PMID- 16192709 OWN - NLM STAT- MEDLINE DCOM- 20060123 LR - 20220311 IS - 1424-859X (Electronic) IS - 1424-8581 (Linking) VI - 111 IP - 3-4 DP - 2005 TI - Analysis of chromosome segregation during preimplantation genetic diagnosis in both male and female translocation heterozygotes. PG - 305-9 AB - Individuals carrying translocations suffer from reduced fertility or spontaneous abortions and seek help in form of assisted reproductive technology (ART) and preimplantation genetic diagnosis (PGD). While most translocations are relatively easy to detect in metaphase cells, the majority of embryonic cells biopsied in the course of in vitro fertilization (IVF) procedures are in interphase. These nuclei are thus unsuitable for analysis by chromosome banding or painting using fluorescence in situ hybridization (FISH). Thus several methods have been devised to detect translocation imbalance through FISH in single cells for purpose of PGD, among them polar body chromosome painting, interphase FISH with combination of subtelomeric and centromeric probes, breakpoint spanning probes, and cell conversion. Results with PGD indicate a significant decrease in spontaneous abortions, from 81% before PGD to 13% after PGD. They also indicate very high rates of chromosome abnormalities in embryos from translocation carriers, 72% for Robertsonian translocations and 82% for reciprocal translocations. Sperm analysis was found to be a good predictor of IVF and PGD outcome, with samples with more than 60% abnormal forms indicating poor prognosis. Similarly, the predictability from first PGD cycle results for future cycles was 90%. In summary, PGD can help translocation carriers to achieve viable pregnancies, but the success of the process is conversely related to the baseline of unbalanced gametes. CI - Copyright 2005 S. Karger AG, Basel. FAU - Munne, S AU - Munne S AD - Reprogenetics, LLC, West Orange, NJ 07052, USA. munne@Embryos.net LA - eng PT - Journal Article PT - Review PL - Switzerland TA - Cytogenet Genome Res JT - Cytogenetic and genome research JID - 101142708 SB - IM MH - Blastula/*physiology MH - Chromosome Aberrations MH - *Chromosome Segregation MH - Embryonic Development/genetics MH - Female MH - Fertilization in Vitro MH - Humans MH - Male MH - Pregnancy MH - Pregnancy Outcome MH - Prenatal Diagnosis MH - *Translocation, Genetic RF - 52 EDAT- 2005/09/30 09:00 MHDA- 2006/01/24 09:00 CRDT- 2005/09/30 09:00 PHST- 2004/10/15 00:00 [received] PHST- 2005/02/16 00:00 [accepted] PHST- 2005/09/30 09:00 [pubmed] PHST- 2006/01/24 09:00 [medline] PHST- 2005/09/30 09:00 [entrez] AID - 86904 [pii] AID - 10.1159/000086904 [doi] PST - ppublish SO - Cytogenet Genome Res. 2005;111(3-4):305-9. doi: 10.1159/000086904.