title: Molecular strategies for pre-implantation genetic diagnosis of single gene and chromosomal disorders.
abstract: Pre-implantation genetic diagnosis is used to analyse pre-implantation stage embryos or oocytes for genetic defects, generally for severe Mendelian disorders and chromosome abnormalities. New but controversial indications for pre-implantation genetic diagnosis include identifying human leukocyte antigen compatible embryos suitable as donor, sex selection and adult-onset disorders, particularly cancer. Pre-implantation genetic screening is a variant of pre-implantation genetic diagnosis to improve outcomes of in-vitro fertilisation. Array comparative genomic hybridisation is replacing fluorescence in-situ hybridisation for aneuploidy screening. Besides technical advancement of array platform, the success of pre-implantation genetic screening is strongly related to the embryonic biological nature of chromosomal mosaicism. Having been applied for more than 20 years, pre-implantation genetic diagnosis is recognised as an important alternative to prenatal diagnosis. Diagnosis from a single cell, however, remains a technically challenging procedure, and the risk of misdiagnosis cannot be eliminated.
authors.affiliation: Pre-implantation Genetic Diagnosis Center, University Children's Medical Institute, National University Hospital, Singapore.
authors.forename: Boran
authors.initials: B
authors.lastname: Jiang
authors.forename: Arnold S C
authors.initials: AS
authors.lastname: Tan
authors.forename: Samuel S
authors.initials: SS
authors.lastname: Chong
mesh_terms: D025063:Chromosome Disorders / Q000175:diagnosis*; D030342:Genetic Diseases, Inborn / Q000175:diagnosis*; D005820:Genetic Testing / Q000379:methods*; D006801:Humans; D007621:Karyotyping / Q000379:methods; D019836:Preimplantation Diagnosis / Q000379:methods*