Journal of Assisted Reproduction and Genetics最新文献

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Acupuncture combined with gonadotropin-releasing hormone agonists improves endometrial receptivity and pregnancy outcome in patients with recurrent implantation failure of in vitro fertilization-embryo transfer. 针灸联合促性腺激素释放激素激动剂可改善体外受精-胚胎移植反复植入失败患者的子宫内膜接受能力和妊娠结局。
IF 3.2 3区 医学
Journal of Assisted Reproduction and Genetics Pub Date : 2024-08-01 Epub Date: 2024-06-07 DOI: 10.1007/s10815-024-03140-7
Jingya Yang, Yan Lu, Yuan Zhang, Cuijuan Zhou, Qin Liang, Ting Liang
{"title":"Acupuncture combined with gonadotropin-releasing hormone agonists improves endometrial receptivity and pregnancy outcome in patients with recurrent implantation failure of in vitro fertilization-embryo transfer.","authors":"Jingya Yang, Yan Lu, Yuan Zhang, Cuijuan Zhou, Qin Liang, Ting Liang","doi":"10.1007/s10815-024-03140-7","DOIUrl":"10.1007/s10815-024-03140-7","url":null,"abstract":"<p><strong>Objective: </strong>Gonadotropin-releasing hormone agonists (GnRHa), combined with other auxiliary treatments, can improve pregnancy outcomes in in vitro fertilization-embryo transfer (IVF-ET). This research investigated the effect of acupuncture combined with GnRHa in patients with recurrent implantation failure (RIF) of IVF-ET.</p><p><strong>Methods: </strong>A total of 164 patients who intended to undergo frozen-thawed embryo transfer after RIF of IVF-ET were selected for experiments and then divided into the control (received conventional hormone replacement therapy (HRT) for endometrial preparation) and study groups (received a combination of acupuncture, GnRHa, and HRT for endometrial preparation) (n = 82). Endometrial thickness (EMT), endometrial morphological classification, submucosal uterine blood flow classification, clinical pregnancy rate, embryo implantation rate, and early abortion rate for each transfer cycle were compared between the two groups.</p><p><strong>Results: </strong>EMT of the study group was higher than that of the control group 1 day before transfer. There were more patients with linear endometrium (A + B type) in the study group on the day of endometrial transformation than in the control group. The number of patients with type I submucosal uterine blood flow in the study group was decreased and the number of patients with type III was increased compared with the control group on the day of endometrial transformation. The clinical pregnancy rate and embryo implantation rate of the study group were higher than those of the control group.</p><p><strong>Conclusion: </strong>Acupuncture combined with GnRHa improves the endometrial receptivity of patients with RIF of IVF-ET, thereby increasing clinical pregnancy rates and improving pregnancy outcomes.</p>","PeriodicalId":15246,"journal":{"name":"Journal of Assisted Reproduction and Genetics","volume":null,"pages":null},"PeriodicalIF":3.2,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11339202/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141283835","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Chemical reversion of age-related oocyte dysfunction fails to enhance embryo development in a bovine model of postovulatory aging. 在牛排卵后衰老模型中,化学方法逆转与年龄相关的卵母细胞功能障碍无法促进胚胎发育。
IF 3.2 3区 医学
Journal of Assisted Reproduction and Genetics Pub Date : 2024-08-01 Epub Date: 2024-06-01 DOI: 10.1007/s10815-024-03151-4
Ana Filipa Ferreira, Juliana Machado-Simões, Inês Moniz, Maria Soares, Alexandra Carvalho, Patrícia Diniz, João Ramalho-Santos, Ana Paula Sousa, Luís Lopes-da-Costa, Teresa Almeida-Santos
