2021
DOI: 10.1002/pd.5927
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Origins and mechanisms leading to aneuploidy in human eggs

Abstract: The gain or loss of a chromosome-or aneuploidy-acts as one of the major triggers for infertility and pregnancy loss in humans. These chromosomal abnormalities affect more than 40% of eggs in women at both ends of the age spectrum, that is, young girls as well as women of advancing maternal age. Recent studies in human oocytes and embryos using genomics, cytogenetics, and in silico modeling all provide new insight into the rates and potential genetic and cellular factors associated with aneuploidy at varying st… Show more

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Cited by 45 publications
(34 citation statements)
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“…Oocyte-stored SMC3 is required to support the integrity of the zygotic genome during the very first round of DNA replication and sister chromatid segregation to pass successfully through the first and second mitotic divisions in the embryo. Our findings are broadly consistent with the recent proposal that meiosis-derived aneuploidy persists into embryogenesis, but that mitosis-derived aneuploidy triggers arrest ( Wartosch et al, 2021 ). Furthermore, our results suggest that elongated spindles in zygotes and micronuclei in the two-cell embryo are visual markers of poor developmental outcomes, which could be useful for in vitro fertilization.…”
Section: Discussionsupporting
confidence: 92%
“…Oocyte-stored SMC3 is required to support the integrity of the zygotic genome during the very first round of DNA replication and sister chromatid segregation to pass successfully through the first and second mitotic divisions in the embryo. Our findings are broadly consistent with the recent proposal that meiosis-derived aneuploidy persists into embryogenesis, but that mitosis-derived aneuploidy triggers arrest ( Wartosch et al, 2021 ). Furthermore, our results suggest that elongated spindles in zygotes and micronuclei in the two-cell embryo are visual markers of poor developmental outcomes, which could be useful for in vitro fertilization.…”
Section: Discussionsupporting
confidence: 92%
“…A number of studies have been published describing the origins and mechanisms leading to aneuploidy in ageing human oocytes, arising due to chromosome segregation errors during meiosis I and II, mainly during the two consecutive cell divisions and during the two cell cycle arrests [ 4 , 20 ]. Current views based on recent oocyte studies suggest that less stringent spindle assembly checkpoint (SAC), spindle instability, multipolarity and merotelic attachments during meiosis I contribute to high aneuploidy in both younger and older women [ 20 ].…”
Section: Discussionmentioning
confidence: 99%
“…In humans, reproduction is regarded as a highly inefficient process. A major factor lies with the uniquely high frequency of aneuploidy in human gametes and embryos [ 1 , 2 , 3 , 4 ]. Autosomal aneuploidy in human gametes arises mostly from errors in meiosis I or II of oogenesis, but mosaicism from errors in early embryogenesis is also a major cause of embryonic death [ 5 , 6 ].…”
Section: Introductionmentioning
confidence: 99%
“…preimplantation mortality of fertilised or unfertilised eggs can all give rise to compensation). For example, while aneuploidy is common for the larger human chromosomes in oocytes [ 54 , 91 ], owing to early selection this is not reflected in early embryonic data [ 91 ]. Similarly, some methods (e.g., FISH) report exceptionally high rates (>70%) of nondisjunction in eggs [ 2 , 3 ], consistent with very early stage (oocyte to zygote) mortality.…”
Section: Further Predictions and Evidencementioning
confidence: 99%