Preimplantation genetic testing for familial amyloid polyneuropathy

Abstract Background Embryo selection in Familial amyloid polyneuropathy eradicates the disease, but the widespread application of preimplantation genetic testing (PGT) for this monogenic disease still requires greater political and clinical commitment. Main body Familial amyloid polyneuropathy is a...

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Main Author: Mário Sousa
Format: Article
Language:English
Published: BMC 2022-11-01
Series:Reproductive Health
Subjects:
Online Access:https://doi.org/10.1186/s12978-022-01491-x
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author Mário Sousa
author_facet Mário Sousa
author_sort Mário Sousa
collection DOAJ
description Abstract Background Embryo selection in Familial amyloid polyneuropathy eradicates the disease, but the widespread application of preimplantation genetic testing (PGT) for this monogenic disease still requires greater political and clinical commitment. Main body Familial amyloid polyneuropathy is a fatal, chronic, hereditary autosomal dominant neurodegenerative disorder caused by a single nucleotide mutation in the transthyretin gene. The disease courses with infertility, cachexia, blindness, renal failure, cardiovascular collapse, and premature death. Treatments include organ transplantation, transthyretin stabilizers, silencers and gene editing. Unfortunately, these treatments only improve the patient’s quality of life. Short conclusion The application of PGT would prevent the disease, the birth of children with this devastating disease and the enormous health costs associated. For PGT to become the first reproductive option for patients, a paradigm shift in governmental, social and medical policies is necessary.
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spelling doaj.art-0f233dc9ce5d41c4ac49de5cc24a209a2022-12-22T02:46:23ZengBMCReproductive Health1742-47552022-11-011911310.1186/s12978-022-01491-xPreimplantation genetic testing for familial amyloid polyneuropathyMário Sousa0Laboratory of Cell Biology, Department of Microscopy, ICBAS-School of Medicine and Biomedical Sciences, UMIB-Unit for Multidisciplinary Research in Biomedicine, ITR-Laboratory for Integrative and Translational Research in Population Health, University of PortoAbstract Background Embryo selection in Familial amyloid polyneuropathy eradicates the disease, but the widespread application of preimplantation genetic testing (PGT) for this monogenic disease still requires greater political and clinical commitment. Main body Familial amyloid polyneuropathy is a fatal, chronic, hereditary autosomal dominant neurodegenerative disorder caused by a single nucleotide mutation in the transthyretin gene. The disease courses with infertility, cachexia, blindness, renal failure, cardiovascular collapse, and premature death. Treatments include organ transplantation, transthyretin stabilizers, silencers and gene editing. Unfortunately, these treatments only improve the patient’s quality of life. Short conclusion The application of PGT would prevent the disease, the birth of children with this devastating disease and the enormous health costs associated. For PGT to become the first reproductive option for patients, a paradigm shift in governmental, social and medical policies is necessary.https://doi.org/10.1186/s12978-022-01491-xPreimplantation genetic testingFamilial amyloidosisTransthyretinInfertilityDisease prevention
spellingShingle Mário Sousa
Preimplantation genetic testing for familial amyloid polyneuropathy
Reproductive Health
Preimplantation genetic testing
Familial amyloidosis
Transthyretin
Infertility
Disease prevention
title Preimplantation genetic testing for familial amyloid polyneuropathy
title_full Preimplantation genetic testing for familial amyloid polyneuropathy
title_fullStr Preimplantation genetic testing for familial amyloid polyneuropathy
title_full_unstemmed Preimplantation genetic testing for familial amyloid polyneuropathy
title_short Preimplantation genetic testing for familial amyloid polyneuropathy
title_sort preimplantation genetic testing for familial amyloid polyneuropathy
topic Preimplantation genetic testing
Familial amyloidosis
Transthyretin
Infertility
Disease prevention
url https://doi.org/10.1186/s12978-022-01491-x
work_keys_str_mv AT mariosousa preimplantationgenetictestingforfamilialamyloidpolyneuropathy