Albujja Mohammed H, Al-Ghedan Maher, Dakshnamoorthy Lakshmidevi, Pla Victori Josep
Department of Forensic Sciences, Naif Arab University for Security Sciences, Riyadh 11452, Saudi Arabia.
Genetics Laboratory, Thuriah Medical Center, Riyadh 11523, Saudi Arabia.
Cancer Pathog Ther. 2023 May 16;2(1):1-14. doi: 10.1016/j.cpt.2023.05.002. eCollection 2024 Jan.
Preimplantation genetic testing (PGT), which was developed as an alternative to prenatal genetic testing, allows couples to avoid pregnancies with abnormal chromosomes and the subsequent termination of the affected fetus. Originally used for early onset monogenic conditions, PGT is now used to prevent various types of inherited cancer conditions based on the development of PGT technology, assisted reproductive techniques (ARTs), and fertilization (IVF). This review provides insights into the potential benefits and challenges associated with the application of PGT for hereditary cancer and provides an overview of the existing literature on this test, with a particular focus on the current challenges related to laws, ethics, counseling, and technology. Additionally, this review predicts the future potential applications of this method. Although PGT may be utilized to predict and prevent hereditary cancer, each case should be comprehensively evaluated. The motives of couples must be assessed to prevent the misuse of this technique for eugenic purposes, and non-pathogenic phenotypes must be carefully evaluated. Pathological cases that require this technology should also be carefully considered based on legal and ethical reasoning. PGT may be the preferred treatment for hereditary cancer cases; however, such cases require careful case-by-case evaluations. Therefore, this study concludes that multidisciplinary counseling and support for patients and their families are essential to ensure that PGT is a viable option that meets all legal and ethical concerns.
植入前基因检测(PGT)是作为产前基因检测的替代方法而开发的,它使夫妇能够避免怀有染色体异常的胎儿以及随后终止受影响胎儿的妊娠。PGT最初用于早发性单基因疾病,如今随着PGT技术、辅助生殖技术(ARTs)和体外受精(IVF)的发展,它被用于预防各种类型的遗传性癌症疾病。本综述深入探讨了PGT应用于遗传性癌症的潜在益处和挑战,并概述了关于该检测的现有文献,特别关注当前与法律、伦理、咨询和技术相关的挑战。此外,本综述预测了该方法未来的潜在应用。尽管PGT可用于预测和预防遗传性癌症,但每个病例都应进行全面评估。必须评估夫妇的动机,以防止该技术被滥用于优生目的,并且必须仔细评估非致病表型。对于需要该技术的病理病例,也应基于法律和伦理推理进行仔细考虑。PGT可能是遗传性癌症病例的首选治疗方法;然而,此类病例需要逐案仔细评估。因此,本研究得出结论,为患者及其家庭提供多学科咨询和支持对于确保PGT成为符合所有法律和伦理问题的可行选择至关重要。