Supporting couples with polycystic kidney disease in a preimplantation genetic diagnosis process

Authors

  • Daniela Zuccarello UOC Genetica Clinica, PGT Unit, Azienda Ospedale-Università di Padova - Italy
  • Claudia Livi Centro Procreazione Assistita Demetra, Firenze - Italy
  • Valentina Zicaro Centro Procreazione Assistita Demetra, Firenze - Italy
  • Sara Communci Centro Procreazione Assistita Demetra, Firenze - Italy
  • Ludovica Picchetta Juno Genetics e Università La Sapienza, Roma - Italy

DOI:

https://doi.org/10.33393/gcnd.2024.3068

Keywords:

Medically assisted reproduction, NGS, PGT, PMA, Preimplantation genetic diagnosis

Abstract

Preimplantation diagnosis process for couples with polycystic kidney disease involves several steps: genetic and gynecological counseling, in vitro fertilization (IVF/ICSI), embryo biopsy, genetic analysis, selection of healthy embryos and implantation.

The importance of preimplantation diagnosis for couples affected by polycystic kidney disease (PKD) lies in several key factors:

1. prevention of inherited disease: PKD is a genetic disorder with a high likelihood of being passed from parent to offspring. Preimplantation diagnosis offers couples the opportunity to identify and avoid passing on the disease to their children;

2. family planning options: by undergoing preimplantation diagnosis, couples can make better decisions about their family planning options. They can select embryos that do not carry the PKD gene mutation and reduce the risk of having a child affected by the disease;

3. emotional burden reduction: PKD can lead to significant emotional burdens for affected individuals and their families. Preimplantation diagnosis provides a proactive approach to avoid these burdens by preventing the transmission of the disease to next generations;

4. enhanced reproductive choices: with preimplantation diagnosis, couples have a greater control over their reproductive choices. They can pursue assisted reproductive techniques such as in vitro fertilization (IVF) while simultaneously minimizing the risk of passing on PKD to their offspring;

5. improved pregnancy outcomes: by selecting embryos that are free of the PKD gene mutation, couples increase the likelihood of having a healthy pregnancy and a child free of the disease. It can lead to improved pregnancy outcomes and the birth of healthy children. Overall, preimplantation diagnosis offers hope and empowerment to couples affected by PKD by providing them with the means to build a family while minimizing the risk of passing the disease to next generations.

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References

Carvalho F, Moutou C, Dimitriadou E, et al; ESHRE PGT-M Working Group. ESHRE PGT Consortium good practice recommendations for the detection of monogenic disorders. Hum Reprod Open. 2020;2020(3):hoaa018. PMID:32500103 https://doi.org/10.1093/hropen/hoaa018 PMID:32500103

Wang Y, Zhai F, Guan S, et al; AR. A comprehensive PGT-M strategy for ADPKD patients with de novo PKD1 mutations using affected embryo or gametes as proband. J Assist Reprod Genet. 2021;38(9):2425-2434. PMID:33939064 https://doi.org/10.1007/s10815-021-02188-z PMID:33939064

Peng C, Chen H, Ren J, et al. A long-read sequencing and SNP haplotype-based novel preimplantation genetic testing method for female ADPKD patient with de novo PKD1 mutation. BMC Genomics. 2023;24(1):521. PMID:37667185 https://doi.org/10.1186/s12864-023-09593-x PMID:37667185

Xiao M, Shi H, Rao J, et al. Combined Preimplantation Genetic Testing for Genetic Kidney Disease: Genetic Risk Identification, Assisted Reproductive Cycle, and Pregnancy Outcome Analysis. Front Med (Lausanne). 2022;9:936578. PMID:35783601 https://doi.org/10.3389/fmed.2022.936578 PMID:35783601

De Rycke M, Berckmoes V. Preimplantation Genetic Testing for Monogenic Disorders. Genes (Basel). 2020;11(8):871. https://doi.org/10.3390/genes11080871 PMID:32752000

Published

2024-04-30

How to Cite

Zuccarello, D., Livi, C., Zicaro, V., Communci, S., & Picchetta, L. (2024). Supporting couples with polycystic kidney disease in a preimplantation genetic diagnosis process. Giornale Di Clinica Nefrologica E Dialisi, 36(1), 23–28. https://doi.org/10.33393/gcnd.2024.3068

Issue

Section

Polycystic kidney disease - In collaboration with AIRP

Categories

Received 2024-03-18
Accepted 2024-03-21
Published 2024-04-30

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