Previous studies have demonstrated that aneuploidy in human embryos is
surprisingly frequent with 50–80% of cleavage-stage human embryos
carrying an abnormal chromosome number. Here we combine non-invasive
time-lapse imaging with karyotypic reconstruction of all blastomeres in
four-cell human embryos to address the hypothesis that blastomere
behaviour may reflect ploidy during the first two cleavage divisions. We
demonstrate that precise cell cycle parameter timing is observed in all
euploid embryos to the four-cell stage, whereas only 30% of aneuploid
embryos exhibit parameter values within normal timing windows. Further,
we observe that the generation of human embryonic aneuploidy is complex
with contribution from chromosome-containing fragments/micronuclei that
frequently emerge and may persist or become reabsorbed during
interphase. These findings suggest that cell cycle and fragmentation
parameters of individual blastomeres are diagnostic of ploidy, amenable
to automated tracking algorithms, and likely of clinical relevance in
reducing transfer of embryos prone to miscarriage.
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