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Preconception Genetic Test (Carrier Screening)

■ What is Preconception Genetic Test (Carrier Screening)?

This preconception genetic test or carrier screening is recommended for all couples who wish to have a baby. This test assesses the risk that your child will develop a genetic disease (*1).

 

Who should take the test?

All couples who wish to have a baby.

 

This test is especially recommended for couples;

1. Who have a genetic disorder in the family or close relatives.

2. Who have a family member or a close relative who has died of a genetic disease.

3. Who already know that you or your partner is suffering from or a carrier of a genetic disease.

 

Who is a Carrier?

A carrier is the person who has a genetical change called a mutation that disrupts the function of an autosomal recessive (AR) gene, such as phenylketonuria, but does not develop a genetic disease. We have a pair of chromosomes or genomes. Therefore, even if a mutation disrupts a gene and its function, the same gene on the other genome still have a normal function. On the AR genes, one functional gene is enough for normal development or its function. So, the carrier who has a mutation on an AR gene does not develop a genetic disease.

 

Appearance and general tests cannot distinguish whether you are a carrier or have a pair of normal genes. (Fig.1)

carrier

 

If both you and your partner are a carrier of an AR gene, your children have a 25% chance to develop the genetic disease and a 50% chance to be carriers of the disease.. (Fig.2)

 

Percentage of carriers

According to the previous studies, we have about 2.8 mutations as a carrier in genetic disease genes (*2). The other study showed around one in four people are a carrier of one of the 108 studied genes. And that one in twenty are a carrier of multiple mutations (*3).

 

Because it became clear that the percentage of carriers is high, the American College of Obstetricians and Gynecologists recommend this screening test is offered to all couples considering pregnancy (*4).

 

Appearance and general tests cannot distinguish whether you are a carrier or have a pair of normal genes.

 

If both you and your partner are a carrier of an AR gene, your children have a 25% chance to develop the genetic disease and a 50% chance to be carriers of the disease.

 

Carrier Screening

The 331 genes that cover the most relevant disease-causing variants are sequenced by the NGS (Next Generation Sequencer). These sequences show both you are a carrier or not and if there is a risk that your child can develop a genetic disease (*1,5).

Until now, carrier screening was done by sequencing whole genome or all exons. So, the cost was very high, it took a long time to get the result and was not popular. But this carrier screening dramatically reduced both the costs and the time to get the result by selecting the gene to be tested.

 

The Criteria of selected genes

The 331 genes were selected based on the following criteria.

  • A high carrier frequency
  • A well-defined phenotype
  • An early onset disease
  • A highly severe phenotype
  • A severe effect on the quality
  • The availability of surgical and medical intervention.

 

These 331 genes cover most relevant disease-causing variants from HGMD2017.4 that is a collection of human variants.

 

Specimen

About 1 ml of blood drawn from the vein is used for this test.

 

Expected time to get Screening Result

Genetic counseling is required before the screening procedures. So, if you wish to take this test, please ask our staff and make a reservation.

It takes about 1 month until you get the screening result after drawing. The result will be explained by the doctor.

 

In the cases where the variants related to the genetic disorders are found

If it has shown that (1) both you and your partner are carriers of the same disorder. or (2) either you or your partner has the dominant disease mutation, there are some options to consider.

(1) Preimplantation Genetic Diagnosis (PGD, or PGT-M). This screening selects embryos that will not develop genetic disorders to be transferred.

(2) Donor eggs or sperms. By using donor eggs or sperms, it is possible to avoid genetic diseases. However, the Japan Society of Obstetrics and Gynecology is allowing PGD and IVF with donor eggs or sperm only under limited conditions. Please ask our staff for more detailed information.

 

Without avoiding genetic diseases, it is very useful to know the risk of having a baby who will have a genetic disorder. The baby with some kind of genetic disorder can have normal development if the appropriate treatment is started as soon as possible. So, if you know the risk of your baby having such a genetic disease, you can have time to prepare for it.

 

Price

SOLO (for one patient) ¥187,630 (w/o tax)

DUO (for a couple) ¥357,340 (w/o tax)

SOLO+partner’s risk gene analysis ¥216,860 (w/o tax)

risk gene analysis (for one patient) ¥55,630 (w/o tax)

* The price may change without notice.

 

*1 Even if you have no the variants related to genetic diseases or not a carrier as the result of this screening test, there is still a chance that your children develop genetic disorders due to technical limitations or mutations that occurred during the gene replication. Children might develop genetic diseases or congenital abnormalities due to mutations of genes not included in this test, structural abnormalities of chromosomes, other causes of current unknown etc.

 

*2 Carrier Testing for Severe Childhood Recessive Diseases by Next-Generation Sequencing. Bell CJ, at al. (2011) SciTranslMed. 3(65):65ar4

 

*3 An empirical estimate of carrier frequencies for 400+ causal Mendelian variants: results from an ethnically diverse clinical sample of 23,453 individuals., Lazarin GA, et al. (2013) GenetMed. 15(3):178-86

 

*4 Carrier Screening for Genetic Conditions. ACOG Committee Opinion Number 691, March 2017

 

*5 This carrier screening test may reveal that the patient who has this test has the risk of developing or will develop a genetic disease.

 

 

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Oak Medical Group has been from the time we opened, supporting the many issues of women's health, building performance and trust, and not only here in Osaka, but centering in Kansai we are receiving patients from across Japan.
Especially with our infertility treatment, we are widely covering the various tests to IVF/ICSI's Advanced Reproductive Technologies.  Depending on the cause of the infertility, we are handling the treatment of each patient one by one.  If you have some concerns, please don't hesitate to consult with us.