title: Number of biopsied trophectoderm cells is likely to affect the implantation potential of blastocysts with poor trophectoderm quality.
abstract: To evaluate whether the developmental potential of the blastocyst is affected by the number of trophectoderm (TE) cells biopsied in preimplantation genetic diagnosis (PGD) cycles.
  
  
  
  Retrospective study.
  
  
  
  University-affiliated center.
  
  
  
  Women underwent PGD cycles of blastocyst biopsy and fluorescence in situ hybridization analysis.
  
  
  
  Not applicable.
  
  
  
  Biopsied TE cell number of blastocysts, survival, and implantation rates.
  
  
  
  The biopsied TE cell number was affected by the TE quality and experience of different embryologists. The diagnostic efficiency increased when from one to five cells were biopsied (86.7%, 91.7%%, 96.0%, 96.8%, to 98.7%) and was maximized when more than six cells were biopsied. To compare the clinical efficiencies, blastocysts were divided into four groups according to biopsied TE cell number: 1-5, 6-10, 11-15, and 16-41. For the blastocysts with grade A TE score, no significant difference was observed in the survival and implantation rates among the four groups. For the blastocysts with grades B and C TE scores, the survival rates showed no significant differences among the four groups, but a significant decreasing trend in implantation rates was observed with increasing biopsied TE cell number.
  
  
  
  The implantation potential is negatively affected by the biopsied TE cell number in blastocysts with poor TE morphological score.
authors.affiliation: Institute of Reproduction and Stem Cell Engineering, Central South University, Changsha, People's Republic of China; Reproductive and Genetic Hospital of Citic-Xiangya, Changsha, People's Republic of China.
authors.forename: Shuoping
authors.initials: S
authors.lastname: Zhang
authors.affiliation: Institute of Reproduction and Stem Cell Engineering, Central South University, Changsha, People's Republic of China; Reproductive and Genetic Hospital of Citic-Xiangya, Changsha, People's Republic of China; Key Laboratory of Stem Cells and Reproductive Engineering, Ministry of Health, Changsha, People's Republic of China.
authors.forename: Keli
authors.initials: K
authors.lastname: Luo
authors.affiliation: Institute of Reproduction and Stem Cell Engineering, Central South University, Changsha, People's Republic of China; Reproductive and Genetic Hospital of Citic-Xiangya, Changsha, People's Republic of China.
authors.forename: Dehua
authors.initials: D
authors.lastname: Cheng
authors.affiliation: Institute of Reproduction and Stem Cell Engineering, Central South University, Changsha, People's Republic of China; Reproductive and Genetic Hospital of Citic-Xiangya, Changsha, People's Republic of China; Key Laboratory of Stem Cells and Reproductive Engineering, Ministry of Health, Changsha, People's Republic of China.
authors.forename: Yueqiu
authors.initials: Y
authors.lastname: Tan
authors.affiliation: Institute of Reproduction and Stem Cell Engineering, Central South University, Changsha, People's Republic of China; Reproductive and Genetic Hospital of Citic-Xiangya, Changsha, People's Republic of China; Key Laboratory of Stem Cells and Reproductive Engineering, Ministry of Health, Changsha, People's Republic of China.
authors.forename: Changfu
authors.initials: C
authors.lastname: Lu
authors.affiliation: Institute of Reproduction and Stem Cell Engineering, Central South University, Changsha, People's Republic of China; Key Laboratory of Stem Cells and Reproductive Engineering, Ministry of Health, Changsha, People's Republic of China.
authors.forename: Hui
authors.initials: H
authors.lastname: He
authors.affiliation: Institute of Reproduction and Stem Cell Engineering, Central South University, Changsha, People's Republic of China; Reproductive and Genetic Hospital of Citic-Xiangya, Changsha, People's Republic of China; Key Laboratory of Stem Cells and Reproductive Engineering, Ministry of Health, Changsha, People's Republic of China.
authors.forename: Yifan
authors.initials: Y
authors.lastname: Gu
authors.affiliation: Institute of Reproduction and Stem Cell Engineering, Central South University, Changsha, People's Republic of China; Reproductive and Genetic Hospital of Citic-Xiangya, Changsha, People's Republic of China; Key Laboratory of Stem Cells and Reproductive Engineering, Ministry of Health, Changsha, People's Republic of China; National Engineering and Research Center of Human Stem Cell, Changsha, People's Republic of China.
authors.forename: Guangxiu
authors.initials: G
authors.lastname: Lu
authors.affiliation: Institute of Reproduction and Stem Cell Engineering, Central South University, Changsha, People's Republic of China; Reproductive and Genetic Hospital of Citic-Xiangya, Changsha, People's Republic of China; Key Laboratory of Stem Cells and Reproductive Engineering, Ministry of Health, Changsha, People's Republic of China.
authors.forename: Fei
authors.initials: F
authors.lastname: Gong
authors.affiliation: Institute of Reproduction and Stem Cell Engineering, Central South University, Changsha, People's Republic of China; Reproductive and Genetic Hospital of Citic-Xiangya, Changsha, People's Republic of China; Key Laboratory of Stem Cells and Reproductive Engineering, Ministry of Health, Changsha, People's Republic of China; National Engineering and Research Center of Human Stem Cell, Changsha, People's Republic of China. Electronic address: linggf@hotmail.com.
authors.forename: Ge
authors.initials: G
authors.lastname: Lin
mesh_terms: D000328:Adult; D001706:Biopsy; D001755:Blastocyst / Q000166:cytology* / Q000473:pathology / Q000502:physiology*; D002452:Cell Count / Q000379:methods; D010064:Embryo Implantation / Q000502:physiology*; D005260:Female; D006801:Humans; D017404:In Situ Hybridization, Fluorescence / Q000379:methods*; D008297:Male; D019836:Preimplantation Diagnosis / Q000379:methods*; D012189:Retrospective Studies; D055815:Young Adult
keywords: Blastocyst biopsy; biopsied cell number; implantation; trophectoderm quality