Preimplantation genetic diagnosis at 20 years
Abstract
First reported in 1990, PGD has evolved into a complementary form of prenatal diagnosis offering novel indications. DNA for PGD can be recovered with equal safety and facility from polar bodies I and II, blastomere (8 cell embryo) and trophectoderm (5-6 day blastocyst). Diagnostic accuracy is very high (>99%) for both chromosomal abnormalities and single gene disorders. Traditional application of FISH with chromosome specific probes for detecting aneuploidy and translocations may be replaced or complemented by array comparative genome hybridization (array CGH); biopsied embryos can now be cryopreserved (vitrification) while analysis proceeds in orderly fashion. PGD has been accomplished for over 200 different single gene disorders. Novel indications for PGD not readily applicable by traditional prenatal genetic diagnosis include avoiding clinical pregnancy termination, performing preconceptional diagnosis (polar body I), obtaining prenatal diagnosis without disclosure of prenatal genotype (nondisclosure), diagnosing adult-onset disorders particularly cancer, and identifying HLA compatible embryos suitable for recovering umbilical cord blood stem cells.
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Efforts have been made to develop diagnostic techniques using cell free fetal DNA in maternal blood samples, but these are not yet routinely available.
“In order to minimize the exposure to Dex, efforts have been made to develop diagnostic techniques using cell free fetal DNA in maternal blood samples, but these are not yet routinely available (see section IV.D)(325).”
From Congenital Adrenal Hyperplasia—Current Insights in Pathophysiology, Diagnostics, and Management (2022) · cites this paper as [325]
Targeted massive parallel sequencing of cell-free fetal DNA in maternal plasma can identify SNPs flanking CYP21A2 that are specific for the mother, father, and proband, thus constructing haplotype blocks to determine the maternal and paternal alleles inherited by the fetus.
“Instead, targeted massive parallel sequencing of cell-free fetal DNA in maternal plasma can identify SNPs flanking CYP21A2 that are specific for the mother, father, and proband (previous child), thus constructing haplotype blocks to determine the maternal and paternal alleles inherited by the fetus (325).”
From Congenital Adrenal Hyperplasia—Current Insights in Pathophysiology, Diagnostics, and Management (2022) · cites this paper as [325]
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Techniques for Prenatal Diagnosis
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Genetic Counseling and Clinical Risk Assessment
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The challenge for medical ethicists
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Self-citationComprehensive chromosomal screening for preimplantation genetic testing: A mini-review
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Genomic microarray technologies for the cytogenetics laboratory
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Severe male factor: Genetic consequences and recommendations for genetic testing
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Prenatal Diagnosis and Treatment of Genetic Steroid Disorders
Simpson, J. L., Rechitsky, S., Khattab, A., & New, M. I. (2018) · Elsevier eBooks · doi:10.1016/b978-0-12-813570-9.00029-2 · Cited by 1 · see citing works
Self-citationPreimplantation Diagnosis and Other Modern Methods for Prenatal Diagnosis
Simpson, J. L. (2013) · Elsevier eBooks · doi:10.1016/b978-0-12-416006-4.00028-4 · Cited by 1 · see citing works
Self-citationConseil génétique dans les dystrophinopathies
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Preimplantation genetic diagnosis
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They Chose … Poorly: A Novel Cause of Action to Discourage Detrimental Genetic Selection
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Preimplantation genetic screening and diagnosis
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Preimplantation Genetic Diagnosis: From Clinic to Eugenic Fears and Disability Concerns
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- Authors
- Simpson, J. L.
- Affiliations
- Florida International University (US)
- Corresponding author
- Simpson, Joe Leigh
- ORCID
- Simpson, Joe Leigh
- Venue
- Prenatal Diagnosis
- Publisher
- Wiley
- Published
- 2010-06-22
- Volume
- 30
- Issue
- 7
- Pages
- 682-695
- ISSN
- 0197-3851 (ISSN-L)
- 1097-0223
- OpenAlex
- W1981520497
- Cited by
- 117
- References
- 130
- Citations by year
- 2024: 2 · 2023: 6 · 2022: 2 · 2021: 3 · 2020: 4 · 2019: 5 · 2018: 7 · 2017: 6 · 2016: 10 · 2015: 6 · 2014: 9 · 2013: 19 · 2012: 22
- FWCI
- 2.69
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Prenatal Diagnosis (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Prenatal Screening and Diagnostics
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Assisted Reproductive Technology and Twin Pregnancy
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Medical and Health Sciences Research
- Keywords
- preimplantation genetic diagnosis, blastomere biopsy, trophectoderm biopsy, aneuploidy detection, translocation detection, embryo cryopreservation, monogenic disorders, HLA matching, umbilical cord blood stem cells
- MeSH terms
- Blastomeres, Chromosome Aberrations, DNA, Female, Humans, Pregnancy, In Situ Hybridization, Fluorescence, Preimplantation Diagnosis
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