The utilization of pre-implantation genetic testing in the absence of governance: a real-time experience.

Abstract:

:To create a diagnostic document describing the utilization of pre-implantation genetic testing (PGT) in the absence of monitoring and regulation. Retrospective cohort study of couples undergoing PGT between 2004 and 2007 in Lebanon. The clinical indications for 192 PGT cycles performed during the study period were gender selection (96.3%), chromosomal aneuploidy (3.1%), and balanced translocation (0.5%). When gender selection was sought, the selection of a son was desired in 94.1% of cases. Of couples undergoing PGT for sex selection, 16.2% were childless, 8.6% had one child of the opposite gender, 28.1% had two same-gender children, 29.7% had three same-gender children, and 11.9% had four or more. Our findings demonstrate the morally questionable consequences of self-regulated systems in which physicians are the sole gatekeepers of norms and ethics.

journal_name

Clin Genet

journal_title

Clinical genetics

authors

Farra C,Nassar A,Arawi T,Ashkar H,Monsef C,Awwad J

doi

10.1111/cge.12250

subject

Has Abstract

pub_date

2014-08-01 00:00:00

pages

177-80

issue

2

eissn

0009-9163

issn

1399-0004

journal_volume

86

pub_type

杂志文章
  • Molecular background of polyendocrinopathy-candidiasis-ectodermal dystrophy syndrome in a Polish population: novel AIRE mutations and an estimate of disease prevalence.

    abstract::Autoimmune polyendocrinopathy-candidiasis-ectodermal dystrophy (APECED) is an autosomal-recessive autoimmune disease caused by autoimmune regulator gene mutations. The aim of this study was to examine the mutation profile of Polish APECED patients, determine the carrier rate of the most frequent mutation(s) and estima...

    journal_title:Clinical genetics

    pub_type: 杂志文章

    doi:10.1111/j.1399-0004.2006.00690.x

    authors: Stolarski B,Pronicka E,Korniszewski L,Pollak A,Kostrzewa G,Rowińska E,Włodarski P,Skórka A,Gremida M,Krajewski P,Ploski R

    更新日期:2006-10-01 00:00:00

  • Low prevalence of Connexin 26 (GJB2) variants in Pakistani families with autosomal recessive non-syndromic hearing impairment.

    abstract::The Pakistani population has become an important resource for research on autosomal recessive non-syndromic hearing impairment (ARNSHI) due to the availability of large extended and highly consanguineous pedigrees. Here is presented the first report on the prevalence of gap junction beta-2 (GJB2) variants in Pakistan....

    journal_title:Clinical genetics

    pub_type: 杂志文章

    doi:10.1111/j.1399-0004.2005.00379.x

    authors: Santos RL,Wajid M,Pham TL,Hussan J,Ali G,Ahmad W,Leal SM

    更新日期:2005-01-01 00:00:00

  • Combining fetal sonography with genetic and allele pathogenicity studies to secure a neonatal diagnosis of Bardet-Biedl syndrome.

    abstract::Bardet-Biedl syndrome (BBS) is a rare pediatric ciliopathy characterized by marked clinical variability and extensive genetic heterogeneity. Typical diagnosis of BBS is secured at a median of 9 years of age, and sometimes well into adolescence. Here, we report a patient in whom prenatal detection of increased nuchal f...

    journal_title:Clinical genetics

    pub_type: 杂志文章

    doi:10.1111/cge.12022

    authors: Ashkinadze E,Rosen T,Brooks SS,Katsanis N,Davis EE

    更新日期:2013-06-01 00:00:00

  • Trisomy 2q and monosomy 11q in the same individual: the importance of considering the deleted segment.

    abstract::A female infant with multiple dysmorphic features and developmental delay was found to have partial duplication of the long arm of chromosome 2 and partial deletion of the long arm of chromosome 11 derived from a paternal balanced translocation, 46,XY,t(2;11)(q33:q25). Clinically, the infant had features of both 2q+ a...

    journal_title:Clinical genetics

    pub_type: 杂志文章

    doi:10.1111/j.1399-0004.1987.tb02828.x

    authors: Ardinger HH,Patil SR,Rhead WJ

    更新日期:1987-06-01 00:00:00

  • Genetic basis of acquired C4 deficiency.

    abstract::A study of the family of a patient who had an SLE-like syndrome and an extremely low serum C4 revealed an inheritance of C4 types and HLA region markers which indicated that the patient had 60--70% of "normal" C4 level prior to the onset of disease. Thus the extremely low C4 level during her disease may result from a ...

