Table 2.
Summary of the main published clinical evidence on 1PN-derived embryos. PN pronuclei, D3 day 3, STRs short tandem repeats, aCGH array comparative genomic hybridization, qPCR quantitative polymerase chain reaction, SNP single nucleotide polymorphism, NGS next-generation sequencing, TLM mite lapse microscopy, SET single embryo transfer, LBR live birth rate
| Paper | Size | Workflow | PN assessment | Euploidy rate | LBR |
|---|---|---|---|---|---|
| Destouni 2018 |
268 cycles 132 1PN out of 2337 zygotes (6%) 15 D3 embryos out of 132 1PN zygotes (11%) |
- ICSI - D3 biopsy - Blastocyst vitrification - Genome-wide haplotyping |
Standard |
Euploid-diploid biparental: 5 out of 14 D3 embryos (36%) |
1 out of 1 euploid-diploid blastocyst SET (100%) |
| Mateo 2017 |
64 cycles 115 1PN-derived D3 embryos |
- ICSI - D3 biopsy - Blastocyst vitrification - aCGH |
TLM |
Euploid: 15 out of 88 D3 embryos (17%) |
1 out of 2 euploid blastocyst SETs (50%) |
| Capalbo 2017 |
678 cycles 200 1PN out of 3785 zygotes (5%) 13 blastocysts out of 200 1PN zygotes (6.5%) |
- ICSI - TE biopsy - Blastocyst vitrification - qPCR (for aneuploidies) plus SNP-array/NGS (for ploidy) |
Standard/TLM |
Euploid-diploid: 3 out of 13 blastocysts (23%) |
1 out of 2 euploid-diploid blastocyst SETs (50%) |
| Bradley 2017 |
4272 cycles 1192 1PN zygotes 106 blastocysts out of 1192 1PN zygotes (9%) |
- IVF/ICSI - TE biopsy - Blastocyst vitrification - aCGH/NGS (for aneuploidies) plus STRs analysis among female balanced blastocysts (for ploidy) |
Standard |
Euploid-diploid: 55 out of 106 blastocysts (52%) [4 female blastocysts were not tested for ploidy due to absence of parental controls] |
9 out of 26 euploid-diploid blastocyst SETs (35%) |
| Hondo 2019 | 11,588 cycles |
- IVF/ICSI - Blastocyst culture |
Standard | - | 14 out of 73 untested blastocyst SETs (19%) |