Abstract

Detection of mosaic embryos is crucial to offer more possibilities of success to women undergoing in vitro fertilization (IVF) treatment. Next Generation Sequencing (NGS)-based preimplantation genetic testing are increasingly used for this purpose since their higher capability to detect chromosomal mosaicism in human embryos. In the recent years, new NGS systems were released, however their performance for chromosomal mosaicism are variable. We performed a cross-validation analysis of two different NGS platforms in order to assess the feasibility of these techniques and provide standard parameters for the detection of such aneuploidies. The study evaluated the performance of MiseqTM Veriseq (Illumina, San Diego, CA, USA) and Ion Torrent Personal Genome Machine PGMTM ReproSeq (Thermo Fisher, Waltham, MA, USA) for the detection of whole and segmental mosaic aneuploidies. Reconstructed samples with known percentage of mosaicism were analyzed with both platforms and sensitivity and specificity were determined. Both platforms had high level of specificity and sensitivity with a Limit Of Detection (LOD) at ≥30% of mosaicism and a showed a ≥5.0 Mb resolution for segmental abnormalities. Our findings demonstrated that NGS methodologies are capable of accurately detecting chromosomal mosaicism and segmental aneuploidies. The knowledge of LOD for each NGS platform has the potential to reduce false-negative and false-positive diagnoses when applied to detect chromosomal mosaicism in a clinical setting.

Highlights

  • With the recent advances in diagnostic technologies, comprehensive chromosome screening (CCS) has become a standard procedure in in vitro fertilization (IVF) treatment

  • Our findings demonstrated that Next Generation Sequencing (NGS) methodologies are capable of accurately detecting chromosomal mosaicism and segmental aneuploidies; the limit of detection (LOD) for each NGS platform differs

  • Our findings support the use of the two major platforms commercially available for NGS-based preimplantation genetic testing for aneuploidy (PGT-A) for the detection of mosaicism and segmental aneuploidies in trophectoderm biopsies and demonstrate that validate and compare the capability of MiSeq-based (VeriSeq) NGS has a slightly higher resolution for segmental aneuploidies and a higher level of accuracy at a 20% level of mosaicism compared to ReproSeq

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Summary

Introduction

With the recent advances in diagnostic technologies, comprehensive chromosome screening (CCS) has become a standard procedure in in vitro fertilization (IVF) treatment. The use of PGT-A is based on the assumption that transferring embryos identified with a normal genetic constitution (i.e., euploid) can improve clinical outcomes during IVF treatments [1,2]. If the applied PGT-A technology is not adequately validated or the interpretation of the results is not accurate, embryo screening can lead to reduced diagnostic accuracy of PGT-A. This could potentially result in the expulsion of chromosomally normal embryos due to possible false positives, reducing the cumulative live birth rate [6]

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