First IVF baby born after new technique to eliminate genetic disease

by Rachel Brown, April 13, 2015 – bionews.org

The first baby in Europe has been born following a new IVF-based technique developed to prevent the inheritance of genetic disease.

The screening technique, called karyomapping, is a type of PGD (preimplantation genetic diagnosis) procedure. Current PGD methods are developed on a case-by-case basis to test embryos for the presence of a specific mutation found in one or both of the parents’ DNA and can involve months of laboratory work.

Karyomapping, on the other hand, can test for the same diseases, but can be completed much faster and is no more expensive than traditional PGD methods. It can also be used to check that embryos have the correct number of chromosomes.

Mrs Carmen Meagu suffers from Charcot-Marie-Tooth disease, a group of rare disorders of the peripheral nervous system that cause muscle degeneration and sensation loss in the feet and hands. She inherited the disease from her father, and had a 50 percent chance of passing it on to her children.

Speaking to The Telegraph, Mrs Meagu said: ‘For me the risk was too high. I was told I could try and get pregnant and have a test at 16 weeks, but that really wasn’t an option for me because it would have been too hard to have an abortion at that stage.

‘Then we were told about a clinic in London which could screen the disease out, and we felt we had to try’.

The technique involves using DNA from Mrs Meagu, her husband Gabriel, and another family member, to compare roughly 300,000 different points across the genome called SNPs (single nucleotide polymorphisms). This allows scientists to find characteristic features that are unique to the chromosome carrying the defective gene. Following a standard IVF cycle, embryos are biopsied to find out which ones are free of the genetic disease.

Mr Paul Serhal is the founder and medical director of the Centre for Reproductive and Genetic Health, where the technique was used in December 2013. Also speaking to The Telegraph, he explained: ‘Essentially, karyomapping finds a fingerprint that is unique to the chromosome that carries the defective gene.

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IVF test improves chances of implantation by pinpointing fertility window

March 10, 2015 – the guardian.com

Thousands of infertile couples could benefit from a new test that tailors the timing of IVF treatment to a woman’s individual cycle for the first time.

The scientists behind the technique believe that IVF frequently fails because the embryo is transferred at the wrong time, missing a crucial fertility window.

The new test assesses the activity of genes of the womb lining to pinpoint a woman’s optimum time for treatment and in pilot studies the personalised approach appeared to significantly boost success rates.

Prof Juan Garcia-Velasco, of the IVI fertility clinic in Madrid, said: “We think that about 15% of cases of implantation failure are simply due to bad timing.” Prof Garcia-Velasco is now leading a clinical trial of the test, involving 2,500 patients in more than ten countries, including Britain.

Geeta Nargund, medical director of Create Fertility whose London clinic is participating, said: “The weakest link in IVF is implantation failure. I believe this is a breakthrough.”

There are more than 60,000 IVF cycles in Britain each year, but just 24% of these treatments lead to live births. Clinics currently check the visual appearance of the womb lining using ultrasound, giving a general indication of health.

“What we have never known is the right window of implantation,” said Nargund. “If you miss that window, no matter how beautiful the embryo, it’s not going to implant.”

For most women there is a two to four day stretch when the lining, or endometrium, sends out crucial chemical signals that allow the embryo to attach. For some women the fertile window is shifted earlier or later in the cycle or is unusually brief, however.

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Gay Couples One Step Closer to Having Their Own Babies After Stem Cell Breakthrough

by Dominic Preston, FrontiersMedia.com, February 25, 2015

A major breakthrough in stem cell research at the University of Cambridge and Israel’s Wiezmann Institute of Science has opened the door to the possibility of same-sex couples being able to have children together in the future.

The researchers used stem cells from embryos and skin cells from adults to create new, viable stem cells, using a technique that has previously been used to create live baby mice. Azim Surani, Wellcome Trust project leader and professor of physiology and reproduction at Cambridge, explained that this represented a significant milestone:

“We have succeeded in the first and most important step of this process, which is to show we can make these very early human stem cells in a dish.”

Perhaps most excitingly, the researchers admitted that it was possible to create stem cells from donors of the same gender, and that egg and sperm cells could also be created in the future. Jacob Hanna, the lead on the Israeli research team, explained that members of the gay community have already reached out to the researchers:

“It has already caused interest from gay groups because of the possibility of making egg and sperm cells from parents of the same sex.”

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COLAGE creates survey for individuals born to LGBQ parent(s) through ART (Assisted Reproductive Technology)

via Mombian – February 20, 2015

Help COLAGE, the national organization for those with LGBTQ parents, create a guide for youth and young adults born through assisted reproductive technologies (ART).

