scholarly journals Different Timings of Early Cumulus Cells Removal Have Different Multiple Pronuclei Rates in Human in Vitro Fertilization

2021 ◽  
Author(s):  
Zhiren Liu ◽  
Qicai Liu ◽  
Mingting Jiang ◽  
Xingting Chen ◽  
Chen Lin ◽  
...  
Keyword(s):  
Cohort Study ◽  
Binary Logistic Regression ◽  
Cumulus Cells ◽  
Patient Characteristics ◽  
High Grade ◽  
Fertilization Failure ◽  
Vitro Fertilization ◽  
Human In Vitro Fertilization ◽  
High Fertilization

Abstract Background: Cumulus cells removal 4 h post-insemination has a significantly higher multiple pronuclei (MPN) rate than cumulus cells removal 20 h post-insemination. And, cumulus cells removal 6 h post-insemination has a significantly lower MPN rate than cumulus cells removal 20 h post-insemination. However, it remains unclear whether the different timings of early cumulus cells removal, such as the timings of 4, 5 and 6 h post-insemination, have significantly different MPN rates.Methods: This was a retrospective study. The included cycles were early cumulus cells removal cycles (n=752) at our center from January 2015 to August 2020. The included cycles were divided into two groups according to whether MPN exist (MPN=0% and MPN>0%). The patient and cycle stimulation characteristics of the two groups were compared. Binary logistic regression was performed to investigate the correlation between the timing of early cumulus cells removal and MPN. The cohort study was also performed to compare the patient characteristics, cycle stimulation characteristics, fertilization outcomes, and cultivation outcomes.Results: In the population of our study, the timing of early cumulus cells removal had a significant effect on the MPN. The cumulus cells removal ≤4 h post-insemination group had a high MPN rate, and the 5.5<time≤6 h group had a high fertilization failure rate. However, 2PN rate was not significantly different among the different timings of early cumulus cells removal. In addition, the ≤4 h post-insemination group had a high grade 1–2 embryo rate at day 3.Conclusion(s): Even if all the timings of cumulus cells removal are early, the different timings of early cumulus cells removal still have a significant effect on the MPN.

scholarly journals The Differential Metabolomes in Cumulus and Mural Granulosa Cells from Human Preovulatory Follicles

2021 ◽  
Author(s):  
Er-Meng Gao ◽  
Bongkoch Turathum ◽  
Ling Wang ◽  
Di Zhang ◽  
Yu-Bing Liu ◽  
...  
Keyword(s):  
Oocyte Maturation ◽  
Granulosa Cells ◽  
Quantitative Polymerase Chain Reaction ◽  
Cumulus Cells ◽  
Cholesterol Transport ◽  
Vitro Fertilization ◽  
Expression Of Genes ◽  
Preovulatory Follicles ◽  
Morphological Differences

AbstractThis study evaluated the differences in metabolites between cumulus cells (CCs) and mural granulosa cells (MGCs) from human preovulatory follicles to understand the mechanism of oocyte maturation involving CCs and MGCs. CCs and MGCs were collected from women who were undergoing in vitro fertilization (IVF)/intracytoplasmic sperm injection (ICSI) treatment. The differences in morphology were determined by immunofluorescence. The metabolomics of CCs and MGCs was measured by liquid chromatography coupled to tandem mass spectrometry (LC-MS/MS) followed by quantitative polymerase chain reaction (qPCR) and western blot analysis to further confirm the genes and proteins involved in oocyte maturation. CCs and MGCs were cultured for 48 h in vitro, and the medium was collected for detection of hormone levels. There were minor morphological differences between CCs and MGCs. LC-MS/MS analysis showed that there were differences in 101 metabolites between CCs and MGCs: 7 metabolites were upregulated in CCs, and 94 metabolites were upregulated in MGCs. The metabolites related to cholesterol transport and estradiol production were enriched in CCs, while metabolites related to antiapoptosis were enriched in MGCs. The expression of genes and proteins involved in cholesterol transport (ABCA1, LDLR, and SCARB1) and estradiol production (SULT2B1 and CYP19A1) was significantly higher in CCs, and the expression of genes and proteins involved in antiapoptosis (CRLS1, LPCAT3, and PLA2G4A) was significantly higher in MGCs. The level of estrogen in CCs was significantly higher than that in MGCs, while the progesterone level showed no significant differences. There are differences between the metabolomes of CCs and MGCs. These differences may be involved in the regulation of oocyte maturation.

scholarly journals Should rescue ICSI be re-evaluated considering the deferred transfer of cryopreserved embryos in in-vitro fertilization cycles? A systematic review and meta-analysis

2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Alessio Paffoni ◽  
Marco Reschini ◽  
Valerio Pisaturo ◽  
Cristina Guarneri ◽  
Simone Palini ◽  
...  
Keyword(s):  
In Vitro Fertilization ◽  
Pregnancy Rate ◽  
Embryo Transfer ◽  
Implantation Rate ◽  
Clinical Pregnancy ◽  
Frozen Embryo Transfer ◽  
Fertilization Failure ◽  
Vitro Fertilization ◽  
Rescue Icsi

