Proof of principle and first cases using preimplantation genetic haplotyping--a paradigm shift for embryo diagnosis

Reprod Biomed Online. 2006 Jul;13(1):110-9. doi: 10.1016/s1472-6483(10)62024-x.

Abstract

Preimplantation genetic haplotyping (PGH) proof-of-principle was demonstrated by multiple displacement amplification (MDA) of single buccal cells from a female donor and genotyping using 12 polymorphic markers within the dystrophin gene; the known paternal genotype enabled identification of the paternal haplotype in the MDA products despite 27% allele dropout. MDA amplified DNA from 49 single human blastomeres with 100% success. The MDA products were genotyped using a total of 57 polymorphic markers for chromosomes 1, 7, 13, 18, 21, X and Y; 72% of alleles amplified providing results at 90% of the loci tested. A PGH cycle was carried out for Duchenne muscular dystrophy. One embryo was biopsied: PGH showed a non-carrier female, which was transferred with no resulting pregnancy. A PGH cycle was carried out for cystic fibrosis. Seven embryos were biopsied and PGH allowed the exclusion of 2 affected embryos; a carrier and a non-carrier embryo were transferred resulting in an on-going twin pregnancy. PGH represents a paradigm shift in embryo diagnosis, as one panel of markers can be used for all carriers of the same monogenic disease, bypassing the need for development of mutation-specific tests, and widening the scope and availability of preimplantation genetic testing.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Alleles
  • Base Sequence
  • Cystic Fibrosis / diagnosis*
  • Cystic Fibrosis / genetics*
  • DNA Primers / genetics
  • Female
  • Genetic Markers
  • Haplotypes
  • Heterozygote
  • Humans
  • Male
  • Muscular Dystrophy, Duchenne / diagnosis*
  • Muscular Dystrophy, Duchenne / genetics*
  • Nucleic Acid Amplification Techniques
  • Pedigree
  • Polymerase Chain Reaction / methods
  • Polymorphism, Genetic
  • Pregnancy
  • Preimplantation Diagnosis / methods*
  • Reproductive Techniques, Assisted*

Substances

  • DNA Primers
  • Genetic Markers