{"title":"Chemical reversion of age-related oocyte dysfunction fails to enhance embryo development in a bovine model of postovulatory aging.","authors":"Ana Filipa Ferreira, Juliana Machado-Simões, Inês Moniz, Maria Soares, Alexandra Carvalho, Patrícia Diniz, João Ramalho-Santos, Ana Paula Sousa, Luís Lopes-da-Costa, Teresa Almeida-Santos","doi":"10.1007/s10815-024-03151-4","DOIUrl":"10.1007/s10815-024-03151-4","url":null,"abstract":"<p><strong>Purpose: </strong>There are no clinical treatments to prevent/revert age-related alterations associated with oocyte competence decline in the context of advanced maternal age. Those alterations have been attributed to oxidative stress and mitochondrial dysfunction. Our study aimed to test the hypothesis that in vitro maturation (IVM) medium supplementation with antioxidants (resveratrol or phloretin) may revert age-related oocyte competence decline.</p><p><strong>Methods: </strong>Bovine immature oocytes were matured in vitro for 23 h (young) and 30 h (aged). Postovulatory aged oocytes (control group) and embryos obtained after fertilization were examined and compared with oocytes supplemented with either 2 μM of resveratrol or 6 μM phloretin (treatment groups) during IVM.</p><p><strong>Results: </strong>Aged oocytes had a significantly lower mitochondrial mass and proportion of mitochondrial clustered pattern, lower ooplasmic volume, higher ROS, lower sirtuin-1 protein level, and a lower blastocyst rate in comparison to young oocytes, indicating that postovulatory oocytes have a lower quality and developmental competence, thus validating our experimental model. Supplementation of IVM medium with antioxidants prevented the generation of ROS and restored the active mitochondrial mass and pattern characteristic of younger oocytes. Moreover, sirtuin-1 protein levels were also restored but only following incubation with resveratrol. Despite these findings, the blastocyst rate of treatment groups was not significantly different from the control group, indicating that resveratrol and phloretin could not restore the oocyte competence of postovulatory aged oocytes.</p><p><strong>Conclusion: </strong>Resveratrol and phloretin can both revert the age-related oxidative stress and mitochondrial dysfunction during postovulatory aging but were insufficient to enhance embryo developmental rates under our experimental conditions.</p>","PeriodicalId":15246,"journal":{"name":"Journal of Assisted Reproduction and Genetics","volume":null,"pages":null},"PeriodicalIF":3.2,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11339206/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141186513","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Best quality vs. sex selection - an analysis of embryo selection preferences for patients undergoing preimplantation genetic testing for aneuploidy over a 10-year period. 最佳质量与性别选择--对 10 年间接受植入前非整倍体基因检测的患者胚胎选择偏好的分析。
IF 3.2 3区 医学
Journal of Assisted Reproduction and Genetics Pub Date : 2024-08-01 Epub Date: 2024-06-24 DOI: 10.1007/s10815-024-03162-1
Pavan Gill, Christine Whitehead, Marie Werner, Emre Seli
{"title":"Best quality vs. sex selection - an analysis of embryo selection preferences for patients undergoing preimplantation genetic testing for aneuploidy over a 10-year period.","authors":"Pavan Gill, Christine Whitehead, Marie Werner, Emre Seli","doi":"10.1007/s10815-024-03162-1","DOIUrl":"10.1007/s10815-024-03162-1","url":null,"abstract":"<p><strong>Purpose: </strong>Investigate patient preferences in embryo selection for transfer regarding quality versus sex in IVF/ICSI cycles with PGT-A and assess associated clinical implications.</p><p><strong>Methods: </strong>Retrospective cohort study at a university fertility practice from January 2012 to December 2021. Included were patients undergoing single frozen euploid transfers with at least one embryo of each sex available. Primary outcomes were preference for embryo selection (quality vs. sex) and sex preference (male vs. female). Trends over 10 years were evaluated and clinical outcomes, including clinical pregnancy rate (CPR), sustained implantation rate (SIR), and live birth rate (LBR), were compared.</p><p><strong>Results: </strong>A total of 5,145 embryo transfer cycles were included; 54.5% chose the best-quality embryo, while 45.5% selected based on sex. Among those choosing based on sex, 56.5% chose male embryos and 43.5% chose female. Preference for quality remained consistent over the decade (p = 0.30), while male embryos were consistently favored (p = 0.64). Best-quality embryos had higher grades (p < 0.001). Clinical outcomes were similar between groups (CPR: 74.4% vs. 71.9%, p = 0.05; SIR: 64.9% vs. 63.4%, p = 0.26; LBR: 58.8% vs. 56.7%, p = 0.13), and between male and female embryo selections.