Preimplantation genetic diagnosis for a Chinese family with autosomal recessive Meckel-Gruber syndrome type 3 (MKS3)

PLoS One. 2013 Sep 5;8(9):e73245. doi: 10.1371/journal.pone.0073245. eCollection 2013.

Abstract

Meckel-Gruber syndrome type 3 is an autosomal recessive genetic defect caused by mutations in TMEM67 gene. In our previous study, we have identified a homozygous TMEM67 mutation in a Chinese family exhibiting clinical characteristics of MKS3, which provided a ground for further PGD procedure. Here we report the development and the first clinical application of the PGD for this MKS3 family. Molecular analysis protocol for clinical PGD procedure was established using 50 single cells in pre-clinical set-up. After whole genomic amplification by multiple displacement amplification with the DNA from single cells, three techniques were applied simultaneously to increase the accuracy and reliability of genetic diagnosis in single blastomere, including real-time PCR with Taq Man-MGB probe, haplotype analysis with polymorphic STR markers and Sanger sequencing. In the clinical PGD cycle, nine embryos at cleavage-stage were biopsied and subjected to genetic diagnosis. Two embryos diagnosed as free of TMEM67 mutation were transferred and one achieving normal pregnancy. Non-invasive prenatal assessment of trisomy 13, 18 and 21 by multiplex DNA sequencing at 18 weeks' gestation excluded the aneuploidy of the analyzed chromosomes. A healthy boy was delivered by cesarean section at 39 weeks' gestation. DNA sequencing from his cord blood confirmed the result of genetic analysis in the PGD cycle. The protocol developed in this study was proved to be rapid and safe for the detection of monogenic mutations in clinical PGD cycle.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Ciliary Motility Disorders / genetics*
  • Encephalocele / genetics*
  • Female
  • Haplotypes
  • Humans
  • Male
  • Membrane Proteins / genetics*
  • Mutation
  • Polycystic Kidney Diseases / genetics*
  • Pregnancy
  • Preimplantation Diagnosis* / methods

Substances

  • Membrane Proteins
  • TMEM67 protein, human

Supplementary concepts

  • Meckel syndrome type 3

Grant support

These investigations were supported by Key Project of National Natural Science Foundation of China (81030017), National Science Fund for Distinguished Young Scholars (81125008) and The National Basic Research Program (2013CB945402) to HJ Yuan. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.