Genetic counseling for pre-implantation genetic testing of monogenic disorders (PGT-M)

Pre-implantation genetic testing (PGT) is a vital tool in preventing chromosomal aneuploidies and other genetic disorders including those that are monogenic in origin. It is performed on embryos created by intracytoplasmic sperm injection (ICSI). Genetic counseling in the area of assisted reproducti...

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Main Authors: Firuza Parikh, Arundhati Athalye, Prochi Madon, Meenal Khandeparkar, Dattatray Naik, Rupesh Sanap, Anuradha Udumudi
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-12-01
Series:Frontiers in Reproductive Health
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/frph.2023.1213546/full
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author Firuza Parikh
Arundhati Athalye
Prochi Madon
Meenal Khandeparkar
Dattatray Naik
Rupesh Sanap
Anuradha Udumudi
author_facet Firuza Parikh
Arundhati Athalye
Prochi Madon
Meenal Khandeparkar
Dattatray Naik
Rupesh Sanap
Anuradha Udumudi
author_sort Firuza Parikh
collection DOAJ
description Pre-implantation genetic testing (PGT) is a vital tool in preventing chromosomal aneuploidies and other genetic disorders including those that are monogenic in origin. It is performed on embryos created by intracytoplasmic sperm injection (ICSI). Genetic counseling in the area of assisted reproductive technology (ART) has also evolved along with PGT and is considered an essential and integral part of Reproductive Medicine. While PGT has the potential to prevent future progeny from being affected by genetic conditions, genetic counseling helps couples understand and adapt to the medical, psychological, familial and social implications of the genetic contribution to disease. Genetic counseling is particularly helpful for couples with recurrent miscarriages, advanced maternal age, a partner with a chromosome translocation or inversion, those in a consanguineous marriage, and those using donor gametes. Partners with a family history of genetic conditions including hereditary cancer, late onset neurological diseases and with a carrier status for monogenic disorders can benefit from genetic counseling when undergoing PGT for monogenic disorders (PGT-M). Genetic counseling for PGT is useful in cases of Mendelian disorders, autosomal dominant and recessive conditions and sex chromosome linked disorders and for the purposes of utilizing HLA matching technology for creating a savior sibling. It also helps in understanding the importance of PGT in cases of variants of uncertain significance (VUS) and variable penetrance. The possibilities and limitations are discussed in detail during the sessions of genetic counseling.
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spelling doaj.art-d9b16c7a0a8d4b869f80a915dbdd7fae2023-12-15T09:26:57ZengFrontiers Media S.A.Frontiers in Reproductive Health2673-31532023-12-01510.3389/frph.2023.12135461213546Genetic counseling for pre-implantation genetic testing of monogenic disorders (PGT-M)Firuza Parikh0Arundhati Athalye1Prochi Madon2Meenal Khandeparkar3Dattatray Naik4Rupesh Sanap5Anuradha Udumudi6Department of Assisted Reproduction and Genetics, Jaslok-FertilTree International Fertility Centre, Jaslok Hospital and Research Centre, Mumbai, IndiaDepartment of Assisted Reproduction and Genetics, Jaslok-FertilTree International Fertility Centre, Jaslok Hospital and Research Centre, Mumbai, IndiaDepartment of Assisted Reproduction and Genetics, Jaslok-FertilTree International Fertility Centre, Jaslok Hospital and Research Centre, Mumbai, IndiaDepartment of Assisted Reproduction and Genetics, Jaslok-FertilTree International Fertility Centre, Jaslok Hospital and Research Centre, Mumbai, IndiaDepartment of Assisted Reproduction and Genetics, Jaslok-FertilTree International Fertility Centre, Jaslok Hospital and Research Centre, Mumbai, IndiaDepartment of Assisted Reproduction and Genetics, Jaslok-FertilTree International Fertility Centre, Jaslok Hospital and Research Centre, Mumbai, IndiaGeneTech Laboratory, Banjara Hills, Hyderabad, IndiaPre-implantation genetic testing (PGT) is a vital tool in preventing chromosomal aneuploidies and other genetic disorders including those that are monogenic in origin. It is performed on embryos created by intracytoplasmic sperm injection (ICSI). Genetic counseling in the area of assisted reproductive technology (ART) has also evolved along with PGT and is considered an essential and integral part of Reproductive Medicine. While PGT has the potential to prevent future progeny from being affected by genetic conditions, genetic counseling helps couples understand and adapt to the medical, psychological, familial and social implications of the genetic contribution to disease. Genetic counseling is particularly helpful for couples with recurrent miscarriages, advanced maternal age, a partner with a chromosome translocation or inversion, those in a consanguineous marriage, and those using donor gametes. Partners with a family history of genetic conditions including hereditary cancer, late onset neurological diseases and with a carrier status for monogenic disorders can benefit from genetic counseling when undergoing PGT for monogenic disorders (PGT-M). Genetic counseling for PGT is useful in cases of Mendelian disorders, autosomal dominant and recessive conditions and sex chromosome linked disorders and for the purposes of utilizing HLA matching technology for creating a savior sibling. It also helps in understanding the importance of PGT in cases of variants of uncertain significance (VUS) and variable penetrance. The possibilities and limitations are discussed in detail during the sessions of genetic counseling.https://www.frontiersin.org/articles/10.3389/frph.2023.1213546/fullPGTgenetic counselingpreimplantation genetic testingPGT-Mmonogenic disordersGC for PGT-M
spellingShingle Firuza Parikh
Arundhati Athalye
Prochi Madon
Meenal Khandeparkar
Dattatray Naik
Rupesh Sanap
Anuradha Udumudi
Genetic counseling for pre-implantation genetic testing of monogenic disorders (PGT-M)
Frontiers in Reproductive Health
PGT
genetic counseling
preimplantation genetic testing
PGT-M
monogenic disorders
GC for PGT-M
title Genetic counseling for pre-implantation genetic testing of monogenic disorders (PGT-M)
title_full Genetic counseling for pre-implantation genetic testing of monogenic disorders (PGT-M)
title_fullStr Genetic counseling for pre-implantation genetic testing of monogenic disorders (PGT-M)
title_full_unstemmed Genetic counseling for pre-implantation genetic testing of monogenic disorders (PGT-M)
title_short Genetic counseling for pre-implantation genetic testing of monogenic disorders (PGT-M)
title_sort genetic counseling for pre implantation genetic testing of monogenic disorders pgt m
topic PGT
genetic counseling
preimplantation genetic testing
PGT-M
monogenic disorders
GC for PGT-M
url https://www.frontiersin.org/articles/10.3389/frph.2023.1213546/full
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