{"id":2790,"date":"2018-06-28T15:57:08","date_gmt":"2018-06-28T15:57:08","guid":{"rendered":"https:\/\/fertilab.com\/preimplantation-genetic-diagnosis-pgd\/"},"modified":"2022-09-06T15:57:39","modified_gmt":"2022-09-06T13:57:39","slug":"diagnostic-genetique-preimplantatoire","status":"publish","type":"page","link":"https:\/\/fertilab.com\/fr\/diagnostic-genetique-preimplantatoire\/","title":{"rendered":"Diagnostic g\u00e9n\u00e9tique pr\u00e9implantatoire"},"content":{"rendered":"<div class=\"wpb-content-wrapper\">[mk_page_section vertical_align=\u00a0\u00bbcenter\u00a0\u00bb bg_image=\u00a0\u00bbhttps:\/\/fertilab.com\/wp-content\/uploads\/2018\/06\/et-2.jpg\u00a0\u00bb bg_position=\u00a0\u00bbcenter center\u00a0\u00bb bg_repeat=\u00a0\u00bbno-repeat\u00a0\u00bb bg_stretch=\u00a0\u00bbtrue\u00a0\u00bb bg_gradient=\u00a0\u00bbvertical\u00a0\u00bb video_color_mask=\u00a0\u00bb#145da8&Prime; gr_end=\u00a0\u00bbrgba(20,93,168,0.25)\u00a0\u00bb top_shadow=\u00a0\u00bbtrue\u00a0\u00bb min_height=\u00a0\u00bb530&Prime; full_width=\u00a0\u00bbtrue\u00a0\u00bb padding_top=\u00a0\u00bb0&Prime; padding_bottom=\u00a0\u00bb0&Prime; sidebar=\u00a0\u00bbsidebar-1&Prime;][vc_column][vc_row_inner is_fullwidth_content=\u00a0\u00bbfalse\u00a0\u00bb][vc_column_inner][mk_fancy_title tag_name=\u00a0\u00bbh1&Prime; color=\u00a0\u00bb#ffffff\u00a0\u00bb size=\u00a0\u00bb42&Prime; force_font_size=\u00a0\u00bbtrue\u00a0\u00bb size_smallscreen=\u00a0\u00bb38&Prime; size_tablet=\u00a0\u00bb36&Prime; size_phone=\u00a0\u00bb32&Prime; font_weight=\u00a0\u00bb300&Prime; txt_transform=\u00a0\u00bbnone\u00a0\u00bb margin_bottom=\u00a0\u00bb0&Prime; font_family=\u00a0\u00bbnone\u00a0\u00bb align=\u00a0\u00bbcenter\u00a0\u00bb el_class=\u00a0\u00bbtitleWidth\u00a0\u00bb]Le diagnostic g\u00e9n\u00e9tique pr\u00e9implantatoire[\/mk_fancy_title][mk_fancy_title tag_name=\u00a0\u00bbspan\u00a0\u00bb color=\u00a0\u00bb#ffffff\u00a0\u00bb size=\u00a0\u00bb18&Prime; font_weight=\u00a0\u00bb400&Prime; txt_transform=\u00a0\u00bbnone\u00a0\u00bb margin_bottom=\u00a0\u00bb0&Prime; font_family=\u00a0\u00bbnone\u00a0\u00bb align=\u00a0\u00bbcenter\u00a0\u00bb el_class=\u00a0\u00bbtitleWidth\u00a0\u00bb]D\u00e9terminer l&rsquo;analyse g\u00e9n\u00e9tique de l&#8217;embryon nous permet d&rsquo;assurer son avenir[\/mk_fancy_title][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/mk_page_section][vc_row][vc_column][\/vc_column][\/vc_row][mk_page_section bg_color=\u00a0\u00bb#ffffff\u00a0\u00bb