PMID- 15749997 OWN - NLM STAT- MEDLINE DCOM- 20050422 LR - 20051116 IS - 0022-1554 (Print) IS - 0022-1554 (Linking) VI - 53 IP - 3 DP - 2005 Mar TI - Preimplantation genetic diagnosis--an overview. PG - 255-60 AB - Since the early 1990s, preimplantation genetic diagnosis (PGD) has been expanding in scope and applications. Selection of female embryos to avoid X-linked disease was carried out first by polymerase chain reaction, then by fluorescence in situ hybridization (FISH), and an ever-increasing number of tests for monogenic diseases have been developed. Couples with chromosome rearrangements such as Robertsonian and reciprocal translocations form a large referral group for most PGD centers and present a special challenge, due to the large number of genetically unbalanced embryos generated by meiotic segregation. Early protocols used blastomeres biopsied from cleavage-stage embryos; testing of first and second polar bodies is now a routine alternative, and blastocyst biopsy can also be used. More recently, the technology has been harnessed to provide PGD-AS, or aneuploidy screening. FISH probes specific for chromosomes commonly found to be aneuploid in early pregnancy loss are used to test blastomeres for aneuploidy, with the aim of replacing euploid embryos and increasing pregnancy rates in groups of women who have poor IVF success rates. More recent application of PGD to areas such as HLA typing and social sex selection have stoked public controversy and concern, while provoking interesting ethical debates and keeping PGD firmly in the public eye. FAU - Ogilvie, Caroline Mackie AU - Ogilvie CM AD - Cytogenetics Department, 5th Floor, Guy's Tower, St Thomas St, London SE1 9RT, UK. caroline.ogilvie@genetics.kcl.ac.uk FAU - Braude, Peter R AU - Braude PR FAU - Scriven, Paul N AU - Scriven PN LA - eng PT - Journal Article PT - Review PL - United States TA - J Histochem Cytochem JT - The journal of histochemistry and cytochemistry : official journal of the Histochemistry Society JID - 9815334 SB - IM MH - Female MH - Genetic Diseases, Inborn/diagnosis MH - Humans MH - Male MH - Preimplantation Diagnosis/ethics/*methods RF - 35 EDAT- 2005/03/08 09:00 MHDA- 2005/04/23 09:00 CRDT- 2005/03/08 09:00 PHST- 2005/03/08 09:00 [pubmed] PHST- 2005/04/23 09:00 [medline] PHST- 2005/03/08 09:00 [entrez] AID - 53/3/255 [pii] AID - 10.1369/jhc.4B6395.2005 [doi] PST - ppublish SO - J Histochem Cytochem. 2005 Mar;53(3):255-60. doi: 10.1369/jhc.4B6395.2005.