Influence of the Sex of Translocation Carrier on Clinical Outcomes of Couples Undergoing Preimplantation Genetic Testing

ABSTRACT Introduction This study investigated the impact of the carrier on transferable blastocyst rate and live birth outcomes in couples with structural chromosomal abnormalities. Methods Couples were grouped into reciprocal translocation, Robertsonian translocation, or inversions groups, and clin...

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Main Authors: Zhiping Zhang, Jiayao Chen, Lei Zhang, Ruiyang Wei, Zhen Liu, Dunmei Zhao, Xingyu Bi, Lixia Liang, Xueluo Zhang, Dan Su, Xueqing Wu
Format: Article
Language:English
Published: Wiley 2025-01-01
Series:Molecular Genetics & Genomic Medicine
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Online Access:https://doi.org/10.1002/mgg3.70050
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author Zhiping Zhang
Jiayao Chen
Lei Zhang
Ruiyang Wei
Zhen Liu
Dunmei Zhao
Xingyu Bi
Lixia Liang
Xueluo Zhang
Dan Su
Xueqing Wu
author_facet Zhiping Zhang
Jiayao Chen
Lei Zhang
Ruiyang Wei
Zhen Liu
Dunmei Zhao
Xingyu Bi
Lixia Liang
Xueluo Zhang
Dan Su
Xueqing Wu
author_sort Zhiping Zhang
collection DOAJ
description ABSTRACT Introduction This study investigated the impact of the carrier on transferable blastocyst rate and live birth outcomes in couples with structural chromosomal abnormalities. Methods Couples were grouped into reciprocal translocation, Robertsonian translocation, or inversions groups, and clinical data were retrospectively analyzed. Preimplantation genetic testing for chromosomal structural rearrangements (PGT‐SR) was conducted, and pregnancy outcomes were compared. Results Embryo euploidy rates between male and female carriers differed nonsignificantly in the reciprocal translocation and inversion groups but significantly among the three groups. In the Robertsonian translocation group, male carriers had a higher embryo euploidy rate than that of female carriers. Sperm density of male carriers with reciprocal and Robertsonian translocation was significantly lower than that of the female carrier in the same group, whereas the difference was non‐significant in the inversion group. The clinical outcomes of embryo transfer post‐PGT were similar regardless of the sex of carriers with structural chromosomal abnormalities. Female carriers with Robertsonian translocations displayed a higher risk of producing embryos with chromosomal abnormalities than male carriers. Pregnancy, live birth, and cumulative live birth rates following a PGT‐SR cycle were similar, irrespective of chromosomal structural rearrangement type, and carrier sex. Conclusion Our findings offer valuable information for genetic counseling.
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spelling doaj-art-9c930dbab9c145f29ac5a644e4fc5a492025-01-24T08:16:42ZengWileyMolecular Genetics & Genomic Medicine2324-92692025-01-01131n/an/a10.1002/mgg3.70050Influence of the Sex of Translocation Carrier on Clinical Outcomes of Couples Undergoing Preimplantation Genetic TestingZhiping Zhang0Jiayao Chen1Lei Zhang2Ruiyang Wei3Zhen Liu4Dunmei Zhao5Xingyu Bi6Lixia Liang7Xueluo Zhang8Dan Su9Xueqing Wu10Center of Reproductive Medicine Affiliated Children's Hospital of Shanxi & Women Health Center of Shanxi Medicine University Taiyuan Shanxi ChinaCenter of Reproductive Medicine Affiliated Children's Hospital of Shanxi & Women Health Center of Shanxi Medicine University Taiyuan Shanxi ChinaCenter of Reproductive Medicine Affiliated Children's Hospital of Shanxi & Women Health Center of Shanxi Medicine University Taiyuan Shanxi ChinaYikon Genomics Company Ltd. Suzhou ChinaYikon Genomics Company Ltd. Suzhou ChinaYikon Genomics Company Ltd. Suzhou ChinaCenter of Reproductive Medicine Affiliated Children's Hospital of Shanxi & Women Health Center of Shanxi Medicine University Taiyuan