Trace elements exposure affects the outcomes of in vitro fertilization embryo transfer, a cohort study in Northern China.

IF 3.2 3区 医学 Q2 GENETICS & HEREDITY
Ying Li, Lin Liu, Jun Zhang, Yonglian Lan, Yu Liang, Shuyu Wang, Miaomiao Chen, Yanbin He, Meng Zhang, Xin Wang, Yipeng Wang
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Abstract

Purpose: With urbanization and industrialization process accelerated, humans are exposed more and more trace elements. This study aimed to explore the potential associations of trace elements with the outcomes of in vitro fertilization embryo transfer (IVF-ET).

Methods: Total 181 women who underwent IVF-ET were enrolled, among which 89 women underwent fresh ET after IVF. Trace elements were measured in the serum and follicular fluid (FF) samples by inductively coupled plasma-mass spectroscopy. The associations of the levels of different trace elements with IVF-ET outcomes, including normal fertilization, high-quality embryos, and clinical pregnancy (fresh ET) were analyzed.

Results: Twenty-five out of twenty-eight trace elements showed higher concentrations in the serum than those in the FF. Normal fertilization was positively associated with Cu and Mn in the FF. High-quality embryos was positively associated with Cu in the serum and FF, and Zn in the serum. Clinical pregnancy was positively associated with Ge in the serum, and inversely associated with Al, Ba, and Pb in the serum. Additionally, poor outcomes of IVF-ET should be noticed in women with FF level of Cu < 955.38 ng/mL, FF level of Mn < 3.42 ng/mL, serum level of Ge < 6.11 ng/mL, serum level of Al > 28.44 ng/mL, and serum level of Pb > 0.90 ng/mL.

Conclusions: IVF-ET outcomes were positively associated with Cu, Mn, Zn, and Ge, and inversely associated with Al and Pb. Properly controlling the exposure of relevant trace elements is necessary for patients with the need of IVF-ET.

微量元素暴露对体外受精胚胎移植结果的影响,一项在中国北方进行的队列研究。
目的:随着城市化和工业化进程的加快,人类接触到越来越多的微量元素。本研究旨在探讨微量元素与体外受精胚胎移植(IVF-ET)结果的潜在关联:共有181名妇女接受了体外受精胚胎移植,其中89名妇女在体外受精后接受了新鲜胚胎移植。采用电感耦合等离子体质谱法测量了血清和卵泡液(FF)样本中的微量元素。分析了不同微量元素水平与试管婴儿-胚胎移植结果的关系,包括正常受精、优质胚胎和临床妊娠(新鲜胚胎移植):结果:在 28 种微量元素中,有 25 种在血清中的浓度高于在 FF 中的浓度。正常受精与 FF 中的铜和锰呈正相关。优质胚胎与血清和 FF 中的铜以及血清中的锌呈正相关。临床妊娠与血清中的 Ge 呈正相关,与血清中的铝、钡和铅呈反相关。此外,FF 中 Cu 含量为 28.44 纳克/毫升、血清中 Pb 含量大于 0.90 纳克/毫升的妇女 IVF-ET 的结果较差:IVF-ET的结果与铜、锰、锌和锗呈正相关,与铝和铅呈反相关。对于需要进行体外受精-胚胎移植的患者来说,适当控制相关微量元素的暴露是必要的。
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来源期刊
CiteScore
5.70
自引率
9.70%
发文量
286
审稿时长
1 months
期刊介绍: The Journal of Assisted Reproduction and Genetics publishes cellular, molecular, genetic, and epigenetic discoveries advancing our understanding of the biology and underlying mechanisms from gametogenesis to offspring health. Special emphasis is placed on the practice and evolution of assisted reproduction technologies (ARTs) with reference to the diagnosis and management of diseases affecting fertility. Our goal is to educate our readership in the translation of basic and clinical discoveries made from human or relevant animal models to the safe and efficacious practice of human ARTs. The scientific rigor and ethical standards embraced by the JARG editorial team ensures a broad international base of expertise guiding the marriage of contemporary clinical research paradigms with basic science discovery. JARG publishes original papers, minireviews, case reports, and opinion pieces often combined into special topic issues that will educate clinicians and scientists with interests in the mechanisms of human development that bear on the treatment of infertility and emerging innovations in human ARTs. The guiding principles of male and female reproductive health impacting pre- and post-conceptional viability and developmental potential are emphasized within the purview of human reproductive health in current and future generations of our species. The journal is published in cooperation with the American Society for Reproductive Medicine, an organization of more than 8,000 physicians, researchers, nurses, technicians and other professionals dedicated to advancing knowledge and expertise in reproductive biology.
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