. Obstet Gynecol. 2020;136(4):e859-e867.
  3. Hui L, Maron JL, Bianchi DW, et al. Position statement from the International Society for Prenatal Diagnosis on the use of non-invasive prenatal testing for the detection of fetal chromosomal conditions in singleton pregnancies. Prenat Diagn. 2023;43(7):814-828.
  4. Kypri E, Tsangaras K, Achilleos A, et al. Non-invasive prenatal testing of fetal chromosomal aneuploidies: validation and clinical performance of the Veracity test. Mol Cytogenet. 2019;12:34.

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