COLAGE is asking children of LGBQ parents to complete a confidential survey to help them prepare the informational guide. They explain on their website:

It will include conversations addressing different experiences youth face when talking about their method of conception and other things that come up when talking to peers and in their communities. This survey focuses on LGB families and we will have another survey that focuses specifically on families with trans and gender queer parents.

The finished guide will be available on the COLAGE website in electronic format and will be inclusive of all ART methods that LGBTQ families are using to create families.

This survey is for gaining information to create the COLAGE Assisted Reproductive Technologies (ART) Guide in hopes of increasing awareness of and providing support and empowerment to people with lesbian, gay, bisexual, and queer parent(s). We are looking for parent(s) who have used ART or youth, young adults, and adults born through ART who would be comfortable sharing their experiences. We are interested in families who have used surrogacy, donor insemination, in vitro fertilization, and any other methods of ART. If you are a trans or gender queer parent or have a trans or gender queer parent, please contact Robin Marquis at robin@colage.org for a survey designed specifically for you and your family!

Click here to go to the survey page!

Men Having Babies San Francisco Surrogacy Conference & Expo

By Jenae, allthingssurrogacy.com – February 16, 2015

Recently,  I had the opportunity to attend the Men Having Babies Surrogacy Conference and Expo in San Francisco, CA. I had heard of the Men Having Babies organization before, but until this recent event had not had a chance to attend one of the conferences. So, with three local SurroSisters in tow, we headed into the city for a day to focus on one of our favorite topics….Surrogacy!

My purpose for attending the MHB Conference, was an opportunity to see what the seminar was all about, the type of information they were sharing, resources they’re promoting, and to connect with other surrogacy professionals in attendance. Education is important to me and being the surrogacy advocate that I am, I couldn’t wait for the days activities!

We started the day by arriving at the LGBT Center early to attend the surrogacy professionals breakfast upstairs. It was such a treat to be able to meet so many wonderful organizations, agencies and fertility clinics! I am always up for meeting new agencies, clinics, and organizations as it gives me the chance to find out what they have to offer you all as surrogates and parents to be!

Armed with my camera in hand, and my SurroSisters taking notes, we made our way from the 4th floor (where the professionals and sponsors were set up as the Expo) down to the 2nd floor Rainbow Room where the seminars were being held. The room was close to packed as we entered, with a line of men still at the door checking in for the day’s event.

How great is that to see a room full of at least 200 men eager for knowledge and understanding of how the surrogacy process works?! All those men we shared a room with that day were there with the same goal in mind, to start their family. It was such a great vibe!

Ron Poole-Dayan and Anthony Brown, Esq., both of Men Having Babies, and Judy Appel of Our Family Coalition started things off with a warm welcome and introduction. After introductions and review of the agenda, they quickly went to business. They began with explaining the Surrogacy process (something they’re both familiar with as both Ron and Anthony had their children through surrogacy), information on egg donation, FAQ’s, agency information; as well as what it means to go “independent”. I feel that they did a great job explaining the process and appreciated that they left time for members in the audience to ask questions.

Click here to read the entire article.

U.K. Parliament approves controversial three-parent mitochondrial gene therapy

ScienceMag.org By

The United Kingdom’s House of Commons voted overwhelmingly today to allow British researchers to pursue a new fertility treatment that could prevent certain kinds of genetic diseases. The technique, called mitochondrial DNA replacement therapy, could allow women who carry disease-causing mutations in their mitochondrial genes to give birth to genetically related children free of mitochondrial disease.

The measure, which passed 382 to 128, has been controversial, especially because it would alter the DNA of an embryo in a way that could be passed on to future generations. Some scientists and nongovernmental organizations have argued that not enough is known about possible side effects of the technique to go forward in human patients. “We believe the House of Commons has made a serious mistake, which we hope does not have dire consequences,” said Marcy Darnovsky, executive director of the Center for Genetics and Society in Berkeley, California, in a statement.

Proponents of the measure quickly began to celebrate. “I am delighted that [members of Parliament] have voted to allow the introduction of mitochondrial transfer techniques into the clinic,” said John Tooke, president of the Academy of Medical Sciences in London, in a statement. Robert Meadowcroft, head of the Muscular Dystrophy Campaign in London, added: “We have finally reached a milestone in giving women an invaluable choice, the choice to become a mother without fear of passing on a lifetime under the shadow of mitochondrial disease to their child.”

Mitochondria are the energy-producing engines of a cell. These organelles contain their own set of genes, called mtDNA. When mitochondria don’t work properly, a variety of symptoms can result, which can make mitochondrial diseases difficult to recognize and diagnose. Some babies born with defective mitochondria die within months. Other people don’t show any symptoms until much later in life.

