在捐赠卵母细胞衍生的胚胎中观察到的高非整倍体率与男性衰老和精子DNA碎片率高有关

J. García-Ferreyra, D. Luna, Lucy Villegas, R. Romero, Patricia Zavala, Roly Hilario, Julio Dueñas-Chacón
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引用次数: 56

摘要

雄性衰老对胚胎非整倍体率的影响。目的父亲年龄与精子质量下降有关;然而,尚不清楚它是否会影响胚胎中的染色体异常。本研究的目的是评估胚胎的非整倍体率是否受到父亲年龄的影响。方法32次体外受精/卵浆内单精子注射周期,结合着床前遗传学诊断获得286个胚胎,按父亲年龄分为3组:A组≤39岁(n = 44个胚胎);B组:40-49岁(n = 154个胚胎);C组:≥50岁(n = 88个胚胎)。然后比较受精率、第3天胚胎质量、囊胚发育和非整倍体胚胎率。结果实验组的精液参数(体积、浓度和活力)无显著差异。3个评价组的受精率、受精卵卵裂率和第3天胚胎质量相似。与其他两个评估组相比,年龄≥50岁的男性有更多的精子DNA受损,囊胚发育率低,胚胎非整倍体率更高(P < 0.05)。结论父亲年龄越高,捐赠卵母细胞胚胎的非整倍体率越高,这表明对于年龄>50岁的患者进行卵子捐赠周期的遗传筛查是必要的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
High Aneuploidy Rates Observed in Embryos Derived from Donated Oocytes are Related to Male Aging and High Percentages of Sperm DNA Fragmentation
Capsule Male aging effects on aneuploidy rates in embryos. Objective Paternal age is associated with decreasing sperm quality; however, it is unknown if it influences chromosomal abnormalities in embryos. The objective of this study is to evaluate if the aneuploidy rates in embryos are affected by advanced paternal age. Methods A total of 286 embryos, obtained from 32 in vitro fertilization/intracytoplasmic sperm injection cycles with donated oocytes in conjunction with preimplantation genetic diagnosis, were allocated according to paternal age in three groups: Group A: ≤39 years (n = 44 embryos); Group B: 40-49 years (n = 154 embryos); and Group C: ≥50 years (n = 88 embryos). Fertilization rates, embryo quality at day 3, blastocyst development, and aneuploidy embryo rates were then compared. Results There was no difference in the seminal parameters (volume, concentration, and motility) in the studied groups. Fertilization rate, percentages of zygotes underwent cleavage, and good quality embryos on day 3 were similar between the three evaluated groups. The group of men ≥50 years had significantly more sperm with damaged DNA, low blastocyst development rate, and higher aneuploidy rates in embryos compared to the other two evaluated groups (P < 0.05). Conclusions Our findings suggest that advanced paternal age increases the aneuploidy rates in embryos from donated oocytes, which suggests that genetic screening is necessary in those egg donor cycles with sperm from patients >50 years old.
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来源期刊
自引率
0.00%
发文量
0
审稿时长
8 weeks
期刊介绍: Clinical Medicine Insights: Reproductive Health is a peer reviewed; open access journal, which covers all aspects of Reproduction: Gynecology, Obstetrics, and Infertility, spanning both male and female issues, from the physical to the psychological and the social, including: sex, contraception, pregnancy, childbirth, and related topics such as social and emotional impacts. It welcomes original research and review articles from across the health sciences. Clinical subjects include fertility and sterility, infertility and assisted reproduction, IVF, fertility preservation despite gonadotoxic chemo- and/or radiotherapy, pregnancy problems, PPD, infections and disease, surgery, diagnosis, menopause, HRT, pelvic floor problems, reproductive cancers and environmental impacts on reproduction, although this list is by no means exhaustive Subjects covered include, but are not limited to: • fertility and sterility, • infertility and ART, • ART/IVF, • fertility preservation despite gonadotoxic chemo- and/or radiotherapy, • pregnancy problems, • Postpartum depression • Infections and disease, • Gyn/Ob surgery, • diagnosis, • Contraception • Premenstrual tension • Gynecologic Oncology • reproductive cancers • environmental impacts on reproduction, • Obstetrics/Gynaecology • Women''s Health • menopause, • HRT, • pelvic floor problems, • Paediatric and adolescent gynaecology • PID
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