PMID- 33494632 OWN - NLM STAT- MEDLINE DCOM- 20211206 LR - 20211214 IS - 1939-6376 (Electronic) IS - 1939-6368 (Linking) VI - 67 IP - 2 DP - 2021 Apr TI - Successful four-factor preimplantation genetic testing: alpha- and beta-thalassemia, human leukocyte antigen typing, and aneuploidy screening. PG - 151-159 LID - 10.1080/19396368.2020.1832158 [doi] AB - Our study established an effective next-generation sequencing (NGS) protocol for four-factor preimplantation genetic testing (PGT) using alpha- and beta-thalassemia, human leukocyte antigen (HLA) typing, and aneuploidy screening. Three couples, in whom both partners were alpha- and beta-double thalassemia carriers, underwent PGT between 2016 and 2018. These individuals sought an opportunity for hematopoietic stem cell transplantation to save their children from beta-thalassemia major. A total of 35 biopsied trophectoderm samples underwent multiple displacement amplification (MDA). PGT for alpha- and beta-thalassemia and HLA typing were performed on MDA products using NGS-based single-nucleotide polymorphism (SNP) haplotyping. Although two samples failed MDA, 94.3% (33/35) of samples were successfully amplified, achieving conclusive PGT results. Furthermore, 51.5% (17/33) of the embryos were diagnosed as unaffected non-carriers or carriers. Of the 17 unaffected embryos, nine (52.9%) were tested further and identified as euploid via NGS-based aneuploid screening, in which five had HLA types matching affected children. One family did not achieve any unaffected euploid embryos. The two other families transferred HLA-matched and unaffected euploid embryos, resulting in two healthy 'savior babies.' NGS-PGT results were confirmed in prenatal diagnosis. Therefore, NGS-SNP was effective in performing PGT for multipurpose detection within a single PGT cycle. FAU - Chen, Dongjia AU - Chen D AUID- ORCID: 0000-0002-2419-2575 AD - Reproductive Medicine Center, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, China. AD - Guangdong Provincial Key Laboratory of Reproductive Medicine, Guangzhou, China. FAU - Shen, Xiaoting AU - Shen X AD - Reproductive Medicine Center, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, China. AD - Guangdong Provincial Key Laboratory of Reproductive Medicine, Guangzhou, China. FAU - Xu, Yan AU - Xu Y AD - Reproductive Medicine Center, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, China. AD - Guangdong Provincial Key Laboratory of Reproductive Medicine, Guangzhou, China. FAU - Ding, Chenhui AU - Ding C AD - Reproductive Medicine Center, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, China. AD - Guangdong Provincial Key Laboratory of Reproductive Medicine, Guangzhou, China. FAU - Ye, Qingjian AU - Ye Q AD - Department of Gynecology, The Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China. FAU - Zhong, Yiping AU - Zhong Y AD - Reproductive Medicine Center, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, China. AD - Guangdong Provincial Key Laboratory of Reproductive Medicine, Guangzhou, China. FAU - Xu, Yanwen AU - Xu Y AD - Reproductive Medicine Center, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, China. AD - Guangdong Provincial Key Laboratory of Reproductive Medicine, Guangzhou, China. FAU - Zhou, Canquan AU - Zhou C AD - Reproductive Medicine Center, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, China. AD - Guangdong Provincial Key Laboratory of Reproductive Medicine, Guangzhou, China. LA - eng PT - Journal Article DEP - 20210125 PL - England TA - Syst Biol Reprod Med JT - Systems biology in reproductive medicine JID - 101464963 RN - 0 (HLA Antigens) SB - IM MH - Aneuploidy MH - Embryo Transfer MH - Female MH - HLA Antigens/genetics MH - Histocompatibility Testing MH - Humans MH - Pregnancy MH - *Preimplantation Diagnosis MH - *beta-Thalassemia/diagnosis/genetics OTO - NOTNLM OT - Thalassemia OT - human leukocyte antigen typing OT - next-generation sequencing OT - preimplantation genetic testing EDAT- 2021/01/27 06:00 MHDA- 2021/12/15 06:00 CRDT- 2021/01/26 05:27 PHST- 2021/01/27 06:00 [pubmed] PHST- 2021/12/15 06:00 [medline] PHST- 2021/01/26 05:27 [entrez] AID - 10.1080/19396368.2020.1832158 [doi] PST - ppublish SO - Syst Biol Reprod Med. 2021 Apr;67(2):151-159. doi: 10.1080/19396368.2020.1832158. Epub 2021 Jan 25.