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捐卵者的整倍体率:捐卵的最佳年龄是多少?

Euploid rates among oocyte donors: is there an optimal age for donation?

机构信息

Division of Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynecology, David Geffen School of Medicine at UCLA, University of California, 10833 Le Conte Avenue, Room 27-139 CHS, Los Angeles, CA, 90095, USA.

Fertility and Surgical Associates of California, Thousand Oaks, CA, USA.

出版信息

J Assist Reprod Genet. 2020 Mar;37(3):589-594. doi: 10.1007/s10815-020-01694-w. Epub 2020 Jan 18.

Abstract

PURPOSE

To examine cycle blastocyst euploid rates among age subgroups of oocyte donors.

METHODS

Retrospective cohort analysis of ova donation in vitro fertilization cycles (OD-IVF) for which trophectoderm biopsy for preimplantation genetic testing for aneuploidy (PGT-A) by array comparative genomic hybridization (aCGH) or next generation gene sequencing (NGS) was employed between January 2015 and December 2018 in a single high-volume fertility center.

RESULTS

Compared to oocyte donors age 26-30, oocyte donors age ≤ 25 had similar cycle blastocyst euploid rates (80 [66.7, 87.5]%, vs. 75 [62.5, 87.5]%, median [IQR], p = 0.07), blastocyst formation rates (66.7 [50, 75]%, vs. 62.5 [52, 75]%, p = 0.55), and number of retrieved oocytes (29 [23, 37] vs. 27 [20, 35], p = 0.18). Age of oocyte donor from 18 to 34 was not correlated with cycle blastocyst euploid rate.

CONCLUSION

Oocyte donors age ≤ 25 had similar cycle blastocyst euploid rates, blastocyst formation rates, and number of retrieved oocytes compared to donors age 26-30. There was no correlation between cycle blastocyst euploid rates and age of the oocyte donor from 18 to 34 years. Given the lack of significant age-related change in cycle blastocyst euploid rates, our data support existing practices which do not favor a specific age subgroup of young oocyte donors.

摘要

目的

检查卵母细胞捐赠者年龄亚组之间的周期囊胚整倍体率。

方法

对 2015 年 1 月至 2018 年 12 月在一家高容量生育中心进行的体外受精(IVF)周期卵母细胞捐赠(OD-IVF)进行回顾性队列分析,这些周期进行了胚胎滋养层活检,以进行植入前遗传学检测(PGT-A),采用的技术是比较基因组杂交(aCGH)或下一代基因测序(NGS)。

结果

与 26-30 岁的卵母细胞捐赠者相比,≤25 岁的卵母细胞捐赠者的周期囊胚整倍体率相似(80 [66.7,87.5]%,vs. 75 [62.5,87.5]%,中位数[IQR],p=0.07),囊胚形成率(66.7 [50,75]%,vs. 62.5 [52,75]%,p=0.55)和取卵数(29 [23,37]个,vs. 27 [20,35]个,p=0.18)。18 至 34 岁的卵母细胞捐赠者年龄与周期囊胚整倍体率无关。

结论

与 26-30 岁的捐赠者相比,≤25 岁的卵母细胞捐赠者的周期囊胚整倍体率、囊胚形成率和取卵数相似。18 至 34 岁的卵母细胞捐赠者的周期囊胚整倍体率与年龄无关。鉴于周期囊胚整倍体率与年龄无显著相关性,我们的数据支持现有的实践,即不偏向于特定的年轻卵母细胞捐赠者年龄亚组。

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