PMID- 33227189 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20201210 IS - 2233-8233 (Print) IS - 2233-8241 (Electronic) IS - 2093-8896 (Linking) VI - 47 IP - 4 DP - 2020 Dec TI - Reanalysis of discarded blastocysts for autosomal aneuploidy after sex selection in cleavage-stage embryos. PG - 293-299 LID - 10.5653/cerm.2019.03426 [doi] AB - OBJECTIVE: The goal of the present study was to investigate the rate of chromosomal aneuploidies in surplus embryos after sex determination at the cleavage stage. Then, the same chromosomal aneuploidies were evaluated in blastocysts after extended culture. METHODS: Sixty-eight surplus embryos were biopsied at the cleavage stage and incubated for an additional 3 days to allow them to reach the blastocyst stage. The embryos were reanalyzed via fluorescence in situ hybridization (FISH) to examine eight chromosomes (13, 15, 16, 18, 21, 22, X, and Y) in both cleavage-stage embryos and blastocysts. RESULTS: Although the total abnormality rate was lower in blastocysts (32.35%) than in cleavage-stage embryos (45.58%), the difference was not significant (p=0.113). However, when we restricted the analysis to autosomal abnormalities, we observed a significant difference in the abnormality rate between the cleavage-stage embryos (44.11%) and the blastocysts (17.64%, p=0.008). A higher rate of sex chromosomal abnormalities was also observed in cleavage-stage embryos (29.4%) than in blastocysts (14.70%, p=0.038). CONCLUSION: The data indicated that embryo biopsy should be conducted at the blastocyst stage rather than the cleavage stage. The results also emphasized that examination of common chromosomal aneuploidies apart from sex selection cycles can be conducted in the blastocyst stage with the FISH method. FAU - Ebrahimian, Neda AU - Ebrahimian N AD - Research and Clinical Center for Infertility, Yazd Reproductive Sciences Institute, Shahid Sadoughi University of Medical Sciences, Yazd, Iran. AD - Abortion Research Center, Yazd Reproductive Sciences Institute, Shahid Sadoughi University of Medical Sciences, Yazd, Iran. FAU - Montazeri, Fatemeh AU - Montazeri F AD - Abortion Research Center, Yazd Reproductive Sciences Institute, Shahid Sadoughi University of Medical Sciences, Yazd, Iran. FAU - Sadeghi, Mohammad Reza AU - Sadeghi MR AD - Reproductive Embryology and Andrology Research Center, Avicenna Research Institute, Academic Center for Education, Culture and Research, Tehran, Iran. FAU - Kalantar, Seyed Mehdi AU - Kalantar SM AD - Abortion Research Center, Yazd Reproductive Sciences Institute, Shahid Sadoughi University of Medical Sciences, Yazd, Iran. FAU - Gilany, Kambiz AU - Gilany K AD - Reproductive Biotechnology Research Center, Avicenna Research Institute, ACECR, Tehran, Iran. FAU - Khalili, Mohannad Ali AU - Khalili MA AD - Research and Clinical Center for Infertility, Yazd Reproductive Sciences Institute, Shahid Sadoughi University of Medical Sciences, Yazd, Iran. LA - eng GR - grant no. 5647/Yazd Reproductive Sciences Institute/ PT - Journal Article DEP - 20201119 PL - Korea (South) TA - Clin Exp Reprod Med JT - Clinical and experimental reproductive medicine JID - 101563916 PMC - PMC7711103 OTO - NOTNLM OT - Blastocyst OT - Embryo OT - Fluorescence in situ hybridization OT - Trophectoderm biopsy COIS- Conflict of interest No potential conflict of interest relevant to this article was reported. EDAT- 2020/11/24 06:00 MHDA- 2020/11/24 06:01 PMCR- 2020/12/01 CRDT- 2020/11/23 18:36 PHST- 2019/11/21 00:00 [received] PHST- 2020/06/11 00:00 [accepted] PHST- 2020/11/24 06:00 [pubmed] PHST- 2020/11/24 06:01 [medline] PHST- 2020/11/23 18:36 [entrez] PHST- 2020/12/01 00:00 [pmc-release] AID - cerm.2019.03426 [pii] AID - cerm-2019-03426 [pii] AID - 10.5653/cerm.2019.03426 [doi] PST - ppublish SO - Clin Exp Reprod Med. 2020 Dec;47(4):293-299. doi: 10.5653/cerm.2019.03426. Epub 2020 Nov 19.