PMID- 31758512 OWN - NLM STAT- MEDLINE DCOM- 20200430 LR - 20201201 IS - 1573-7330 (Electronic) IS - 1058-0468 (Print) IS - 1058-0468 (Linking) VI - 36 IP - 12 DP - 2019 Dec TI - Karyomapping in preimplantation genetic testing for beta-thalassemia combined with HLA matching: a systematic summary. PG - 2515-2523 LID - 10.1007/s10815-019-01595-7 [doi] AB - PURPOSE: To investigate the validity, accuracy, and clinical outcomes of Karyomapping in preimplantation genetic testing (PGT) for beta-thalassemia combined with human leukocyte antigen (HLA) matching. METHODS: A total of 128 cycles from January 2014 to December 2017 were identified, and 1205 embryos were biopsied. The case group included 88 cycles using Karyomapping for PGT-HLA, compared with 40 cycles using polymerase chain reaction-short tandem repeat (PCR-STR) as the control group. RESULTS: There were significant differences in the HLA matching rate (21.34 vs. 14.37%), the matched transferable embryo rate (9.79 vs. 14.07%), the clinical pregnancy rate (65.08 vs. 41.86%), and the spontaneous miscarriage rate (2.44 vs. 22.22%) between the case and control groups. In the case group, nearly 1/3 (33.37%) of the embryos showed aneuploidy. According to the results of single nucleotide polymorphism (SNP) haplotype analysis, the recombination rates of HBB (hemoglobin subunit beta) and HLA were 11.46% and 5.61% respectively. HLA gene recombination was mostly distributed between HLA-A and HLA-B and the downstream region of HLA-DQB1. In addition, STR analysis could be considered in the case of copy-neutral loss of heterozygosity (LOH) in the region where the HLA gene is located. CONCLUSION: Karyomapping contributes to accurate selection of matched embryos, along with aneuploidy screening. However, STRs assist identification in cases of LOH in the target region. FAU - Wang, Jing AU - Wang J AD - Reproductive Medicine Center, The First Affiliated Hospital, Sun Yat-sen University, Guangdong, China. FAU - Lu, Bao-Min AU - Lu BM AD - Reproductive Medicine Center, The First Affiliated Hospital, Sun Yat-sen University, Guangdong, China. FAU - Li, Rong AU - Li R AD - Reproductive Medicine Center, The First Affiliated Hospital, Sun Yat-sen University, Guangdong, China. FAU - Guo, Jing AU - Guo J AD - Reproductive Medicine Center, The First Affiliated Hospital, Sun Yat-sen University, Guangdong, China. FAU - Xu, Yan AU - Xu Y AD - Reproductive Medicine Center, The First Affiliated Hospital, Sun Yat-sen University, Guangdong, China. FAU - Pan, Jia-Fu AU - Pan JF AD - Reproductive Medicine Center, The First Affiliated Hospital, Sun Yat-sen University, Guangdong, China. FAU - Zeng, Yan-Hong AU - Zeng YH AD - Reproductive Medicine Center, The First Affiliated Hospital, Sun Yat-sen University, Guangdong, China. FAU - Zhou, Can-Quan AU - Zhou CQ AD - Reproductive Medicine Center, The First Affiliated Hospital, Sun Yat-sen University, Guangdong, China. FAU - Xu, Yan-Wen AU - Xu YW AD - Reproductive Medicine Center, The First Affiliated Hospital, Sun Yat-sen University, Guangdong, China. xuyanwen@live.cn. AD - Guangdong Provincial Key Laboratory of Reproductive Medicine, No.58, Zhongshan II Road, Guangzhou, 510080, China. xuyanwen@live.cn. LA - eng GR - 2018YFC1003102/National Key Research and Development Program/ GR - 81771588/National Natural Science Foundation of China/ GR - 201804020087/Guangzhou Science and Technology Project/ GR - 2016A020218008/Guangdong Province Science and Technology Project/ PT - Journal Article DEP - 20191122 PL - Netherlands TA - J Assist Reprod Genet JT - Journal of assisted reproduction and genetics JID - 9206495 RN - 0 (HLA-A Antigens) RN - 0 (HLA-B Antigens) RN - 0 (HLA-DQ beta-Chains) RN - 0 (HLA-DQB1 antigen) RN - 0 (Hemoglobin Subunits) SB - IM MH - Adult MH - Biopsy MH - Embryo Transfer MH - Female MH - HLA-A Antigens/*genetics MH - HLA-B Antigens/*genetics MH - HLA-DQ beta-Chains/genetics MH - Hemoglobin Subunits/genetics MH - Humans MH - Karyotyping/*methods MH - Loss of Heterozygosity/genetics MH - Pregnancy MH - Pregnancy Rate MH - *Preimplantation Diagnosis MH - beta-Thalassemia/*diagnosis/genetics/pathology PMC - PMC6911139 OTO - NOTNLM OT - Genetic testing OT - HLA matching OT - Karyomapping OT - Preimplantation OT - beta-Thalassemia EDAT- 2019/11/24 06:00 MHDA- 2020/05/01 06:00 PMCR- 2020/12/01 CRDT- 2019/11/24 06:00 PHST- 2019/07/03 00:00 [received] PHST- 2019/09/24 00:00 [accepted] PHST- 2019/11/24 06:00 [pubmed] PHST- 2020/05/01 06:00 [medline] PHST- 2019/11/24 06:00 [entrez] PHST- 2020/12/01 00:00 [pmc-release] AID - 10.1007/s10815-019-01595-7 [pii] AID - 1595 [pii] AID - 10.1007/s10815-019-01595-7 [doi] PST - ppublish SO - J Assist Reprod Genet. 2019 Dec;36(12):2515-2523. doi: 10.1007/s10815-019-01595-7. Epub 2019 Nov 22.