The First Asian, Single-Center Experience of Blastocyst Preimplantation Genetic Diagnosis with HLA Matching in Thailand for the Prevention of Thalassemia and Subsequent Curative Hematopoietic Stem Cell Transplantation of Twelve Affected Siblings.

Abstract:

Results:In 221 cycles from 138 patients (104 cycles requiring HLA matching), 90.5% had embryo(s) biopsied for genetic testing. There were 119 embryo transfers for thalassemia (76) and thalassemia-HLA cases (43), respectively, resulting in overall clinical pregnancy rates of 54.6%, implantation rates of 45.7%, and live birth rates of 44.1%. Our dataset included fifteen PGD-HLA live births with successful HSCT in twelve affected siblings, 67% using umbilical cord blood stem cells (UCBSC) as the only SC source. Conclusions:We report favorable thalassemia PGD and PGD-HLA laboratory and clinical outcomes from a single center. The ultimate success in PGD-HLA is of course the cure of a thalassemia-affected sibling by HSCT. Our PGD-HLA HSCT series is the first and largest performed entirely in Asia with twelve successful and two pending cures and predominant UCBSC use.

journal_name

Biomed Res Int

authors

Tiewsiri K,Manipalviratn S,Sutheesophon W,Vanichsetakul P,Thaijaroen P,Ketcharoon P,Bradley CK,McArthur SJ,Krutsawad W,Marshall JTA,Papadopoulos KI

doi

10.1155/2020/5292090

subject

Has Abstract

pub_date

2020-06-26 00:00:00

pages

5292090

eissn

2314-6133

issn

2314-6141

journal_volume

2020

pub_type

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