Successful haematopoietic stem cell transplantation in 44 children from healthy siblings conceived after preimplantation HLA matching  Semra Kahraman,

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Presentation transcript:

Successful haematopoietic stem cell transplantation in 44 children from healthy siblings conceived after preimplantation HLA matching  Semra Kahraman, Cagri Beyazyurek, Mehmet Akif Yesilipek, Gulyuz Ozturk, Mehmet Ertem, Sema Anak, Savas Kansoy, Serap Aksoylar, Barış Kuşkonmaz, Haldun Oniz, Shimon Slavin, Zeynep Karakas, Huseyin Avni Tac, Nese Gulum, Gokhan Cumhur Ekmekci  Reproductive BioMedicine Online  Volume 29, Issue 3, Pages 340-351 (September 2014) DOI: 10.1016/j.rbmo.2014.05.010 Copyright © 2014 Reproductive Healthcare Ltd. Terms and Conditions

Figure 1 The short tandem repeat markers and their positions on the HLA genes on 6p21 locus. Reproductive BioMedicine Online 2014 29, 340-351DOI: (10.1016/j.rbmo.2014.05.010) Copyright © 2014 Reproductive Healthcare Ltd. Terms and Conditions

Figure 2 (a) Linked short tandem repeat (STR) marker analysis for Wiscott–Aldrich syndrome and HLA typing simultaneously. Four informative STR markers (three upstream and one downstream) were used for detecting mutation c361-2AG for the Wiskott–Aldrich gene located on X chromosome. Fourteen informative STR markers were used for HLA typing. For mutation detection, restriction fragment length polymorphism technique was used. Eight embryos were amplified successfully out of the nine biopsied embryos at cleavage stage. Two HLA-matched embryos (one healthy and one carrier for the mutation) were transferred, resulting in the birth of a healthy singleton; (b) HLA typing and mutation analysis in Fanconi anemia. In their first attempt, the couple had nine embryos suitable for biopsy in cleavage stage. According to the seven informative STR markers and mutation testing for Fanconi anaemia; out of nine embryos, two were healthy, three were carrier, one was affected, two were monosomic for chromosome 16, and one produced no result. According to the 14 informative markers for HLA region, two were HLA matched with the affected sibling and seven were non-matched; in one of them, a recombination event was detected which originated from the mother. As a result, only one embryo was both unaffected and HLA matched. With the transfer of this embryo, the couple achieved a pregnancy, which resulted in the birth of healthy and HLA-matched baby. The sick child was recovered from disease after successful transplantation. ET, embryo transfer; Failed amp, failed amplification, no result available; STR, short tandem repeat. Reproductive BioMedicine Online 2014 29, 340-351DOI: (10.1016/j.rbmo.2014.05.010) Copyright © 2014 Reproductive Healthcare Ltd. Terms and Conditions

Figure 2 (a) Linked short tandem repeat (STR) marker analysis for Wiscott–Aldrich syndrome and HLA typing simultaneously. Four informative STR markers (three upstream and one downstream) were used for detecting mutation c361-2AG for the Wiskott–Aldrich gene located on X chromosome. Fourteen informative STR markers were used for HLA typing. For mutation detection, restriction fragment length polymorphism technique was used. Eight embryos were amplified successfully out of the nine biopsied embryos at cleavage stage. Two HLA-matched embryos (one healthy and one carrier for the mutation) were transferred, resulting in the birth of a healthy singleton; (b) HLA typing and mutation analysis in Fanconi anemia. In their first attempt, the couple had nine embryos suitable for biopsy in cleavage stage. According to the seven informative STR markers and mutation testing for Fanconi anaemia; out of nine embryos, two were healthy, three were carrier, one was affected, two were monosomic for chromosome 16, and one produced no result. According to the 14 informative markers for HLA region, two were HLA matched with the affected sibling and seven were non-matched; in one of them, a recombination event was detected which originated from the mother. As a result, only one embryo was both unaffected and HLA matched. With the transfer of this embryo, the couple achieved a pregnancy, which resulted in the birth of healthy and HLA-matched baby. The sick child was recovered from disease after successful transplantation. ET, embryo transfer; Failed amp, failed amplification, no result available; STR, short tandem repeat. Reproductive BioMedicine Online 2014 29, 340-351DOI: (10.1016/j.rbmo.2014.05.010) Copyright © 2014 Reproductive Healthcare Ltd. Terms and Conditions

Reproductive BioMedicine Online 2014 29, 340-351DOI: (10. 1016/j. rbmo Copyright © 2014 Reproductive Healthcare Ltd. Terms and Conditions