您的位置:山东大学 -> 科技期刊社 -> 《山东大学学报(医学版)》

山东大学学报 (医学版) ›› 2023, Vol. 61 ›› Issue (4): 64-70.doi: 10.6040/j.issn.1671-7554.0.2022.1274

• 临床医学 • 上一篇    

男性染色体复杂平衡易位携带者助孕2例并文献复习

金晨曦1,2,3,王钰峰1,2,3,张倩1,2,3,李敬1,2,3,李鸿昌1,2,3,颜军昊1,2,3   

  1. 1. 山东大学生殖医学研究中心, 山东 济南 250021;2. 山东省生殖健康临床医学研究中心, 山东 济南 250021;3. 国家辅助生殖与优生工程技术研究中心, 山东 济南 250021
  • 发布日期:2023-04-11
  • 通讯作者: 颜军昊. E-mail:yyy306@126.com
  • 基金资助:
    国家自然科学基金(82171648;81901556)

Two male CCRs carriers with assisted pregnancy and literature review

JIN Chenxi1,2,3, WANG Yufeng1,2,3, ZHANG Qian1,2,3, LI Jing1,2,3, LI Hongchang1,2,3, YAN Junhao1,2,3   

  1. 1. Center for Reproductive Medicine, Cheeloo College of Medicine, Shandong University, Jinan 250001, Shandong, China;
    2. Shandong Provincial Clinical Medicine Research Center for Reproductive Health, Shandong University, Jinan 250001, Shandong, China;
    3. National Research Center for Assisted Reproductive Technology and Reproductive Genetics, Shandong University, Jinan 250021, Shandong, China
  • Published:2023-04-11

摘要: 目的 探讨男性染色体复杂平衡易位(CCRs)携带者的适宜助孕手段。 方法 2例男性CCRs携带者通过胚胎植入前染色体重排检测(PGT-SR)助孕,其中1例夫妇同时行携带者筛查。 结果 2例CCRs携带者夫妇均获得可移植胚胎并生育健康子代。其中1例患者联合携带者筛查技术,移植1枚非携带型胚胎,确保生育携带正常核型的后代。2例携带者夫妇的胚胎整倍体率为8.82%(3/34)。 结论 PGT-SR可有效帮助CCRs携带者筛选可移植胚胎。携带者筛查技术可进一步筛选非携带型整倍体胚胎,阻断亲代染色体异常向子代的传递。

关键词: 复杂染色体平衡易位, 胚胎植入前遗传学检测, 携带者筛查, 二代测序

Abstract: Objective To explore the appropriate means of assisted pregnancy in male complex chromosome rearrangements(CCRs)carriers. Methods Two male CCRs carriers underwent next-generation sequencing(NGS)based preimplantation genetic testing for structural rearrangement(PGT-SR). One of the couples underwent carrier screening to select non-carrier euploidy embryos. Results The two CCRs carrier couples were assisted in pregnancy by PGT-SR(one of them underwent carrier screening at the same time), obtained transferable embryos, and finally gave birth to healthy offspring. The embryo euploidy rate of the two carriers was 8.82%(3/34). Conclusion PGT-SR can effectively help CCRs carriers screen out transplantable euploidy embryos. Carrier screening technology can help carriers to select non-carrier euploidy embryos and block the progeny transmission of chromosomal genetic diseases.

Key words: Complex chromosome rearrangement, Preimplantation genetic testing, Carrier screening, Next-generation sequencing

中图分类号: 

