Cited by 145Prenatal Screening and DiagnosticsMitochondrial Function and PathologyAssisted Reproductive Technology and Twin Pregnancy

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Analysis of mtDNA variant segregation during early human embryonic development: a tool for successful NARP preimplantation diagnosis

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Steffann, J, Frydman, N, Gigarel, N, Burlet, P, Ray, P F, Fanchin, R, Feyereisen, E, Kerbrat, V, Tachdjian, G, Bonnefont, J-P, Frydman, R, Munnich, A·2006·Journal of Medical Genetics

DOI 10.1136/jmg.2005.032326PMC PMC2563237

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Abstract

BACKGROUND: Diseases arising from mitochondrial DNA (mtDNA) mutations are usually serious pleiotropic disorders with maternal inheritance. Owing to the high recurrence risk in the progeny of carrier females, "at-risk" couples often ask for prenatal diagnosis. However, reliability of such practices remains under debate. Preimplantation diagnosis (PGD), a theoretical alternative to conventional prenatal diagnosis, requires that the mutant load measured in a single cell from an eight cell embryo accurately reflects the overall heteroplasmy of the whole embryo, but this is not known to be the case. OBJECTIVE: To investigate the segregation of an mtDNA length polymorphism in blastomeres of 15 control embryos from four unrelated couples, the NARP mutation in blastomeres of three embryos from a carrier of this mutation. RESULTS: Variability of the mtDNA polymorphism heteroplasmy among blastomeres from each embryo was limited, ranging from zero to 19%, with a mean of 7%. PGD for the neurogenic ataxia retinitis pigmentosa (NARP) mtDNA mutation (8993T-->G) was therefore carried out in the carrier mother of an affected child. One of three embryos was shown to carry 100% of mutant mtDNA species while the remaining two were mutation-free. These two embryos were transferred, resulting in a singleton pregnancy with delivery of a healthy child. CONCLUSIONS: This PGD, the first reported for a mtDNA mutation, illustrates the skewed meiotic segregation of the NARP mtDNA mutation in early human development. However, discrepancies between the segregation patterns of the NARP mutation and the HV2 polymorphism indicate that a particular mtDNA nucleotide variant might differentially influenced the mtDNA segregation, precluding any assumption on feasibility of PGD for other mtDNA mutations.

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Authors: Steffann, J., Frydman, N., Gigarel, N., Burlet, P., Ray, P. F., Fanchin, R., Feyereisen, E., Kerbrat, V, Tachdjian, G., Bonnefont, J.-P., Frydman, R., & Munnich, A.
Affiliations: Hôpital Necker-Enfants Malades (FR)
Hôpital Antoine-Béclère (FR)
Centre Hospitalier Universitaire de Grenoble (FR)
Corresponding author: Steffann, J
ORCID: Steffann, J
Frydman, N
Ray, P F
Tachdjian, G
Bonnefont, J-P
Venue: Journal of Medical Genetics
Publisher: BMJ
Published: 2005-09-09
Volume: 43
Issue: 3
Pages: 244-247
ISSN: 0022-2593 (ISSN-L)
1468-6244
DOI: 10.1136/jmg.2005.032326
PMC: PMC2563237
OpenAlex: W2113966347
Cited by: 145
References: 19
Citations by year: 2026: 2 · 2025: 7 · 2024: 2 · 2023: 4 · 2022: 1 · 2021: 3 · 2020: 5 · 2019: 4 · 2018: 5 · 2017: 7 · 2016: 7 · 2015: 7 · 2014: 19 · 2013: 6 · 2012: 9
FWCI: 5.52
Type: journal article
Language: en
Open access: bronze
doi.org
Locations: Journal of Medical Genetics (publishedVersion)
PubMed Central (publishedVersion)
PubMed (publishedVersion)
Funders: European Commission
Topics: Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Prenatal Screening and Diagnostics
Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Mitochondrial Function and Pathology
Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Assisted Reproductive Technology and Twin Pregnancy
Keywords: mitochondrial DNA, preimplantation genetic diagnosis, NARP, mitochondrial heteroplasmy, meiotic segregation, blastomeres, mitochondrial disease, maternal inheritance, embryo transfer
MeSH terms: DNA, Mitochondrial, Female, Humans, Pregnancy, Prenatal Diagnosis, Genetic Variation, Mitochondrial Diseases, Blastula, Embryonic Development

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Analysis of mtDNA variant segregation during early human embryonic development: a tool for successful NARP preimplantation diagnosis

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