scholarly journals miR-15a-5p levels correlate with poor ovarian response in human follicular fluid

Reproduction ◽  
2017 ◽  
Vol 154 (4) ◽  
pp. 483-496 ◽  
Author(s):  
Kaiyue Zhang ◽  
Wanxia Zhong ◽  
Wei-Ping Li ◽  
Zi-Jiang Chen ◽  
Cong Zhang

Poor ovarian response is a significant problem encountered during in vitro fertilization and embryo transfer procedures. Many infertile women may suffer from poor ovarian response and its incidence tends to be increasing in young patients nowadays. It is a major cause of maternal infertility because it is associated with low pregnancy and live birth rates. However, the cause of poor ovarian response is not clear. In this study, we extracted microRNAs from human follicular fluid and performed miRNA sequencing to investigate a potential posttranscriptional mechanism underlying poor ovarian response. The results showed that many miRNAs were obviously different between the poor ovarian response and non-poor ovarian response groups. We then performed quantitative polymerase chain reaction, Western blot analysis and used an in vitro culture system to verify the sequencing results and to study the mechanism. Notably, we found that miRNA-15a-5p was significantly elevated in the young poor ovarian response group. Furthermore, we demonstrated that high levels of miR-15a-5p in the young poor ovarian response group repressed granulosa cell proliferation by regulating the PI3K-AKT-mTOR signaling pathway and promoted apoptosis through BCL2 and BAD. This could explain the reduced oocyte retrieval number seen in poor ovarian response patients.

Reproduction ◽  
2020 ◽  
Vol 160 (1) ◽  
pp. 11-19
Author(s):  
Lanlan Fang ◽  
Sijia Wang ◽  
Yiran Li ◽  
Yiping Yu ◽  
Yuxi Li ◽  
...  

Polycystic ovary syndrome (PCOS) is the most common cause of female infertility. Growth differentiation factor-8 (GDF-8) is expressed in the ovary and can be detected in human follicular fluid which provides an important microenvironment for maintaining physiological functions of the ovarian follicle. To date, the relationship between GDF-8 levels in follicular fluid and the risk of PCOS is completely unknown. In the present study, we show that during the process of the controlled ovarian hyperstimulation (COH), serum GDF-8 levels are higher on the day of gonadotropin administration and 14 days after embryo transfer in in vitro fertilization (IVF) patients with PCOS than they are in IVF patients without PCOS. Importantly, GDF-8 levels in follicular fluid at oocyte retrieval are also higher in PCOS patients than in non-PCOS patients. Treatment of primary human granulosa-lutein (hGL) cells with GDF-8 downregulates StAR protein expression and the inhibition is more pronounced in hGL cells from PCOS patients than it is in cells from non-PCOS patients. Importantly, high GDF-8 levels and low progesterone (P4) levels were associated with poor pregnancy outcomes in PCOS patients. Our results provide the first evidence that aberrant expression of GDF-8 in the follicular fluid of PCOS patients results in abnormal P4 expression, which leads to poor pregnancy outcomes.


2012 ◽  
Vol 24 (1) ◽  
pp. 173 ◽  
Author(s):  
C. E. Pope ◽  
M. C. Gómez ◽  
C. Dumas ◽  
R. A. MacLean ◽  
E. Crichton ◽  
...  