    journal_title:Clinical genetics

    pub_type: 杂志文章

    doi:10.1111/j.1399-0004.1979.tb01005.x

    authors: Cream JJ,Olaisen B,Teisberg P,Soler AV,Thompson RA

    更新日期:1979-11-01 00:00:00

  • Prenatal course of metaphyseal anadysplasia associated with homozygous mutation in MMP9 identified by exome sequencing.

    abstract::Metaphyseal anadysplasia (MANDP) is a rare autosomal recessive form of skeletal dysplasia characterized by normal length at birth and transitory bowing of the legs. Although several families with MANDP have been reported, homozygous mutations in the matrix metalloproteinase type 9 (MMP9) gene have been described in on...

    journal_title:Clinical genetics

    pub_type: 杂志文章

    doi:10.1111/cge.13020

    authors: Sharony R,Borochowitz Z,Cohen L,Shtorch-Asor A,Rosenfeld R,Modai S,Reinstein E

    更新日期:2017-12-01 00:00:00

  • The frequency of PKU and hyperphenylalaninemia in Sweden - a study in institutions for the mentally retarded as well as in neonates.

    abstract::In a country-wide screening examination in Sweden, PKU was observed in 75 (4.5 per 1,000) and hyperphenylalaninemia in 14 (0.8 per 1,000) of a total of 16,805 patients in institutions for the mentally retarded. In the national neonatal screening program in 1965-1975, which covered nearly 1 million individuals, PKU was...

    journal_title:Clinical genetics

    pub_type: 杂志文章

    doi:10.1111/j.1399-0004.1976.tb00054.x

    authors: Holmgren G,Larsson A,Palmstierna H,Alm J

    更新日期:1976-12-01 00:00:00

  • Familial Turner syndrome.

    abstract::A 28-year-old Turner female with secondary amenorrhea is described, who showed 45,X/46,X,del(Xp) mosaicism in her blood lymphocytes and a 46,X,del(Xp) karyotype only in her ovaries. 45,X/46,XX mosaicism was found in the patient's mother, who presented short stature, mild Turner dysmorphism and had a normal reproductiv...

    journal_title:Clinical genetics

    pub_type: 杂志文章

    doi:10.1111/j.1399-0004.1992.tb03666.x

    authors: Verschraegen-Spae MR,Depypere H,Speleman F,Dhondt M,De Paepe A

    更新日期:1992-04-01 00:00:00

  • Molecular and phenotypic characteristics of seven novel mutations causing branched-chain organic acidurias.

    abstract::Specific mitochondrial enzymatic deficiencies in the catabolism of branched-chain amino acids cause methylmalonic aciduria (MMA), propionic acidemia (PA) and maple syrup urine disease (MSUD). Disease-causing mutations were identified in nine unrelated branched-chain organic acidurias (BCOA) patients. We detected eight...

    journal_title:Clinical genetics

    pub_type: 杂志文章

    doi:10.1111/cge.12751

    authors: Stojiljkovic M,Klaassen K,Djordjevic M,Sarajlija A,Brasil S,Kecman B,Grkovic S,Kostic J,Rodriguez-Pombo P,Desviat LR,Pavlovic S,Perez B

    更新日期:2016-09-01 00:00:00

  • Abnormality of chromosome 16 and its phenotypic expression.

    abstract::An abnormality of chromosome 16 in which there is extra genetic material present on the short arm (46,XY, 16p+) has been identified. This chromosomal aberration was associated with multiple congenital anomalies, including mid-facial hypoplasia, arthrogryposis, and mental retardation. On the basis of the cytogenetic ap...

    journal_title:Clinical genetics

    pub_type: 杂志文章

    doi:10.1111/j.1399-0004.1981.tb00665.x

    authors: Golden NL,Bilenker R,Johnson WE,Tischfield JA

    更新日期:1981-01-01 00:00:00

  • Dural ectasia in individuals with Marfan-like features but exclusion of mutations in the genes FBN1, TGFBR1 and TGFBR2.

    abstract::Mutations in the genes FBN1, TGFBR1, and TGFBR2 can result in heritable connective tissue disorders comprising the Marfan syndrome and the Loeys-Dietz syndrome. Dural ectasia is a characteristic manifestation of both syndromes. However, dural ectasia has not yet been investigated in connective tissue disorders that ar...

