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因胚胎集体培养导致的融合囊胚:观察结果、并发症及潜在解决方案

Fused blastocysts as a consequence of group embryo culture: observations, complications, and potential solutions.

作者信息

Swain Jason E

机构信息

CCRM IVF Network, Lone Tree, Colorado.

出版信息

F S Rep. 2020 Nov 11;2(1):133-135. doi: 10.1016/j.xfre.2020.10.010. eCollection 2021 Mar.

DOI:10.1016/j.xfre.2020.10.010
PMID:34223285
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8244384/
Abstract

How embryos are cultured, in groups or individually, can influence their development and have other unforeseen impacts on subsequent assisted reproductive technologies. Although a group culture of embryos improves the blastocyst formation rates, this can create conditions wherein separate blastocysts may fuse. This fusion of 2 blastocysts can create unique logistic issues for embryo biopsy and genetic analysis. New culture approaches have emerged to facilitate individual embryo culture without losing the benefit of the group culture approach. Unique culture dishes and adjustments of laboratory culture/embryo handling protocols offer possible solutions to minimize or avoid blastocyst fusion.

摘要

胚胎是成组培养还是单独培养,会影响其发育,并对后续辅助生殖技术产生其他不可预见的影响。虽然胚胎的成组培养提高了囊胚形成率,但这可能会创造出分离的囊胚可能融合的条件。两个囊胚的这种融合会给胚胎活检和基因分析带来独特的后勤问题。新的培养方法已经出现,以促进单个胚胎培养,同时又不失去成组培养方法的益处。独特的培养皿以及实验室培养/胚胎处理方案的调整提供了可能的解决方案,以尽量减少或避免囊胚融合。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a0cb/8244384/d0f4de7b2759/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a0cb/8244384/d0f4de7b2759/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a0cb/8244384/d0f4de7b2759/gr1.jpg

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本文引用的文献

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Multicenter prospective study of concordance between embryonic cell-free DNA and trophectoderm biopsies from 1301 human blastocysts.多中心前瞻性研究 1301 个人类囊胚的胚胎游离 DNA 与滋养层活检的一致性。
Am J Obstet Gynecol. 2020 Nov;223(5):751.e1-751.e13. doi: 10.1016/j.ajog.2020.04.035. Epub 2020 May 26.
2
Noninvasive preimplantation genetic testing for aneuploidy in spent medium may be more reliable than trophectoderm biopsy.在已使用的培养液中进行非侵入性胚胎植入前遗传学检测(PGT-A)来筛查非整倍体可能比滋养外胚层活检更可靠。
Proc Natl Acad Sci U S A. 2019 Jul 9;116(28):14105-14112. doi: 10.1073/pnas.1907472116. Epub 2019 Jun 24.
3
冻融胚胎移植周期中从联体卵子衍生的囊胚获得活产:病例报告及文献复习。
J Assist Reprod Genet. 2022 Jun;39(6):1351-1357. doi: 10.1007/s10815-022-02465-5. Epub 2022 Mar 23.
4
No longer a new journal.不再是新期刊了。
F S Rep. 2021 Feb 12;2(1):1. doi: 10.1016/j.xfre.2021.02.004. eCollection 2021 Mar.
5
Individual culture leads to decreased blastocyst formation but does not affect pregnancy outcomes in the setting of a single, vitrified-warmed euploid blastocyst transfer.个体文化导致囊胚形成减少,但在单个玻璃化冷冻解冻的整倍体囊胚移植的情况下并不影响妊娠结局。
J Assist Reprod Genet. 2021 Aug;38(8):2157-2164. doi: 10.1007/s10815-021-02252-8. Epub 2021 Jun 4.
Non-invasive pre-implantation aneuploidy screening and diagnosis of beta thalassemia IVSII654 mutation using spent embryo culture medium.
使用废弃胚胎培养基对β地中海贫血IVSII654突变进行非侵入性植入前非整倍体筛查和诊断。
Ann Med. 2017 Jun;49(4):319-328. doi: 10.1080/07853890.2016.1254816. Epub 2016 Dec 14.
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Proof of concept: preimplantation genetic screening without embryo biopsy through analysis of cell-free DNA in spent embryo culture media.概念验证:通过分析废弃胚胎培养基中的游离DNA进行无胚胎活检的植入前基因筛查。
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5
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