padding_top=\u00a0\u00bb80&Prime; padding_bottom=\u00a0\u00bb80&Prime; sidebar=\u00a0\u00bbsidebar-1&Prime;][vc_column][vc_row_inner css=\u00a0\u00bb.vc_custom_1529330850334{padding-bottom: 50px !important;}\u00a0\u00bb][vc_column_inner width=\u00a0\u00bb1\/2&Prime;][mk_image src=\u00a0\u00bbhttps:\/\/fertilab.com\/wp-content\/uploads\/2018\/07\/ilu_embryoscope.png\u00a0\u00bb image_size=\u00a0\u00bbfull\u00a0\u00bb align=\u00a0\u00bbcenter\u00a0\u00bb][\/vc_column_inner][vc_column_inner width=\u00a0\u00bb1\/2&Prime;][mk_fancy_title color=\u00a0\u00bb#4a76c9&Prime; size=\u00a0\u00bb21&Prime; font_weight=\u00a0\u00bbbold\u00a0\u00bb font_style=\u00a0\u00bbnormal\u00a0\u00bb txt_transform=\u00a0\u00bbuppercase\u00a0\u00bb margin_top=\u00a0\u00bb62&Prime; margin_bottom=\u00a0\u00bb22&Prime; font_family=\u00a0\u00bbnone\u00a0\u00bb]LE DIAGNOSTIC G\u00c9N\u00c9TIQUE PR\u00c9IMPLANTATOIRE[\/mk_fancy_title][mk_fancy_title color=\u00a0\u00bb#4a76c9&Prime; size=\u00a0\u00bb21&Prime; font_weight=\u00a0\u00bb300&Prime; font_style=\u00a0\u00bbitalic\u00a0\u00bb margin_bottom=\u00a0\u00bb0&Prime; font_family=\u00a0\u00bbnone\u00a0\u00bb]Qu&rsquo;est-ce que le DPI?[\/mk_fancy_title][vc_column_text css=\u00a0\u00bb.vc_custom_1541693309167{margin-bottom: 0px !important;}\u00a0\u00bb]Le diagnostic g\u00e9n\u00e9tique pr\u00e9implantatoire (DPI) est une technique de diagnostic utilis\u00e9e en compl\u00e9ment de la f\u00e9condation in vitro, qui permet d&rsquo;analyser g\u00e9n\u00e9tiquement les embryons au cours de la phase initiale de d\u00e9veloppement et de les transf\u00e9rer aux embryons de l&rsquo;ut\u00e9rus catalogu\u00e9s comme tels (sans modifications g\u00e9n\u00e9tiques). L\u2019objectif est d\u2019assurer une prog\u00e9niture saine et d\u2019aboutir \u00e0 la transmission d\u2019une pathologie, d\u2019une anomalie chromosomique ou d\u2019une mutation g\u00e9n\u00e9tique donn\u00e9e.<\/p>\n<p>Le DPI n\u00e9cessite une \u00e9tude exhaustive de notre \u00e9quipe de m\u00e9decins, biologistes et g\u00e9n\u00e9ticiens, ainsi que la mise en place d\u2019une strat\u00e9gie diagnostique et th\u00e9rapeutique individualis\u00e9e. Ensuite, le couple doit subir un traitement de f\u00e9condation in vitro pour pouvoir faire cro\u00eetre les embryons jusqu&rsquo;au stade de blastocyste, date \u00e0 laquelle nous effectuerons la biopsie d&#8217;embryons.