A normal birth following preimplantation genetic diagnosis by FISH determination in the carriers of der(15)t(Y;15)(Yq12;15p11) translocations: two case reports

J Assist Reprod Genet. 2007 Oct;24(10):483-8. doi: 10.1007/s10815-007-9163-4. Epub 2007 Aug 29.

Abstract

Purpose: To investigate the clinical application of fluorescence in situ hybridization (FISH) for assessing chromosome disorders of embryos in preimplantation diagnosis of carriers with der(15)t(Y;15)(q12;p11) translocations.

Methods: Multicolor FISH was performed using directly-labelled DNA probes, chromosome X with one (DXZ1, Xp11.1-q11.1), but Y with two (DYZ3, Yp11.1-q11.1 and DYZ1, Yq12). Normal embryos were transferred on day 6 at blastocyst stage.

Results: Couple A: Three of 6 biopsied embryos were normal. Two normal blastocysts were transferred, but no pregnancy was achieved. Couple B: Three of 6 biopsied embryos were normal. Two normal blastocysts were transferred. A normal male infant weighing 3,230 g was born by cesarean section on the 39th week of gestation. All of the remaining nonreplaced embryos showed mosaic or der(15).

Conclusion: Embryos from carries of der(15)t(Y;15)(q12;p11) translocation showed a high frequency of chromosome abnormalities. PGD is a valuable screen tool for those couples to treat their infertility and break the transmission of der(15) chromosome for their offspring.

Publication types

  • Case Reports
  • Evaluation Study

MeSH terms

  • Chromosomes, Human, Pair 15 / genetics*
  • Chromosomes, Human, Y / genetics*
  • Embryo, Mammalian / pathology
  • Female
  • Genetic Carrier Screening / methods*
  • Heterozygote
  • Humans
  • In Situ Hybridization, Fluorescence / methods*
  • Infant, Newborn
  • Karyotyping
  • Live Birth
  • Male
  • Pregnancy
  • Preimplantation Diagnosis / methods*
  • Sperm Injections, Intracytoplasmic
  • Translocation, Genetic*