The establishment and application of preimplantation genetic haplotyping in embryo diagnosis for reciprocal and Robertsonian translocation carriers
- PMID: 29041973
- PMCID: PMC5646120
- DOI: 10.1186/s12920-017-0294-x
The establishment and application of preimplantation genetic haplotyping in embryo diagnosis for reciprocal and Robertsonian translocation carriers
Abstract
Background: Preimplantation genetic diagnosis (PGD) is now widely used to select embryos free of chromosomal copy number variations (CNV) from chromosome balanced translocation carriers. However, it remains a difficulty to distinguish in embryos between balanced and structurally normal chromosomes efficiently.
Methods: For this purpose, genome wide preimplantation genetic haplotyping (PGH) analysis was utilized based on single nucleotide polymorphism (SNP) microarray. SNPs that are heterozygous in the carrier and, homozygous in the carrier's partner and carrier's family member are defined as informative SNPs. The haplotypes including the breakpoint regions, the whole chromosomes involved in the translocation and the corresponding homologous chromosomes are established with these informative SNPs in the couple, reference and embryos. In order to perform this analysis, a reference either a translocation carrier's family member or one unbalanced embryo is required. The positions of translocation breakpoints are identified by molecular karyotypes of unbalanced embryos. The recombination of breakpoint regions in embryos could be identified.
Results: Eleven translocation families were enrolled. 68 blastocysts were analyzed, in which 42 were unbalanced or aneuploid and the other 26 were balanced or normal chromosomes. Thirteen embryos were transferred back to patients. Prenatal cytogenetic analysis of amniotic fluid cells was performed. The results predicted by PGH and karyotypes were totally consistent.
Conclusions: With the successful clinical application, we demonstrate that PGH was a simple, efficient, and popularized method to distinguish between balanced and structurally normal chromosome embryos.
Keywords: Breakpoint; Preimplantation genetic haplotyping; Reciprocal translocation; Robertsonian translocation; Single nucleotide polymorphism.
Conflict of interest statement
Ethics approval and consent to participate
Written informed consent was obtained from each family and this study was approved by the Ethics Committee for Human Subject research of the Obstetrics and Gynecology Hospital, Fudan University.
Consent for publication
We obtained the consent to publish their clinical data from the patients in this study.
Competing interests
The authors declare that they have no competing interests. Daru Lu, one of the authors, is the member of the Editorial Board of this journal.
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References
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- Lim CK, Cho JW, Song IO, Kang IS, Yoon YD, Jun JH. Estimation of chromosomal imbalances in preimplantation embryos from preimplantation genetic diagnosis cycles of reciprocal translocations with or without acrocentric chromosomes. Fertil Steril. 2008;90:2144–2151. doi: 10.1016/j.fertnstert.2007.10.035. - DOI - PubMed
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