</p><p><strong>Conclusions: </strong>Sex selection remains common, with 45.5% selecting embryos based on sex, predominantly favoring males. This trend persisted over 10 years, with comparable clinical outcomes regardless of selection criteria.</p>","PeriodicalId":15246,"journal":{"name":"Journal of Assisted Reproduction and Genetics","volume":null,"pages":null},"PeriodicalIF":3.2,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11339188/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141446257","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Maternal age at transfer following autologous oocyte cryopreservation is not associated with live birth rates. 自体卵母细胞冷冻保存后的母体移植年龄与活产率无关。
IF 3.2 3区 医学
Journal of Assisted Reproduction and Genetics Pub Date : 2024-08-01 Epub Date: 2024-06-13 DOI: 10.1007/s10815-024-03149-y
Francesca G Barrett, Sarah D Cascante, David McCulloh, James A Grifo, Jennifer K Blakemore
{"title":"Maternal age at transfer following autologous oocyte cryopreservation is not associated with live birth rates.","authors":"Francesca G Barrett, Sarah D Cascante, David McCulloh, James A Grifo, Jennifer K Blakemore","doi":"10.1007/s10815-024-03149-y","DOIUrl":"10.1007/s10815-024-03149-y","url":null,"abstract":"<p><strong>Purpose: </strong>Our aim was to evaluate if maternal age at transfer following autologous oocyte cryopreservation is associated with live birth rate (LBR).</p><p><strong>Methods: </strong>We performed a retrospective cohort study of all patients who thawed autologous oocytes and then underwent a single frozen euploid embryo transfer between 2011 and 2021 at a large urban university-affiliated fertility center. Each oocyte thaw patient was matched 2:1 to in vitro fertilization (IVF) patients who underwent single embryo transfer < 1 year after retrieval. Primary outcome was LBR. Secondary outcomes included implantation rates (IR) and spontaneous abortion rates (SABR).</p><p><strong>Results: </strong>A total of 169 oocyte thaw patients were matched to 338 IVF patients. As expected, oocyte thaw patients were older (median age 42.5 vs. 37.6 years, p < 0.001) and waited longer between retrieval and transfer than in vitro fertilization patients (median time 59 vs. 1 month, p < 0.001). In univariate analysis, implantation and LBR differed among oocyte thaw and IVF patients (p < 0.05), but SABR did not (p = 0.57). Transfer outcomes in oocyte thaw patients did not differ based on transfer age group (IR: p = 0.18; SABR: p = 0.12; LBR: p = 0.24). In a multiple logistic regression model, age at transfer was not predictive of live birth when controlling for age at retrieval, embryo morphology, and day of blastulation.</p><p><strong>Conclusions: </strong>Maternal age at transfer after oocyte cryopreservation is not predictive of LBR; this suggests that \"an aging womb\" does not impair LBR after oocyte thaw and empowers patients to return for transfer when ready for childbearing.</p>","PeriodicalId":15246,"journal":{"name":"Journal of Assisted Reproduction and Genetics","volume":null,"pages":null},"PeriodicalIF":3.2,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11339225/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141310764","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Identification of novel compound heterozygous ZFP36L2 variants implicated in oocyte maturation defects and female infertility. 鉴定与卵母细胞成熟缺陷和女性不孕症有关的新型复合杂合子 ZFP36L2 变体。
IF 3.2 3区 医学
Journal of Assisted Reproduction and Genetics Pub Date : 2024-08-01 Epub Date: 2024-06-03 DOI: 10.1007/s10815-024-03154-1
Xian Wan, Huiling Hu, Jiaqi Sun, Fei Meng, Fei Gong, Ge Lin, Hongqing Liao, Wei Zheng
