Pronuclear, cleavage and blastocyst histories in the attempted preimplantation diagnosis of the human hydatidiform mole

Hum Reprod. 1992 Aug;7(7):994-8. doi: 10.1093/oxfordjournals.humrep.a137787.

Abstract

We report a study of fertilization, syngamy and embryonic development in 14 oocytes from a woman with four previous pregnancies involving complete hydatidiform moles. Serial observations of pronuclear movements and syngamy were compared to those in a group of 10 multipronucleate embryos from other patients. One embryo and possibly two others developed normally or near-normally. The others displayed immediate cleavage or had one or three pronuclei. The tripronucleate eggs displayed various anomalous forms of growth. The unipronucleate eggs passed through a double form of syngamy, which might have involved chromosome doubling, and could have developed as androgenetic diploids. We suggest a hypothesis to explain these unusual observations.

MeSH terms

  • Adult
  • Blastocyst / physiology*
  • Cell Nucleus / physiology*
  • Cleavage Stage, Ovum / physiology*
  • Embryo, Mammalian / ultrastructure
  • Embryonic Development / physiology*
  • Female
  • Fertilization in Vitro
  • Humans
  • Hydatidiform Mole / diagnosis*
  • Oocytes / ultrastructure
  • Ovulation Induction / methods
  • Pregnancy
  • Reference Values
  • Uterine Neoplasms / diagnosis*