GENOTYPING OF EMBRYOS USING FRAGMENTAL STR ANALYSIS AFTER WHOLE GENOME AMPLIFICATION


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Aim. To develop a method for determining the maternal or paternal origin of chromosomal aneuploidies in embryos by performing STR analysis for patients who undergo assisted reproductive technologies (ART) programs. Materials and methods. The development of the method was carried out using biopsy material of the trophectoderm in embryos of 58 couples of patients (116 persons). Preimplantation genetic testing for aneuploidy (PGT-A) was performed using high-throughput sequencing. Determination of the origin of aneuploidy was performed by fragment analysis of STR markers. Results. After After PGT-A, aneuploidy was detected in 67 embryos (41%); euploid embryos were 65 (40%); mosaic forms were found in 28 (17%) embryos. Primers have been developed for the analysis of chromosomes 1, 3, 4. Development of primers for analysis of 1, 3, 4, 5, 6, 7, 9, 11, 12, 13, 14, 15, 16, 19, 22 and X chromosomes was performed. The analysis of chromosome 16 (n = 7 embryos), chromosome 19 (n = 5 embryos) and chromosome 22 (n = 8 embryos) showed that this approach can be used to identify both maternal and paternal origin of aneuploidy. Conclusion. A technological possibility of carrying out STR fragment analysis with purpose of genotyping of embryos using various products of whole genome amplification was shown. It makes possible to carry out PGT-A and PGT-M together with embryo genotyping without the need for repeated biopsies. The study parental contribution to the development of embryonic aneuploidy in future will allow to choose the most optimal tactics for managing patients with repeated unsuccessful attempts of ART and past miscarriages.

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作者简介

Alexey EKIMOV

Academician V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia

Email: a_ekimov@oparina4.ru
clinical geneticist of Molecular Genetics Laboratory Moscow, Russia

Natalia ALEXANDROVA

Academician V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia

Email: alexnat1@yandex.ru
M.D., leading researcher Moscow, Russia

Ekaterina SHUBINA

Academician V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia

Email: e_shubina@oparina4.ru
Head of Genomic Data Analysis Laboratory Moscow, Russia

Olga RITCHER

Academician V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia

Email: o_ritcher@oparina.ru
clinical laboratory diagnostician of Molecular Genetics Laboratory Moscow, Russia

Andrey GOLTSOV

Academician V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia

Email: andrey.goltsov@gmail.com
researcher at Molecular Genetics Laboratory Moscow, Russia

Tatiana NAZARENKO

Academician V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia

Email: t_nazarenko@oparina4.ru
Dr. Med. Sci., professor, Head of Institute of Reproductive Medicine Moscow, Russia

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