Wednesday, September 28, 2016

First 'three person baby' born using new method

The world's first baby has been born using a new "three person" fertility technique, New Scientist reveals.
The five-month-old boy has the usual DNA from his mum and dad, plus a tiny bit of genetic code from a donor.
US doctors took the unprecedented step to ensure the baby boy would be free of a genetic condition that his Jordanian mother carries in her genes.
Experts say the move heralds a new era in medicine and could help other families with rare genetic conditions.
But they warn that rigorous checks of this new and controversial technology, called mitochondrial donation, are needed.
It's not the first time scientists have created babies that have DNA from three people - that breakthrough began in the late 1990s - but it is an entirely new and significant method.
Three person babies
Mitochondria are tiny structures inside nearly every cell of the body that convert food into usable energy.
Some women carry genetic defects in mitochondria and they can pass these on to their children.
In the case of the Jordanian family, it was a disorder called Leigh Syndrome that would have proved fatal to any baby conceived. The family had already experienced the heartache of four miscarriages as well as the death of two children - one at eight months and the other at six years of age.
Leigh syndrome
§  A severe neurological disorder, affecting at least one in 40,000 new-born babies.
§  Usually becomes apparent during the first year of a child's life.
§  First signs include vomiting, diarrhoea and difficulty with swallowing.
§  Causes the progressive loss of movement, and deterioration of mental functions.
§  Symptoms are linked to the development of patches of damaged tissue which develop in the brain.
§  Children with the condition usually die within two to three years, usually because of respiratory failure.
§  Mutations in 75 different genes have been linked to the condition.
§  Most of those mutations occur in DNA from the nucleus, but in about one in five cases the culprit is found in mitochondrial DNA.
Scientists have devised a number of fertility methods to help such families.
The US team, who travelled to Mexico to carry out the procedure because there are no laws there that prohibit it, used a method that takes all the vital DNA from the mother's egg plus healthy mitochondria from a donor egg to create a healthy new egg that can be fertilised with the father's sperm.
The result is a baby with 0.1% of their DNA from the donor (mitochondrial DNA) and all the genetic code for things like hair and eye colour from the mother and father.
Dr John Zhang, medical director at the New Hope Fertility Centre in New York City, and his colleagues used the method to make five embryos - only one of them developed normally.
The UK has already passed laws to allow the creation of babies from three people.
But the science does raise ethical questions, including how any child from the technique might feel about having DNA from three people.
Fertility experts say it is important to push ahead, but cautiously.
Some have questioned whether we are only now hearing the success story while failed attempts could have gone unreported.
Prof Alison Murdoch, part of the team at Newcastle University that has been at the forefront of three person IVF work in the UK, said: "The translation of mitochondrial donation to a clinical procedure is not a race but a goal to be achieved with caution to ensure both safety and reproducibility."
Critics say the work is irresponsible.
Dr David King from the pro-choice group Human Genetics Alert, said: "It is outrageous that they simply ignored the cautious approach of US regulators and went to Mexico, because they think they know better. Since when is a simplistic "to save lives is the ethical thing to do" a balanced medical ethics approach, especially when no lives were being saved?"
Dr Zhang and his team say they will answer these questions when they presents their findings at a meeting of the American Society for Reproductive Medicine in October.
Prof Darren Griffin, an expert in Genetics at the University of Kent, said: "This study heralds a new era in preimplantation genetics and represents a novel means for the treatment of families at risk of transmitting genetic disease.
"With radical new treatments like this there are always challenging ethical issues, however any concerns need to be balanced against the ramifications of not implementing such a technology when families are in need of it."
The structure of a cell
Nucleus: Where the majority of our DNA is held - this determines how we look and our personality
Mitochondria: Often described as the cell's factories, these create the energy to make the cell function

Cytoplasm: The jelly like substance that contains the nucleus and mitochondria.

