传统的试管婴儿在植入前基因测试中是可行的,以检测体积
Shuoping Zhang1, Pingyuan Xie2,3, Fang Lan2
1Clinical Research Center for Reproduction and Genetics in Hunan Province, Reproductive and Genetic Hospital of CITIC-Xiangya, No. 567, Tongzipo West Road, Yuelu District, Changsha, 410008, Hunan, China.
Journal of assisted reproduction and genetics
|September 1, 2023
概括
传统的体外受精 (cIVF) 对于非男性因子不孕症的夫妇是可行的,这些夫妇接受了前植入前遗传测试,以检测形状 (PGT-A). 这种方法显示出父母污染风险较低,胚胎结果与细胞体内精子注射 (ICSI) 相似.
科学领域:
- 生殖医学和遗传学
- 辅助生殖技术 辅助生殖技术
- 基因组分析 基因组分析
背景情况:
- 在优化试管婴儿结果方面,对动脉增生病 (PGT-A) 的植入前遗传检测至关重要.
- 传统的体外受精 (cIVF) 通常用于非男性因子不孕症病例.
- 应用cIVF与PGT-A一起需要仔细评估精子DNA放大和污染风险.
研究的目的:
- 评估使用cIVF对非男性因子不孕症接受PGT-A的夫妇的可行性.
- 评估精子全基因组放大 (WGA) 协议的PGT-A应用程序.
- 在PGT-A周期中,比较cIVF和细胞内精子注射 (ICSI) 之间的临床和染色体结局.
主要方法:
- 测试了三个精子WGA协议 (Picoplex,ChromInst,MDA) 的效率.
- 对641个PGT-A周期的回顾性分析,比较cIVF和ICSI的结果.
- 对26对接受cIVF-PGT-A的夫妇进行前性研究,包括父母污染分析和用捐赠的无胚胎胚胎进行验证.
主要成果:
- 多重位移放大 (MDA) 是唯一成功的精子WGA协议.
- 在cIVF-PGT-A和ICSI-PGT-A组之间没有发现euploid,mosaic或aneuploid胚胎率的显著差异.
- 前性研究在150个样本中没有发现父感染和一个母感染病例;PGT-A验证显示91.7%的准确性.
结论:
- MDA WGA协议适用于cIVF-PGT-A循环,具有较低的父母污染风险.
- 传统的体外受精 (cIVF) 是对经过PGT-A.A.的非男性因子不孕症夫妇的可行的选择.
- 这一发现支持cIVF在PGT-A治疗方案中的更广泛应用.
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