    journal_title:Clinical genetics

    pub_type: 杂志文章

    doi:10.1111/j.1399-0004.2010.01494.x

    authors: Sheikhzadeh S,Rybczynski M,Habermann CR,Bernhardt AM,Arslan-Kirchner M,Keyser B,Kaemmerer H,Mir TS,Staebler A,Oezdal N,Robinson PN,Berger J,Meinertz T,von Kodolitsch Y

    更新日期:2011-06-01 00:00:00

  • Urinary tract malformation in the XYY male.

    abstract::Phenotypic expression of the 47,XYY chromosome complement in man has been investigated mostly in terms of the central nervous system. Evidence is presented here to suggest that urinary tract malformation may be a component of the XYY syndrome; this should be taken into account when counselling parents of children wit...

    journal_title:Clinical genetics

    pub_type: 杂志文章

    doi:10.1111/j.1399-0004.1978.tb02104.x

    authors: Machin GA

    更新日期:1978-12-01 00:00:00

  • Sanfilippo A syndrome in the fetus.

    abstract::A family is reported in which Sanfilippo A syndrome affected three siblings: the proband and twin premature infants. The feasibility of intrauterine diagnosis of mucopolysaccharidoses (MPS) Type IIIA, was demonstrated by the excessive accumulation of 35SO4-mucopolysaccharides in fibroblasts cultured from amniotic flui...

    journal_title:Clinical genetics

    pub_type: 杂志文章

    doi:10.1111/j.1399-0004.1978.tb01177.x

    authors: Greenwood RS,Hillman RE,Alcala H,Sly WS

    更新日期:1978-03-01 00:00:00

  • The contribution of founder mutations to early-onset breast cancer in French-Canadian women.

    abstract::In an ethnically-homogeneous population, it is valuable to identify founder mutations in cancer-predisposing genes. Founder mutations have been found in four breast-cancer-predisposing genes in French-Canadian breast cancer families. The frequencies of the mutant alleles have been measured neither in a large series of...

    journal_title:Clinical genetics

    pub_type: 杂志文章

    doi:10.1111/j.1399-0004.2009.01277.x

    authors: Ghadirian P,Robidoux A,Zhang P,Royer R,Akbari M,Zhang S,Fafard E,Costa M,Martin G,Potvin C,Patocskai E,Larouche N,Younan R,Nassif E,Giroux S,Narod SA,Rousseau F,Foulkes WD

    更新日期:2009-11-01 00:00:00

  • A new multiple malformation syndrome of Müllerian dysgenesis and conductive hearing loss with facial hypoplasia, bilateral forearm deformity, brachydactyly, spinal stenosis and scoliosis.

    abstract::Multiple congenital malformations in a young girl with bilateral conductive hearing loss are described. Facial dysmorphic features include prominent supraorbital ridges, facial hypoplasia, facial asymmetry, downward-slanting palpebral fissures, high prominent nasal bridge with bifid nasal tip and a small lower jaw, an...

    journal_title:Clinical genetics

    pub_type: 杂志文章

    doi:10.1111/j.1399-0004.1997.tb02511.x

    authors: Kumar D,Masel JP

    更新日期:1997-07-01 00:00:00

  • alpha1-Antitrypsin deficiency in twins and parents-of-twins.

    abstract::Serum-trypsin-inhibitory-capacity (STIC) and alpha1-antitrypsin (AAT) genotypes were evaluated in 83 twins and 112 paired parents-of-twins. An increased prevalence (17.0--21.9%) of intermediate AAT deficiency (STIC less than 0.95 units/ml) was detected in both of these groups as compared to a prevalence of 4.1% in 1,8...

    journal_title:Clinical genetics

    pub_type: 杂志文章

    doi:10.1111/j.1399-0004.1979.tb02026.x

    authors: Lieberman J,Borhani NO,Feinleib M

    更新日期:1979-01-01 00:00:00

  • De novo t(5p;21q) in a patient previously diagnosed as monosomy 21.

    abstract::In situ hybridization was used to characterize an undetected chromosome translocation in a child whose metaphase chromosome analysis in peripheral blood and in skin culture revealed apparent monosomy 21. The cytogenetic study revealed 45 chromosomes, and no other structural anomalies were detected with G banding. In s...

    journal_title:Clinical genetics

    pub_type: 杂志文章

    doi:10.1111/j.1399-0004.1993.tb04457.x

    authors: López-Pajares I,Martin-Ancel A,Cabello P,Delicado A,Garcia-Alix A,San Roman C

    更新日期:1993-02-01 00:00:00

  • Paracentric inversion of chromosome 9 with schizoaffective disorder.