8 comments:

  1. I wonder, is it the same as Mitochondria replacement therapy??
    https://biotexcom.com/a-unique-method-to-get-pregnant-in-your-40s-with-your-own-eggs/.
    BioTexCom Center for Human Reproduction offers patients who are above 40 and for those, who suffer from low levels of AMH, an innovative program that makes it possible to get pregnant with their own eggs. Mitochondria replacement therapy is an innovation and a breakthrough in the field of ART and the fertility treatment. This program gives women, who underwent numerous unsuccessful IVF cycles, aged 40+, patients with low mitochondrial functional activity, an excellent chance to give birth to a child who shares a genetic relationship with her and her partner. Mitochondrion is one of the most important components of any living cell, including the egg. In simple words, mitochondrion is the cell’s energy station. Essentially, its work consists in supplying the cell with vital energy for its normal functioning. Women that went through multiple unsuccessful IVF attempts, as well as of older reproductive age, need to restore oocyte mitochondria in order to successfully become pregnant. A woman can become pregnant only if there are functionally active mitochondria in her oocytes. Donation of mitochondria will allow thousands of hopeless women to give birth to a healthy child through IVF using mitochondrial donation. To carry out such a procedure, an egg donor with a high functional activity of mitochondria, a patient, and sperm for in vitro fertilization are required. Healthy functionally active mitochondria are taken from a donor’s oocyte and integrated with the patient’s cells. Next, fertilization with sperm and transfer of a healthy embryo into the patient’s uterus is performed. Mitochondria donation is a unique assistive reproductive technology, which is basically the implantation of a healthy and functionally active donor mitochondria into the cells of an infertile patient, that provides the patient’s cell with the necessary energy and contributes to successful pregnancy. Mitochondrial DNA and Human DNA are different things. It only gives that necessary energy to the oocyst and helps with developing an embryo and make it stronger. DNA is in the core of the mitochondria, which are not used for donation. Therefore, genetically, mitochondria have no effect on the embryo.
    They are currently using this method. I think I can reach out a couple of people who've experienced it so far.

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  2. There are LOADS of information on biotexcom.com site. I love these articles the most~
    #1 Mitochondrial donation: an opportunity for middle-aged couples to become parents of a healthy child
    Some childless couples, especially those over the age of 40+, who are trying to become parents through in-vitro fertilization (IVF) meet with failure. Why the emphasis is put precisely on the age of forty years? Because medical statistics confirms that at the age of 40 or 45, it is much more difficult for a woman to not only get pregnant, but also to bear a healthy child.
    With age, women are less likely to get pregnant
    This fact does not mean that it is absolutely dangerous for a woman at the age of 40+ to become pregnant and give birth: hundreds of aged happy mothers confirm this. However, with age, a woman’s ovarian reserve decreases (the so-called stock of healthy eggs-oocytes), which reduces the chances of getting pregnant. In addition to this problem, in some aged patients who could not become pregnant using IVF, there is a low mitochondrial activity. These organelles are the most important components of any cells.
    Egg cells, female reproductive cells, also cannot do without functioning mitochondria, which, in their turn, not only provide oocytes with energy, but also have their own hereditary DNA material. With a deficiency of active, functioning mitochondria in the female eggs, often even a healthy embryo placed in the woman’s uterus does not take and the pregnancy does not occur. In this case, successful IVF is possible with using donor mitochondria.
    What is the basis of mitochondrial donation
    Mitochondrial donation is also called the “three parents method”: the procedure is based on the transplantation of mitochondria from a female donor into an egg cell of a patient who wants to become pregnant, which is then fertilized in vitro with the sperm of a husband or partner.
    That is why, when there is a deficiency in functionally active mitochondria in the female eggs, the patient is recommended to have a mitochondrial donation, a procedure that is used in the infertility treatment at the Biotexcom reproductive clinic. Healthy donor mitochondria are integrated with the patient’s cells, fertilized, after which a healthy embryo is placed in the woman’s uterus.
    Alternative to surrogacy and the guarantee of a healthy baby
    This reproductive technology is also an IVF method, enabling families to have genetically healthy children, since the mitochondrial donation uses the egg of a female donor, which does not contain defective mitochondria. The method is also recommended for women with a high probability of the development of mutations in mitochondrial DNA and subsequent severe illnesses in an unborn baby. Thus, mitochondrial donation helps barren women not only to become mothers, but also to exclude a number of genetic diseases. With the help of mitochondrial donation, a woman can bear and give birth to a child on her own without resorting to surrogacy!

