Evidence map›Paper›PMID 32350403›Full record

ArticleScientific reports2020

Minimally Invasive Cell-Free Human Embryo Aneuploidy Testing (miPGT-A) Utilizing Combined Spent Embryo Culture Medium and Blastocoel Fluid -Towards Development of a Clinical Assay.

Valeriy Kuznyetsov, Svetlana Madjunkova, Rina Abramov, Ran Antes, Zenon Ibarrientos, Gelareh Motamedi, Afsaneh Zaman, Iryna Kuznyetsova, Clifford L Librach

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Scientific reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04856696 (Clinical Application of Non-invasive Preimplantation Genetic Testing for Aneuploidies), which is not on this map. Cited by 29 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 2 pooled it
9.5field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04856696 nacompletednot on this mapstarted 2021, after this paper: background citation

Clinical Application of Non-invasive Preimplantation Genetic Testing for Aneuploidies

TypeinterventionalSponsorKaohsiung Veterans General Hospital.Ran2021 to 2023Enrolled22ConditionsGenetic TestingArmsPGT-A, non-invasive PGT-A
3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 2 syntheses or guidelines pooled it, 52 citations in OpenAlex.

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  4. Observational
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  9. Micro magnetic resonance spectroscopy for noninvasive metabolic screening of mammalian embryos and oocytes.Proceedings of the National Academy of Sciences of the United States of America · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 1 country.

Valeriy Kuznyetsov *CReATe Fertility Centre, Toronto, Canada. valeriy@createivf.com.
Svetlana Madjunkova *CReATe Fertility Centre, Toronto, Canada. svetlana@createivf.com.
Rina AbramovCReATe Fertility Centre, Toronto, Canada.
Ran AntesCReATe Fertility Centre, Toronto, Canada.
Zenon IbarrientosCReATe Fertility Centre, Toronto, Canada.
Gelareh MotamediCReATe Fertility Centre, Toronto, Canada.
Afsaneh ZamanCReATe Fertility Centre, Toronto, Canada.
Iryna KuznyetsovaCReATe Fertility Centre, Toronto, Canada.
Clifford L LibrachCReATe Fertility Centre, Toronto, Canada.
CReATe Fertility Centre · CAWomen's College Hospital · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Preimplantation genetic testing for aneuploidies (PGT-A) using trophectoderm (TE) biopsy samples is labour intensive, invasive, and subject to sampling bias. In this study, we report on the efficacy and factors affecting accuracy of a technique we pioneered for minimally invasive preimplantation genetic testing for aneuploidy (miPGT-A). Our technique uses cell-free embryonic DNA (cfeDNA) in spent embryo culture medium (SEM) combined with blastocoel fluid (BF) to increase the amount of assayable cfeDNA. We compared miPGT-A results (n = 145 embryos) with standard PGT-A analysis of the corresponding trophectoderm biopsy. We found that accuracy of miPGT was not related to blastocyst morphological grade. The overall concordance rate per sample for euploidy/aneuploidy status between miPGT-A and TE biopsy samples was 88/90 (97.8%), and was not different between good 47/48 (97.9%) and moderate/low quality blastocysts 41/42 (97.9%) (p > 0.05). Importantly, we also discovered that for cfeDNA analysis, the SurePlex whole genome amplification (WGA) kit can be utilized without an additional cell lysis/extraction DNA step; this efficiency likely reduces the risk of maternal contamination. Regarding origin of embryonic cfeDNA, the average amount of miPGT-A WGA-DNA we obtained from blastocysts with different morphological grades, as well as the size miPGT-A WGA-DNA fragments, suggest that it is unlikely that apoptosis and necrosis are only mechanisms of DNA release from the inner cell mass (ICM) and TE into BF and SEM.

Indexed as

AneuploidyBlastocystCell-Free Nucleic AcidsCulture MediaEmbryo, MammalianHumansMalePreimplantation DiagnosisCell-Free Nucleic AcidsCulture Media

Identifiers

PMID32350403
PMCPMC7190856
OpenAlexW3023193177

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.