New Paper Published: Detailed EPⓖT Validation

Validation of concurrent preimplantation genetic testing for polygenic and monogenic disorders, structural rearrangements, and whole and segmental chromosome aneuploidy with a single universal platform

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Elsevier

European Journal of Medical Genetics

Available online 23 April 2019

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European Journal of Medical Genetics

Validation of concurrent preimplantation genetic testing for polygenic and monogenic disorders, structural rearrangements, and whole and segmental chromosome aneuploidy with a single universal platform


Nathan R.Treff, RaymondZimmerman, ElanBechor, JeffHsu, BhaviniRana, JensJensen, JeremyLi, ArtemSamoilenko, WilliamMowrey, JamesVanAlstine, MarkLeondires, KathyMiller, EricaPaganetti, LouisLello, StevenAvery, StephenHsu, Laurent C.A.Melchior Tellier


https://doi.org/10.1016/j.ejmg.2019.04.004

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Abstract

Preimplantation genetic testing (PGT) has been successfully applied to reduce the risk of miscarriage, improve IVF success rates, and prevent inheritance of monogenic disease and unbalanced translocations. The present study provides the first method capable of simultaneous testing of aneuploidy (PGT-A), structural rearrangements (PGT-SR), and monogenic (PGT-M) disorders using a single platform. Using positive controls to establish performance characteristics, accuracies of 97 to >99% for each type of testing were observed. In addition, this study expands PGT to include predicting the risk of polygenic disorders (PGT-P) for the first time. Performance was established for two common diseases, hypothyroidism and type 1 diabetes, based upon availability of positive control samples from commercially available repositories. Data from the UK Biobank, eMERGE, and T1DBASE were used to establish and validate SNP-based predictors of each disease (7,311 SNPs for hypothyroidism and 82 for type 1 diabetes). Area under the curve of disease status prediction from genotypes alone were 0.71 for hypothyroidism and 0.70 for type 1 diabetes, and accuracies of disease status predictions from genotypes alone were 81% for hypothyroidism and 94% for type 1 diabetes. The availability of expanded PGT to evaluate the risk of polygenic disorders in the preimplantation embryo has the potential to lower the prevalence of common genetic disease in humans.


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© Genomic Prediction, 2019