PMID- 36452189 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20221202 IS - 2228-5482 (Print) IS - 2251-676X (Electronic) IS - 2228-5482 (Linking) VI - 23 IP - 4 DP - 2022 Oct-Dec TI - An Incidental Detection of a Cryptic Complex Chromosome Rearrangement Found During NGS Based PGT-SR: A Case Report. PG - 303-309 LID - 10.18502/jri.v23i4.10817 [doi] AB - BACKGROUND: Complex chromosome rearrangements (CCRs) involve more than 2 chromosomal breakpoints and cause the exchanges of chromosomal segments between two or more chromosomes. The carriers of CCRs have normal phenotypes, but they have a higher risk of reproductive failure. CASE PRESENTATION: This paper presents a couple with a history of two affected children, one spontaneous abortion, three in vitro fertilization (IVF) failures, and one healthy boy who were referred to our laboratory for preimplantation genetic testing (PGT). The wife had been evaluated as a carrier of 46,XX,t (2;6)(p21;p25); therefore, four IVF treatment cycles supported with PGT for this translocation had been performed in different IVF centers until the couple consulted our laboratory. Only one of these four IVF attempts had resulted in a healthy boy and this IVF study had been performed with fluorescence in situ hybridization (FISH)-based preimplantation genetic testing for structural chromosomal rearrangements (PGT-SR). The fifth IVF study with next-generation sequencing (NGS)-based PGT was performed by our laboratory and no healthy embryo was found in evaluated 6 embryos. During our NGS-based PGT, the cryptic involvement of 12p was firstly detected. FISH with chromosome 2,6, and 12 specific probes revealed that the mother was a carrier of a balanced 3-way translocation of 46,XX,t(2;6;12)(p21;p25;p13). CONCLUSION: NGS based PGT-SR method is an accurate method for detecting the copy number variations and is helpful to find out the cryptic CCRs. CI - Copyright(c) 2022, Avicenna Research Institute. FAU - Ozer, Leyla AU - Ozer L AD - Department of Medical Genetics, Faculty of Medicine, Yuksek Ihtisas University, Ankara, Turkey. AD - Mikrogen Genetic Diagnosis Center, Ankara, Turkey. FAU - Aktuna, Suleyman AU - Aktuna S AD - Department of Medical Genetics, Faculty of Medicine, Yuksek Ihtisas University, Ankara, Turkey. AD - Mikrogen Genetic Diagnosis Center, Ankara, Turkey. FAU - Unsal, Evrim AU - Unsal E AD - Department of Medical Genetics, Faculty of Medicine, Yuksek Ihtisas University, Ankara, Turkey. AD - Mikrogen Genetic Diagnosis Center, Ankara, Turkey. FAU - Baltaci, Aysun AU - Baltaci A AD - Gen-Art IVF Center, Ankara, Turkey. FAU - Baltaci, Volkan AU - Baltaci V AD - Department of Medical Genetics, Faculty of Medicine, Yuksek Ihtisas University, Ankara, Turkey. AD - Mikrogen Genetic Diagnosis Center, Ankara, Turkey. LA - eng PT - Case Reports PL - Iran TA - J Reprod Infertil JT - Journal of reproduction & infertility JID - 101535586 PMC - PMC9674458 OTO - NOTNLM OT - Chromosomal translocation OT - Chromosome abnormalities OT - Next generation sequencing OT - Preimplantation genetic testing COIS- Conflict of Interest Authors declare no conflict of interest. EDAT- 2022/12/02 06:00 MHDA- 2022/12/02 06:01 PMCR- 2022/10/01 CRDT- 2022/12/01 02:39 PHST- 2021/12/25 00:00 [received] PHST- 2022/05/05 00:00 [accepted] PHST- 2022/12/01 02:39 [entrez] PHST- 2022/12/02 06:00 [pubmed] PHST- 2022/12/02 06:01 [medline] PHST- 2022/10/01 00:00 [pmc-release] AID - JRI-23-303 [pii] AID - 10.18502/jri.v23i4.10817 [doi] PST - ppublish SO - J Reprod Infertil. 2022 Oct-Dec;23(4):303-309. doi: 10.18502/jri.v23i4.10817.