胚胎停止分裂之主因約70%為染色體異常

Int J Fertil Steril. 2015 Oct-Dec;9(3):346-353. Epub 2015 Oct 31.

Chromosomal Aneuploidies and Early Embryonic Developmental Arrest.

Maurer M1, Ebner T2, Puchner M2, Mayer RB2, Shebl O2, Oppelt P2, Duba HC1.

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Abstract

BACKGROUND:

Selecting the best embryo for transfer, with the highest chance of achieving a vital pregnancy, is a major goal in current in vitrofertilization (IVF) technology. The high rate of embryonic developmental arrest during IVF treatment is one of the limitations in achieving this goal. Chromosomal abnormalities are possibly linked with chromosomal arrest and selection against abnormal fertilization products. The objective of this study was to evaluate the frequency and type of chromosomal abnormalities in preimplantation embryos with developmental arrest.

MATERIALS AND METHODS:

This cohort study included blastomeres of embryos with early developmental arrest that were biopsied and analyzed by fluorescence in-situ hybridization (FISH) with probes for chromosomes 13, 16, 18, 21 and 22. Forty-five couples undergoing IVF treatment were included, and 119 arrested embryos were biopsied. All probes were obtained from the Kinderwunsch Zentrum, Linz, Austria, between August 2009 and August 2011.

RESULTS:

Of these embryos, 31.6% were normal for all chromosomes tested, and 68.4% were abnormal. Eleven embryos were uniformly aneuploid, 20 were polyploid, 3 were haploid, 11 displayed mosaicism and 22 embryos exhibited chaotic chromosomal complement.

CONCLUSION:

Nearly 70% of arrested embryos exhibit chromosomal errors, making chromosomal abnormalities a major cause of embryonic arrest and may be a further explanation for the high developmental failure rates during culture of the embryos in the IVF setting.