Researchers have developed ways to transfer the genetic material from an egg cell that carries faulty mitochondria into a donor egg that has healthy mitochondria. The resulting embryo carries nuclear DNA from the mother and father and mitochondrial DNA from the egg donor.

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How mitochondrial donation involved in three parent babies works

TheTelegraph.co.uk – by The Agency, February 3, 2015

MPs will tomorrow decide whether mitochondrial donation allowing IVF babies to be born with DNA from three different people should be made legal.

The technique involves replacing DNA in an egg in order to prevent devastating inherited mitochondrial diseases.

What are mitochondria?

Mitochondria are tiny rod-like structures in cells which act as power houses, generating the energy that allows our bodies to function. Unusually, they have their own DNA, distinct from the genetic material within the cell nucleus. Mitochondrial DNA (mDNA) makes up about 0.1% of a cell’s total DNA and does not affect individual characteristics such as appearance and personality.

What causes mitochondria disease?

Harmful mutations in mitochondrial DNA can prevent the mitochondria working properly, resulting in a number of diseases some of which can be serious and life threatening. They may affect major organs and cause conditions ranging from poor vision to diabetes and muscle wasting.

How are mitochondria diseases passed on?

Children may inherit mitochondrial DNA defects from their mothers, but not their fathers. People with faulty mDNA can develop symptoms or be carriers of the condition without experiencing ill-effects themselves.

What is mitochondria donation?

Defective mDNA from a mother’s egg can be replaced with healthy mDNA from a donor. This will then prevent the harmful mutations being inherited and passed onto future generations.

What are the techniques involved?

There are two different procedures, one carried out before fertilisation and the other after.

Maternal Spindle Transfer (MST) involves first removing the nuclear DNA from a donor egg whose mitochondria are healthy. The “spindle” of chromosomes containing the mother’s nuclear DNA is then taken from her egg and inserted into the donor egg. As a result, the donor egg is left with nuclear DNA from the mother and mDNA from the donor. This healthy egg is then fertilised and implanted into the mother’s womb.

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New Ruling: IRS Can Tax Payments To Egg Donors As Income

by Tony Nitti – Forbes Contributor – January 22, 2015

Among the many injustices life dishes out on a daily basis is the fact that many women who are actively trying to become pregnant cannot do so, while every teenager with more hormones and free time than common sense seemingly can’t keep from getting pregnant.

It’s a struggle I witnessed personally when my older sister tried unsuccessfully for years to conceive a child, her painful emotional battle reaching its nadir when an apathetic doctor explained to her that, “some women just aren’t meant to have children.”

Fourteen years and three beautiful girls later, my sister got the last laugh. But the process was far from easy, which is the reality for many women. And this is precisely why the fertility industry has become a billion dollar business.

There are no shortage of available alternatives for women struggling to get pregnant; unfortunately, they are typically intrusive and expensive. One option, which is the thrust of our discussion here, is “egg donation,” whereby a female donor is supplied with hormones that increase her egg production. The eggs are then removed, fertilized in a laboratory, and ultimately implanted in the intended recipient.

The term “egg donation” is a bit of a misnomer, however, because rarely is the egg “donated” in the traditional, altruistic sense. Rather, the donor is typically compensated, and compensated well. This, as you might imagine, has led to a rather big tax conundrum: do the amounts received by the donor in exchange for her eggs constitute taxable income?

The issue has been a huge topic of conversation on egg donor message boards (yes, there is such a thing) and in the fertility industry at large. And for good reason: because until today, there was no answer. Hours ago, however, that all changed, when the Tax Court concluded that amounts received by a donor represented taxable compensation income.

Click here to rear the entire article.

UK proposes rules for embryos made from 3 people

By Maria Checng – December 17, 2014

LONDON (AP) — New rules proposed in Britain would make it the first country to allow embryos to be made from the DNA of three people in order to prevent mothers from passing on potentially fatal genetic diseases to their babies.

In a statement issued on Wednesday, the department of health said it had taken “extensive advice” on the safety and efficacy of the proposed techniques from the scientific community.

“(This) will give women who carry severe mitochondrial disease the opportunity to have children without passing on devastating genetic disorders,” Dr. Sally Davies, the U.K.’s chief medical officer, said in a statement.

Experts say that if approved by parliament, these new methods would likely be used in about a dozen British women every year who are known to have faulty mitochondria — the energy-producing structures outside a cell’s nucleus. Defects in the mitochondria’s genetic code can result in diseases such as muscular dystrophy, heart problems and mental retardation.

