First live birth in Greece after blastocyst trophectoderm biopsy and preimplantation genetic testing for hereditary angioedema

K. Economou, Chrysanthi Billi, L. Florentin, A. Pachydakis, Ioannis Sintoris, M. Mastrominas
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Abstract

Preimplantation genetic testing for monogenic/single-gene defects (PGT-M) is a well established tool in assisted reproduction. A couple, where the male was carrier of the c.550G>A (p.Gly184Arg) mutation of the SERPING 1 gene causing hereditary angioedema (HAE) attended our clinic for PGT-M. Employing a strategy of preserving embryos after blastocyst trophectoderm biopsy by vitrification cryopreservation, we managed to screen 10 embryos collected from a single IVF cycle. Three embryos were found unaffected after preimplantation genetic analysis for the paternal mutation. The transfer of one normal blastocyst post-thaw resulted in a healthy and uneventful pregnancy and in the live birth of a male neonate on the 38th week of pregnancy. This is the first report of a live birth in Greece after blastocyst trophectoderm biopsy and preimplantation genetic analysis for hereditary angioedema.
胚泡滋养外胚层活检和遗传性血管性水肿植入前基因检测后,希腊首例活产
单基因/单基因缺陷着床前基因检测(PGT-M)是辅助生殖中成熟的工具。一对男性携带导致遗传性血管性水肿(HAE)的SERPING 1基因c.550G>A (p.Gly184Arg)突变的夫妇到我们诊所接受PGT-M治疗。采用玻璃化冷冻保存囊胚滋养外胚层活检后保存胚胎的策略,我们成功筛选了从单个试管婴儿周期收集的10个胚胎。在植入前对父系突变进行遗传分析后,发现三个胚胎未受影响。解冻后一个正常囊胚的移植导致了健康和平稳的怀孕,并在怀孕第38周活产了一个男婴。这是希腊首例在胚泡滋养外胚层活检和植入前遗传学分析遗传性血管性水肿后活产的报道。
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