Evidence map›Paper›PMID 33942572›Full record

ArticleMolecular genetics & genomic medicine2021

Next-generation sequence-based preimplantation genetic testing for monogenic disease resulting from maternal mosaicism.

Xiao Hu, Wen-Bin He, Shuo-Ping Zhang, Ke-Li Luo, Fei Gong, Jing Dai, Yi Zhang, Zhen-Xing Wan, Wen Li, Shi-Min Yuan and 4 more

Abstract read
In one paragraph

Article in Molecular genetics & genomic medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

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  4. Extended application of PGT-M strategies for small pathogenic CNVs.Journal of assisted reproduction and genetics · 2024
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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

14 authors.

Xiao HuReproductive and Genetic Hospital of CITIC-Xiangya, Changsha, China.
Wen-Bin HeReproductive and Genetic Hospital of CITIC-Xiangya, Changsha, China.
Shuo-Ping ZhangReproductive and Genetic Hospital of CITIC-Xiangya, Changsha, China.
Ke-Li LuoReproductive and Genetic Hospital of CITIC-Xiangya, Changsha, China.
Fei GongReproductive and Genetic Hospital of CITIC-Xiangya, Changsha, China.
Jing DaiReproductive and Genetic Hospital of CITIC-Xiangya, Changsha, China.
Yi ZhangReproductive and Genetic Hospital of CITIC-Xiangya, Changsha, China.
Zhen-Xing WanReproductive and Genetic Hospital of CITIC-Xiangya, Changsha, China.
Wen LiReproductive and Genetic Hospital of CITIC-Xiangya, Changsha, China.
Shi-Min YuanReproductive and Genetic Hospital of CITIC-Xiangya, Changsha, China.
Yue-Qiu TanReproductive and Genetic Hospital of CITIC-Xiangya, Changsha, China.ORCID 0000-0002-8359-4654
Guang-Xiu LuReproductive and Genetic Hospital of CITIC-Xiangya, Changsha, China.
Ge LinReproductive and Genetic Hospital of CITIC-Xiangya, Changsha, China.
Juan DuReproductive and Genetic Hospital of CITIC-Xiangya, Changsha, China.ORCID 0000-0002-5701-6703

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMosaicism poses challenges for genetic counseling and preimplantation genetic testing for monogenic disorders (PGT-M). NGS-based PGT-M has been extensively used to prevent the transmission of monogenic defects, but it has not been evaluated in the application of PGT-M resulting from mosaicism.

methodsFour women suspected of mosaicism were confirmed by ultra-deep sequencing. Blastocyst trophectoderm cells and polar bodies were collected for whole genome amplification, followed by pathogenic variants detection and haplotype analysis based on NGS. The embryos free of the monogenic disorders were transplantable.

resultsUltra-deep sequencing confirmed that the four women harbored somatic mosaic variants, with the proportion of variant cells at 1.12%, 9.0%, 27.60%, and 91.03%, respectively. A total of 25 blastocysts were biopsied and detected during four PGT cycles and 5 polar bodies were involved in one cycle additionally. For each couple, a wild-type embryo was successfully transplanted and confirmed by prenatal diagnosis, resulting in the birth of four healthy infants.

conclusionsMosaic variants could be effectively evaluated via ultra-deep sequencing, and could be prevented the transmission by PGT. Our work suggested that an NGS-based PGT approach, involving pathogenic variants detection combined with haplotype analysis, is crucial for accurate PGT-M with mosaicism.

Indexed as

MosaicismAdultBlastocystFemaleGenetic Diseases, InbornGenetic TestingHigh-Throughput Nucleotide SequencingHumansMaleMutationPregnancyPreimplantation DiagnosisSequence Analysis, DNAmaternal mosaicismmonogenic diseasenext-generation sequencingpreimplantation genetic testing

Identifiers

PMID33942572
PMCPMC8172198

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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.