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
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
JIN Chenxi1,2,3, WANG Yufeng1,2,3, ZHANG Qian1,2,3, LI Jing1,2,3, LI Hongchang1,2,3, YAN Junhao1,2,3
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。
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[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. |
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