| Literature DB >> 31038296 |
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Abstract
Entities:
Year: 2019 PMID: 31038296 PMCID: PMC6501746 DOI: 10.5935/1518-0557.20190026
Source DB: PubMed Journal: JBRA Assist Reprod ISSN: 1517-5693
Description of the cases.
| Age (years) | Number of aspirated follicles | Number of oocytes recovered | Number of MII-stage oocytes | |
|---|---|---|---|---|
| Mean ± SD | 30.25±6.04 | 23.01±12.62 | 13.11±7.74 | 10.74±6.94 |
| GnRH Antagonist + rFSH (Age: 28.21±6.24) | 58 | |||
| GnRH Agonist + rFSH (Age: 31.69±5.56) | 72 | |||
| GnRH Agonist + uFSH (Age: 31.50±5.37) | 12 | |||
| Category | Cycles Analysed | Average MII Oocytes | Blastulation rate | Average Euploid Blastocysts |
|---|---|---|---|---|
| <35 | 18 | 13.28 | 4.5 | 1.89 |
| 35-37 | 33 | 9.42 | 3.27 | 1.15 |
| 38-40 | 55 | 8.15 | 3.09 | 0.53 |
| >40 | 44 | 8.18 | 2.27 | 0.29 |
| Egg donor cycle | 40 | 12.9 | 5.43 | 2.7 |
Result and biopsy day
| Biopsy day | Aneuploid | Euploid | Mosaic | Total |
|---|---|---|---|---|
| 5 | 72 (51%) | 59 (42%) | 9 (7%) | 140 |
| 5 | 173 (61%) | 92 (33%) | 76 (6%) | 282 |
| 7 | 27 (68%) | 9 (23%) | 4 (10%) | 40 |
| Total | 272 (59%) | 160 (35%) | 30 (6%) | 462 |
Result and age group
| Age group | Aneuploid | Euploid | Mosaic | Total |
|---|---|---|---|---|
| <37 | 98 (54%) | 70 (38%) | 15 (8%) | 183 |
| ≥37 | 174 (62%) | 90 (32%) | 15 (5%) | 279 |
| Total | 272 (59%) | 160 (35%) | 30 (6%) | 462 |
Chromosome rearrangements that warranted PGT-SR cycles
| Chromosomal rearrangement | Total nº of couples | Chromosomal rearrangement | Total nº of couples | |
|---|---|---|---|---|
| 46, XY, t(8;9)(q10;p10) | 1 | 46, t(3;10)(p25;q11.2) | 1 | |
| 46, XY, t(6;20)(p21,3;q11,2) | 1 | 46, XY, t(9;18)(q22;p11) | 1 | |
| 46, XY, t(3;15)(p12;q14) | 1 | 46, XX,t(10;18)(q11,2;q11,2) | 1 | |
| 46, XY,t(5;15)(q35.1;q22.1) | 1 | 46, XX, t(3;9)(q12;q13) | 1 | |
| 46,XY,t(10;13)(q21.3;q21.2) | 1 | 46, XY, t(2;12)(p13;q22) | 1 | |
| 46, XY, t(2;5)(q21;p13) | 1 | 46, XY, t(15;17)(q15;p13) | 1 | |
| 46, XY, t(1;22)(p34;p13) | 1 | 46, XY, t(1;14)(q25,3;q31) | 1 | |
| 46,XY,t(10;13)(q21.3;q21.2) | 1 | 46, XX, t(4;13)(p10,q10) | 1 | |
| 46, XX, t(2;4)(p12;p14) | 1 | 46, XY t(7;10)(q11.2;q22) | 1 | |
| 45, XX, t(13;14)(q10;q10) | 2 | 45, XY, t(13;14)(q10;q10) | 7 | |
| 46, XY; ins(7;8)(q35q36.3;p23.3) | 1 | |||
Embryo chromosome results of the PGT-SR cycles
| Status for paternal translocation | Total | Euploidy | Aneuploidy | Mosaic |
|---|---|---|---|---|
| 35 (23.6%) | 21 (14.2%) | 10 (6.8%) | ||
| 49 (33.1%) | 28 (18.9%) | 5 (3.4%) |
Results from the different PGT-A indications
| Time to pregnancy | Recurrent pregnancy loss | Repeated IVF failure | Advanced maternal age | RPL + AMA | |
|---|---|---|---|---|---|
| Cycles | 132 | 41 | 41 | 181 | 15 |
| Age rate | 28.7±5.4 | 35.3±2.4 | 35.6±2.7 | 40.9±1.9 | 40 1±1.3 |
| Euploidy rate | 58.4% | 50.7% | 45.1% | 27.1% | 21.1% |
| Cycles with no euploid embryo | 8.3% (11) | 22% (9) | 22% (9) | 55.2% (100) | 66.7% (10) |
| Number of transfers | 124 | 33 | 39 | 48 | 21 |
| Clinical pregnancy/transfer | 56.5% | 48.5% | 38.5% | 45.8% | 42.9% |
| Miscarriage | 5.1% | 0% | 18.8% | 4.2% | 30.0% |
Extracytoplasmatic dysmorphisms
| Summer 2017 | Winter 2017 | ||||
|---|---|---|---|---|---|
| Pellucide Zone Thickness | 144 | 73% | 249 | 61% | 0.04 |
| Perivitelline Space Increased | 37 | 19% | 113 | 28% | 0.017 |
| Granulles in the Perivitelline Space | 14 | 7% | 64 | 16% | 0.03 |
| Oocyte Shape | 14 | 7% | 27 | 7% | 0.823 |
| Oocyte Color | 18 | 9% | 72 | 18% | 0.006 |
| Oocyte Size | 3 | 2% | 2 | 0% | 0.189 |
| Fragmented Pollar Body | 60 | 30% | 168 | 41% | 0.11 |
| Polar Body Size | 1 | 1% | 11 | 3% | 0.07 |
| Polar Body Shape | 0 | 0 | 51 | 13% | <0.001 |
Cytoplasmatic Dysmorphisms.
