Preimplantation diagnosis for long-chain 3-hydroxyacyl-CoA dehydrogenase deficiency.

Abstract:

:Long-chain 3-hydroxyacyl-CoA dehydrogenase (LCHAD) deficiency is a fatal autosomal recessive metabolic disorder, presenting during infancy. Preimplantation genetic diagnosis (PGD) provides an option for establishing an unaffected pregnancy, avoiding the risk for termination of pregnancy following prenatal diagnosis. The method for pre-selection of mutation-free oocytes for LCHAD deficiency was developed by testing the first and second polar body removed from oocytes by micromanipulation techniques in the framework of in-vitro fertilization. To avoid misdiagnosis, testing was done using hemi-nested polymerase chain reaction (PCR), with outer primers designed to lie outside the pseudogene, eliminating false priming. Four of 12 tested oocytes were predicted to be unaffected, based on the heterozygous first and mutant second polar body. The embryos resulting from these mutation-free oocytes were replaced, yielding a singleton clinical pregnancy and birth of a healthy child following confirmation by prenatal diagnosis.

journal_name

Reprod Biomed Online

authors

Verlinsky Y,Rechitsky S,Verlinsky O,Strom C,Kuliev A

doi

10.1016/s1472-6483(10)62183-9

keywords:

subject

Has Abstract

pub_date

2001-01-01 00:00:00

pages

17-19

issue

1

eissn

1472-6483

issn

1472-6491

pii

S1472-6483(10)62183-9

journal_volume

2

pub_type

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