The clinical application of preimplantation genetic diagnosis for X-linked retinitis pigmentosa.

Abstract:

OBJECTIVE:To investigate the usefulness of preimplantation genetic diagnosis (PGD) based on mutated allele revealed by sequencing with aneuploidy and linkage analyses (MARSALA) for a pedigree with X-linked retinitis pigmentosa (XLRP). METHODS:One pathogenic mutation (c.494G > A) of the retinitis pigmentosa GTPase regulator (RPGR) gene was identified in a pedigree affected by XLRP. Then, PGD was carried out for the couple, of which the wife was an XLRP carrier. Three blastocysts were biopsied and then MARSALA was performed by next-generation sequencing (NGS). Prenatal diagnosis was also carried out to confirm the PGD results. RESULTS:Three blastocysts were all unaffected. Then, one of the embryos was chosen randomly to be transferred, and the pregnancy was acquired successfully. The results of prenatal diagnosis were consistent with the PGD results. The fetus did not carry RPGR mutation (c.494G > A) and had normal chromosome karyotype. As a result, a healthy baby free of XLRP condition was born. CONCLUSION:The PGD method based on MARSALA was established and applied to a family with XLRP successfully. MARSALA will be a valid tool, not only for XLRP families but also for families affected with other monogenetic disorders, to prevent transmission of the genetic disease from parents to offspring.

journal_name

J Assist Reprod Genet

authors

Huang X,Liu Y,Yu X,Huang Q,Lin C,Zeng J,Lan F,Wang Z

doi

10.1007/s10815-019-01434-9

subject

Has Abstract

pub_date

2019-05-01 00:00:00

pages

989-994

issue

5

eissn

1058-0468

issn

1573-7330

pii

10.1007/s10815-019-01434-9

journal_volume

36

pub_type

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