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Article| Volume 46, ISSUE 3, P502-510, March 2023

Application of conventional IVF during preimplantation genetic testing for aneuploidies: a feasibility study

  • Author Footnotes
    # These authors contributed equally to this work.
    Qiuxiang Huang
    Footnotes
    # These authors contributed equally to this work.
    Affiliations
    Center of Reproductive Medicine, Department of Obstetrics and Gynecology, 900th Hospital of the Joint Logistics Team, Fuzhou, Fujian, People's Republic of China
    Search for articles by this author
  • Author Footnotes
    # These authors contributed equally to this work.
    Yulin Lin
    Footnotes
    # These authors contributed equally to this work.
    Affiliations
    Center of Reproductive Medicine, Department of Obstetrics and Gynecology, 900th Hospital of the Joint Logistics Team, Fuzhou, Fujian, People's Republic of China
    Search for articles by this author
  • Lihua Mao
    Affiliations
    Center of Reproductive Medicine, Department of Obstetrics and Gynecology, 900th Hospital of the Joint Logistics Team, Fuzhou, Fujian, People's Republic of China
    Search for articles by this author
  • Yun Liu
    Correspondence
    Corresponding author. Yun Liu.
    Affiliations
    Center of Reproductive Medicine, Department of Obstetrics and Gynecology, 900th Hospital of the Joint Logistics Team, Fuzhou, Fujian, People's Republic of China
    Search for articles by this author
  • Author Footnotes
    # These authors contributed equally to this work.
Published:December 20, 2022DOI:https://doi.org/10.1016/j.rbmo.2022.12.012

      Abstract

      Research question

      Is it feasible to apply conventional IVF to couples undergoing preimplantation genetic testing for aneuploidies (PGT-A) with non-severe male infertility?

      Design

      The last wash fluid of biopsied trophectoderm (TE) cells was collected for whole genome amplification (WGA). A method was developed to determine parental contamination. Using single-nucleotide polymorphism (SNP) analysis, two standard curves were established; further mixtures were used for verification. Finally, 29 WGA products from couples undergoing conventional IVF were used to evaluate parental contamination.

      Results

      The WGA results of the last wash fluid of biopsied TE cells revealed almost no free DNA. By adopting two strategies based on maternally and paternally biased SNP in the mixture, data from bioinformatics analysis were analysed to determine the relationship between maternal (Index M) and paternal (Index F) bias statistics. Two standard curves were successfully established based on these indices that allowed the prediction of maternal and parental contamination, which correlated well with actual ratios of known composition mixtures during validation. The average contamination level was 10.6% determined from 10 WGA products that featured maternal contamination, whereas that of the other 19 products that featured paternal contamination was less than 10%.

      Conclusions

      This study confirmed the feasibility of applying conventional IVF to couples undergoing PGT-A with non-severe male infertility.

      Keywords

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      Biography

      Professor Yun Liu is Director of the Reproductive Medical Center, 900th Hospital of the Joint Logistics Team. She is a member of the National Expert Bank on Assisted Reproductive Technology Management. Professor Liu established the first reproductive medical centre with the qualification of PGT technology in Fujian Province in 2012.
      Key message
      Almost no free DNA was observed in the last wash fluid of biopsied TE cells. A method for detecting paternal contamination showed that amplified DNA samples of biopsied TE cells exhibited a low parental contamination rate. The feasibility of conventional IVF for couples undergoing PGT-A with non-severe male infertility was confirmed.