Conditions for improved accuracy of noninvasive preimplantation genetic testing for aneuploidy: Focusing on the zona pellucida and early blastocysts

Abstract Purpose Recently, noninvasive preimplantation genetic testing for aneuploidy (niPGT‐A) using cell‐free deoxyribonucleic acid has been developed; however, there are few reports on this and the results are inconsistent. This study was conducted to optimize the cultural environment. Methods We...

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Main Authors: Hiroki Takeuchi, Midori Morishita, Midori Uemura, Tadashi Maezawa, Takashi Shibahara, Erina Takayama, Mikiko Nishioka, Eiji Kondo, Hiroyuki Minoura, Tomoaki Ikeda
Format: Article
Language:English
Published: Wiley 2024-01-01
Series:Reproductive Medicine and Biology
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Online Access:https://doi.org/10.1002/rmb2.12604
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author Hiroki Takeuchi
Midori Morishita
Midori Uemura
Tadashi Maezawa
Takashi Shibahara
Erina Takayama
Mikiko Nishioka
Eiji Kondo
Hiroyuki Minoura
Tomoaki Ikeda
author_facet Hiroki Takeuchi
Midori Morishita
Midori Uemura
Tadashi Maezawa
Takashi Shibahara
Erina Takayama
Mikiko Nishioka
Eiji Kondo
Hiroyuki Minoura
Tomoaki Ikeda
author_sort Hiroki Takeuchi
collection DOAJ
description Abstract Purpose Recently, noninvasive preimplantation genetic testing for aneuploidy (niPGT‐A) using cell‐free deoxyribonucleic acid has been developed; however, there are few reports on this and the results are inconsistent. This study was conducted to optimize the cultural environment. Methods We used 35 blastocysts that had been discarded after in‐vitro fertilization. The concordance rate of karyotype analysis results between whole embryos (WEs), spent culture mediums (SCMs), and trophectoderms after 8, 16, and 24 h of culture was examined. Next, zona pellucida (ZP)‐free blastocysts and then early blastocysts were cultured for 24 h each. Results Regarding the optimal culture times, the concordance rate between WEs and SCMs was 20%, 60%, and 100% at 8, 16, and 24 h, respectively. Significant differences were found between 8 and 24 h. The concordance rate with ZP cultures was 40.0%, and no significant differences were found. The concordance rate of early blastocysts thawed and cultured for 24 h was 40.0%, which was significantly lower than that of day 5 blastocysts. Conclusions The optimal culture times for niPGT‐A were 24 h, and the concordance rate with free ZP was higher. The concordance rate for early blastocysts was low, suggesting that optimization of the conditions may be necessary.
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spelling doaj-art-93f2ca4a1abc47dba1f8a5d81eed6eec2025-08-20T02:52:37ZengWileyReproductive Medicine and Biology1445-57811447-05782024-01-01231n/an/a10.1002/rmb2.12604Conditions for improved accuracy of noninvasive preimplantation genetic testing for aneuploidy: Focusing on the zona pellucida and early blastocystsHiroki Takeuchi0Midori Morishita1Midori Uemura2Tadashi Maezawa3Takashi Shibahara4Erina Takayama5Mikiko Nishioka6Eiji Kondo7Hiroyuki Minoura8Tomoaki Ikeda9Department of Obstetrics and Gynecology, Graduate School of Medicine Mie University Tsu JapanDepartment of Obstetrics and Gynecology, Graduate School of Medicine Mie University Tsu JapanCenter of Advanced Reproductive Medicine Mie University Hospital Tsu JapanDepartment of Obstetrics and Gynecology, Graduate School of Medicine Mie University Tsu JapanMinoura Ladies Clinic Suzuka JapanDepartment of Obstetrics and Gynecology, Graduate School of Medicine Mie University Tsu JapanDepartment of Obstetrics and Gynecology, Graduate School of Medicine Mie University Tsu JapanDepartment of Obstetrics and Gynecology, Graduate School of Medicine Mie University Tsu JapanMinoura Ladies Clinic Suzuka JapanCenter of Advanced Reproductive Medicine Mie University Hospital Tsu JapanAbstract Purpose Recently, noninvasive preimplantation genetic testing for aneuploidy (niPGT‐A) using cell‐free deoxyribonucleic acid has been developed; however, there are few reports on this and the results are inconsistent. This study was conducted to optimize the cultural environment. Methods We used 35 blastocysts that had been discarded after in‐vitro fertilization. The concordance rate of karyotype analysis results between whole embryos (WEs), spent culture mediums (SCMs), and trophectoderms after 8, 16, and 24 h of culture was examined. Next, zona pellucida (ZP)‐free blastocysts and then early blastocysts were cultured for 24 h each. Results Regarding the optimal culture times, the concordance rate between WEs and SCMs was 20%, 60%, and 100% at 8, 16, and 24 h, respectively. Significant differences were found between 8 and 24 h. The concordance rate with ZP cultures was 40.0%, and no significant differences were found. The concordance rate of early blastocysts thawed and cultured for 24 h was 40.0%, which was significantly lower than that of day 5 blastocysts. Conclusions The optimal culture times for niPGT‐A were 24 h, and the concordance rate with free ZP was higher. The concordance rate for early blastocysts was low, suggesting that optimization of the conditions may be necessary.https://doi.org/10.1002/rmb2.12604blastocystembryoniPGT‐APGT‐Azona pellucida
spellingShingle Hiroki Takeuchi
Midori Morishita
Midori Uemura
Tadashi Maezawa
Takashi Shibahara
Erina Takayama
Mikiko Nishioka
Eiji Kondo
Hiroyuki Minoura
Tomoaki Ikeda
Conditions for improved accuracy of noninvasive preimplantation genetic testing for aneuploidy: Focusing on the zona pellucida and early blastocysts
Reproductive Medicine and Biology
blastocyst
embryo
niPGT‐A
PGT‐A
zona pellucida
title Conditions for improved accuracy of noninvasive preimplantation genetic testing for aneuploidy: Focusing on the zona pellucida and early blastocysts
title_full Conditions for improved accuracy of noninvasive preimplantation genetic testing for aneuploidy: Focusing on the zona pellucida and early blastocysts
title_fullStr Conditions for improved accuracy of noninvasive preimplantation genetic testing for aneuploidy: Focusing on the zona pellucida and early blastocysts
title_full_unstemmed Conditions for improved accuracy of noninvasive preimplantation genetic testing for aneuploidy: Focusing on the zona pellucida and early blastocysts
title_short Conditions for improved accuracy of noninvasive preimplantation genetic testing for aneuploidy: Focusing on the zona pellucida and early blastocysts
title_sort conditions for improved accuracy of noninvasive preimplantation genetic testing for aneuploidy focusing on the zona pellucida and early blastocysts
topic blastocyst
embryo
niPGT‐A
PGT‐A
zona pellucida
url https://doi.org/10.1002/rmb2.12604
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