    abstract::A 36-year-old man with schizoaffective disorder was found to have a de novo 46 XY inv (9) (q31.2q34.3). Phenotypical abnormalities are short stature, depressed nasal bridge, hypertelorism and slender shoulders. Paracentric inversion of chromosome 9 is a rare chromosome aberration. This case suggests a new candidate re...

    journal_title:Clinical genetics

    pub_type: 杂志文章

    doi:10.1111/j.1399-0004.1997.tb02419.x

    authors: Inayama Y,Yoneda H,Fukushima K,Sakai J,Asaba H,Sakai T

    更新日期:1997-01-01 00:00:00

  • A prospective evaluation of the angiotensin-converting enzyme D/I polymorphism and left ventricular remodeling in the 'Healing and Early Afterload Reducing Therapy' study.

    abstract::The D/I (deletion, D, insertion, I) polymorphism of the angiotensin-converting enzyme (ACE) gene has been extensively studied for its association with a number of cardiovascular and other disease states. However, its potential association with differential clinical efficacy of ACE inhibitors (ACE-I) administered to pa...

    journal_title:Clinical genetics

    pub_type: 临床试验,杂志文章

    doi:10.1034/j.1399-0004.2002.610104.x

    authors: Zee RY,Solomon SD,Ajani UA,Pfeffer MA,Lindpaintner K,Heart investigators.

    更新日期:2002-01-01 00:00:00

  • Variations in high-density lipoprotein cholesterol in relation to physical activity and Taq 1B polymorphism of the cholesteryl ester transfer protein gene.

    abstract::The aim of the study was to determine any association of physical activity and Taq 1B polymorphism in the cholesteryl ester transfer protein gene on high-density lipoprotein (HDL) cholesterol. Five hundred and four subjects, 390 males and 114 females consisting of an equal number of age- and sex-matched healthy contro...

    journal_title:Clinical genetics

    pub_type: 杂志文章

    doi:10.1111/j.0009-9163.2004.0237.x

    authors: Mukherjee M,Shetty KR

    更新日期:2004-05-01 00:00:00

  • C-band polymorphism in human chromosome no. 6.

    abstract::Chromosome analysis of G-banded cells from 92 individuals consecutively referred to the Cytogenetics Laboratory show that the paracentromeric band in the short arm (6p11), which stains negatively with G-banding and darkly with C-banding, shows a marked increase in size in about 9% of chromosome no. 6. The results of t...

    journal_title:Clinical genetics

    pub_type: 杂志文章

    doi:10.1111/j.1399-0004.1979.tb01761.x

    authors: Madan K,Bruinsma AH

    更新日期:1979-02-01 00:00:00

  • Chromosomes in retinoblastoma patients.

    abstract::In a series of eight patients with retinoblastoma, one was found to have a reciprocal translocation of chromosomes 1 and 13. The breakpoint on chromosome 13 is at band q12, which suggests that the retinoblastoma locus is less distal than previously thought. ...

    journal_title:Clinical genetics

    pub_type: 杂志文章

    doi:10.1111/j.1399-0004.1979.tb00833.x

    authors: Davison EV,Gibbons B,Aherne GE,Roberts DF

    更新日期:1979-06-01 00:00:00

  • Molecular genetics of GM1 beta-galactosidase.

    abstract::The molecular genetics of GM1 beta-galactosidase is reviewed. This enzyme exists in two forms, A and B. Form A is monomeric with a molecular weight of 72,000 and appears to be coded by a single autosomal locus. Form B is polymeric and cross-reacts with anti-A antibodies; it is coded wholly or in part by the same locus...

    journal_title:Clinical genetics

    pub_type: 杂志文章,评审

    doi:

    authors: O'Brien JS

    更新日期:1975-11-01 00:00:00

  • Non-syndromic autosomal-dominant deafness.

    abstract::Non-syndromic deafness is a paradigm of genetic heterogeneity. More than 70 loci have been mapped, and 25 of the nuclear genes responsible for non-syndromic deafness have been identified. Autosomal-dominant genes are responsible for about 20% of the cases of hereditary non-syndromic deafness, with 16 different genes i...

    journal_title:Clinical genetics

    pub_type: 杂志文章,评审

    doi:10.1034/j.1399-0004.2002.620101.x

    authors: Petersen MB

    更新日期:2002-07-01 00:00:00

  • Infantile Refsum's disease (phytanic acid storage disease): a variant of Zellweger's syndrome?

    abstract::The activity of phytanic acid oxidase is low in infantile and adult Refsum's disease, and in the cerebro-hepato-renal (Zellweger's) syndrome. The plasma of patients with the infantile but not the adult form of Refsum's disease contains increased amounts of pipecolic acid and of at least two abnormal bile acids, one of...

