PMID- 22524201 OWN - NLM STAT- MEDLINE DCOM- 20120920 LR - 20120619 IS - 1600-0412 (Electronic) IS - 0001-6349 (Linking) VI - 91 IP - 7 DP - 2012 Jul TI - Preimplantation genetic diagnosis with HLA matching - a way to save a child. PG - 765-8 LID - 10.1111/j.1600-0412.2012.01426.x [doi] AB - Preimplantation genetic diagnosis can be used to establish a pregnancy with an embryo that is human leukocyte antigen (HLA)-matched to a sibling having a hematological or immunological disease and needing a life-saving bone marrow transplantation. The ethical aspects of this procedure have been discussed intensively. The procedure applies where no unrelated HLA-matching donor is available or when transplantation from an HLA-matching sibling is considered a better solution. It is only offered in a limited number of centers in Europe as this is a challenging procedure. Where both HLA matching and diagnosis of a dominant disease are necessary, only a small proportion of the embryos can be used, and the procedure is not always technically feasible. The clinical pregnancy rate per cycle started is much lower than following normal in vitro fertilization (IVF) due to a high cycle cancellation rate, but the success rate is only somewhat lower when measured per transfer. CI - (c) 2012 The Authors Acta Obstetricia et Gynecologica Scandinavica(c) 2012 Nordic Federation of Societies of Obstetrics and Gynecology. FAU - Ingerslev, Hans Jakob AU - Ingerslev HJ AD - Fertility Clinic/Center for Preimplantation Genetic Diagnosis, Aarhus University Hospital, Aarhus, Denmark. jakob.ingerslev@skejby.rm.dk FAU - Hindkjaer, Johnny AU - Hindkjaer J LA - eng PT - Journal Article DEP - 20120522 PL - United States TA - Acta Obstet Gynecol Scand JT - Acta obstetricia et gynecologica Scandinavica JID - 0370343 RN - 0 (HLA Antigens) SB - IM MH - Bone Marrow Transplantation/immunology MH - Female MH - HLA Antigens/*genetics/*immunology MH - Histocompatibility Testing/ethics/*methods MH - Humans MH - Infant, Newborn MH - Pregnancy MH - Preimplantation Diagnosis/ethics/*methods MH - Siblings EDAT- 2012/04/25 06:00 MHDA- 2012/09/21 06:00 CRDT- 2012/04/25 06:00 PHST- 2012/04/25 06:00 [entrez] PHST- 2012/04/25 06:00 [pubmed] PHST- 2012/09/21 06:00 [medline] AID - 10.1111/j.1600-0412.2012.01426.x [doi] PST - ppublish SO - Acta Obstet Gynecol Scand. 2012 Jul;91(7):765-8. doi: 10.1111/j.1600-0412.2012.01426.x. Epub 2012 May 22.