Evidence map›Paper›PMID 34627598›Full record

ReviewFertility and sterility2021

Let the data do the talking: the need to consider mosaicism during embryo selection.

Manuel Viotti, Rajiv C McCoy, Darren K Griffin, Francesca Spinella, Ermanno Greco, Mitko Madjunkov, Svetlana Madjunkova, Clifford L Librach, Andrea R Victor, Frank L Barnes and 1 more

Abstract readReview
In one paragraph

Review in Fertility and sterility, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing 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

22 citing papers in PubMed.

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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

11 authors.

Manuel ViottiZouves Foundation for Reproductive Medicine, Foster City, California; Zouves Fertility Center, Foster City, California. Electronic address: mviotti@zouvesfoundation.org.
Rajiv C McCoyDepartment of Biology, Johns Hopkins University, Baltimore, Maryland.
Darren K GriffinSchool of Biosciences, University of Kent, Canterbury, United Kingdom.
Francesca SpinellaMolecular Genetics Laboratories, Eurofins Genoma Group, Rome, Italy.
Ermanno GrecoCenter for Reproductive Medicine, Villa Mafalda, Rome, Italy; Department of Obstetrics and Gynecology, UniCamillus International Medical University, Rome, Italy.
Mitko MadjunkovCReATe Fertility Centre, Toronto, Ontario, Canada; Department of Obstetrics and Gynecology, University of Toronto, Toronto, Ontario, Canada.
Svetlana MadjunkovaCReATe Fertility Centre, Toronto, Ontario, Canada; Department of Laboratory Medicine and Pathobiology, University of Toronto, Toronto, Ontario, Canada.
Clifford L LibrachCReATe Fertility Centre, Toronto, Ontario, Canada; Department of Obstetrics and Gynecology, University of Toronto, Toronto, Ontario, Canada; Institute of Medical Sciences and Department of Physiology, University of Toronto, Toronto, Ontario, Canada.
Andrea R VictorZouves Fertility Center, Foster City, California; School of Biosciences, University of Kent, Canterbury, United Kingdom.
Frank L BarnesZouves Foundation for Reproductive Medicine, Foster City, California; Zouves Fertility Center, Foster City, California.
Christo G ZouvesZouves Foundation for Reproductive Medicine, Foster City, California; Zouves Fertility Center, Foster City, California.

Funding

Function and fitness consequences of human genetic variationR35GM133747 · NIGMS · JOHNS HOPKINS UNIVERSITY · PI Rajiv Champion McCoy · 2019 to 2026
$3.3M
NIGMS NIH HHS R35 GM133747
6 · The paper itself

Abstract

Chromosomal mosaicism, the coexistence of cells with different chromosomal content, has been documented in human embryos for 3 decades. Early versions of preimplantation genetic testing for aneuploidy (PGT-A) did not measure mosaicism, either because typically only a single cell was assessed or because the technique could not accurately identify it. Although this led to a straightforward diagnosis (an embryo was considered either normal or abnormal), it simply avoided the issue and, in hindsight, may have led to numerous misdiagnoses with negative clinical consequences. Modern PGT-A evaluates a multicellular biopsy specimen with techniques capable of recognizing intermediate copy number signals for chromosomes or subchromosomal regions. We are, therefore, inevitably confronted with the issue of mosaicism and the challenge of managing embryos producing such results in the clinic. Here we discuss recent data showing that not only mosaicism in general, but specific features of mosaicism detected with PGT-A, are associated with variable clinical outcomes. The conclusion is evident: mosaicism should be considered for more informed and improved embryo selection in the clinic.

Indexed as

Genetic TestingMosaicismPrenatal DiagnosisAneuploidyBlastocystEmbryo TransferFemaleGenetic CounselingHumansInfertilityMalePredictive Value of TestsPregnancyReproducibility of ResultsReproductive Techniques, AssistedTreatment OutcomeEmbryoIVFmosaicismnext-generation sequencingpreimplantation genetic testing

Identifiers

PMID34627598
PMCPMC8585724

What OpenQuestion holds

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Registered trials

None linked

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.