Skip to main content
Log in

Preimplantation genetic diagnosis of P450 oxidoreductase deficiency and Huntington Disease using three different molecular approaches simultaneously

  • GENETICS
  • Published:
Journal of Assisted Reproduction and Genetics Aims and scope Submit manuscript

Abstract

Purpose

Description of the confluence of different molecular techniques to detect three different mutations in one cell. The man carries a 20 base pair insertion in exon 12 of the POR gene (c.1551_1552ins20), and the woman carries a point mutation in exon 8 of the POR gene (c.859G>C) plus a triplet repeat expansion in the HTT gene.

Methods

Huntington Disease (HD) had to be diagnosed using short tandem repeat (STR) markers linked to the HTT gene. The mutation c.1551_1552ins20 was analyzed by fragment size and c.859G>C was minisequenced. Furthermore, STR markers linked to the POR gene were included to support the diagnosis of P450 oxidoreductase (POR) deficiency.

Results

Nine embryos were diagnosed in total: three as POR deficiency affected, two as HD affected, one as POR deficiency and HD affected, and two as carriers of the paternal POR deficiency mutation and healthy for HD. These two last embryos were transferred but no pregnancy was achieved.

Conclusions

A successful procedure combining direct and indirect methods for the detection of three different mutations in a single cell has been achieved for the first time.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3

References

  1. Handyside AH, Kontogianni EH, Hardy K, Winston RM. Pregnancies from biopsied human preimplantation embryos sexed by Y-specific DNA amplification. Nature. 1990;344:768–70.

    Article  PubMed  CAS  Google Scholar 

  2. The Preimplantation Genetic Diagnosis International Society PGDIS. Guidelines for good practice in PGD: programme requirements and laboratory quality assurance. RBM Online. 2008;16:134–47.

    Google Scholar 

  3. Fiorentino F, Biricik A, Karadayi H, Berkil H, Karlikaya G, Sertyel S, et al. Development and clinical application of a strategy for preimplantation genetic diagnosis of single gene disorders combined with HLA matching. Mol Hum Reprod. 2004;10:445–60.

    Article  PubMed  CAS  Google Scholar 

  4. Verlinsky Y, Rechitsky S, Sharapova T, Laziuk K, Barsky I, Verlinsky O, et al. Preimplantation HLA typing with aneuploidy testing. RBM Online. 2005;12:89–100.

    Google Scholar 

  5. Verlinsky Y, Rechitsky S, Laziuk K, Librach C, Genovese R, Kuliev A. Preimplantation genetic diagnosis for Pelizaeus-Merzbacher disease with testing for age-related aneuploides. RBM Online. 2006;12:83–8.

    PubMed  CAS  Google Scholar 

  6. Obradors A, Fernández E, Rius M, Oliver-Bonet M, Martínez-Fresno M, Benet J, et al. Birth of a healthy boy after a double factor PGD in a couple carrying a genetic disease and at risk for aneuploidy: case report. Hum Reprod. 2008;23:1949–56.

    Article  PubMed  CAS  Google Scholar 

  7. Dreesen JC, Jacobs LJ, Bras M, Herbergs J, Dumoulin JC, Geraedts JP, et al. Multiplex PCR of polymorphic markers flanking the CFTR gene; a general approach for preimplantation genetic diagnosis of cystic fibrosis. Mol Human Reprod. 2000;6:391–6.

    Article  CAS  Google Scholar 

  8. Spits C, De Rycke M, Verpoest W, Lissens W, Van Steirteghem A, Liebaers I, et al. Preimplantation genetic diagnosis for Marfan syndrome. Fertil Steril. 2006;86:310–20.

    Article  PubMed  Google Scholar 

  9. Flück CE, Tajima T, Pandey AV, Arlt W, Okuhara K, Verge CF, et al. Mutant P450 oxidoreductase causes disordered steroidogenesis with and without Antley-Bixler syndrome. Nat Genet. 2004;36:228–30.

    Article  PubMed  Google Scholar 

  10. Scott RR, Miller WL. Genetic and clinical features of P450 oxidoreductase deficiency. Horm Res. 2008;69:266–75.

    Article  PubMed  CAS  Google Scholar 

  11. Huang N, Pandey AV, Agrawal V, Reardon W, Lapunzina PD, Mowat D, et al. Diversity and function of mutations in P450 oxidoreductase in patients with Antley-Bixler syndrome and disordered steroidogenesis. Am J Hum Genet. 2005;76:729–49.

