PMID- 19059946 OWN - NLM STAT- MEDLINE DCOM- 20090825 LR - 20090224 IS - 1460-2350 (Electronic) IS - 0268-1161 (Linking) VI - 24 IP - 3 DP - 2009 Mar TI - The experience of two European preimplantation genetic diagnosis centres on human leukocyte antigen typing. PG - 732-40 LID - 10.1093/humrep/den423 [doi] AB - BACKGROUND: Two European centres report on human leukocyte antigen (HLA) typing of preimplantation embryos for haematopoietic stem cell (HSC) transplantation: 'UZ Brussel' in Brussels and 'Genoma' in Rome. Both centres have 6 years' experience with technical and clinical aspects of this type of genetic analysis on single blastomeres. METHODS: Both centres apply a similar technique for preimplantation HLA typing using short tandem repeats linked to the HLA locus in multiplex PCR for haplotyping. RESULTS: At present, a conclusive HLA diagnosis could be assured in 92.8% and 90.3% of the embryos at UZ Brussel and at Genoma, respectively. The implantation rates were 32.4% and 28.2%, respectively, and the birth rates per cycle were 9.4% and 18.6%, respectively. The HLA programme at UZ Brussel and at Genoma resulted in the birth of 9 babies and 3 successful HSC transplantations, and 42 babies and 7 successful HSC transplantations, respectively, so far. CONCLUSIONS: Drastic embryo selection for preimplantation HLA typing (in theory 1/4 for HLA, 1/8 for HLA in combination with sexing for X-linked recessive diseases, 3/16 for HLA in combination with autosomal recessive disorders) resulted overall in the birth of 51 babies (15.9% live birth rate per started cycle) in two European centres. FAU - Van de Velde, Hilde AU - Van de Velde H AD - Centre for Reproductive Medicine, UZ Brussel, Laarbeeklaan 101, 1090 Brussels, Belgium. hilde.vandevelde@uzbrussel.be FAU - De Rycke, Martine AU - De Rycke M FAU - De Man, Caroline AU - De Man C FAU - De Hauwere, Kim AU - De Hauwere K FAU - Fiorentino, Francesco AU - Fiorentino F FAU - Kahraman, Semra AU - Kahraman S FAU - Pennings, Guido AU - Pennings G FAU - Verpoest, Willem AU - Verpoest W FAU - Devroey, Paul AU - Devroey P FAU - Liebaers, Inge AU - Liebaers I LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20081205 PL - England TA - Hum Reprod JT - Human reproduction (Oxford, England) JID - 8701199 RN - 0 (Genetic Markers) SB - IM MH - Adult MH - Alleles MH - Belgium MH - Female MH - Genetic Markers MH - Haplotypes MH - Hematopoietic Stem Cell Transplantation/*methods MH - Histocompatibility Testing/*methods MH - Humans MH - Italy MH - Male MH - Maternal Age MH - Pregnancy MH - Pregnancy Outcome MH - Preimplantation Diagnosis/*methods EDAT- 2008/12/09 09:00 MHDA- 2009/08/26 09:00 CRDT- 2008/12/09 09:00 PHST- 2008/12/09 09:00 [pubmed] PHST- 2009/08/26 09:00 [medline] PHST- 2008/12/09 09:00 [entrez] AID - den423 [pii] AID - 10.1093/humrep/den423 [doi] PST - ppublish SO - Hum Reprod. 2009 Mar;24(3):732-40. doi: 10.1093/humrep/den423. Epub 2008 Dec 5.