Could monopronucleated ICSI zygotes be considered for transfer? Analysis through time-lapse monitoring and PGS.

Abstract:

PURPOSE:The purpose of this study was to investigate the chromosomal constitution and the developmental potential of intracytoplasmic sperm injection (ICSI) deriving embryos displaying a single pronucleus at the zygote stage. METHODS:Eighty-eight embryos from single pronucleus (1PN) two polar bodies (2PB) ICSI zygotes from 64 preimplantational genetic screening (PGS) cycles (October 2012-December 2014), were retrospectively analyzed. Zygotes were cultured in a time-lapse incubator. Embryo biopsy was performed on day 3 and genetic analysis approached by array comparative genomic hybridization. RESULTS:Chromosomal analysis revealed that 17% (15/88) of embryos derived from 1PN 2PB zygotes were diagnosed as euploid. After blastomere biopsy at day 3, the blastocyst rate at day 5 was 3.4% (3/88). Only 2.3% (2/88) euploid blastocysts were obtained. In two couples and after counseling and patient agreement, the transfer of a euploid blastocyst from a 1PN 2PB ICSI zygote was performed resulting in the birth of a healthy child. CONCLUSIONS:These results open the possibility to consider embryos coming from 1PN 2PB ICSI zygotes for transfer when no other embryos from 2PN 2PB ICSI zygotes are available and if a PGS diagnosis of euploidy is obtained. Confirmation of biparental inheritance is strongly recommended.

journal_name

J Assist Reprod Genet

authors

Mateo S,Vidal F,Parriego M,Rodríguez I,Montalvo V,Veiga A,Boada M

doi

10.1007/s10815-017-0937-z

subject

Has Abstract

pub_date

2017-07-01 00:00:00

pages

905-911

issue

7

eissn

1058-0468

issn

1573-7330

pii

10.1007/s10815-017-0937-z

journal_volume

34

pub_type

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