基于子宫内膜转录组学预测先前植入失败的妇女子宫内膜损伤后IVF-ET周期的妊娠结局:初步报告

Neeta Singh , Muzaffer Ahmed Bhat , Debabrata Ghosh
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引用次数: 2

摘要

背景/目的据报道,在IVF-ET之后的自然周期中定时给药子宫内膜划伤可改善妇女的临床妊娠。在本研究中,我们研究了在IVF-ET干预周期之前的自然周期中子宫内膜转录组反应的问题,以探索在IVF-ET中子宫内膜刮伤后怀孕和未怀孕的人之间转录表达谱的差异(如果有的话)。方法接受自体IVF-ET周期且有IVF-ET/ICSI周期失败史的患者(n = 25)在干预前未治疗周期的12-18天内进行子宫内膜刮擦和取样。使用常规方案监测每位患者的妊娠结局。每个样本进行全基因组表达阵列实验(n = 20),然后进行探索性和差异性显示分析。结果两组子宫内膜全基因组转录组学(妊娠阳性,n = 10;妊娠阴性(n = 10)表明样本主要基于妊娠结局相互聚集。子宫内膜的分泌成熟涉及氧化磷酸化、泛素代谢、细胞粘附、骨骼和运动活动以及转录和翻译调节等相关途径。此外,与神经发生和突触发生相关的基因、与细胞粘附相关的趋化因子和发育信号在妊娠阳性妇女的样本中被上调。此外,在自然周期中,子宫内膜受影响的妇科肿瘤相关基因表达和转录失调的患者不能在IVF-ET中怀孕。结论子宫内膜转录组表达对有IVF-ET多次着床失败史的患者刮擦子宫内膜后妊娠结局具有预测价值。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Prediction of pregnancy outcome of IVF-ET cycles following endometrial injury in women with previously failed implantation based on endometrial transcriptomics: A preliminary report

Background/aims

Timed administration of endometrial scratching in natural cycles followed by IVF-ET reportedly yields improved clinical pregnancy in women. In the present study, we have examined the issue of endometrial transcriptomic response in natural cycles preceding to the intervention cycles of IVF-ET to explore the differences, if any, in transcript expression profiles between those who conceived and those who did not following endometrial scratching in IVF-ET.

Methods

Patients (n = 25) undergoing autologous IVF-ET cycles with history of failed IVF-ET/ICSI cycles underwent endometrial scratching and sampling during 12–18 day of untreated cycles preceding to intervention. Each patient was monitored for pregnancy outcome using the routine protocol. Each sample was subjected to whole genome expression array experiment (n = 20) followed by exploratory and differential display analysis.

Results

Endometrial whole genome transcriptomics of two groups (pregnancy positive, n = 10; pregnancy negative, n = 10) revealed that samples mutually clustered primarily based on pregnancy outcome. The secretory maturation of endometrium was seen to involve pathways related to oxidative phosphorylation, ubiquinone metabolism, cellular adhesion, skeletal and motor activities, and transcription and translation regulation. Additionally, genes related to neurogenesis and synaptogenesis, chemokines associated with cell adhesion, and developmental signalling were up-regulated in samples obtained from pregnancy-positive women. Further, patients with affected endometrial expression of genes involved in gynaecological neoplasm and transcriptional dysregulation in natural cycles did not conceive in IVF-ET.

Conclusion

Transcriptomic expressions in endometrium yielded information with predictive value of pregnancy outcome following endometrial scratching in women with history of repeated implantation failure upon IVF-ET.

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