    Article  PubMed  CAS  Google Scholar 

  12. Harper B. Huntington disease. J Roy Soc Med Online. 2005;98:550.

    Article  Google Scholar 

  13. Harper PS, Jones L. Huntington’s disease: genetic and molecular studies. In: Bates G, Harper P, Jones L, editors. New York, Oxford University Press; 2002. pp. 113–158.

  14. Huntington’s disease collaborative research group. A novel gene containing a trinucleotide repeat that is expanded and unstable on Huntington’s disease chromosomes. Cell. 1993;72:971–83.

    Article  Google Scholar 

  15. Wilton L, Thornhill A, Traeger-Synodinos J, Sermon KD, Harper JC. The causes of misdiagnosis and adverse outcomes in PGD. Hum Reprod. 2009;1:1–8.

    Google Scholar 

  16. Lewis CM, Pinêl T, Whittaker JC, Handyside AH. Controlling misdiagnosis errors in preimplantation genetic diagnosis: a comprehensive model encompassing extrinsic and intrinsic sources of error. Hum Reprod. 2001;16:43–50.

    Article  PubMed  CAS  Google Scholar 

  17. Piyamongkol W, Bermúdez MG, Harper JC, Wells D. Detailed investigation of factors influencing amplification efficiency and allele drop-out in single cell PCR: implications for preimplantation genetic diagnosis. Mol Hum Reprod. 2003;9:411–20.

    Article  PubMed  CAS  Google Scholar 

  18. Goossens V, Harton G, Moutou C, Scriven PN, Traeger-Synodinos J, Sermon K, et al. European Society Of Human Reproduction And Embryology PGD Consortium: ESHRE PGD consortium data collection VIII: cycles from January to December 2005 with pregnancy follow-up to October 2006. Hum Reprod. 2008;23:2629–45.

    Article  PubMed  CAS  Google Scholar 

  19. Lledó B, Ten J, Rodriguez-Arnedo D, Llácer J, Bernabeu R. Preimplantation genetic diagnosis of X-linked retinoschisis. RBM Online. 2008;16:886–92.

    PubMed  Google Scholar 

  20. Gigarel N, Frydman N, Burlet P, Kerbrat V, Tachdjian G, Fanchin R, et al. Preimplantation genetic diagnosis for autosomal recessive polycystic kidney disease. RBM Online. 2008;16:152–8.

    PubMed  CAS  Google Scholar 

  21. Altarescu G, Brooks B, Margalioth E, Eldar Geva T, Levy-Lahad E, Renbaum P. Simultaneous preimplantation genetic diagnosis for Tay-Sachs and Gaucher disease. RBM Online. 2007;15:83–8.

    PubMed  CAS  Google Scholar 

  22. Obradors A, Fernández E, Oliver-Bonet M, Rius M, de la Fuente A, Wells D, et al. Birth of a healthy boy alter a double factor PGD in a couple carrying a genetic disease and at risk for aneuploidy: case report. Human Reprod. 2008;23:1949–56.

    Article  CAS  Google Scholar 

  23. Piyamongkol W, Vutyavanich T, Piyamongkol S, Wells D, Kunaviktikul C, Tongsong T, et al. A successful strategy for preimplantation genetic diagnosis of beta-Thalassemia and simultaneous detection of Down’s Syndrome using multiplex fluorescent PCR. J Med Assoc Thai. 2006;89:918–27.

    PubMed  Google Scholar 

  24. Fiorentino F, Magli MC, Podini D, Ferraretti AP, Nuccitelli A, Vitale N, et al. The minisequencing method: an alternative strategy for preimplantation genetic diagnosis of single gene disorders. Mol Hum Reprod. 2003;9:399–410.

    Article  PubMed  CAS  Google Scholar 

  25. Fiorentino F, Biricik A, Nuccitelli A, De Palma R, Kahraman S, Iacobelli M, et al. Strategies and clinical outcome of 250 cycles of preimplantation genetic diagnosis for single gene disorders. Hum Reprod. 2006;21:670–84.

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Trinitat M. Alberola.

Additional information

A description of two PGD cycles for the simultaneous detection of two monogenic diseases in one couple: P450 oxidoreductase deficiency and Huntington Disease.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Alberola, T.M., Bautista-Llácer, R., Fernández, E. et al. Preimplantation genetic diagnosis of P450 oxidoreductase deficiency and Huntington Disease using three different molecular approaches simultaneously. J Assist Reprod Genet 26, 263–271 (2009). https://doi.org/10.1007/s10815-009-9327-5

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10815-009-9327-5

Keywords

Navigation