测序平台影响细分形积分和累积活产率:一个单中心队列研究
Shun Xiong1, Jiang Wang2,3, Tao Fu2,3
1Center for Reproductive Medicine, Women and Children's Hospital of Chongqing Medical University, Chongqing, China. xiongshun079@126.com.
Journal of assisted reproduction and genetics
|November 22, 2025
概括
测序平台的选择显著影响了前植入基因测试对形状 (PGT-A) 的结果,影响了细分形状检测和累积活产率 (CLBR). 平台选择是影响PGT-A结果的独立因素.
科学领域:
- 生殖医学 生殖医学
- 遗传学 遗传学 是一个
- 在体外受精过程中受精.
背景情况:
- 在优化试管婴儿成功方面,对阳积体 (PGT-A) 的植入前遗传检测至关重要.
- PGT-A结果的变化可能受到技术因素的影响,包括测序平台.
- 了解这些技术影响是改善临床结果的关键.
研究的目的:
- 为了确定不同的测序平台是否会影响PGT-A遗传测试结果.
- 评估测序平台对PGT-A周期累积活产率 (CLBR) 的影响.
主要方法:
- 一个回顾性队列研究506个PGT-A周期的女性年龄≤40岁.
- 循环根据测序平台 (A平台和B平台) 被分为两组.
- 主要结局:CLBR;次要结局:遗传检测结果 (欧体,无体,细分无体,全染色体无体).
主要成果:
- 平台A表现出较低的euploidy (49.46%对比55.75%) 和较高的aneuploidy率 (36.92%对比30.73%),这是由增加的细分性形形 (SA) 驱动的.
- 平台A的基因可转移芽细胞 (GTB) 率较低 (53.68%与61.80%) 和更高的循环取消率 (21.65%与11.86%).
- 每个活检周期的CLBR与平台B显著更高 (69.87%vs. 60.82%),而平台选择独立地影响了CLBR.
结论:
- 测序平台的选择显著影响PGT-A遗传测试结果.
- 在SA检测率和CLBR的平台依赖性变异性影响临床结果.
- 选择合适的测序平台对于优化PGT-A疗效和活产率至关重要.
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