Healthy live births from transfer of low-mosaicism embryos after preimplantation genetic testing for aneuploidy
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ASSISTED REPRODUCTION TECHNOLOGIES
Healthy live births from transfer of low-mosaicism embryos after preimplantation genetic testing for aneuploidy Chun-I Lee 1,2,3 & En-Hui Cheng 2 & Maw-Sheng Lee 1,2,3 & Pin-Yao Lin 1,2 & Yi-Chun Chen 2 & Chien-Hong Chen 2 & Lii-Shung Huang 2,4 & Chun-Chia Huang 2 & Tsung-Hsien Lee 1,2,3 Received: 15 October 2019 / Accepted: 29 June 2020 # Springer Science+Business Media, LLC, part of Springer Nature 2020
Abstract Purpose This study evaluated the potential viability of embryos with low mosaicism level (< 50%) by comparing the clinical outcomes of single mosaic versus euploid blastocyst transfer. In addition, the live birth outcomes for various types of mosaicism with respect to abnormalities in chromosome structure and content were analyzed. Methods This study included patients who underwent in vitro fertilization with preimplantation genetic testing for aneuploidy (PGT-A). The PGT-A cycles performed through next-generation sequencing with single euploid or mosaic embryo transfers were included. We collected 299 frozen single embryo transfer cycles—216 single euploid and 83 mosaic—between July 2016 and July 2018. This study analyzed clinical outcomes, including fetal karyotyping by using amniocentesis, gestational age at delivery, and live birth weight after single mosaic embryo transfer. Results The average birth weight of infants in the euploid and mosaic blastocyst transfer groups was 3146.2 and 2997.7 g, respectively. The karyotyping results of prenatal diagnosis in all pregnant women were normal. Our study indicated that mosaic embryos can develop into euploid healthy infants with various levels or types of mosaicism. No significant difference was observed between infants from euploid and mosaic blastocyst transfers. Conclusion If patients have no euploid embryos, mosaic embryos can be transferred as they have potential for implantation and development into euploid healthy infants. This study is invaluable for counseling clinical results after single mosaic embryo transfers. Keywords Single embryo transfer . Mosaic embryo transfer . Healthy live births . Preimplantation genetic testing for aneuploidy
Introduction Chun-I Lee and En-Hui Cheng contributed equally to this work. Electronic supplementary material The online version of this article (https://doi.org/10.1007/s10815-020-01876-6) contains supplementary material, which is available to authorized users. * Tsung-Hsien Lee [email protected]; [email protected] 1
Institute of Medicine, Chung-Shan Medical University, Taichung, Taiwan
2
Genetic Diagnosis Laboratory, Lee Women’s Hospital, No. 30-6, Section 1, Changping Road, Beitun District, Taichung 40652, Taiwan
3
Department of Obstetrics and Gynecology, Chung-Shan Medical University Hospital, Taichung, Taiwan
4
School of Nursing, Chung-Shan Medical University, Taichung, Taiwan
Chromosome aneuploidy is a major cause of in vitro fertilization (IVF) failure; most embryos with aneuploidy result in implantation failure or first trimester miscarriage [1]. Retrospectiv
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