[\/vc_column_text][mk_fancy_title color=\u00a0\u00bb#4a76c9&Prime; size=\u00a0\u00bb21&Prime; font_weight=\u00a0\u00bb300&Prime; font_style=\u00a0\u00bbitalic\u00a0\u00bb margin_bottom=\u00a0\u00bb0&Prime; font_family=\u00a0\u00bbnone\u00a0\u00bb]Biopsie d&#8217;embryons:[\/mk_fancy_title][vc_column_text css=\u00a0\u00bb.vc_custom_1541693338788{margin-bottom: 0px !important;}\u00a0\u00bb]Une cellule est extraite de chaque embryon pour \u00e9tudier ses chromosomes. Les embryons diagnostiqu\u00e9s sains (sans alt\u00e9ration chromosomique) peuvent \u00eatre transf\u00e9r\u00e9s dans l&rsquo;ut\u00e9rus pour obtenir une gestation \u00e9volutive et normale.[\/vc_column_text][mk_fancy_title color=\u00a0\u00bb#4a76c9&Prime; size=\u00a0\u00bb21&Prime; font_weight=\u00a0\u00bb300&Prime; font_style=\u00a0\u00bbitalic\u00a0\u00bb margin_bottom=\u00a0\u00bb0&Prime; font_family=\u00a0\u00bbnone\u00a0\u00bb]Le DPI permet d\u2019assurer une prog\u00e9niture saine[\/mk_fancy_title][vc_column_text css=\u00a0\u00bb.vc_custom_1541693379301{margin-bottom: 0px !important;}\u00a0\u00bb]Chaque jour, il y a de plus en plus de maladies h\u00e9r\u00e9ditaires dont nous connaissons l&rsquo;alt\u00e9ration chromosomique qui les provoque. Ces alt\u00e9rations peuvent d\u00e9j\u00e0 \u00eatre d\u00e9tect\u00e9es dans l&#8217;embryon. Dans la liste des indications de maladies subsidiaires du diagnostic g\u00e9n\u00e9tique pr\u00e9implantatoire, toutes les maladies que nous pouvons diagnostiquer sont \u00e9tudi\u00e9es. Si vous souhaitez obtenir des informations sur une maladie qui ne figure pas dans la liste ci-dessous, contactez-nous. Nos g\u00e9n\u00e9ticiens innovent et recherchent constamment.<\/p>\n<p>Le DPI est indiqu\u00e9 lorsque le diagnostic g\u00e9n\u00e9tique est techniquement possible, que sa fiabilit\u00e9 est \u00e9lev\u00e9e, que ses chances de succ\u00e8s sont acceptables et que les techniques de procr\u00e9ation assist\u00e9e sont r\u00e9alisables.[\/vc_column_text][mk_fancy_title color=\u00a0\u00bb#4a76c9&Prime; size=\u00a0\u00bb21&Prime; font_weight=\u00a0\u00bb300&Prime; font_style=\u00a0\u00bbitalic\u00a0\u00bb margin_bottom=\u00a0\u00bb0&Prime; font_family=\u00a0\u00bbnone\u00a0\u00bb]Indications de maladies subsidiaires du DPI[\/mk_fancy_title][vc_column_text css=\u00a0\u00bb.vc_custom_1541693456741{margin-bottom: 0px !important;}\u00a0\u00bb]Il est possible de r\u00e9aliser un DPI pour toute maladie g\u00e9n\u00e9tique dans laquelle le g\u00e8ne a \u00e9t\u00e9 caract\u00e9ris\u00e9, ind\u00e9pendamment de son sch\u00e9ma de transmission autosomique dominante, autosomique r\u00e9cessive ou li\u00e9e \u00e0 l&rsquo;X. Id\u00e9alement, il est commode que la mutation responsable ait \u00e9t\u00e9 identifi\u00e9e et que les proches du couple aient \u00e9galement \u00e9t\u00e9 \u00e9tudi\u00e9s.