Molecular Human Reproduction, Vol. 10, No. 1, pp. 71-75, 2004
© European Society of Human Reproduction and Embryology 2004
Preimplantation genetic diagnosis of spinocerebellar ataxia 3 by (CAG)n repeat detection
Research Institute Growth & Development (GROW), 1Department of Clinical Genetics and 2Department of Obstetrics & Gynaecology, Academic Hospital Maastricht, Maastricht, The Netherlands
3 To whom correspondence should be addressed at: Academic Hospital Maastricht, Department of Clinical Genetics, P.O.Box 5800, 6202 AZ Maastricht, The Netherlands. e-mail: Marion.Drusedau{at}gen.unimaas.nl
Spinocerebellar ataxia 3 (SCA3) is an autosomal dominant neurodegenerative disorder characterized by variable expression and a variable age of onset. SCA3/MJD (MachadoJoseph disease) is caused by an expansion of a (CAG)n repeat in the MJD1 gene on chromosome 14q32.1. A single cell PCR protocol has been developed for preimplantation genetic diagnosis (PGD) of SCA3 to select unaffected embryos on the basis of the CAG genotype. Single leukocytes and blastomeres served as a single cell amplification test system to determine the percentage of allelic drop-out (ADO) and PCR efficiency. Out of 105 tested heterozygous single leukocytes, 103 (98.1%) showed a positive amplification signal, while five cells (4.9%) showed ADO. Amplification in single blastomeres was obtained in 13 out of a total of 14, and ADO was observed in two out of the 13 single blastomeres. PGD of SCA3 was performed in a couple with paternal transmission of the SCA3 allele. Seven embryos were available for biopsy, all biopsied blastomeres showed amplification and no ADO occurred. One embryo was diagnosed as affected whereas six embryos were diagnosed as unaffected. Two unaffected embryos were transferred and resulted in a singleton pregnancy and the birth of a healthy girl.
Key words: Key words: allelic drop-out/preimplantation genetic diagnosis/spinocerebellar ataxia 3/triplet repeats
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