Elucidating the origin of chromosomal aberrations in IVF embryos by preimplantation genetic analysis.
Preimplantation genetic screening (PGS) has been proposed as a method for improving success rates in patients with repeated IVF failures. This approach is based on the hypothesis that such failures are the result of aneuploid embryos. It has been suggested that FISH analysis of blastomeres removed from preimplantation embryos represent the chromosomal constitution of the entire embryo. However, it is not yet clear whether it also represents the chromosomal constitution of the implanted embryo. PGS reanalysis on day 5 of embryos designated as "aneuploid" on day 3 may demonstrate a high rate of mosaicism for chromosomal aberration. Some of these mosaic embryos are capable of developing into normal embryos by "self-correction". Others, however, may accumulate additional chromosomal anomalies. It is therefore concluded that the chromosomal constitution of a preimplantation embryo may evolve during early cleavages. Meiotic and post zygotic mitotic errors may account for these chromosomal aberrations. This review will focus on elucidating the origin of chromosomal changes during preimplantation embryo development by studying their chromosomal constitution at different stages.
Frumkin
Tsvia
T
Racine IVF Unit, Lis Maternity Hospital, Tel-Aviv Sourasky Medical Center affiliated to the Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Malcov
Mira
M
Yaron
Yuval
Y
Ben-Yosef
Dalit
D
D001755:Blastocyst; D002869:Chromosome Aberrations; D005307:Fertilization in Vitro / Q000379:methods; D006801:Humans; D017404:In Situ Hybridization, Fluorescence; D008938:Mitosis; D019836:Preimplantation Diagnosis / Q000379:methods*