The black-footed cat (Felis nigripes), a diminutive spotted cat whose native habitat is arid grasslands in South Africa, Namibia and Botswana, is classified as vulnerable by the International Union for Conservation of Nature and is listed as CITES Appendix I. They are perhaps the rarest of the African cats and their status is threatened by habitat deterioration and poisoning from ingestion of baited carcasses intended for other species of cats. Here, we examined (1) ovarian response of black-footed cat females to exogenous gonadotropin stimulation, (2) in vitro production of embryos by IVF with cooled vs cryopreserved sperm and (3) in vivo developmental ability of in vitro–derived embryos. Six females, 1.5 to 2.5 years of age at first treatment, were administered a total of 3.0 to 3.6 IU of porcine FSH (IM; Sioux Biochemical Co., Sioux City, IA) daily over 4 days. On Day 5, 3.0 (n = 12) or 5.0 (n = 2) IU of porcine LH (IM; Sioux Biochemical Co.) was given and laparoscopic oocyte retrieval (LOR) was done 24 h later. One, two, three, or four LOR were done on 1, 3, 1 and 1 females, respectively (total = 14 LOR). The average age at LOR was 3.3 years (range = 1.5–7.5 years). Semen was obtained by electroejaculation of 3 males (1.5, 6.0, 7.5 years). Anaesthesia for LOR and electroejaculation was induced and maintained, after intubation, with 5 and 2.5% isoflurane, respectively. Sperm samples were used after storage at 4°C for 24 h (TEST yolk, TY) or after cryopreservation (TY + 6% glycerol). Luteal tissue was present on the ovaries at 4 of 5 LOR done during January to May as compared with none of 9 LOR done from June to December. Of 165 oocytes (mean = 11.8) recovered, 38/54 (70%) and 50/106 (47%) underwent cleavage after IVF with cooled or cryopreserved sperm, respectively (P < 0.01, chi-square). None of 5 oocytes cleaved after intracytoplasmic sperm injection with cryopreserved sperm. Procedures for in vitro embryo production were as described previously (Gómez et al. 2006 Theriogenology 66, 72–81; Pope et al. 2006 Theriogenology 66, 1518–1524). Four laparoscopic oviducal embryo transfer procedures were done on Day 1: 2 recipients received fresh Day 2 embryos (n = 5, 8) and 2 recipients received embryos that had been cryopreserved on Day 1 (n = 6) or 2 (n = 8) at a slow, controlled rate in 1.4 M of propylene glycol/0.125 M of sucrose/10% dextran 70. Each recipient (1.75 to 4.5 years) had undergone LOR on Day 0 (5–19 oocytes recovered). Upon ultrasonographic examination on Day 50, a 2.3-year-old recipient of cryopreserved embryos was determined to be pregnant. She delivered 2 live male kittens, without assistance, on Day 69. When first examined at 15 days of age, the kittens weighed 156 and 198 g. At 5 months, their weights were 1.62 and 1.81 kg. The sperm sample used to produce the embryos (in 2005) that resulted in the births of kittens (in 2011) was collected from a male at the Henry Doorly Zoo, Omaha, NE (in 2003), extended and transported overnight at 4°C to New Orleans, LA, before cryopreservation. In summary, we have further demonstrated that assisted reproductive technology can be used for conservation of rare and vulnerable small felids.


2019 ◽  
Vol 9 (1) ◽  
Author(s):  
Alexandra E. Butler ◽  
Vimal Ramachandran ◽  
Shahina Hayat ◽  
Soha R. Dargham ◽  
Thomas Keith Cunningham ◽  
...  

Abstract Several studies have shown the expression of small non-coding microRNA (miRNA) changes in PCOS and their expression in follicular fluid has been described, though the number of studies remains small. In this prospective cohort study, miRNA were measured using quantitative polymerase chain reaction (qPCR) in 29 weight and aged matched anovulatory women with PCOS and 30 women without from follicular fluid taken at the time of oocyte retrieval who were undergoing in vitro fertilization (IVF); miRNA levels were determined from a miRNA data set. 176 miRNA were detected, of which 29 differed significantly between normal women and PCOS women. Of these, the top 7 (p < 0.015) were miR-381-3p, miR-199b-5p, miR-93-3p, miR-361-3p, miR-127-3p, miR-382-5p, miR-425-3p. In PCOS, miR-382-5p correlated with age and free androgen index (FAI), miR-199b-5p correlated with anti-mullerian hormone (AMH) and miR-93-3p correlated with C-reactive protein (CRP). In normal controls, miR-127-3p, miR-382-5p and miR-425-3p correlated with the fertilisation rate; miR-127-3p correlated with insulin resistance and miR-381-3p correlated with FAI. Ingenuity pathway assessment revealed that 12 of the significantly altered miRNA related to reproductive pathways, 12 miRNA related to the inflammatory disease pathway and 6 were implicated in benign pelvic disease. MiRNAs differed in the follicular fluid between PCOS and normal control women, correlating with age, FAI, inflammation and AMH in PCOS, and with BMI, fertilization rate (3 miRNA), insulin resistance, FAI and inflammation in control women, according to Ingenuity Pathway Analysis.


Author(s):  
Bruno Ramalho de Carvalho ◽  
Geórgia Fontes Cintra ◽  
Taise Moura Franceschi ◽  
Íris de Oliveira Cabral ◽  
Leandro Santos de Araújo Resende ◽  
...  

AbstractWe report a case of ultrasound-guided ex vivo oocyte retrieval for fertility preservation in a woman with bilateral borderline ovarian tumor, for whom conventional transvaginal oocyte retrieval was deemed unsafe because of the increased risk of malignant cell spillage. Ovarian stimulation with gonadotropins was performed. Surgery was scheduled according to the ovarian response to exogenous gonadotropic stimulation; oophorectomized specimens were obtained by laparoscopy, and oocyte retrieval was performed ∼ 37 hours after the ovulatory trigger. The sum of 20 ovarian follicles were aspirated, and 16 oocytes were obtained. We performed vitrification of 12 metaphase II oocytes and 3 oocytes matured in vitro. Our result emphasizes the viability of ex vivo mature oocyte retrieval after controlled ovarian stimulation for those with high risk of malignant dissemination by conventional approach.