{"title":"Identification of novel compound heterozygous ZFP36L2 variants implicated in oocyte maturation defects and female infertility.","authors":"Xian Wan, Huiling Hu, Jiaqi Sun, Fei Meng, Fei Gong, Ge Lin, Hongqing Liao, Wei Zheng","doi":"10.1007/s10815-024-03154-1","DOIUrl":"10.1007/s10815-024-03154-1","url":null,"abstract":"<p><strong>Purpose: </strong>To explore the pathogenesis of oocyte maturation defects.</p><p><strong>Methods: </strong>Whole exome sequencing was conducted to identify potential variants, which were then confirmed within the pedigree through Sanger sequencing. The functional characterization of the identified variants responsible for the disease, including their subcellular localization, protein levels, and interactions with other proteins, was verified through transient transfection in HeLa cells in vitro. Additionally, we employed real-time RT-PCR and single-cell RNA sequencing to examine the impact of ZFP36L2 pathogenic variants on mRNA metabolism in both HeLa cells and mouse or human oocytes.</p><p><strong>Results: </strong>A novel compound heterozygous variant in ZFP36L2 (c.186T > G, p.His62Gln and c.869 C > T, p.Pro290Leu) was discovered in a patient with oocyte maturation defects. Our findings indicate that these variants lead to compromised binding capacity of the ZFP36L2-CONT6L complex and impaired mRNA degradation in HeLa cells and mouse oocytes. Furthermore, we characterized the changes in the human oocyte transcriptome associated with ZFP36L2 variants, with a particular emphasis on cell division, mitochondrial function, and ribosome metabolism.</p><p><strong>Conclusions: </strong>This study broadens the mutation spectrum of ZFP36L2 and constitutes the first report of human oocyte transcriptome alterations linked to ZFP36L2 variants. In conjunction with existing knowledge of ZFP36L2, our research lays the groundwork for genetic counseling aimed at addressing female infertility.</p>","PeriodicalId":15246,"journal":{"name":"Journal of Assisted Reproduction and Genetics","volume":null,"pages":null},"PeriodicalIF":3.2,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11339011/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141199865","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Serum anti-mullerian hormone, sex hormone, and nutrient levels in reproductive age women with celiac disease. 患有乳糜泻的育龄妇女的血清抗苗勒氏管激素、性激素和营养素水平。
IF 3.2 3区 医学
Journal of Assisted Reproduction and Genetics Pub Date : 2024-08-01 Epub Date: 2024-06-22 DOI: 10.1007/s10815-024-03161-2
Ailifeire Tuerxuntayi, Tian Shi, Beiyao Gao, Yan Feng, Ting Li, Wenjia Hui, Shenglong Xue, Feng Gao
{"title":"Serum anti-mullerian hormone, sex hormone, and nutrient levels in reproductive age women with celiac disease.","authors":"Ailifeire Tuerxuntayi, Tian Shi, Beiyao Gao, Yan Feng, Ting Li, Wenjia Hui, Shenglong Xue, Feng Gao","doi":"10.1007/s10815-024-03161-2","DOIUrl":"10.1007/s10815-024-03161-2","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to investigate the changes in serum Anti-Müllerian Hormone (AMH) levels, sex hormone levels, follicle-stimulating hormone (FSH)/luteinizing hormone (LH) ratio in patients with celiac disease (CeD), and their correlation with clinical characteristics and nutrient levels.</p><p><strong>Methods: </strong>This cross-sectional study collected clinical and biochemical data from a total of 67 females diagnosed with CeD and 67 healthy females within the reproductive age range of 18-44 years. The study was conducted at a tertiary hospital between September 2016 and January 2024. Both groups underwent comprehensive clinical and laboratory assessments. Serum levels of AMH and sex hormones were quantified using chemiluminescence immunoassay, and their associations with CeD clinical features and nutrient levels were thoroughly analyzed.</p><p><strong>Results: </strong>The study included 67 patients and 67 controls with a mean age of 36.7±7.6 years. No statistically significant differences were found between the two groups in mean age, BMI, FSH, LH, E<sub>2</sub>, P levels, FSH/LH, menstrual irregularities, abortions history, parity, and gravidity (all P>0.05). However, AMH, T, FER, FA, Zn, and Se levels were significantly lower, and PRL levels were higher in the CeD group (all P<0.05). Spearman's correlation analysis showed that AMH levels were negatively correlated with age, tTG level, disease duration, and Marsh grading (P<0.05).