Shanxi ChinaCenter of Reproductive Medicine Affiliated Children's Hospital of Shanxi & Women Health Center of Shanxi Medicine University Taiyuan Shanxi ChinaCenter of Reproductive Medicine Affiliated Children's Hospital of Shanxi & Women Health Center of Shanxi Medicine University Taiyuan Shanxi ChinaCenter of Reproductive Medicine Affiliated Children's Hospital of Shanxi & Women Health Center of Shanxi Medicine University Taiyuan Shanxi ChinaCenter of Reproductive Medicine Affiliated Children's Hospital of Shanxi & Women Health Center of Shanxi Medicine University Taiyuan Shanxi ChinaABSTRACT Introduction This study investigated the impact of the carrier on transferable blastocyst rate and live birth outcomes in couples with structural chromosomal abnormalities. Methods Couples were grouped into reciprocal translocation, Robertsonian translocation, or inversions groups, and clinical data were retrospectively analyzed. Preimplantation genetic testing for chromosomal structural rearrangements (PGT‐SR) was conducted, and pregnancy outcomes were compared. Results Embryo euploidy rates between male and female carriers differed nonsignificantly in the reciprocal translocation and inversion groups but significantly among the three groups. In the Robertsonian translocation group, male carriers had a higher embryo euploidy rate than that of female carriers. Sperm density of male carriers with reciprocal and Robertsonian translocation was significantly lower than that of the female carrier in the same group, whereas the difference was non‐significant in the inversion group. The clinical outcomes of embryo transfer post‐PGT were similar regardless of the sex of carriers with structural chromosomal abnormalities. Female carriers with Robertsonian translocations displayed a higher risk of producing embryos with chromosomal abnormalities than male carriers. Pregnancy, live birth, and cumulative live birth rates following a PGT‐SR cycle were similar, irrespective of chromosomal structural rearrangement type, and carrier sex. Conclusion Our findings offer valuable information for genetic counseling.https://doi.org/10.1002/mgg3.70050embryo euploidy ratepregnancy outcomespreimplantation genetic testing for chromosomal structural rearrangementsstructural chromosomal abnormalitiestransferable blastocyst rate
spellingShingle Zhiping Zhang
Jiayao Chen
Lei Zhang
Ruiyang Wei
Zhen Liu
Dunmei Zhao
Xingyu Bi
Lixia Liang
Xueluo Zhang
Dan Su
Xueqing Wu
Influence of the Sex of Translocation Carrier on Clinical Outcomes of Couples Undergoing Preimplantation Genetic Testing
Molecular Genetics & Genomic Medicine
embryo euploidy rate
pregnancy outcomes
preimplantation genetic testing for chromosomal structural rearrangements
structural chromosomal abnormalities
transferable blastocyst rate
title Influence of the Sex of Translocation Carrier on Clinical Outcomes of Couples Undergoing Preimplantation Genetic Testing
title_full Influence of the Sex of Translocation Carrier on Clinical Outcomes of Couples Undergoing Preimplantation Genetic Testing
title_fullStr Influence of the Sex of Translocation Carrier on Clinical Outcomes of Couples Undergoing Preimplantation Genetic Testing
title_full_unstemmed Influence of the Sex of Translocation Carrier on Clinical Outcomes of Couples Undergoing Preimplantation Genetic Testing
title_short Influence of the Sex of Translocation Carrier on Clinical Outcomes of Couples Undergoing Preimplantation Genetic Testing
title_sort influence of the sex of translocation carrier on clinical outcomes of couples undergoing preimplantation genetic testing
topic embryo euploidy rate
pregnancy outcomes
preimplantation genetic testing for chromosomal structural rearrangements
structural chromosomal abnormalities
transferable blastocyst rate
url https://doi.org/10.1002/mgg3.70050
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