<\/p>\n<p>Jusqu&rsquo;\u00e0 pr\u00e9sent, le DPI a \u00e9t\u00e9 appliqu\u00e9 \u00e0 l&rsquo;analyse de plus de 160 maladies monog\u00e9niques diff\u00e9rentes.<\/p>\n<p>Les couples indiqu\u00e9s pour la r\u00e9alisation d&rsquo;un DPI sont ceux qui pr\u00e9sentent un risque g\u00e9n\u00e9tique \u00e9lev\u00e9 de souffrir de maladies monog\u00e9niques et d&rsquo;anomalies chromosomiques structurelles ou num\u00e9riques. Il est \u00e9galement indiqu\u00e9 pour les couples ayant suivi des f\u00e9condations in vitro dans lesquels nous d\u00e9tectons l\u2019existence d\u2019avortements r\u00e9p\u00e9t\u00e9s et d\u2019\u00e9checs d\u2019implantation r\u00e9p\u00e9t\u00e9s. Il peut \u00e9galement \u00eatre indiqu\u00e9 lorsque la femme a plus de 37 ans et que l\u2019\u00e9tude de la m\u00e9iose chez l\u2019homme r\u00e9v\u00e8le des alt\u00e9rations.<\/p>\n<p>Consultez la liste des maladies monog\u00e9niques d\u00e9tectables par le DPI.[\/vc_column_text][mk_fancy_title color=\u00a0\u00bb#4a76c9&Prime; size=\u00a0\u00bb21&Prime; font_weight=\u00a0\u00bb300&Prime; font_style=\u00a0\u00bbitalic\u00a0\u00bb margin_bottom=\u00a0\u00bb0&Prime; font_family=\u00a0\u00bbnone\u00a0\u00bb]Indications sp\u00e9ciales du DPI[\/mk_fancy_title][vc_column_text css=\u00a0\u00bb.vc_custom_1542211475573{margin-bottom: 0px !important;}\u00a0\u00bb]<span class=\"destacado\">Pr\u00e9disposition \u00e0 certaines maladies<\/span><\/p>\n<p>Il existe des mutations dans certains g\u00e8nes qui pr\u00e9disposent \u00e0 l&rsquo;apparition de maladies au cours de la vie. Lorsque ce comportement h\u00e9r\u00e9ditaire est confirm\u00e9, la possibilit\u00e9 de proc\u00e9der \u00e0 un DPI permettra d&rsquo;\u00e9viter l&rsquo;apparition de la maladie chez les enfants.<\/p>\n<p>Un exemple de ces maladies qui peuvent \u00eatre \u00e9vit\u00e9es est la polypose ad\u00e9nomateuse familiale, la neurofibromatose et le cancer du sein d&rsquo;origine g\u00e9n\u00e9tique. Dans ces cas, l&rsquo;ex\u00e9cution d&rsquo;un DPI n\u00e9cessite l&rsquo;autorisation sp\u00e9cifique de l&rsquo;autorit\u00e9 sanitaire, avec un rapport favorable de la Commission nationale de procr\u00e9ation assist\u00e9e.<\/p>\n<p><span class=\"destacado\">Diagnostic g\u00e9n\u00e9tique pr\u00e9implantatoire et histocompatibilit\u00e9 (HLA)<\/span><\/p>\n<p>La loi actuelle sur les techniques de procr\u00e9ation assist\u00e9e pr\u00e9voit la possibilit\u00e9 de mener un cycle de DPI pour la d\u00e9termination d&rsquo;antig\u00e8nes d&rsquo;histocompatibilit\u00e9 (HLA &#8211; antig\u00e8ne leucocytaire humain) \u00e0 des fins th\u00e9rapeutiques pour des tiers.