Evidence map›Paper›PMID 42249430›Full record

ArticleContraception and reproductive medicine2026

Complex chromosomal rearrangements induce embryonic chromosomal imbalance and significantly compromise reproductive outcomes.

Yueyun Lan, Xihe Deng, Sheng He, Jingsi Luo, Jiasun Su, Wei Li, Chaofan Zhou, Xianglian Tang, Yuan Wei, Minpan Huang and 6 more

Abstract read
In one paragraph

Article in Contraception and reproductive medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing papers in PubMed
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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

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3 · Its place in the literature

Who cites it

0 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

16 authors.

Yueyun LanMaternal and Child Health Hospital of Guangxi Zhuang Autonomous Region, 59 Xiang-Zhu Avenue, Nanning, Guangxi, 530003, China.
Xihe DengMaternal and Child Health Hospital of Guangxi Zhuang Autonomous Region, 59 Xiang-Zhu Avenue, Nanning, Guangxi, 530003, China.
Sheng HeMaternal and Child Health Hospital of Guangxi Zhuang Autonomous Region, 59 Xiang-Zhu Avenue, Nanning, Guangxi, 530003, China.
Jingsi LuoMaternal and Child Health Hospital of Guangxi Zhuang Autonomous Region, 59 Xiang-Zhu Avenue, Nanning, Guangxi, 530003, China.
Jiasun SuMaternal and Child Health Hospital of Guangxi Zhuang Autonomous Region, 59 Xiang-Zhu Avenue, Nanning, Guangxi, 530003, China.
Wei LiMaternal and Child Health Hospital of Guangxi Zhuang Autonomous Region, 59 Xiang-Zhu Avenue, Nanning, Guangxi, 530003, China.
Chaofan ZhouMaternal and Child Health Hospital of Guangxi Zhuang Autonomous Region, 59 Xiang-Zhu Avenue, Nanning, Guangxi, 530003, China.
Xianglian TangMaternal and Child Health Hospital of Guangxi Zhuang Autonomous Region, 59 Xiang-Zhu Avenue, Nanning, Guangxi, 530003, China.
Yuan WeiMaternal and Child Health Hospital of Guangxi Zhuang Autonomous Region, 59 Xiang-Zhu Avenue, Nanning, Guangxi, 530003, China.
Minpan HuangMaternal and Child Health Hospital of Guangxi Zhuang Autonomous Region, 59 Xiang-Zhu Avenue, Nanning, Guangxi, 530003, China.
Jingrong LuoMaternal and Child Health Hospital of Guangxi Zhuang Autonomous Region, 59 Xiang-Zhu Avenue, Nanning, Guangxi, 530003, China.
Jinhui ShuMaternal and Child Health Hospital of Guangxi Zhuang Autonomous Region, 59 Xiang-Zhu Avenue, Nanning, Guangxi, 530003, China.
Caizhu WangMaternal and Child Health Hospital of Guangxi Zhuang Autonomous Region, 59 Xiang-Zhu Avenue, Nanning, Guangxi, 530003, China.
Xin ZhaoMaternal and Child Health Hospital of Guangxi Zhuang Autonomous Region, 59 Xiang-Zhu Avenue, Nanning, Guangxi, 530003, China.
Hong ZhouMaternal and Child Health Hospital of Guangxi Zhuang Autonomous Region, 59 Xiang-Zhu Avenue, Nanning, Guangxi, 530003, China. zhouhh2009@126.com.
Peng HuangMaternal and Child Health Hospital of Guangxi Zhuang Autonomous Region, 59 Xiang-Zhu Avenue, Nanning, Guangxi, 530003, China. qfykyb@163.com.

Funding

the Guangxi Key Research and Development Program 2023AB22090the National Natural Science Foundation of China 82160028
6 · The paper itself

Abstract

This study evaluated Preimplantation Genetic Testing for Structural Rearrangements (PGT‑SR) outcomes in carriers of complex chromosomal rearrangements (CCRs). Four CCR couples underwent PGT‑SR, and 20 karyotypically normal couples underwent Preimplantation Genetic Testing for Aneuploidy (PGT‑A) as controls. Embryo biopsies were analyzed by next‑generation sequencing (NGS), and Mapping Allele with Resolved Carrier Status (MaReCs) was used for breakpoint mapping. Literature data from 31 additional CCR carriers (222 embryos) were also summarized. Among the four CCR couples in this study, 14 blastocysts were biopsied. The high‑quality blastocyst rate (57.1%, 8/14) and euploidy rate (14.29%, 2/14) were significantly lower than in controls (71.5% and 42.37%, respectively; P < 0.05). In the literature cohort of 222 embryos, for CCR types A (three‑way), B (double two‑way), and C (exceptional), the high‑quality blastocyst rates (37.50%, 44.44%, and 32.91%) and chromosomal abnormality rates (86.25%, 92.06%, and 88.61%) showed no significant differences; the overall euploidy rate (11.26%) was significantly lower than that in the PGT‑A control group (42.37%, P < 0.001). In conclusion, CCR carriers show impaired embryonic potential and markedly lower euploidy rates. While Type B CCR embryos have good morphology, their genetic normality is extremely poor, ruling out morphology-only selection. Instead, PGT-SR combined with high-resolution breakpoint mapping is required to reliably identify viable embryos for healthy pregnancy.

Indexed as

Complex chromosomal rearrangementsEmbryoMapping allele with resolved carrier statusPreimplantation genetic testing for aneuploidyPreimplantation genetic testing for structural rearrangements

Identifiers

PMID42249430
PMCPMC13471364

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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.