</p><p><strong>Conclusions: </strong>This study highlights the association between impaired ovarian function in CeD patients and disease severity and nutrient levels. Early detection and intervention for ovarian function abnormalities are imperative to enhance fertility potential in CeD patients.</p>","PeriodicalId":15246,"journal":{"name":"Journal of Assisted Reproduction and Genetics","volume":null,"pages":null},"PeriodicalIF":3.2,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11339009/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141440532","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Spironolactone use and oocyte maturation in patients undergoing controlled ovarian hyperstimulation. 使用螺内酯与接受控制性卵巢过度刺激患者的卵母细胞成熟。
IF 3.2 3区 医学
Journal of Assisted Reproduction and Genetics Pub Date : 2024-08-01 Epub Date: 2024-07-26 DOI: 10.1007/s10815-024-03214-6
Atoosa Ghofranian, Samantha L Estevez, Bethany Dubois, Caroline Gellman, Dmitry Gounko, Joseph A Lee, Alan B Copperman, Kimberly Thornton
{"title":"Spironolactone use and oocyte maturation in patients undergoing controlled ovarian hyperstimulation.","authors":"Atoosa Ghofranian, Samantha L Estevez, Bethany Dubois, Caroline Gellman, Dmitry Gounko, Joseph A Lee, Alan B Copperman, Kimberly Thornton","doi":"10.1007/s10815-024-03214-6","DOIUrl":"10.1007/s10815-024-03214-6","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the association between spironolactone use and controlled ovarian hyperstimulation (COH) outcomes.</p><p><strong>Methods: </strong>Retrospective study, including patients who underwent COH. Oocyte yield and maturation rates were compared by categories of spironolactone use at the start of their cycle.</p><p><strong>Results: </strong>402 patients were included. 83 patients continued spironolactone, 44 patients discontinued spironolactone, and 275 matched control patients were spironolactone-naïve. No difference was observed in the number of oocytes retrieved (17 ± 14 vs. 15 ± 13, p = 0.4) or mature oocytes vitrified (15 ± 9.5 vs. 12 ± 11, p = 0.4) in patients who continued spironolactone use and spironolactone naïve patients, respectively. When comparing patients who continued spironolactone use and patients who discontinued spironolactone use, no difference was seen in the number of oocytes retrieved (17 ± 14 vs. 17.5 ± 7.8, p = 0.9) or mature oocytes vitrified (15 ± 9.5 vs. 13.5 ± 6.5, p = 0.5), respectively. There was no observed relationship between total daily spironolactone dose (< 100mg/day, 100mg/day, 150mg/day and > 200 mg/day) and the total number of mature oocytes vitrified (respectively, 14.0 ± 13.0, 16.0 ± 7.8, 14.0 ± 4.5, 11.0 ± 7.0 oocytes, p = 0.4).</p><p><strong>Conclusions: </strong>This is the first study to evaluate the association between spironolactone and oocyte yield and maturation rates during COH cycles. These findings can assist in counseling patients on the implications of continuing spironolactone during COH cycle.</p>","PeriodicalId":15246,"journal":{"name":"Journal of Assisted Reproduction and Genetics","volume":null,"pages":null},"PeriodicalIF":3.2,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11339222/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141766132","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Cryopreserved testicular spermatozoa among patients with azoospermia. 无精子症患者冷冻保存的睾丸精子。
IF 3.2 3区 医学
Journal of Assisted Reproduction and Genetics Pub Date : 2024-08-01 Epub Date: 2024-06-15 DOI: 10.1007/s10815-024-03167-w
Roy Bitan, Alon Kedem, Sarit Avraham, Michal Youngster, Gil Yerushalmi, Sarita Kaufman, Ana Umanski, Ariel Hourvitz, Itai Gat
