期刊
FERTILITY AND STERILITY
卷 116, 期 1, 页码 174-180出版社
ELSEVIER SCIENCE INC
DOI: 10.1016/j.fertnstert.2020.11.033
关键词
Non-Robertsonian chromosome fusion; Robertsonian translocation; preimplantation genetic testing for chromosomal structural rearrangement; next-generation sequencing
资金
- National Key R&D Program of China [2018YFC1003100, 2016YFC1000206, 2018YFC1004901]
- science and technology major project of the ministry of science and technology of Hunan Province [2017SK1030]
- Hunan Provincial Grant for Innovative Province Construction [2019SK4012]
The study investigated the effects of non-Robertsonian translocation with chromosome fusion (N-RBCF) on preimplantation embryos. Results showed that blastocysts from N-RBCF carriers with Y fusion had a low number of unbalanced translocations, while the risk of unbalanced translocation in autosomal N-RBCF was higher than in Robertsonian translocation, especially in male carriers.
Objective: To investigate the effects of non-Robertsonian translocation with chromosome fusion (N-RBCF) on preimplantation embryos. Design: Case series. Setting: University-affiliated center. Patient(s): Twelve couples with N-RBCF. Intervention(s): Assisted reproduction with preimplantation genetic testing in chromosomal structural rearrangement (PGT-SR). Main Outcome Measure(s): Normal embryo rate, unbalanced translocation rate. Result(s): PGT was performed in 12 N-RBCF carriers, of whom 4 carried Y-autosome fusions and 8 autosomal fusions. A total of 12 (63.2%) of 19 blastocysts exhibited normal/balanced embryos, and only one (5.3%) embryo exhibited unbalanced translocations among Y-autosome fusion cases. In contrast to these findings, the percentage of normal/balanced blastocysts in 8 autosomal N-RBCF cases was 28.2% (11/39), whereas the unbalanced translocation rate was 53.8%. Furthermore, the percentage of normal/balanced embryos in the Robertsonian translocation group was significantly higher than that of the 8 autosomal N-RBCF (48.7% vs. 28.2%) cases. The rates of abnormality from chromosomal fusion in the 8 autosomal N-RBCF cases were significantly higher than those noted in the Robertsonian translocation (53.8% vs. 31.4%) subjects. The results of the stratified analysis according to the carrier's sex demonstrated that the rates of unbalanced translocation were significantly higher in the male autosomal N-RBCF subjects than those from the corresponding Robertsonian translocation (55% vs. 19.7%) cases. Conclusion(s): A low number of unbalanced translocations was identified in blastocysts from N-RBCF subjects who carried the Y fusion. The risk of unbalanced translocation in autosomal N-RBCF was higher than that of the Robertsonian translocation, notably in male carriers. ((C) 2020 by American Society for Reproductive Medicine.)
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