    journal_title:Clinical genetics

    pub_type: 杂志文章

    doi:10.1111/j.1399-0004.1984.tb01107.x

    authors: Poulos A,Sharp P,Whiting M

    更新日期:1984-12-01 00:00:00

  • Specific mosaic KRAS mutations affecting codon 146 cause oculoectodermal syndrome and encephalocraniocutaneous lipomatosis.

    abstract::Oculoectodermal syndrome (OES) and encephalocraniocutaneous lipomatosis (ECCL) are rare disorders that share many common features, such as epibulbar dermoids, aplasia cutis congenita, pigmentary changes following Blaschko lines, bony tumor-like lesions, and others. About 20 cases with OES and more than 50 patients wit...

    journal_title:Clinical genetics

    pub_type: 杂志文章

    doi:10.1111/cge.12775

    authors: Boppudi S,Bögershausen N,Hove HB,Percin EF,Aslan D,Dvorsky R,Kayhan G,Li Y,Cursiefen C,Tantcheva-Poor I,Toft PB,Bartsch O,Lissewski C,Wieland I,Jakubiczka S,Wollnik B,Ahmadian MR,Heindl LM,Zenker M

    更新日期:2016-10-01 00:00:00

  • Development of eight pubertal males with 47,xxy karyotype.

    abstract::The increasing frequency with which the diagnosis of the 47,XXY karyotype is made requires more knowledge of the prognosis of this condition. We present four 47,XXY boys identified at birth and followed since then (Group I), and four 47,XXY boys diagnosed because of physical and/or emotional problems (Group II). Physi...

    journal_title:Clinical genetics

    pub_type: 杂志文章

    doi:10.1111/j.1399-0004.1981.tb01819.x

    authors: Salbenblatt JA,Bender BG,Puck MH,Robinson A,Webber ML

    更新日期:1981-08-01 00:00:00

  • Search for ReCQL4 mutations in 39 patients genotyped for suspected Rothmund-Thomson/Baller-Gerold syndromes.

    abstract::Three overlapping conditions, namely Rothmund-Thomson (RTS), Baller-Gerold (BGS) and RAPADILINO syndromes, have been attributed to RECQL4 mutations. Differential diagnoses depend on the clinical presentation, but the numbers of known genes remain low, leading to the widespread prescription of RECQL4 sequencing. The ai...

    journal_title:Clinical genetics

    pub_type: 杂志文章

    doi:10.1111/cge.12361

    authors: Piard J,Aral B,Vabres P,Holder-Espinasse M,Mégarbané A,Gauthier S,Capra V,Pierquin G,Callier P,Baumann C,Pasquier L,Baujat G,Martorell L,Rodriguez A,Brady AF,Boralevi F,González-Enseñat MA,Rio M,Bodemer C,Philip N,

    更新日期:2015-03-01 00:00:00

  • Course of autosomal recessive polycystic kidney disease (ARPKD) in siblings: a clinical comparison of 20 sibships.

    abstract::Forty-two children out of 20 sibships with autosomal recessive polycystic kidney disease were observed pro- and retrospectively over a mean period of 3.7 years in a long-term study on cystic kidney diseases in children. The intra- and interfamilial variability in terms of age at diagnosis, administration of antihypert...

    journal_title:Clinical genetics

    pub_type: 杂志文章,评审

    doi:10.1111/j.1399-0004.1995.tb04305.x

    authors: Deget F,Rudnik-Schöneborn S,Zerres K

    更新日期:1995-05-01 00:00:00

  • Respiratory disease in Niemann-Pick type C2 is caused by pulmonary alveolar proteinosis.

    abstract::Niemann-Pick diseases are hereditary neurovisceral lysosomal lipid storage disorders, of which the rare type C2 almost uniformly presents with respiratory distress in early infancy. In the patient presented here, the NPC2 exon 4 frameshift mutation c.408_409delAA caused reduced NPC2 protein levels in serum and lung la...

    journal_title:Clinical genetics

    pub_type: 杂志文章

    doi:10.1111/j.1399-0004.2009.01325.x

    authors: Griese M,Brasch F,Aldana VR,Cabrera MM,Goelnitz U,Ikonen E,Karam BJ,Liebisch G,Linder MD,Lohse P,Meyer W,Schmitz G,Pamir A,Ripper J,Rolfs A,Schams A,Lezana FJ

    更新日期:2010-02-01 00:00:00