PMID- 31751677 OWN - NLM STAT- MEDLINE DCOM- 20210512 LR - 20210512 IS - 1943-7811 (Electronic) IS - 1525-1578 (Linking) VI - 22 IP - 2 DP - 2020 Feb TI - Single-Molecule Sequencing: A New Approach for Preimplantation Testing and Noninvasive Prenatal Diagnosis Confirmation of Fetal Genotype. PG - 220-227 LID - S1525-1578(19)30408-8 [pii] LID - 10.1016/j.jmoldx.2019.10.001 [doi] AB - We investigated the potential of next-generation sequencing (NGS) as an alternative method for preimplantation genetic testing of monogenic disease (PGT-M) with human leukocyte antigen (HLA) matching and for noninvasive prenatal diagnosis follow-up. The case involved parents who were carriers of the Fanconi anemia complementation group G (FANCG) 260delG mutation. After clinical PGT using conventional short tandem repeat and mutation analysis, two euploid disease-free embryos were transferred, resulting in a twin pregnancy. Using the original embryo whole genome amplification products from 10 embryos, NGS confirmed the genotypes of the eight nontransferred embryos for both mutation status and HLA combination. NGS also confirmed that the two transferred embryos, which resulted in a twin pregnancy, were euploid, Fanconi disease free, and HLA matched to their sick sibling. At 15 weeks' gestation, noninvasive prenatal diagnosis of the maternal cell-free DNA determined fetal fractions of 14% and 6.6% for twins 1 and 2, respectively. The maternal plasma FANCG 260delG mutation ratio was measured at 46.2%, consistent with the presence of a carrier fetus and a normal fetus. These findings provide proof of concept that NGS has clinical utility as a safe and effective PGT-M method for embryo genotyping as well as more complex direct HLA matching. In addition, NGS can be used to confirm the original PGT-M and HLA matching embryo results in early pregnancy without the need for invasive prenatal diagnosis. CI - Copyright (c) 2020 American Society for Investigative Pathology and the Association for Molecular Pathology. Published by Elsevier Inc. All rights reserved. FAU - Rechitsky, Svetlana AU - Rechitsky S AD - Reproductive Genetic Innovations, Chicago, Illinois. FAU - Kuliev, Anver AU - Kuliev A AD - Reproductive Genetic Innovations, Chicago, Illinois. FAU - San Ramon, Geraldine AU - San Ramon G AD - Reproductive Genetic Innovations, Chicago, Illinois. FAU - Tur-Kaspa, Ilan AU - Tur-Kaspa I AD - Institute for Human Reproduction, Chicago, Illinois. FAU - Wang, Yin AU - Wang Y AD - Research and Development Department, Berry Genomics Corporation, Beijing, People's Republic of China. FAU - Wang, Wenjie AU - Wang W AD - Women Health Center of Shanxi, Children's Hospital of Shanxi, Taiyuan, People's Republic of China. FAU - Wu, Xueqing AU - Wu X AD - Women Health Center of Shanxi, Children's Hospital of Shanxi, Taiyuan, People's Republic of China. FAU - Wang, Li AU - Wang L AD - IVF Center, First Hospital of Kunming, Kunming, People's Republic of China. FAU - Leigh, Don AU - Leigh D AD - IVF Center, First Hospital of Kunming, Kunming, People's Republic of China. FAU - Cram, David S AU - Cram DS AD - Research and Development Department, Berry Genomics Corporation, Beijing, People's Republic of China; Women Health Center of Shanxi, Children's Hospital of Shanxi, Taiyuan, People's Republic of China; IVF Center, First Hospital of Kunming, Kunming, People's Republic of China. Electronic address: david.cram@berrygenomics.com. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20191118 PL - United States TA - J Mol Diagn JT - The Journal of molecular diagnostics : JMD JID - 100893612 RN - 0 (FANCG protein, human) RN - 0 (Fanconi Anemia Complementation Group G Protein) RN - 0 (Genetic Markers) RN - 0 (HLA Antigens) SB - IM MH - Aneuploidy MH - Fanconi Anemia Complementation Group G Protein/genetics MH - Female MH - *Fetus MH - Genetic Markers MH - Genetic Testing/methods MH - *Genotype MH - Genotyping Techniques MH - HLA Antigens/genetics MH - *High-Throughput Nucleotide Sequencing/methods MH - Histocompatibility Testing MH - Humans MH - Male MH - Noninvasive Prenatal Testing/*methods/standards MH - Pregnancy MH - Pregnancy, Twin MH - Preimplantation Diagnosis/*methods/standards MH - Single-Cell Analysis/*methods EDAT- 2019/11/22 06:00 MHDA- 2021/05/13 06:00 CRDT- 2019/11/22 06:00 PHST- 2019/07/29 00:00 [received] PHST- 2019/09/11 00:00 [revised] PHST- 2019/10/10 00:00 [accepted] PHST- 2019/11/22 06:00 [pubmed] PHST- 2021/05/13 06:00 [medline] PHST- 2019/11/22 06:00 [entrez] AID - S1525-1578(19)30408-8 [pii] AID - 10.1016/j.jmoldx.2019.10.001 [doi] PST - ppublish SO - J Mol Diagn. 2020 Feb;22(2):220-227. doi: 10.1016/j.jmoldx.2019.10.001. Epub 2019 Nov 18.