{"title":"Cryopreserved testicular spermatozoa among patients with azoospermia.","authors":"Roy Bitan, Alon Kedem, Sarit Avraham, Michal Youngster, Gil Yerushalmi, Sarita Kaufman, Ana Umanski, Ariel Hourvitz, Itai Gat","doi":"10.1007/s10815-024-03167-w","DOIUrl":"10.1007/s10815-024-03167-w","url":null,"abstract":"<p><strong>Purpose: </strong>To investigate cryopreserved testicular spermatozoa among patients with azoospermia.</p><p><strong>Methods: </strong>In this retrospective study spanning from October 1993 to December 2021, we examined men diagnosed with azoospermia who underwent testicular spermatozoa cryopreservation. Data from medical records included utilization and disposal of sperm samples, age at initial cryopreservation. We analyzed the data over 20 years using Kaplan-Meier curves, compared age with the log-rank test, and assessed hazard ratios (HR) with 95% confidence intervals (CI) using Cox regression analysis.</p><p><strong>Results: </strong>A total of 356 patients with a mean age of 32.1 ± 6 were included. Of these, 225 patients utilized thawed testicular sperm for fertility treatments, with 118 patients using all their frozen straws and 107 patients partially using their stored straws. Additionally, 29 patients opted for disposal (six patients partially used their testicular spermatozoa before disposal), resulting in 108 patients who neither used nor disposed of their straws. From a laboratory standpoint, nearly 90% of patients contributed a single testicular sample, which was subsequently divided and cryopreserved as straws, with a median of 4 straws per sample. Notably, in the older age group (> 35 years old), there were a significantly lower usage rate and a higher disposal rate compared to the younger age groups (p < 0.05 for both), corroborated by univariable Cox analysis.</p><p><strong>Conclusions: </strong>This extensive study unveils unique patterns in the preservation and disposal of testicular spermatozoa among azoospermic patients. Most patients utilize a significant portion of their stored samples, while older patients tend to use their testicular spermatozoa less frequently.</p>","PeriodicalId":15246,"journal":{"name":"Journal of Assisted Reproduction and Genetics","volume":null,"pages":null},"PeriodicalIF":3.2,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11338998/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141327540","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Optimized sperm selection: a highly efficient device for the isolation of progressive motile sperm with low DNA fragmentation index. 优化精子选择:一种用于分离具有低 DNA 破碎指数的进步运动精子的高效装置。
IF 3.2 3区 医学
Journal of Assisted Reproduction and Genetics Pub Date : 2024-08-01 Epub Date: 2024-06-18 DOI: 10.1007/s10815-024-03168-9
Ileana Mateizel, Annalisa Racca, Eleni Aligianni, Elisa Distasi, Yoni Baert, Ingrid Segers, Danijel Jankovic, Celine Schoemans, Koen Wouters, Herman Tournaye, Neelke De Munck
{"title":"Optimized sperm selection: a highly efficient device for the isolation of progressive motile sperm with low DNA fragmentation index.","authors":"Ileana Mateizel, Annalisa Racca, Eleni Aligianni, Elisa Distasi, Yoni Baert, Ingrid Segers, Danijel Jankovic, Celine Schoemans, Koen Wouters, Herman Tournaye, Neelke De Munck","doi":"10.1007/s10815-024-03168-9","DOIUrl":"10.1007/s10815-024-03168-9","url":null,"abstract":"<p><strong>Purpose: </strong>To identify the sperm preparation procedure that selects the best sperm population for medically assisted reproduction.</p><p><strong>Methods: </strong>Prospective observational study comparing the effect of four different sperm selection procedures on various semen parameters. Unused raw semen after routine diagnostic analysis was split in four fractions and processed by four different methods: (1) density gradient centrifugation (DGC), (2) sperm wash (SW), (3) DGC followed by magnetic activated cell sorting (MACS), and (4) using a sperm separation device (SSD). Each fraction was analyzed for progressive motility, morphology, acrosome index (AI), and DNA fragmentation index (DFI).