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Related Concept Videos

Genetic Screens02:46

Genetic Screens

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Genetic screens are tools used to identify genes and mutations responsible for phenotypes of interest. Genetic screens help identify individuals or a group of people at risk of developing  genetic diseases and help them with early intervention, targeted therapy, and reproductive options.
Forward genetic screens
Forward or “classical” genetic screens involve creating random mutations in an organism’s DNA using radiation, mutagens, or insertion of additional bases, which...
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Semiconductor Sequencing for Preimplantation Genetic Testing for Aneuploidy
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Polygenic embryo screening: quo vadis?

Maria Siermann1,2, Joris Robert Vermeesch3, Taneli Raivio4

  • 1Centre for Biomedical Ethics and Law, Department of Public Health and Primary Care, KU Leuven, Kapucijnenvoer 7, Box 7001, 3000, Leuven, Belgium. maria.siermann@kuleuven.be.

Journal of Assisted Reproduction and Genetics
|June 15, 2024
PubMed
Summary
This summary is machine-generated.

Polygenic risk scores in embryo screening (PGT-P) face criticism regarding evidence and ethics. Careful consideration of PGT-P implementation, counseling, and decision-making is crucial for responsible clinical use.

Keywords:
EthicsPGT-PPoints to considerPolygenic embryo screeningPolygenic risk scoresPreimplantation genetic testing

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Area of Science:

  • Reproductive genetics
  • Bioethics
  • Genetic counseling

Background:

  • Polygenic risk scores in embryo screening (PGT-P) aim to reduce inherited disease risk.
  • PGT-P has faced significant criticism regarding its scientific validity, clinical utility, ethical implications, and societal impact.
  • Despite ongoing debate, PGT-P is being offered in some clinical settings.

Purpose of the Study:

  • To critically examine the scientific foundations and criticisms surrounding PGT-P.
  • To explore the complexities of responsible clinical implementation of PGT-P.
  • To identify key elements for PGT-P counseling and user decision-making.

Main Methods:

  • Review of scientific literature on PGT-P.
  • Analysis of ethical and societal concerns related to PGT-P.
  • Examination of practical aspects of PGT-P clinical integration.

Main Results:

  • PGT-P is currently considered more "technology-driven" than "evidence-based".
  • Significant questions remain regarding PGT-P's validity, utility, and ethical framework.
  • Practical considerations for PGT-P include target population, scope, and decision-making processes.

Conclusions:

  • Responsible implementation of PGT-P requires careful consideration of its scientific basis and ethical challenges.
  • Development of guidelines and ethical frameworks is essential for PGT-P.
  • Further attention is needed on specific aspects like target groups, scope, and user decision-making support for PGT-P.