The Influence of Sex on Embryo Development and Pregnancy Outcome in Preimplantation Genetic Testing for Chromosomal Translocation

Background: To investigate the embryonic development and clinical pregnancy outcome of reciprocal translocation carriers and Robertsonian translocation carriers with different sex in preimplantation genetic testing (PGT). Methods: A retrospective analysis of 1369 cycles of preimplantation genetic testing for structural rearrangements (PGT-SR) was performed in the Reproductive Medicine Center of the First Affiliated Hospital of Zhengzhou University from 2015 to 2019. All the patients were divided into reciprocal translocation and Robertsonian translocation according to the type of chromosomal translocation and divided into female carriers and male carriers according to the sex of the carriers. SPSS21.0 was used for data statistics and P < 0.05 indicated that the difference was statistically significant. Results: The fertilization rate of female carriers(81.5%) with chromosomal structural abnormalities (including reciprocal translocation and Robertsonian translocation) was higher than that of male carriers(80.0%)(P=0.032), and the blastocyst formation rate of female carriers(50.0%) was lower than that of male carriers(54.8%)(P=0.016) in the same parental age. But there was no statistical difference in cleavage rate, high quality embryo rate, normal rate of biopsy, clinical pregnancy rate, abortion rate and live birth rate between female and male carriers. In the reciprocal translocation group, the blastocyst formation rate of male carriers (54.8%) was higher than that of female carriers (50.0%) (P=0.022) with the same parental age and there was no difference in pregnancy outcome. In the Robertsonian translocation group, the fertilization rate of male carriers (75.0%) was lower than that of female carriers (81.8%) (P=0.005) and the normal rate of biopsy (33.3%) was higher than that of female carriers (25.0%) (P=0.022) with the same parental age and there was no difference in pregnancy outcome. Conclusions: In reciprocal translocation, male carriers have a higher rate of blastocyst formation rate than female carriers. In Robertsonianian translocation, male carriers have a higher noamal rate of biopsy than female carriers. However, there was no significant difference in pregnancy outcome between male carriers and female carriers with abnormal chromosome structure.