Document Detail

The development of preimplantation genetic diagnosis for myotonic dystrophy using multiplex fluorescent polymerase chain reaction and its clinical application.
MedLine Citation:
PMID:  11517298     Owner:  NLM     Status:  MEDLINE    
Preimplantation genetic diagnoses (PGD) for single gene defects require considerable time and resources for the standardization of polymerase chain reactions that are rapid, sensitive and reliable. Developing tests for the trinucleotide repeat diseases, where the expansion of unstable repeats produces the phenotypes, are particularly complex. One of these disorders is myotonic dystrophy where, at present, diagnosis at the single cell level relies on the detection of the normal alleles from both the affected and unaffected parent. The incorporation of short tandem repeat polymorphisms in the assay can give additional information to improve the accuracy of diagnosis. We have developed a multiplex fluorescent reaction for myotonic dystrophy and one of two closely mapped, highly heterozygous, short tandem repeats (D19S219 and D19S559) on chromosome 19 to reduce the possibility of misdiagnosis due to contamination, act as a control for allelic drop-out and maximize the number of embryos genotyped. This protocol was designed as a general diagnosis for myotonic dystrophy, using the most informative of the two polymorphisms for each couple. Subsequently this approach was used in a PGD treatment cycle.
N L Dean; S L Tan; A Ao
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Molecular human reproduction     Volume:  7     ISSN:  1360-9947     ISO Abbreviation:  Mol. Hum. Reprod.     Publication Date:  2001 Sep 
Date Detail:
Created Date:  2001-08-22     Completed Date:  2001-11-01     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9513710     Medline TA:  Mol Hum Reprod     Country:  England    
Other Details:
Languages:  eng     Pagination:  895-901     Citation Subset:  IM    
Department of Obstetrics and Gynecology, McGill University, Royal Victoria Hospital, Montreal, Canada, H3A 1A1.
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MeSH Terms
Fluorescent Dyes / metabolism
Genetic Markers / genetics
Myotonic Dystrophy / diagnosis*,  genetics*
Polymerase Chain Reaction / methods*,  standards
Predictive Value of Tests
Preimplantation Diagnosis / methods*
Tandem Repeat Sequences
Reg. No./Substance:
0/Fluorescent Dyes; 0/Genetic Markers

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