  • R394.3
[1] Pellestor F, Anahory T, Lefort G, et al. Complex chromosomal rearrangements: origin and meiotic behavior[J]. Hum Reprod Update, 2011, 17(4): 476-494.
[2] Nguyen MH, Morel F, Pennamen P, et al. Balanced complex chromosome rearrangement in male infertility: case report and literature review[J]. Andrologia, 2015, 47(2): 178-185.
[3] Madan K. Balanced complex chromosome rearrangements: reproductive aspects. A review[J]. Am J Med Genet A, 2012, 158A(4): 947-963.
[4] Brunet BCFK, Shen J, Cai L, et al. Preimplantation genetic testing for complex chromosomal rearrangement carriers by next-generation sequencing[J]. Reprod Biomed Online, 2018, 37(3): 375-382.
[5] Lim CK, Cho JW, Kim JY, et al. A healthy live birth after successful preimplantation genetic diagnosis for carriers of complex chromosome rearrangements[J]. Fertil Steril, 2008, 90(5): 1680-1684.
[6] Tian C, Li D, Liu P, et al. A de novo complex chromosome rearrangement associated with multisystematic abnormalities, a case report[J]. Mol Cytogenet, 2017, 10: 32. doi: 10.1186/s13039-017-0332-6.
[7] Mas J, Sabouni R, Bocca S. A novel male 2;4;14 complex chromosomal translocation with normal semen parameters but 100% embryonic aneuploidy[J]. J Assist Reprod Genet, 2018, 35(5): 907-912.
[8] Hu L, Wei Y, Luo K, et al. Clinical outcomes in carriers of complex chromosomal rearrangements: a retrospective analysis of comprehensive chromosome screening results in seven cases[J]. Fertil Steril, 2018, 109(3): 486-492.
[9] Frumkin T, Peleg S, Gold V, et al. Complex chromosomal rearrangement-a lesson learned from PGS[J]. J Assist Reprod Genet, 2017, 34(8): 1095-1100.
[10] Scriven PN, Bint SM, Davies AF, et al. Meiotic outcomes of three-way translocations ascertained in cleavage-stage embryos: refinement of reproductive risks and implications for PGD[J]. Eur J Hum Genet, 2014, 22(6): 748-753.
[11] Li G, Shi W, Niu W, et al. The influence of balanced complex chromosomal rearrangements on preimplantation embryonic development potential and molecular karyotype[J]. BMC Genomics, 2020, 21(1): 326. doi: 10.1186/s12864-020-6731-9.
[12] 廖亚平, 王春景, 梁猛, 等. 平衡复杂染色体重排携带者的遗传与生育情况分析[J]. 遗传, 2017, 39(5): 396-412. LIAO Yaping, WANG Chunjing, LIANG Meng, et al. Analysis of genetic characteristics and reproductive risks of balanced complex chromosome rearrangement carriers in China[J]. Hereditas, 2017, 39(5): 396-412.
[13] Olszewska M, Stokowy T, Pollock N, et al. Familial infertility(azoospermia and cryptozoospermia)in two brothers-carriers of t(1;7)complex chromosomal rearrangement(CCR): molecular cytogenetic analysis[J]. Int J Mol Sci, 2020, 21(12):4 559. doi: 10.3390/ijms21124559.
[14] Wang L, Iqbal F, Li G, et al. Abnormal meiotic recombination with complex chromosomal rearrangement in an azoospermic man[J]. Reprod Biomed Online, 2015, 30(6): 651-658.
[15] Liang Y, Xie Y, Kong S, et al. Complex chromosomal rearrangement causes male azoospermia: a case report and literature review[J]. Front Genet, 2022, 13: 792539. doi: 10.3389/fgene.2022.792539.
[16] Loup V, Bernicot I, Janssens P, et al. Combined FISH and PRINS sperm analysis of complex chromosome rearrangement t(1;19;13): an approach facilitating PGD[J]. Mol Hum Reprod, 2010, 16(2): 111-116.
[17] Rossi C, Siffroi JP, Ruosso L, et al. Chromosomal segregation analysis and HOST-based sperm selection in a complex reciprocal translocation carrier[J]. J Assist Reprod Genet, 2023, 40(1): 33-40.
[18] Lei C, Zhang S, Zhu S, et al. Conventional ICSI improves the euploid embryo rate in male reciprocal translocation carriers[J]. J Assist Reprod Genet, 2021, 38(1): 129-138.
[19] Beyer CE, Willats E. Natural selection between day 3 and day 5/6 PGD embryos in couples with reciprocal or robertsonian translocations[J]. J Assist Reprod Genet, 2017, 34(11): 1483-1492.
[20] Scot RT Jr, Upham KM, Forman EJ, et al. Blastocyst biopsy with comprehensive chromosome screning and fresh embryo transfer significantly increases in vitro fertilization implantation and delivery rates:a randomized controled trial[J]. Fertil Steril, 2013, 100(3): 697-703.
[21] 李刚, 石维一, 徐家伟, 等. 基于二代测序胚胎植入前遗传学检测在三方重排复杂染色体易位携带者助孕中的应用[J]. 中华生殖与避孕杂志, 2020, 40(5): 418-422. LI Gang, SHI Weiyi, XU Jiawei, et al. Application of preimplantation genetic testing based on next generation sequencing in three-way complex chromosome rearrangements for assisting reproduction[J]. Chinese Journal of Reproduction and Contraception, 2020, 40(5): 418-422.
[22] Zhang S, Lei C, Wu J, et al. The establishment and application of preimplantation genetic haplotyping in embryo diagnosis for reciprocal and Robertsonian translocation carriers[J]. BMC Med Genomics, 2017, 10(1): 60. doi: 10.1186/s12920-017-0294-x.
[1] 董媛媛,蒋卫东,刘震,王蘋,李蕃,魏艳,王尚,孟玉洁,徐营营,孙琳. 二代测序辅助诊断水痘-带状疱疹病毒性脑膜炎1例[J]. 山东大学学报 (医学版), 2023, 61(1): 121-124.
[2] 安袁笑雪,杜以明,田甜,张一,薛玉文. 肺炎奴卡菌合并天美奴卡菌肺部感染1例报道并文献复习[J]. 山东大学学报 (医学版), 2022, 60(3): 59-63.
[3] 石玉华,王秋敏,戚丹. 辅助生殖技术前沿研究热点及进展[J]. 山东大学学报 (医学版), 2021, 59(9): 97-102.
[4] 黄楚栓, 周锐, 洪海都, 刘建博. 二代测序法诊断腺病毒重症肺炎1例[J]. 山东大学学报 (医学版), 2020, 58(12): 121-124.
[5] 冯阿磊,董青,逄娇慧,殷嘉妮,李强,韩俊庆,杨哲. 基于二代测序技术探究食管鳞癌分子生物学特征及临床意义[J]. 山东大学学报 (医学版), 2019, 57(7): 80-85.
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed   
No Suggested Reading articles found!