Validation of concurrent preimplantation genetic testing for polygenic and monogenic disorders, structural rearrangements, and whole and segmental chromosome aneuploidy with a single universal platform
| Autor: | William Mowrey, Stephen D. H. Hsu, Nathan R. Treff, Steven G. Avery, Jeremy Li, Louis Lello, Bhavini Rana, Jens Jensen, M.P. Leondires, Elan Bechor, James Van Alstine, Kathy Miller, Erica Paganetti, Artem Samoilenko, Laurent C. A. M. Tellier, Raymond Zimmerman, Jeff Hsu |
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| Rok vydání: | 2019 |
| Předmět: |
Multifactorial Inheritance
Genotype Biopsy Karyotype Aneuploidy Single-nucleotide polymorphism Disease Biology Chromosomes Miscarriage Pregnancy Genetics medicine Humans SNP Preimplantation Diagnosis Genetics (clinical) Genetic testing Type 1 diabetes medicine.diagnostic_test Genetic Diseases Inborn General Medicine medicine.disease Abortion Spontaneous Blastocyst Genomic Structural Variation Female |
| Zdroj: | European Journal of Medical Genetics. 62:103647 |
| ISSN: | 1769-7212 |
| DOI: | 10.1016/j.ejmg.2019.04.004 |
| Popis: | Preimplantation genetic testing (PGT) has been successfully applied to reduce the risk of miscarriage, improve IVF success rates, and prevent inheritance of monogenic disease and unbalanced translocations. The present study provides the first method capable of simultaneous testing of aneuploidy (PGT-A), structural rearrangements (PGT-SR), and monogenic (PGT-M) disorders using a single platform. Using positive controls to establish performance characteristics, accuracies of 97 to >99% for each type of testing were observed. In addition, this study expands PGT to include predicting the risk of polygenic disorders (PGT-P) for the first time. Performance was established for two common diseases, hypothyroidism and type 1 diabetes, based upon availability of positive control samples from commercially available repositories. Data from the UK Biobank, eMERGE, and T1DBASE were used to establish and validate SNP-based predictors of each disease (7,311 SNPs for hypothyroidism and 82 for type 1 diabetes). Area under the curve of disease status prediction from genotypes alone were 0.71 for hypothyroidism and 0.68 for type 1 diabetes. The availability of expanded PGT to evaluate the risk of polygenic disorders in the preimplantation embryo has the potential to lower the prevalence of common genetic disease in humans. |
| Databáze: | OpenAIRE |
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