Abstract Background Total fertilization failure represents a particularly frustrating condition for couples undergoing in vitro fertilization. With the aim of reducing the occurrence of total fertilization failure, intracytoplasmic sperm injection (ICSI) has become the first choice over conventional in vitro fertilization (IVF) procedures although evidence of improved results is still debated and its use in couples without male factor infertility is not recommended. Among the strategies potentially useful to promote the use of conventional IVF, we herein call attention to the late rescue ICSI, which consists in performing ICSI after 18–24 h from conventional insemination on oocytes that show no signs of fertilization. This treatment has however been reported to be associated with a low success rate until recent observations that embryos derived from late rescue ICSI may be transferred after cryopreservation in a frozen-thawed cycle with improved results. The aim of the present study was to assess whether frozen embryos deriving from rescue ICSI performed about 24 h after conventional IVF may represent a valuable option for couples experiencing fertilization failure. Methods A systematic review on the efficacy of late rescue ICSI was performed consulting PUBMED and EMBASE. Results Including twenty-two original studies, we showed that clinical pregnancy rate per embryo transfer and implantation rate obtainable with fresh embryo transfers after rescue ICSI are not satisfactory being equal to 10 and 5%, respectively. The transfer of cryopreserved rescue ICSI embryos seems to offer a substantial improvement of success rates, with pregnancy rate per embryo transfer and implantation rate equal to 36 and 18%, respectively. Coupling rescue ICSI with frozen embryo transfer may ameliorate the clinical pregnancy rate for embryo transfer with an Odds Ratio = 4.7 (95% CI:2.6–8.6). Conclusion Results of the present review support the idea that r-ICSI coupled with frozen embryo transfer may overcome most of the technical and biological issues associated with fresh transfer after late r-ICSI, thus possibly representing an efficient procedure for couples experiencing fertilization failure following conventional IVF cycles. Trial registration Prospero registration ID: CRD42021239026.

scholarly journals A Brief Incubation of Cumulus-Enclosed Mouse Eggs in a Calcium-Free Medium Containing a High Concentration of Calcium-Chelator Markedly Improves Preimplantation Development

2020 ◽  
Vol 17 (10) ◽  
pp. 3505
Author(s):  
Valeria Merico ◽  
Silvia Garagna ◽  
Maurizio Zuccotti
Keyword(s):  
In Vitro Fertilization ◽  
Mammalian Species ◽  
Developmental Rate ◽  
Cumulus Cells ◽  
Fertilization Rate ◽  
Preimplantation Development ◽  
High Concentration ◽  
Vitro Fertilization ◽  
Positive Effects

The presence of cumulus cells (CCs) surrounding ovulated eggs is beneficial to in vitro fertilization and preimplantation development outcomes in several mammalian species. In the mouse, this contribution has a negligible effect on the fertilization rate; however, it is not yet clear whether it has positive effects on preimplantation development. Here, we compared the rates of in vitro fertilization and preimplantation development of ovulated B6C3F1 CC-enclosed vs. CC-free eggs, the latter obtained either after a 5 min treatment in M2 medium containing hyaluronidase or after 5–25 min in M2 medium supplemented with 34.2 mM EDTA (M2-EDTA). We found that, although the maintenance of CCs around ovulated eggs does not increment their developmental rate to blastocyst, the quality of the latter is significantly enhanced. Most importantly, for the first time, we describe a further quantitative and qualitative improvement, on preimplantation development, when CC-enclosed eggs are isolated from the oviducts in M2-EDTA and left in this medium for a total of 5 min prior to sperm insemination. Altogether, our results establish an important advancement in mouse IVF procedures that would be now interesting to test on other mammalian species.

Clinical applications of techniques used in human in vitro fertilization research

1983 ◽  
Vol 146 (5) ◽  
pp. 477-481 ◽  
Author(s):  
Richard P. Marrs ◽  
Joyce M. Vargyas ◽  
Hidekazu Saito ◽  
William E. Gibbons ◽  
Trish Berger ◽  
...  
Keyword(s):  
In Vitro Fertilization ◽  
Clinical Applications ◽  
Vitro Fertilization ◽  
Human In Vitro Fertilization

A modified technique of human in vitro fertilization and embryo transfer

1983 ◽  
Vol 147 (3) ◽  
pp. 318-322 ◽  
Author(s):  
Richard P. Marrs ◽  
Joyce M. Vargyas ◽  
William E. Gibbons ◽  
Hidekazu Saito ◽  
Daniel R. Mishell
Keyword(s):  
In Vitro Fertilization ◽  
Embryo Transfer ◽  
Modified Technique ◽  
Vitro Fertilization ◽  
Human In Vitro Fertilization
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