Zygote ◽  
2021 ◽  
pp. 1-5
Author(s):  
H. Debbarh ◽  
N. Louanjli ◽  
S. Aboulmaouahib ◽  
M. Jamil ◽  
L. Ahbbas ◽  
...  

Summary Maternal age is a significant factor influencing in vitro fertilization (IVF) outcomes. Oxidative stress (OS) is one of the major causes of age-related cellular and molecular damage. The purpose of this work was to investigate the correlation between maternal age with intrafollicular antioxidants and OS markers in follicular fluid (FF), and also to determine the OS status in patients of advanced age. This study was a prospective study including 201 women undergoing IVF whose age was between 24 and 45 years old. FF samples were obtained from mature follicles at the time of oocyte retrieval. After treatment of FF, lipid peroxidation levels (MDA) and enzyme activities such as superoxide dismutase (SOD), catalase (CAT), glutathione reductase (GR) and glutathione (GSH) level were evaluated using spectrophotometry. The results indicated that the age cutoff point for increasing the MDA level was fixed at 37 years, allowing the study to be differentiated into two age groups. Group I included patients whose age was less than 37 years, and group II included patients whose age was greater than or equal 37 years. Statistical analysis revealed that MDA and GSH levels and GR activity were significantly higher in group II compared with group I. The SOD and CAT activities were significantly less in group II compared with group I. We concluded that from 37 years old a reproductive ageing was accompanied by a change in the antioxidant pattern in FF that impaired reactive oxygen species scavenging efficiency.


Author(s):  
Antonio Palagiano ◽  
Mauro Cozzolino ◽  
Filippo Maria Ubaldi ◽  
Chiara Palagiano ◽  
Maria Elisabetta Coccia

AbstractHydrosalpinx is a disease characterized by the obstruction of the salpinx, with progressive accumulation in the shape of a fluid-filled sac at the distal part of the tuba uterina, and closed to the ovary. Women with hydrosalpinges have lower implantation and pregnancy rates due to a combination of mechanical and chemical factors thought to disrupt the endometrial environment. Evidence suggests that the presence of hydrosalpinx reduces the rate of pregnancy with assisted reproductive technology. The main aim of the present is review to make an overview of the possible effects of hydrosalpinx on in vitro fertilization (IVF). We conducted a literature search on the PubMed, Ovid MEDLINE, and Google Scholar data bases regarding hydrosalpinx and IVF outcomes. Hydrosalpinx probably has a direct toxic effect on sperm motility and on the embryos. In addition, the increasing liquid inside the salpinges could alter the mechanisms of endometrial receptivity. The window of endometrial receptivity is essential in the implantation of blastocysts, and it triggers multiple reactions arising from the endometrium as well as the blastocysts. Hydrosalpinx could influence the expression of homeobox A10 (HOXA10) gene, which plays an essential role in directing embryonic development and implantation. Salpingectomy restores the endometrial expression of HOXA10; therefore, it may be one mechanism by which tubal removal could result in improved implantation rates in IVF. In addition, salpingectomy does not affect the ovarian response, nor reduces the antral follicle count. Further studies are needed to establish the therapeutic value of fluid aspiration under ultrasonographic guidance, during or after oocyte retrieval, in terms of pregnancy rate and ongoing pregnancy.


2021 ◽  
Vol 10 (10) ◽  
pp. 2182
Author(s):  
Jihyun Kim ◽  
Hoyoung Lee ◽  
Tae-Young Choi ◽  
Joong Il Kim ◽  
Byoung-Kab Kang ◽  
...  

Acupuncture is believed to improve ovarian reserve and reproductive outcomes in women undergoing in vitro fertilization (IVF). This study was conducted to evaluate the effect of network-optimized acupuncture followed by IVF on the oocyte yield in women showing a poor ovarian response. This study was an exploratory randomized controlled trial conducted from June 2017 to January 2020 at the Pusan National University Hospital. Women diagnosed with poor ovarian response were enrolled and randomly divided into two groups: IVF alone and Ac + IVF groups (16 acupuncture sessions before IVF treatment). Eight acupoints with high degree centrality and betweenness centrality were selected using network analysis. Among the participants, compared with the IVF treatment alone, the acupuncture + IVF treatment significantly increased the number of retrieved mature oocytes in women aged more than 37 years and in those undergoing more than one controlled ovarian hyperstimulation cycle. The negative correlation between the number of retrieved mature oocytes and consecutive controlled ovarian hyperstimulation cycles was not observed in the Ac + IVF group irrespective of the maternal age. These findings suggest that physicians can consider acupuncture for the treatment of women with poor ovarian response and aged > 37 years or undergoing multiple IVF cycles.


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