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Go M, Shim SH. Genomic aspects in reproductive medicine. Clin Exp Reprod Med 2024; 51:91-101. [PMID: 38263590 PMCID: PMC11140259 DOI: 10.5653/cerm.2023.06303] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/16/2023] [Revised: 08/29/2023] [Accepted: 09/21/2023] [Indexed: 01/25/2024] Open
Abstract
Infertility is a complex disease characterized by extreme genetic heterogeneity, compounded by various environmental factors. While there are exceptions, individual genetic and genomic variations related to infertility are typically rare, often family-specific, and may serve as susceptibility factors rather than direct causes of the disease. Consequently, identifying the cause of infertility and developing prevention and treatment strategies based on these factors remain challenging tasks, even in the modern genomic era. In this review, we first examine the genetic and genomic variations associated with infertility, and subsequently summarize the concepts and methods of preimplantation genetic testing in light of advances in genome analysis technology.
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Affiliation(s)
- Minyeon Go
- Department of Biomedical Science, College of Life Science, CHA University, Pocheon, Republic of Korea
| | - Sung Han Shim
- Department of Biomedical Science, College of Life Science, CHA University, Pocheon, Republic of Korea
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Brouillet S, Gala A, Barry F, Anav M, Ferrieres-Hoa A, Andreeva A, Molinari N, Gaspari L, Loup V, Anahory T, Hamamah S. 6Artificial shrinkage before fresh blastocyst transfer and IVF outcomes: a pilot randomized controlled study. Reprod Biomed Online 2024; 49:103941. [PMID: 38824764 DOI: 10.1016/j.rbmo.2024.103941] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/31/2023] [Revised: 02/20/2024] [Accepted: 03/03/2024] [Indexed: 06/04/2024]
Abstract
RESEARCH QUESTION Does artificial shrinkage before fresh blastocyst transfer improve clinical pregnancy rates in IVF? DESIGN In this monocentric prospective, randomized, double-blind, controlled pilot study, 150 couples undergoing fresh single-blastocyst transfer were randomized between 20 May 2018 and 22 February 2022. In the artificial shrinkage group (AS group), a single laser pulse was directed to the cellular junction of the trophectoderm on the opposite side of the inner cell mass in each blastocyst. IVF outcomes were clinical pregnancy, multiple pregnancy and live birth rates. Cell-free DNA (cfDNA) concentration was also measured by quantitative real-time PCR in the blastocyst culture medium. RESULTS In total, 142 couples underwent fresh single-blastocyst transfer: control group, no artificial shrinkage, n = 47; and AS group, artificial shrinkage, n = 95; An intention-to-treat (ITT) analysis was employed. After a reassessment and the exclusion of patients with major protocol deviations, 139 couples underwent fresh single-blastocyst transfer under optimal conditions: control group, n = 47; and AS group, n = 92; a per-protocol analysis was used here. The clinical and laboratory characteristics were not significantly different between the groups. The clinical pregnancy rate was similar in the control and AS groups (ITT: 48.9% versus 49.5%, P = 0.97; per protocol: 48.94% versus 51.1%, P = 0.89). The multiple pregnancy rate and the live birth rate were also similar between the groups. No significant differences in gestational age, birthweight or proportion of male/female newborns were observed. The concentration of cfDNA in the blastocyst culture medium was not associated with IVF outcome. CONCLUSIONS Large-scale randomized controlled trials are required to confirm these preliminary results.
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Affiliation(s)
- Sophie Brouillet
- Department of Reproductive Biology-CECOS, CHU and University of Montpellier, Montpellier, France; Developpement Embryonnaire Fertilite et Environnement, University of Montpellier, INSERM 1203, Montpellier, France
| | - Anna Gala
- Department of Reproductive Biology-CECOS, CHU and University of Montpellier, Montpellier, France; Developpement Embryonnaire Fertilite et Environnement, University of Montpellier, INSERM 1203, Montpellier, France
| | - Fatima Barry
- Department of Reproductive Biology-CECOS, CHU and University of Montpellier, Montpellier, France; Developpement Embryonnaire Fertilite et Environnement, University of Montpellier, INSERM 1203, Montpellier, France
| | - Margaux Anav
- Department of Reproductive Biology-CECOS, CHU and University of Montpellier, Montpellier, France; Developpement Embryonnaire Fertilite et Environnement, University of Montpellier, INSERM 1203, Montpellier, France
| | - Alice Ferrieres-Hoa
- Department of Reproductive Biology-CECOS, CHU and University of Montpellier, Montpellier, France; Developpement Embryonnaire Fertilite et Environnement, University of Montpellier, INSERM 1203, Montpellier, France
| | - Aneta Andreeva
- Department of Reproductive Biology-CECOS, CHU and University of Montpellier, Montpellier, France; Developpement Embryonnaire Fertilite et Environnement, University of Montpellier, INSERM 1203, Montpellier, France
| | - Nicolas Molinari
- Institut Desbrest d'Epidémiologie et de Santé Publique, University of Montpellier, INSERM, PreMEdical, INRIA, CHU Montpellier, Montpellier, France
| | - Laura Gaspari
- Developpement Embryonnaire Fertilite et Environnement, University of Montpellier, INSERM 1203, Montpellier, France
| | - Vanessa Loup
- Department of Reproductive Biology-CECOS, CHU and University of Montpellier, Montpellier, France; Developpement Embryonnaire Fertilite et Environnement, University of Montpellier, INSERM 1203, Montpellier, France
| | - Tal Anahory
- Department of Reproductive Medicine, Montpellier University Hospital, University of Montpellier, Montpellier, France
| | - Samir Hamamah
- Department of Reproductive Biology-CECOS, CHU and University of Montpellier, Montpellier, France; Developpement Embryonnaire Fertilite et Environnement, University of Montpellier, INSERM 1203, Montpellier, France.
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Latham KE. Preimplantation genetic testing: A remarkable history of pioneering, technical challenges, innovations, and ethical considerations. Mol Reprod Dev 2024; 91:e23727. [PMID: 38282313 DOI: 10.1002/mrd.23727] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/11/2023] [Accepted: 12/15/2023] [Indexed: 01/30/2024]
Abstract
Preimplantation genetic testing (PGT) has emerged as a powerful companion to assisted reproduction technologies. The origins and history of PGT are reviewed here, along with descriptions of advances in molecular assays and sampling methods, their capabilities, and their applications in preventing genetic diseases and enhancing pregnancy outcomes. Additionally, the potential for increasing accuracy and genome coverage is considered, as well as some of the emerging ethical and legislative considerations related to the expanding capabilities of PGT.
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Affiliation(s)
- Keith E Latham
- Department of Animal Science, Michigan State University, East Lansing, Michigan, USA
- Department of Obstetrics, Gynecology and Reproductive Biology, Michigan State University, East Lansing, Michigan, USA
- Reproductive and Developmental Sciences Program, Michigan State University, East Lansing, Michigan, USA
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