The Comparison of Two Whole-Genome Amplification Approaches for Noninvasive Preimplantation Genetic Testing (ni-PGT) and the Application Scenario of ni-PGT during the Fresh Cycle
Recently, noninvasive preimplantation genetic testing (ni-PGT) using degenerate oligonucleotide primer PCR (DOP-PCR) and multiple annealing and looping-based amplification cycle (MALBAC)-based whole-genome amplification (WGA) methods has demonstrated predictable results in embryo testing. However, a considerable heterogeneity of results has been reported in numerous studies on these two WGA methods. Our aim was to evaluate the current WGA method for ni-PGT while further clarifying the applicable scenarios of ni-PGT in the fresh cycle. A total of 173 embryos were tested with trophectoderm biopsy and ni-PGT. In the whole preimplantation genetic testing, the clinical concordance rates of the detection results of DOP-PCR and MALBAC with the corresponding trophectoderm biopsy results were 64.12% (84/131) and 68.99% (89/129), respectively (P = 0.405). However, in the detection of abnormal embryos, the detection efficiency of ni-PGT is significantly improved [MALBAC: 96.55% versus 68.99% (P < 0.001); and DOP-PCR: 89.09% versus 64.12% (P < 0.001)]. In addition, the diagnostic efficiency of ni-PGT in low-quality blastocysts was significantly higher than that in high-quality blastocysts [MALBAC: 95.24% versus 51.85% (P = 0.001); and DOP-PCR: 91.30% versus 48.15% (P = 0.001)]. These results contribute to further understanding ni-PGT and to clarifying its application scenario in the fresh cycle.
基金:
Supported by the National Natural Science Foundation of China grants
31700798 (J.Y.), 32270981 (J.Y.), 82060282 (Yo.L.), and 82360305 (Z.W.);
High Level Project of Yunnan Province grants YNQR-QNRC-2018-126
(J.Y.) and XDYC-MY-2022-0055 (Z.W.); Yunnan Provincial Young and
Middle-aged Academic and Technical Leaders Reserve Talents Program
202305AC160022 (L.X.); Kunming Medical University Joint Program
202301AY070001-003 (J.Y.); Kunming University of Science and Technology
Joint Program KUST-KH2022025Y (J.Y.); and Open Project of Yunnan Provincial Reproductive and Obstetrics and Gynecology Clinical
Medicine Center (zx2019-01-01) grants 2020LCZXKF-SZ02 (J.Y.),
2021LCZXXF-SZ10 (X.W.), 2021LCZXXF-SZ01 (L.L.), 2020LCZXKFSZ03
(Yu.L.), 2020LCZXKF-SZ06 (N.L.), 2021LCZXXF-SZ09 (L.Z.),
2021LCZXXF-SZ03 (M.G.), 2021LCZXXF-SZ07 (L.T.), 2022LCZXKFSZ05
(Z.W.), 2022LCZXKF-SZ18 (M.T.), 2022LCZXKF-SZ15 (M.W.),
2022LCZXKF-SZ17 (Yu.L.), and 2022LCZXKF-SZ12 (J.Y.).
Hu Zhixin,Li Yonggang,Chen Kexin,et al.The Comparison of Two Whole-Genome Amplification Approaches for Noninvasive Preimplantation Genetic Testing (ni-PGT) and the Application Scenario of ni-PGT during the Fresh Cycle[J].JOURNAL OF MOLECULAR DIAGNOSTICS.2023,25(12):945-956.doi:10.1016/j.jmoldx.2023.09.005.
APA:
Hu, Zhixin,Li, Yonggang,Chen, Kexin,Li, Mingying,Tian, Mei...&Wu, Ze.(2023).The Comparison of Two Whole-Genome Amplification Approaches for Noninvasive Preimplantation Genetic Testing (ni-PGT) and the Application Scenario of ni-PGT during the Fresh Cycle.JOURNAL OF MOLECULAR DIAGNOSTICS,25,(12)
MLA:
Hu, Zhixin,et al."The Comparison of Two Whole-Genome Amplification Approaches for Noninvasive Preimplantation Genetic Testing (ni-PGT) and the Application Scenario of ni-PGT during the Fresh Cycle".JOURNAL OF MOLECULAR DIAGNOSTICS 25..12(2023):945-956