The techniques involve removing the nucleus DNA from the egg of a prospective mother and inserting it into a donor egg, where the nucleus DNA has been removed. That can be done either before or after fertilization.

The resulting embryo would end up with the nucleus DNA from its parents but the mitochondrial DNA from the donor. Scientists say the DNA from the donor egg amounts to less than 1 percent of the resulting embryo’s genes. But the change will be passed onto future generations, a major genetic modification that many ethicists have been reluctant to endorse.

Critics say the new techniques are unnecessary and that women who have mitochondrial disorders could use other alternatives, such as egg donation, to have children.

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Gay Men Creating Families Through Surrogacy

villageq.com by on November 17, 2014

On Sunday, November 2nd, Men Having Babies hosted its 10th annual workshop in New York City in an effort to bring together prospective parents, service providers, and experts on the subject of surrogacy. I spoke with a number of participants and attendees who agreed that surrogacy is becoming a more accessible and normative option for gay men looking to start families. Still, surrogacy in the United States presents the kind of obstacles Odysseus faced on his return to Ithaca after the fall of Troy. Men Having Babies tries to take the Sirens and Cyclops out of the equation by hosting these surrogacy workshops, which prove to be an oasis of information and resources. The gods were definitely with everyone that day, providing a safer passage on rocky seas.

“We started 15 years ago. It was literally just a handful of men at The Lesbian, Gay, Bisexual & Transgender Community Center who really wanted to gather as much information as we could,” explained Anthony Brown, Chairman of the board at Men Having Babies. “We invited service providers in and basically anybody who could answer the questions that we had. We did it in the form of monthly workshops which we still have the 2nd Wednesday of every month, 6:30-8PM here at the JCC (in New York City), and people can also go online at menhavingbabies.org to events, workshops for information on the whole schedule.”

While surrogacy provides an option for infertile straight couples, Men Having Babies structures panels and break-out sessions specifically for gay men. The speakers at the conference dealt with many of the issues gay men face on their surrogacy journey. Costs are very high. Surrogacy laws and LGBT discrimination laws vary from state to state and can be prohibitive. Surrogacy is unregulated, which means that participants are vulnerable to unethical practices. Fortunately, the prospective parents at Men Having Babies workshop benefit from the knowledge and experience of those who have gone down this path previously and were able to speak to the issues at hand.

THE PRICE TAG

Adding up the cost of egg donors, surrogates, agency fees, legal costs, and trips to visit surrogates, a couple could face a bill close to $150,000, not to mention the emotional costs that accompany the process. Finding the right surrogate and negotiating the kind of relationship a couple wants to have with her can be tricky not to mention the reality of failed transfers or failed pregnancies.

International surrogacy is much less expensive at about one-third of the cost of domestic surrogacy. However, while the financial stresses may be alleviated, some agencies may not act as ethically as others, exploiting poor women for their own economic gain. It is important for prospective parents to do their homework in sourcing agencies who work with surrogates who are financially stable.

I spoke with Ralph, a New Jersey father of three via two different surrogates in the United States. He said, “Neither of our surrogates needed the money. They were solidly middle class. They wanted to do it, and that was important to us. In general, the better agencies wouldn’t allow a woman to come into the program if it was a life and death situation for her.”

Men Having Babies, which is a nonprofit organization, recognized the economic barrier of surrogacy and started a financial relief service, Gay Parent Assistance Program (GPAP). Funding comes from surrogacy agencies that contribute to the GPAP program. Those agencies then receive discounts on the fees to participate in Men Having Babies events. Agencies benefit from partnering with Men Having Babies seminars in major markets such as New York, Chicago, San Francisco, Tel Aviv, and Brussels.

THE WILD WEST AND NO SHERIFF IN TOWN

A major obstacle for egg donors, surrogates, and gay men is that surrogacy is unregulated in the United States. There is no licensing body, and there are no requirements requiring agencies to know anything about the law or psychology or insurance or anything else that may support or protect parties from embarking on this journey. Because surrogacy laws are handled at the state level, there is no opportunity for the federal government to enforce laws to protect surrogates and hopeful parents. Recommendations and track records are important factors when shopping for providers.

Egg donors and surrogates face a significant amount of risk if they do not have sufficient support. There are no requirements to educate women about the physical tolls that result from donating eggs and carrying babies. Ralph echoed the opinion of many dads at the workshop when he said, “It shouldn’t be easy for young women to donate a zillion times and risk their health and fertility.”

Unfortunately, for some surrogacy agencies, money is more important than providing would-be parents with a family. Attendant and hopeful father Doron said, “I have dealt with a few agencies, some better than others. This is an industry. It’s a business. There are good people and bad people, and I landed with some bad people.”

Click here to read the entire article.