1. Retrospective analysis of meiotic segregation pattern and interchromosomal effects in blastocysts from inversion preimplantation genetic testing cycles.
- Author
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Xie P, Hu L, Tan Y, Gong F, Zhang S, Xiong B, Peng Y, Lu GX, and Lin G
- Subjects
- Adult, Blastocyst cytology, Blastocyst metabolism, Case-Control Studies, Crosses, Genetic, Female, Humans, Male, Retrospective Studies, Sister Chromatid Exchange genetics, Sister Chromatid Exchange physiology, Young Adult, Chromosome Inversion embryology, Chromosome Inversion genetics, Chromosome Inversion statistics & numerical data, Chromosome Segregation genetics, Genetic Testing methods, Genetic Testing statistics & numerical data, Meiosis genetics, Preimplantation Diagnosis statistics & numerical data
- Abstract
Objective: To determine factors affecting unbalanced chromosomal rearrangement originating from parental inversion and interchromosomal effect occurrence in blastocysts from inversion carriers., Design: Retrospective study., Setting: University-affiliated center., Patient(s): Couples with one partner carrying inversion underwent preimplantation genetic testing for chromosomal structural rearrangement cycles., Intervention(s): Not applicable., Main Outcome Measure(s): Unbalanced rearrangement embryo rate, normal embryo rate, interchromosomal effect., Result(s): Preimplantation genetic testing was performed for 576 blastocysts from 57 paracentric (PAI) and 94 pericentric (PEI) inversion carriers. The percentage of normal/balanced blastocysts was significantly higher in PAI than PEI carriers (70.4% vs. 57.5%). Logistic regression indicated the inverted segment size ratio was a statistically significant risk factor for abnormality from parental inversion in both PEI and PAI. The optimal cutoff values to predict unbalanced rearrangement risk were 35.7% and 57%. In PAI, rates of abnormality from parental inversion were 0% and 12.1% in the <35.7% and ≥35.7% groups, respectively, with no gender difference. For PEI, the rates of abnormality from parental inversion were 7.9% and 33.1% in the <57% and ≥57% groups, respectively. In the ≥57% group, the rate of unbalanced rearrangement was significantly higher from paternal than maternal inversion (43.3% vs. 23.6%). In inversion carriers, 21,208 chromosomes were examined, and 187 (0.88%) malsegregations were identified from structurally normal chromosomes. In controls, 56,488 chromosomes were assessed, and 497 (0.88%) aneuploidies were identified, indicating no significant difference., Conclusion(s): The risk of unbalanced rearrangement is affected by the ratio of inverted segment size in both PAI and PEI carriers and is associated with gender., (Copyright © 2019 American Society for Reproductive Medicine. Published by Elsevier Inc. All rights reserved.)
- Published
- 2019
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