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  3. #2 A child from three parents now in Ukraine!
    The inability to conceive a child in a natural way is a huge tragedy and a problem for many couples all over the world. Families, faced with infertility, spend a lot of money and years of life trying to achieve a long-awaited pregnancy. Fortunately, today the diagnosis of “infertility” is no longer a sentence, and there are methods that allow you to become parents, even in the most hopeless cases.
    Mitochondrial donation is one of such unique methods, which allows a woman who couldn’t conceive a baby for years to get pregnant and independently carry a child. The correct work of egg mitochondria, namely, their active functionality contributes to the successful conception. Consequently, for women who have this activity missed or damaged, for one reason or another, it is necessary to implant healthy donor mitochondria.
    The mitochondrial donation program includes three main elements: a donor with normal healthy mitochondria, a mother’s egg cell, and a father’s sperm cell. Donor mitochondria allow the eggs of the infertile patient to work as it is necessary for successful conception. At the same time, a donor egg cell is not needed, but only mitochondria with high functional activity.
    Such a program allows 40+ women to become pregnant, who could conceive a child through IVF only thanks to a donor egg cell. The program is also designated for patients who have undergone numerous unsuccessful IVF attempts. With mitochondrial donation, the chances of a successful pregnancy increase significantly. It is much easier to achieve the desired pregnancy with functionally active mitochondria.
    In Ukraine, such a program is carried out by the specialists of the BioTexCom center. With the necessary equipment, a team of professional specialists with international experience, as well as loyal legislation in the field of ART, Ukrainian doctors successfully introduce modern methods of infertility treatment.

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  4. #3 Women at 40 can easily carry and give birth to genetically related baby. It has nothing to do with previously frozen eggs
    Nowadays women over 40 and those who had multiple failed IVF cycles can get pregnant and carry a genetically related baby. This has been made possible with mitochondrial donation treatment.
    Mitochondria are cell organelles that convert nutrients into energy to drive many processes in organism. A mitochondrion, as a powerhouse of a cell, provides energy needed to ensure effective functioning of organs.
    There is often a decline in mitochondria function in oocytes of women above 40. That could be the reason for implantation failure. Mitochondrial dysfunction can lead to multiple failed IVF cycles.
    That is why infertile women can get pregnant with the help of IVF using donor mitochondria. So, how does mitochondrial donation work?
    Healthy mitochondria are retrieved from a donor’s egg and transferred to a patient’s egg. Then the oocyte is fertilized and a healthy embryo is transferred into a patient’s uterine cavity like in IVF treatment.
    It should be noted that a mitochondrial donor is not a genetic parent of a future baby. Donated mitochondria account for less than 1% of the baby’s DNA. Therefore, women who donate their mitochondria will not have any rights and responsibilities for the baby. Mitochondrial donation is anonymous...

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  5. ...Mitochondrial donation program is a breakthrough in reproductive medicine including assisted reproductive technology (ART). Infertility is a global health issue that is breaking records and now surrogacy and egg donation treatment are becoming first choices for women. Through these treatments, thousands of couples are becoming parents. Mitochondrial donation makes it possible for a woman to carry and give birth to a child genetically related to both parents on her own.
    Ukraine has always had many advantages in development of the ART industry, in particular, the legal implementation of surrogacy and egg donation programs. Today, a fertility clinic BioTexCom, based in Ukraine, offers its patients a world-class embryological project, mitochondrial donation program. “Three-parent baby” program allows thousands of infertile women all around the world to carry and give birth to their babies!

