1. Extended application of PGT-M strategies for small pathogenic CNVs.
- Author
-
Hu, Xiao, Wang, Weili, Luo, Keli, Dai, Jing, Zhang, Yi, Wan, Zhenxing, He, Wenbin, Zhang, Shuoping, Yang, Lanlin, Tan, Qin, Li, Wen, Zhang, Qianjun, Gong, Fei, Lu, Guangxiu, Tan, Yue-Qiu, Lin, Ge, and Du, Juan
- Subjects
- *
WHOLE genome sequencing , *GENETIC testing , *HAPLOTYPES , *PRENATAL diagnosis , *AMNIOTIC liquid , *CHROMOSOMES , *PREGNANCY - Abstract
Purpose: The preimplantation genetic testing for aneuploidy (PGT-A) platform is not currently available for small copy-number variants (CNVs), especially those < 1 Mb. Through strategies used in PGT for monogenic disease (PGT-M), this study intended to perform PGT for families with small pathogenic CNVs. Methods: Couples who carried small pathogenic CNVs and underwent PGT at the Reproductive and Genetic Hospital of CITIC-Xiangya (Hunan, China) between November 2019 and April 2023 were included in this study. Haplotype analysis was performed through two platforms (targeted sequencing and whole-genome arrays) to identify the unaffected embryos, which were subjected to transplantation. Prenatal diagnosis using amniotic fluid was performed during 18–20 weeks of pregnancy. Results: PGT was successfully performed for 20 small CNVs (15 microdeletions and 5 microduplications) in 20 families. These CNVs distributed on chromosomes 1, 2, 6, 7, 13, 15, 16, and X with sizes ranging from 57 to 2120 kb. Three haplotyping-based PGT-M strategies were applied. A total of 89 embryos were identified in 25 PGT cycles for the 20 families. The diagnostic yield was 98.9% (88/89). Nineteen transfers were performed for 17 women, resulting in a 78.9% (15/19) clinical pregnancy rate after each transplantation. Of the nine women who had healthy babies, eight accepted prenatal diagnosis and the results showed no related pathogenic CNVs. Conclusion: Our results show that the extended haplotyping-based PGT-M strategy application for small pathogenic CNVs compensated for the insufficient resolution of PGT-A. These three PGT-M strategies could be applied to couples with small pathogenic CNVs. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF