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Current issues in medically assisted reproduction and genetics in Europe: research, clinical practice, ethics, legal issues and policy
J. Harper, J. Geraedts, P. Borry, MC. Cornel, WJ. Dondorp, L. Gianaroli, G. Harton, T. Milachich, H. Kääriäinen, I. Liebaers, M. Morris, J. Sequeiros, K. Sermon, F. Shenfield, H. Skirton, S. Soini, C. Spits, A. Veiga, JR. Vermeesch, S. Viville,...
Jazyk angličtina Země Anglie, Velká Británie
Typ dokumentu časopisecké články, práce podpořená grantem
NLK
Free Medical Journals
od 1996 do Před 1 rokem
Open Access Digital Library
od 1996-01-01
PubMed
25006203
DOI
10.1093/humrep/deu130
Knihovny.cz E-zdroje
- MeSH
- akreditace MeSH
- asistovaná reprodukce škodlivé účinky etika zákonodárství a právo trendy MeSH
- dostupnost zdravotnických služeb MeSH
- embryonální kmenové buňky MeSH
- epigenomika MeSH
- lékařská genetika etika zákonodárství a právo trendy MeSH
- lidé MeSH
- mužská infertilita genetika MeSH
- nestabilita genomu MeSH
- preimplantační diagnóza etika trendy MeSH
- reprodukční lékařství etika zákonodárství a právo trendy MeSH
- společnosti lékařské MeSH
- zdravotní turistika trendy MeSH
- ženská infertilita genetika MeSH
- Check Tag
- lidé MeSH
- mužské pohlaví MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- práce podpořená grantem MeSH
- Geografické názvy
- Evropa MeSH
STUDY QUESTION: How has the interface between genetics and assisted reproduction technology (ART) evolved since 2005? SUMMARY ANSWER: The interface between ART and genetics has become more entwined as we increase our understanding about the genetics of infertility and we are able to perform more comprehensive genetic testing. WHAT IS KNOWN ALREADY: In March 2005, a group of experts from the European Society of Human Genetics and European Society of Human Reproduction and Embryology met to discuss the interface between genetics and ART and published an extended background paper, recommendations and two Editorials. STUDY DESIGN, SIZE, DURATION: An interdisciplinary workshop was held, involving representatives of both professional societies and experts from the European Union Eurogentest2 Coordination Action Project. PARTICIPANTS/MATERIALS, SETTING, METHODS: In March 2012, a group of experts from the European Society of Human Genetics, the European Society of Human Reproduction and Embryology and the EuroGentest2 Coordination Action Project met to discuss developments at the interface between clinical genetics and ART. MAIN RESULTS AND THE ROLE OF CHANCE: As more genetic causes of reproductive failure are now recognized and an increasing number of patients undergo testing of their genome prior to conception, either in regular health care or in the context of direct-to-consumer testing, the need for genetic counselling and PGD may increase. Preimplantation genetic screening (PGS) thus far does not have evidence from RCTs to substantiate that the technique is both effective and efficient. Whole genome sequencing may create greater challenges both in the technological and interpretational domains, and requires further reflection about the ethics of genetic testing in ART and PGD/PGS. Diagnostic laboratories should be reporting their results according to internationally accepted accreditation standards (ISO 15189). Further studies are needed in order to address issues related to the impact of ART on epigenetic reprogramming of the early embryo. LIMITATIONS, REASONS FOR CAUTION: The legal landscape regarding assisted reproduction is evolving, but still remains very heterogeneous and often contradictory. The lack of legal harmonization and uneven access to infertility treatment and PGD/PGS fosters considerable cross-border reproductive care in Europe, and beyond. WIDER IMPLICATIONS OF THE FINDINGS: This continually evolving field requires communication between the clinical genetics and IVF teams and patients to ensure that they are fully informed and can make well-considered choices. STUDY FUNDING/COMPETING INTERESTS: Funding was received from ESHRE, ESHG and EuroGentest2 European Union Coordination Action project (FP7 - HEALTH-F4-2010-26146) to support attendance at this meeting.
Center for Medical Genetics Vrije Universiteit Brussel Brussels Belgium
Centre for Human Genetics Catholic University of Leuven Leuven Belgium
Department of Embryology and Genetics Vrije Universiteit Brussel Brussels Belgium
Department of Molecular Diagnostics Synlab Lausanne Switzerland
Department of Public Health and Primary Care KU Leuven Leuven Belgium
Institute of Genetics and Molecular and Cellular Biology UMR 1704 Illkirch France
National Institute for Health and Welfare Helsinki Finland
Reproductive Medicine Service Institut Universitari Dexeus Barcelona Spain
Reproductive Medicine Unit Institute for Women's Health University College London London UK
S 1 S Me R Reproductive Medicine Unit Bologna Italy
SAGBAL Hospital 'Dr Shterev' MC 'Reproductive Health' Sofia Bulgaria
Citace poskytuje Crossref.org
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