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Preimplantation diagnosis of inherited disease by embryo biopsy: An update of the world figures

  • Papers From The International Working Group On Preimplantation Genetics
  • Published:
Journal of Assisted Reproduction and Genetics Aims and scope Submit manuscript

Abstract

Purpose: Cleavage stage embryo biopsy and preimplantation diagnosis was first reported five years ago. The annual collation of the world figures for centres offering this procedure is important to continually assess the efficiency and success of the biopsy, diagnosis and pregnancies obtained.

Materials and Methods: Data was collected from 14 centres worldwide. The largest series of diagnosis has been performed for those patients carrying X-linked disease where the embryos have been sexed either by PCR or FISH. PCR has also been used for the specific diagnosis of a number of single gene defects, mainly for cystic fibrosis but also for the diagnosis of Lesch Nyhan syndrome, Fragile X, Duchenne muscular dystrophy, Tay Sachs, haemophilia and RhD blood typing.

Results: For PCR sexing, a total of 62 cycles have been performed with 14 pregnancies, 8 deliveries and 11 babies born. For FISH sexing, 70 cycles have resulted in 15 pregnancies, 8 deliveries and 11 babies born. For the specific diagnosis of single gene defects, a total of 65 cycles resuled in 21 pregnancies, 12 deliveries and 12 babies born. Overall, 197 cycles were performed, with 171 embryo transfers (86%), 50 pregnancies (25% per cycle, 29% per transfer), 28 deliveries and 34 babies born.

Conclusions: New methods are being developed to increase the scope of preimplantation diagnoses that can be offered. From next year, the biochemical and miscarriage rates will also be recorded.

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  1. Department of Genetics and Biometry, Galton Laboratory, Wolfson House, University College, London, 4 Stephenson Way, NW1 2HE, London

    Joyce C. Harper

  2. Institute of Obstetrics & Gynaecology, Royal Postgraduate Medical School, Hammersmith Hospital, Du Cane Road, W12 0NN, London, England

    Joyce C. Harper

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Harper, J.C. Preimplantation diagnosis of inherited disease by embryo biopsy: An update of the world figures. J Assist Reprod Genet 13, 90–95 (1996). https://doi.org/10.1007/BF02072527

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  • DOI: https://doi.org/10.1007/BF02072527

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