</p><p><strong>Results: </strong>With DGC as standard of care in intraclass correlation coefficient analysis, only SSD was in strong disagreement regarding progressive motility and DFI [0.26, 95%CI (- 0.2, 0.58), and 0.17, 95%CI (- 0.19, 0.45), respectively]. When controlling for abstinence duration, DFI was significantly lower after both MACS and SSD compared to DGC [- 0.27%, 95%CI (- 0.47, - 0.06), p = 0.01, and - 0.6%, 95%CI (- 0.80, - 0.41), p < 0.001, respectively]. Further comparisons between SSD and MACS indicate significantly less apoptotic cells [Median (IQR) 4 (5), 95%CI (4.1, - 6.8) vs Median (IQR) 5 (8), 95%CI (4.9, - 9.2), p < 0.001, respectively] and dead cells [Median (IQR) 9.5 (23.3), 95%CI (13.2, - 22.4) vs Median (IQR) 22 (28), 95%CI (23.1, - 36.8), p < 0.001, respectively] in the SSD group.</p><p><strong>Conclusion: </strong>The selection of a population of highly motile spermatozoa with less damaged DNA from unprocessed semen is ideally performed with SSD. Question remains whether this method improves the embryological outcomes in the IVF laboratory.</p>","PeriodicalId":15246,"journal":{"name":"Journal of Assisted Reproduction and Genetics","volume":null,"pages":null},"PeriodicalIF":3.2,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11339219/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141419278","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Meiotic maturation failure in primary ovarian insufficiency: insights from a bovine model. 原发性卵巢功能不全的减数分裂成熟失败:牛模型的启示。
IF 3.2 3区 医学
Journal of Assisted Reproduction and Genetics Pub Date : 2024-08-01 Epub Date: 2024-06-29 DOI: 10.1007/s10815-024-03160-3
Sara Pietroforte, Pritha Dey, Elena Ibáñez, Alberto Maria Luciano, Valentina Lodde, Federica Franciosi, Mina Popovic, Rita Vassena, Filippo Zambelli
{"title":"Meiotic maturation failure in primary ovarian insufficiency: insights from a bovine model.","authors":"Sara Pietroforte, Pritha Dey, Elena Ibáñez, Alberto Maria Luciano, Valentina Lodde, Federica Franciosi, Mina Popovic, Rita Vassena, Filippo Zambelli","doi":"10.1007/s10815-024-03160-3","DOIUrl":"10.1007/s10815-024-03160-3","url":null,"abstract":"<p><strong>Purpose: </strong>Oocytes from women presenting primary ovarian insufficiency (POI) generate viable embryos at a lower rate than non-POI women, but the mechanisms responsible for the lower oocyte quality remain elusive. Due to the scarcity of human oocytes for research, animal models provide a promising way forward. We aimed at investigating the molecular events characterizing final maturation in POI oocytes in a well-defined POI-like bovine model.</p><p><strong>Methods: </strong>Single-cell RNA-sequencing of bovine control and POI-like, GV, and MII oocytes (n = 5 per group) was performed. DEseq2 was used to identify differentially expressed genes. Further, a Gene set enrichment analysis and a transcriptomic meta-analysis between bovine and human oocytes were performed.</p><p><strong>Results: </strong>In control cows, we found 2223 differentially expressed genes between the GV and MII stages. Specifically, the affected genes were related to RNA processing and transport, protein synthesis, organelle remodeling and reorganization, and metabolism. The meta-analysis with a set of young human oocytes at different maturation stages revealed 315 conserved genes through the GV-MII transition in cows and humans, mostly related to meiotic progression and cell cycle. Gene expression analysis between GV and MII of POI-like oocytes showed no differences in terms of differentially expressed genes, pointing towards a substantial failure to properly remodel the transcriptome in the POI model, and with the clustering analysis indicating that the cow's genetic background had a higher impact than the oocyte's maturation stage.</p><p><strong>Conclusion: </strong>Overall, we have identified and characterized a valuable animal model of POI, paving the way to identifying new molecular mechanisms involved in POI.</p>","PeriodicalId":15246,"journal":{"name":"Journal of Assisted Reproduction and Genetics","volume":null,"pages":null},"PeriodicalIF":3.2,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11339010/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141476666","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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