Impact of male factors on morphokinetic parameters: a prospective analysis using time-lapse monitored embryos.

IF 2.7 3区 医学 Q2 GENETICS & HEREDITY
Rossella Cannarella, Claudia Leanza, Sandrine Chamayou, Andrea Crafa, Federica Barbagallo, Antonino Guglielmino, Sandro La Vignera, Aldo E Calogero
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引用次数: 0

Abstract

Introduction: Time-lapse technology enables recording embryo morphokinetic parameters, which are associated with embryonic competence and assisted reproductive technology (ART) outcomes. While female factors such as age and BMI are known to influence these parameters, the role of male factors remains understudied.

Aim: This study aimed to evaluate the influence of male factors on preimplantation embryo morphokinetics.

Methods: In this prospective observational study, 1,210 embryos from infertile couples undergoing Intracytoplasmic sperm injection (ICSI) or intracytoplasmic morphologically-selected sperm injection (IMSI) were monitored using time-lapse imaging. Male data, including age, BMI, sperm concentration, and sperm DNA fragmentation (SDF) were collected. Multiple regression analysis assessed the association between paternal factors and morphokinetic parameters, adjusting for female confounders.

Results: After adjustment, male age and BMI were found to significantly influence embryo developmental stages (from time to pronuclei appearance to t4 and t6 for age, from time to pronuclei appearance to t2 and t8 for BMI). The impact of sperm concentration was less consistent, and no significant relationship was observed with SDF.

Conclusions: These findings highlight the role of male factors, particularly age and BMI, in influencing embryo morphokinetics, even after accounting for female confounders. This underscores the potential for clinical interventions targeting paternal health to optimize ART outcomes. Additionally, the study reinforces the importance of considering both parental contributions in ART success, particularly the increasingly recognized influence of male age.

男性因素对形态动力学参数的影响:使用延时监测胚胎的前瞻性分析。
延时技术可以记录胚胎形态动力学参数,这些参数与胚胎能力和辅助生殖技术(ART)结果有关。虽然已知年龄和体重指数等女性因素会影响这些参数,但男性因素的作用仍未得到充分研究。目的:探讨男性因素对着床前胚胎形态动力学的影响。方法:在这项前瞻性观察研究中,使用时移成像技术监测1,210个接受卵胞浆内单精子注射(ICSI)或卵胞浆内形态学选择精子注射(IMSI)的不育夫妇的胚胎。收集男性数据,包括年龄、BMI、精子浓度和精子DNA片段(SDF)。多元回归分析评估了父系因素与形态动力学参数之间的关系,调整了女性混杂因素。结果:调整后,男性年龄和BMI显著影响胚胎发育阶段(年龄从原核出现时间到t4、t6, BMI从原核出现时间到t2、t8)。精子浓度的影响不太一致,与SDF没有显著关系。结论:这些发现强调了男性因素,特别是年龄和BMI,在影响胚胎形态动力学方面的作用,即使在考虑了女性混杂因素之后。这强调了针对父亲健康进行临床干预以优化抗逆转录病毒治疗结果的潜力。此外,该研究强调了考虑父母对ART成功的贡献的重要性,特别是日益认识到的男性年龄的影响。
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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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