PMID- 25191937 OWN - NLM STAT- MEDLINE DCOM- 20160317 LR - 20211021 IS - 1932-6203 (Electronic) IS - 1932-6203 (Linking) VI - 9 IP - 9 DP - 2014 TI - Biopsy of human morula-stage embryos: outcome of 215 IVF/ICSI cycles with PGS. PG - e106433 LID - 10.1371/journal.pone.0106433 [doi] LID - e106433 AB - Preimplantation genetic diagnosis (PGD) is commonly performed on biopsies from 6-8-cell-stage embryos or blastocyst trophectoderm obtained on day 3 or 5, respectively. Day 4 human embryos at the morula stage were successfully biopsied. Biopsy was performed on 709 morulae from 215 ICSI cycles with preimplantation genetic screening (PGS), and 3-7 cells were obtained from each embryo. The most common vital aneuploidies (chromosomes X/Y, 21) were screened by fluorescence in situ hybridization (FISH). No aneuploidy was observed in 72.7% of embryos, 91% of those developed to blastocysts. Embryos were transferred on days 5-6. Clinical pregnancy was obtained in 32.8% of cases, and 60 babies were born. Patients who underwent ICSI/PGS treatment were compared with those who underwent standard ICSI treatment by examining the percentage of blastocysts, pregnancy rate, gestational length, birth height and weight. No significant differences in these parameters were observed between the groups. Day 4 biopsy procedure does not adversely affect embryo development in vitro or in vivo. The increased number of cells obtained by biopsy of morulae might facilitate diagnostic screening. There is enough time after biopsy to obtain PGD results for embryo transfer on day 5-6 in the current IVF cycle. FAU - Zakharova, Elena E AU - Zakharova EE AD - Center for Reproductive Medicine MAMA, Moscow, Russian Federation. FAU - Zaletova, Victoria V AU - Zaletova VV AD - Center for Reproductive Medicine MAMA, Moscow, Russian Federation. FAU - Krivokharchenko, Alexander S AU - Krivokharchenko AS AD - Center for Reproductive Medicine MAMA, Moscow, Russian Federation. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20140905 PL - United States TA - PLoS One JT - PloS one JID - 101285081 SB - IM MH - Adult MH - Biopsy MH - Embryo Transfer MH - Female MH - Fertilization in Vitro MH - Humans MH - In Situ Hybridization, Fluorescence MH - Morula/*cytology MH - Pregnancy MH - Pregnancy Outcome MH - Pregnancy Rate MH - Preimplantation Diagnosis MH - Sperm Injections, Intracytoplasmic PMC - PMC4156362 COIS- Competing Interests: The authors have declared that no competing interests exist. EDAT- 2014/09/06 06:00 MHDA- 2016/03/18 06:00 PMCR- 2014/09/05 CRDT- 2014/09/06 06:00 PHST- 2014/05/20 00:00 [received] PHST- 2014/07/29 00:00 [accepted] PHST- 2014/09/06 06:00 [entrez] PHST- 2014/09/06 06:00 [pubmed] PHST- 2016/03/18 06:00 [medline] PHST- 2014/09/05 00:00 [pmc-release] AID - PONE-D-14-22425 [pii] AID - 10.1371/journal.pone.0106433 [doi] PST - epublish SO - PLoS One. 2014 Sep 5;9(9):e106433. doi: 10.1371/journal.pone.0106433. eCollection 2014.