Conservative estimates have been made that 10% to 30% of natural conceptions are aneuploid. The underlying causes are still unclear. Maternal age is one well-known cause of aneuploidy. Another important factor that predisposes to aneuplody is recombinant segregation errors in meiosis during fetal development in females. Crossover segregation errors occurring in oocytes during fetal development affect the risk of women having an aneuploid conception decades later in adult life. Recombinant chromosomes in offspring result from crossovers—the reciprocal exchange of DNA between homologous chromosomes. Crossover recombination is critical for the fidelity of meiosis. Reshuffling of genes prevents errors in segregation that lead to aneuploidy. Crossovers keep chromosome homologs physically linked during meiosis. Maintenance of the linkage is also helped by cohesion between sister chromatids. To understand the origin of human aneuploidies, it is important to assess all 3 meiotic products in unselected oocytes and embryos. The 3 products of female meiosis include the first and second polar bodies (PB1 and PB2) and the corresponding activated oocytes or fertilized embryos. Extensive population-based studies have examined crossover segregation errors, but the oocyte is the only product of female meiosis that has been analyzed. The inability to study the other products of female meiosis prevents direct identification of the origin of chromosome segregation errors and provides only partial information on crossovers in meiosis I. The investigators generated a more complete view of recombination by analyzing the genome of the oocyte or embryo and both polar bodies—the first polar body being a product of meiosis I and the second a product of meiosis II. Single-nucleotide polymorphisms were examined from DNA obtained from polar bodies, oocytes, and embryos from women at fertility clinics, allowing a view of 23 complete meioses. It was originally hypothesized that trisomies occurring at a high rate in the natural population of women of advanced maternal age was the result of meiosis I nondysjunction, where both homologs segregate to the oocyte at meiosis I, followed by a normal second division. However, direct cytological examination of human oocytes that failed to fertilize in in vitro fertilization clinics suggested that the major cause of human age-related trisomies is separation of many sister chromatids during meiosis I, staying paired with their nonsister chromatid—a new chromosome segregation pattern the investigators called “reverse segregation.” Another finding of the investigators suggested that higher genome-wide recombination rates were selected for because they were more likely to give rise to a euploid oocyte. Collectively, these data imply that recombination not only is critical for the accurate segregation of homologs at meiosis I, but also affects the fate of sister chromatid segregation at meiosis II. Events attributed to mistakes in chromosome segregation in meiosis II may have their origin at meiosis I in human female meiosis.
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