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Loh SF, Wong PC, Jiang B, Yeo GH, Tan AS, Prasath EB, Mathew J, Chan ML, Tan WC, Choolani M, Yap C, Chong SS
Correspondence: Dr Samuel S Chong, firstname.lastname@example.org
Introduction We aimed to develop and implement a short tandem repeat (STR) polymerase chain reaction alternative to fluorescence in situ hybridisation (FISH) for the preimplantation genetic diagnosis (PGD) of chromosomal translocations.
Methods Selected informative STRs located on translocated arms of relevant chromosomes were used to discriminate between normal and unbalanced chromosome states in each embryo.
Results PGD cycles were performed on five couples where one spouse carried a balanced translocation. 27 embryos were analysed, of which 12 were normal/balanced, 12 were abnormal/ unbalanced and three were indeterminate. Four PGD cycles proceeded to embryo transfer, of which two led to pregnancy. The first pregnancy showed a normal male karyotype, and a healthy baby was delivered at term. A second pregnancy unexpectedly miscarried in the second trimester from unknown causes.
Conclusion STR analysis is a simple and suitable alternative to FISH for detecting unbalanced chromosomal states in preimplantation embryos.
Keywords: capillary electrophoresis, chromosome translocation, polymerase chain reaction, preimplantation genetic diagnosis, short tandem repeat
Singapore Med J 2012; 53(10): 648–654