Do human embryos have the ability of self-correction?

被引:54
作者
Orvieto, Raoul [1 ,2 ,3 ]
Shimon, Chen [1 ]
Rienstein, Shlomit [2 ,4 ]
Jonish-Grossman, Anat [4 ]
Shani, Hagit [2 ,4 ]
Aizer, Adva [1 ,2 ]
机构
[1] Chaim Sheba Med Ctr Tel Hashomer, Dept Obstet & Gynecol, Infertil & IVF Unit, IL-56261 Ramat Gan, Israel
[2] Tel Aviv Univ, Sackler Sch Med, Tel Aviv, Israel
[3] Tel Aviv Univ, Sackler Fac Med, Tarnesby Tarnowski Chair Family Planning & Fertil, Tel Aviv, Israel
[4] Sheba Med Ctr, Danek Gertner Inst Human Genet, IL-56261 Ramat Gan, Israel
关键词
Self-correction; PGT; Human embryo; Blastocyst; Mosaicism; IN-SITU HYBRIDIZATION; CHROMOSOMAL MOSAICISM; ANEUPLOID EMBRYOS; ABNORMALITIES; ORIGIN; VITRO;
D O I
10.1186/s12958-020-00650-8
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Human embryogenesis frequently coinciding with cell division mistakes contributing to pervasive embryonic aneuploidy/mosaicism. While embryo self-correction was elegantly demonstrated in mouse models, human studies are lacking. Here we are witness to human embryos ability to eliminate/expel abnormal blastomeres as cell debris/fragments. Each blastocyst and its corresponding debris were separated and underwent whole genome amplification. Seven of the 11 pairs of blastocysts and their corresponding cell debris/fragments revealed discordant results. Of the 9 euploid blastocysts, four showed euploid debris, while in the others, the debris were aneuploid. In the remaining pairs, the debris showed additional aneuploidy to those presented by their corresponding blastocyst. The observed ability of human embryos to self-correction doubts many invasive and non-invasive preimplantation testing for aneuploidy at the blastocyst stage, rendering high rate of false positive (discarding "good" embryos) by identifying the cell-free DNA originated from the expelled cell debris, as aneuploidy/mosaic blastocyst.
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页数:6
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