| Summer 2017 | Winter 2017 | ||||
|---|---|---|---|---|---|
| Vacuoles | 9 | 5% | 7 | 2% | 0.04 |
| Reticulum | 0 | 0% | 7 | 2% | 0.064 |
| Refractile Bodies | 14 | 7% | 237 | 58% | <0.001 |
| Gelatinous Cytoplasm | 0 | 0% | 46 | 11% | <0.001 |
| Granules in the Cytoplasm | 13 | 7% | 172 | 42% | <0.001 |
| Dark Coarse Granules | 42 | 21% | 48 | 12% | 0.002 |
Comparison of carrier frequencies for top 10 disorders observed in each panel
| Panel A | Panel B | Panel C | |||
|---|---|---|---|---|---|
| Disorder | Carriers | Disorder | Carriers | Disorder | Carriers |
| 26 | Familial Mediterranean Fever | 14 | Alpha-1 antitrypsin deficiency | 14 | |
| Biotinidase Deficiency | 19 | 14 | 21-hydroxylase deficiency | 11 | |
| Cystic Fibrosis | 11 | Wilson disease | 14 | Alpha thalassemia | 8 |
| Familial Mediterranean Fever | 10 | 7 | 7 | ||
| Pseudocholinesterase Deficiency | 10 | 7 | Familial Mediterranean Fever | 7 | |
| 8 | Progressive familial intrahepatic cholestasis | 7 | Tyrosinemia type I | 7 | |
| Hereditary Fructose Intolerance | 6 | Primary coenzyme Q10 deficiency | 7 | Oculocutaneous albinism type II | 5 |
| Type I Glutaric Acidemia | 6 | Muscular dystrophy-dystroglycanopathy type C3 | 7 | 5 | |
| Classical Galactosemia | 5 | Cystic Fibrosis | 6 | Glucose-6-phosphate dehydrogenase deficiency | 5 |
| Glycogen Storage Disease: Type II | 5 | Classical Galactosemia | 6 | 4 |
Results.
| Age SART Classification (years) | Insemination Technique | ||||
|---|---|---|---|---|---|
| FIV | ICSI | p-value | |||
| Number of cycles | Fertilization Rate | Number of cycles | Fertilization Rate | ||
| Lower than 35 | 962 | 69% (6438/9389) | 1027 | 71% (6324/8848) | <0.001 |
| 35-37 | 877 | 67% (4507/6715) | 919 | 73% (4629/6373) | <0.001 |
| 38-40 | 874 | 68% (3721/5453) | 940 | 72% (3931/5430) | <0.001 |
| 41-42 | 378 | 65% (1284/1981) | 348 | 71% (1169/1636) | <0.001 |
| Higher than 42 | 178 | 70% (472/679) | 243 | 73% (691/950) | 0.1727 |
Outcome
| Outcome | Fresh | Vitrified | |||
|---|---|---|---|---|---|
| Laboratory Parameters | Mean | SD | Mean | SD | |
| Number of oocytes received (n) | 11.01 | 3.38 | 7.54 | 1.81 | <0.0001 |
| Number of inseminated oocytes (n) | 9.48 | 3.23 | 7.14 | 1.72 | <0.0001 |
| Fertilization rate (%) | 74.64 | 19.33 | 70.03 | 19.83 | 0.03 |
| Mean number of transferable embryos | 4.59 | 2.48 | 2.56 | 1.53 | <0.0001 |
| Blastocyst rate (%) | 63.89 | 24.03 | 52.21 | 27.23 | 0,00 |
| Ongoing pregnancy rate | 133/298 | 44.63% | 28/73 | 38.36% | 0.329 |
| Cumulative ongoing pregnancy rate | 180/237 | 75.95% | 30/61 | 49.18% | <0.0001 |
Ongoing pregnancy rate considers deliveries and positive ultrasounds to date.