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男性染色体复杂平衡易位携带者助孕2例并文献复习
引用本文:金晨曦,王钰峰,张倩,李敬,李鸿昌,颜军昊.男性染色体复杂平衡易位携带者助孕2例并文献复习[J].山东大学学报(医学版),2023,61(4):64-70.
作者姓名:金晨曦  王钰峰  张倩  李敬  李鸿昌  颜军昊
作者单位:1. 山东大学生殖医学研究中心, 山东 济南 250021;2. 山东省生殖健康临床医学研究中心, 山东 济南 250021;3. 国家辅助生殖与优生工程技术研究中心, 山东 济南 250021
基金项目:国家自然科学基金(82171648;81901556)
摘    要:目的 探讨男性染色体复杂平衡易位(CCRs)携带者的适宜助孕手段。方法 2例男性CCRs携带者通过胚胎植入前染色体重排检测(PGT-SR)助孕,其中1例夫妇同时行携带者筛查。结果 2例CCRs携带者夫妇均获得可移植胚胎并生育健康子代。其中1例患者联合携带者筛查技术,移植1枚非携带型胚胎,确保生育携带正常核型的后代。2例携带者夫妇的胚胎整倍体率为8.82%(3/34)。结论 PGT-SR可有效帮助CCRs携带者筛选可移植胚胎。携带者筛查技术可进一步筛选非携带型整倍体胚胎,阻断亲代染色体异常向子代的传递。

关 键 词:复杂染色体平衡易位  胚胎植入前遗传学检测  携带者筛查  二代测序

Two male CCRs carriers with assisted pregnancy and literature review
JIN Chenxi,WANG Yufeng,ZHANG Qian,LI Jing,LI Hongchang,YAN Junhao.Two male CCRs carriers with assisted pregnancy and literature review[J].Journal of Shandong University:Health Sciences,2023,61(4):64-70.
Authors:JIN Chenxi  WANG Yufeng  ZHANG Qian  LI Jing  LI Hongchang  YAN Junhao
Institution:1. Center for Reproductive Medicine, Cheeloo College of Medicine, Shandong University, Jinan 250001, Shandong, China;2. Shandong Provincial Clinical Medicine Research Center for Reproductive Health, Shandong University, Jinan 250001, Shandong, China;3. National Research Center for Assisted Reproductive Technology and Reproductive Genetics, Shandong University, Jinan 250021, Shandong, China
Abstract:Objective To explore the appropriate means of assisted pregnancy in male complex chromosome rearrangements(CCRs)carriers. Methods Two male CCRs carriers underwent next-generation sequencing(NGS)based preimplantation genetic testing for structural rearrangement(PGT-SR). One of the couples underwent carrier screening to select non-carrier euploidy embryos. Results The two CCRs carrier couples were assisted in pregnancy by PGT-SR(one of them underwent carrier screening at the same time), obtained transferable embryos, and finally gave birth to healthy offspring. The embryo euploidy rate of the two carriers was 8.82%(3/34). Conclusion PGT-SR can effectively help CCRs carriers screen out transplantable euploidy embryos. Carrier screening technology can help carriers to select non-carrier euploidy embryos and block the progeny transmission of chromosomal genetic diseases.
Keywords:Complex chromosome rearrangement  Preimplantation genetic testing  Carrier screening  Next-generation sequencing  
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