    Mitochondrial donation or mitochondrial replacement therapy is one of the innovative methods of treating infertility. This treatment program is relevant to women over 40 years old who have treated infertility with IVF (in vitro fertilization), but with no success.
    These patients have a low functional activity of mitochondria, the most important components of any cell (including germ cells). Therefore, mitochondrial donation, a procedure that is used in infertility treatment at the Вiotexcom reproductive clinic, is an opportunity for a woman to give birth to a long-awaited baby who will have a genetic connection with her and her husband (partner). But first, let’s look at what mitochondria are, which often called “cellular power plants” because of their ability to convert nutrient molecules into energy. Mitochondria provide cells (including female eggs) with the necessary energy for normal functioning and consist of two membranes (internal and external), and also contain their own hereditary material in the form of DNA.
    Why is this procedure most relevant for women of older reproductive age? Because for the onset of pregnancy, a woman needs to restore the mitochondria of oocytes first of all, that is, eggs, the number of which decreases with age. If in the female eggs there are not enough functionally active mitochondria, then it is possible to become a mother using mitochondrial donation and by means of IVF.
    Fertility specialists find an egg donor with high functional mitochondrial activity for a patient who wants to become pregnant. Healthy mitochondria are taken from the donor’s egg cell, integrated with the patient’s cells, then fertilized with the sperm of the husband (partner) in vitro. A healthy embryo is then transferred to the uterus of the woman.
    Thus, mitochondrial donation is an assisted reproductive technology, thanks to which a barren woman can successfully bear and give birth to a healthy baby!
    And MANY others!! Take joy reading, it's really impressive.

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  6. This is just the time to vent. Sorry for the TMI in advance, but those are purely the thoughts from the past. At the very beginning of our infertility journey together with dh we have an incredibly loving home. We had a long happy relationship together and knew we had so much to give. I saw happy families created this way. I saw beautiful children brought to life.  A good friend had a DE baby that I adored.  There love for her ran so deep. They were excellent parents and their home was full of love and joy. I saw the stories of beautiful DE families and my heart felt warm. I wanted that too.  However, even seeing and feeling that, the thought of going there still traumatized me. The pain was unbearable. 
    I also worried about the ramifications of being donor conceived.  The internet was full of stories of people who were very troubled by being brought to life this way.  So many tales of bewilderment and yearning of having the other bio parent in their life.  dh and others reassured me that the happy individuals were out there and they were not spending time talking about their stories on the web, rather were going about their lives.  I wanted to believe this, but I worried. I particularly worried that my own trauma,  that my own issue of my DH having a child that is half his and half someone else's,  my inability to deal with my own infertility would lead to one of the countless donor conceived people which was hurting.  I wanted a family so badly, however I worried I would displace my own pain on someone else.  I never wanted to do something that would lead to the hurt of a child.
    Though in a time flow the situation turned out to be even worse. They told us I wasn't meant to conceive and carry pregnancy at all. That was some sort of a feeling I can't describe. I was devastated, broken, drained.. whatever sort of hassle which could happen to a lady desperate for her baby..Before I was diagnosed with this we spent a fortune for numerous IUIs which failed evidentaly. Another ivf with own egg round was called of due to some additive test. That very one actually showed us the state of things. 
    Our journey ended at Biotexcom where we passed de surrogacy program. This amazing place gave us our well-deserved twins who'll always be the evidence that everything is possible!

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  7. I'm 39 yo. TTC with ex-partner since Feb'2014. (Adding low sperm motility)
    Dx: severe endo. Dh - 48 yo, absolutely ok.
    IUI#1 BFN adding cysts.
    IUI#2 cancelled spontaneously.
    IUI#3 Nov'2017 BFN.
    IVF#1 ER (15 follies, 14 eggs, only 6 mature, only 3 fertilized)
    ET - 2 blasts, BFN (beta 0,1).
    Lap Mar'2018. CA levels came higher.
    IVF#2 hopefully in Sep.
    Hope this shot brings us all luck!!
    I cardially welcome lovelies facing the issues on behalf of all the ladies in here who've been a hell of support for me and will be the same to everyone in her need! Just make sure you discuss your problems with others and you'll always find someone who've been through a similar situation or sailing in the same boat with you. In both the cases, we find help and support. Which has been something which kept me on even after the devastating failures in ttc and ivf. All the best of luck to all people struggling.

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  8. I guess I'd always want my kid created of my and dh's DNA and noone else. Unfortunately this was impossible due to my long infertility history. So we had to apply for donor eggs. In some way 'third person's' DNA which made me panic some time ago. I needed more time to get there. But obviously by no choice. I'm sure I'd never apply for the procedure scientists offer above. It would be too much for me..

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