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Review
Peer-Review Record

Should Preimplantation Genetic Testing (PGT) Systematically Be Proposed to BRCA Pathogenic Variant Carriers?

Cancers 2022, 14(23), 5769; https://doi.org/10.3390/cancers14235769
by Lucie Laot 1, Charlotte Sonigo 1,2, Julie Nobre 1, Alexandra Benachi 3, Traicie Dervin 1, Lina El Moujahed 1, Anne Mayeur 4, Dominique Stoppa-Lyonnet 5, Julie Steffann 6 and Michael Grynberg 1,*
Reviewer 1:
Reviewer 2:
Cancers 2022, 14(23), 5769; https://doi.org/10.3390/cancers14235769
Submission received: 19 October 2022 / Revised: 16 November 2022 / Accepted: 19 November 2022 / Published: 24 November 2022
(This article belongs to the Special Issue BRCA-Associated Breast Cancer)

Round 1

Reviewer 1 Report

Since 2021, the genetic counseling society has retired the term BRCA "mutation" and changed it to the more neutral term " pathogenic or likely pathogenic variant" to describe a hereditary genetic predisposition to cancer. The attitude should also be carried on in the PGT field as an effort to reduce raising possible ethical and psychological issues. Therefore, I suggest the author do so in this review article to demonstrate your professionalism not only in fertility medicine but also in human genetics.

Author Response

Please see the attachment.

Author Response File: Author Response.pdf

Reviewer 2 Report

This review examines data regarding the usefulness of pre-implantation genetic testing (PGT) among BRCA carriers in order to contribute towards international guidelines regarding the management of fertility preservation in this population.

Overall, the article is well-written and clear. Few comments for improvement:

line 42: edit text ".. aims review to the available..." to "....aims to review available..."

line 78: edit "real life data" to "evidence"

line 86: edit "England" to "UK"

line 132 - 133: (25% if the couple accepts a transfer of male mutated embryos, as it can sometimes be proposed in some countries). The authors should explain why 25% and not 50% if the carrier is male, and provide a reference regarding the countries that this is proposed.

Throughout the manuscript: please avoid the acronym ART and AMH - better to refer to "assisted reproductive techniques" and "anti-Muellerian hormone" every time.

lines 235 and 239: please italicize BRCA

line 256: edit "legit" to "legitimate"

line 260: edit "real life data" to "literature review" or "scientific evidence" or something similar

line 336: please explain "...(including one with sex diagnosis)" What is a sex diagnosis?

Author Response

Please see the attachment.

Author Response File: Author Response.pdf

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