<\/p>\n<p>Cette solution est appliqu\u00e9e lorsqu&rsquo;un parent du premier degr\u00e9, g\u00e9n\u00e9ralement un enfant, souffre d&rsquo;une maladie de l&rsquo;h\u00e9matopo\u00ef\u00e8se n\u00e9cessitant une greffe de moelle osseuse ou de cellules du cordon ombilical. Dans ces cas, l&rsquo;ex\u00e9cution du DPI n\u00e9cessite l&rsquo;autorisation sp\u00e9ciale de l&rsquo;autorit\u00e9 sanitaire, sur rapport pr\u00e9alable favorable de la Commission nationale de procr\u00e9ation assist\u00e9e.[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/mk_page_section][mk_page_section vertical_align=\u00a0\u00bbcenter\u00a0\u00bb bg_image=\u00a0\u00bbhttps:\/\/fertilab.com\/wp-content\/uploads\/2018\/06\/img_imagenembryo_backgroundblur.jpg\u00a0\u00bb bg_position=\u00a0\u00bbcenter center\u00a0\u00bb bg_repeat=\u00a0\u00bbno-repeat\u00a0\u00bb bg_stretch=\u00a0\u00bbtrue\u00a0\u00bb top_shadow=\u00a0\u00bbtrue\u00a0\u00bb adaptive_height=\u00a0\u00bbtrue\u00a0\u00bb min_height=\u00a0\u00bb600&Prime; padding_top=\u00a0\u00bb0&Prime; padding_bottom=\u00a0\u00bb0&Prime; el_class=\u00a0\u00bbbarcelona video\u00a0\u00bb sidebar=\u00a0\u00bbsidebar-1&Prime;][vc_column][vc_row_inner][vc_column_inner][mk_fancy_title color=\u00a0\u00bb#ffffff\u00a0\u00bb size=\u00a0\u00bb21&Prime; font_weight=\u00a0\u00bb300&Prime; font_style=\u00a0\u00bbitalic\u00a0\u00bb margin_top=\u00a0\u00bb40&Prime; margin_bottom=\u00a0\u00bb40&Prime; font_family=\u00a0\u00bbnone\u00a0\u00bb align=\u00a0\u00bbcenter\u00a0\u00bb]Chaque patient peut voir ses propres embryons vid\u00e9o[\/mk_fancy_title][vc_raw_html]JTVCcnl2LXBvcHVwJTIwdmlkZW8lM0QlMjJodHRwcyUzQSUyRiUyRnd3dy55b3V0dWJlLmNvbSUyRmVtYmVkJTJGZVIxQ05kMnVDc00lM0ZhdXRvcGxheSUzRDElMjIlNUQlMEElM0NkaXYlMjBjbGFzcyUzRCUyMndwYl9zaW5nbGVfaW1hZ2UlMjB3cGJfY29udGVudF9lbGVtZW50JTIwdmNfYWxpZ25fY2VudGVyJTIyJTNFJTBBJTA5JTA5JTBBJTA5JTA5JTNDZmlndXJlJTIwY2xhc3MlM0QlMjJ3cGJfd3JhcHBlciUyMHZjX2ZpZ3VyZSUyMiUzRSUwQSUwOSUwOSUwOSUzQ2RpdiUyMGNsYXNzJTNEJTIydmNfc2luZ2xlX2ltYWdlLXdyYXBwZXIlMjAlMjAlMjB2Y19ib3hfYm9yZGVyX2dyZXklMjIlM0UlM0NpbWclMjBzcmMlM0QlMjJodHRwJTNBJTJGJTJGZmVydGlsYWIuY29tJTJGd3AtY29udGVudCUyRnVwbG9hZHMlMkYyMDE4JTJGMDYlMkZ2aWRlby5wbmclMjIlMjBjbGFzcyUzRCUyMnZjX3NpbmdsZV9pbWFnZS1pbWclMjBhdHRhY2htZW50LWZ1bGwlMjByeXYtcG9wdXAlMjIlMjBhbHQlM0QlMjIlMjIlMjBzcmNzZXQlM0QlMjJodHRwJTNBJTJGJTJGZmVydGlsYWIuY29tJTJGd3AtY29udGVudCUyRnVwbG9hZHMlMkYyMDE4JTJGMDYlMkZ2aWRlby5wbmclMjA2MjJ3JTJDJTIwaHR0cCUzQSUyRiUyRmZlcnRpbGFiLmNvbSUyRndwLWNvbnRlbnQlMkZ1cGxvYWRzJTJGMjAxOCUyRjA2JTJGdmlkZW8tMzAweDIwMC5wbmclMjAzMDB3JTIyJTIwc2l6ZXMlM0QlMjIlMjhtYXgtd2lkdGglM0ElMjA2MjJweCUyOSUyMDEwMHZ3JTJDJTIwNjIycHglMjIlMjBpdGVtcHJvcCUzRCUyMmltYWdlJTIyJTIwd2lkdGglM0QlMjI2MjIlMjIlMjBoZWlnaHQlM0QlMjI0MTQlMjIlM0UlM0MlMkZkaXYlM0UlMEElMDklMDklM0MlMkZmaWd1cmUlM0UlMEElMDklM0MlMkZkaXYlM0U=[\/vc_raw_html][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/mk_page_section][mk_page_section 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!important;}\u00a0\u00bb]<a href=\"https:\/\/fertilab.com\/en\/contact\/\">ENTRER EN CONTACT<\/a>[\/vc_column_text][\/vc_column][\/mk_page_section][vc_row visibility=\u00a0\u00bbvisible-sm\u00a0\u00bb el_class=\u00a0\u00bbrowTelephone\u00a0\u00bb][vc_column][vc_raw_html]JTNDZGl2JTIwaWQlM0QlMjJwaG9uZWJhckZpeGVkJTIyJTNFJTBBJTIwJTIwRGVtYW5kZXIlMjB1biUyMHJlbmRlei12b3VzJTIwJTNDYSUyMGhyZWYlM0QlMjJ0ZWwlM0EzNDkzMjQxMTQxNCUyMiUzRSUyQjM0JTIwOTMlMjAyNDElMjAxNCUyMDE0JTNDJTJGYSUzRSUwQSUzQyUyRmRpdiUzRQ==[\/vc_raw_html][\/vc_column][\/vc_row]\n<\/div>","protected":false},"excerpt":{"rendered":"<p>[mk_page_section vertical_align=\u00a0\u00bbcenter\u00a0\u00bb bg_image=\u00a0\u00bbhttps:\/\/fertilab.com\/wp-content\/uploads\/2018\/06\/et-2.jpg\u00a0\u00bb bg_position=\u00a0\u00bbcenter center\u00a0\u00bb bg_repeat=\u00a0\u00bbno-repeat\u00a0\u00bb bg_stretch=\u00a0\u00bbtrue\u00a0\u00bb bg_gradient=\u00a0\u00bbvertical\u00a0\u00bb video_color_mask=\u00a0\u00bb#145da8&Prime; gr_end=\u00a0\u00bbrgba(20,93,168,0.25)\u00a0\u00bb top_shadow=\u00a0\u00bbtrue\u00a0\u00bb min_height=\u00a0\u00bb530&Prime; full_width=\u00a0\u00bbtrue\u00a0\u00bb padding_top=\u00a0\u00bb0&Prime; padding_bottom=\u00a0\u00bb0&Prime; sidebar=\u00a0\u00bbsidebar-1&Prime;][vc_column][vc_row_inner is_fullwidth_content=\u00a0\u00bbfalse\u00a0\u00bb][vc_column_inner][mk_fancy_title tag_name=\u00a0\u00bbh1&Prime; color=\u00a0\u00bb#ffffff\u00a0\u00bb size=\u00a0\u00bb42&Prime; force_font_size=\u00a0\u00bbtrue\u00a0\u00bb size_smallscreen=\u00a0\u00bb38&Prime; size_tablet=\u00a0\u00bb36&Prime; size_phone=\u00a0\u00bb32&Prime; font_weight=\u00a0\u00bb300&Prime; txt_transform=\u00a0\u00bbnone\u00a0\u00bb margin_bottom=\u00a0\u00bb0&Prime; font_family=\u00a0\u00bbnone\u00a0\u00bb align=\u00a0\u00bbcenter\u00a0\u00bb el_class=\u00a0\u00bbtitleWidth\u00a0\u00bb]Le diagnostic g\u00e9n\u00e9tique pr\u00e9implantatoire[\/mk_fancy_title][mk_fancy_title tag_name=\u00a0\u00bbspan\u00a0\u00bb 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