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嵌合胚胎移植后的妊娠及新生儿结局:综述

Pregnancy and Neonatal Outcomes after Transfer of Mosaic Embryos: A Review.

作者信息

Abhari Sina, Kawwass Jennifer F

机构信息

Division of Reproductive Endocrinology and Infertility, Department of Gynecology and Obstetrics, Emory University School of Medicine, Atlanta, GA 30322, USA.

出版信息

J Clin Med. 2021 Mar 27;10(7):1369. doi: 10.3390/jcm10071369.

Abstract

Preimplantation genetic testing for aneuploidy (PGT-A) seeks to identify embryos with a normal chromosome complement during in vitro fertilization (IVF). Transfer of one euploid embryo at a time maximizes the chance of implantation while minimizing the risk of multiple pregnancy. The emergence of new technologies including next generation sequencing (NGS) has led to increased diagnosis of embryonic mosaicism, suggesting the presence of karyotypically distinct cells within a single trophectoderm (TE). Clinical implications of embryonic mosaicism are important in both naturally conceived and IVF pregnancies. Although information regarding outcomes after mosaic embryo transfer (MET) is limited, more than 100 live births have now been documented with rather reassuring outcomes with no abnormal phenotype. Here, we aim to provide a summary of recent data regarding clinical and neonatal outcomes after transfer of mosaic embryos in IVF/PGT-A cycles.

摘要

植入前非整倍体基因检测(PGT-A)旨在在体外受精(IVF)过程中识别染色体组正常的胚胎。一次移植一个整倍体胚胎可最大限度地提高着床几率,同时将多胎妊娠风险降至最低。包括新一代测序(NGS)在内的新技术的出现导致胚胎嵌合现象的诊断增加,这表明在单个滋养外胚层(TE)内存在核型不同的细胞。胚胎嵌合现象的临床意义在自然受孕和IVF妊娠中都很重要。尽管关于嵌合胚胎移植(MET)后结局的信息有限,但目前已有超过100例活产记录,结局相当令人放心,没有异常表型。在此,我们旨在总结IVF/PGT-A周期中移植嵌合胚胎后近期有关临床和新生儿结局的数据。

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