The impact of oocyte central granularity on ICSI practice: developmental competence of dysmorphic and morphologically normal companion oocytes.


Journal

Journal of assisted reproduction and genetics
ISSN: 1573-7330
Titre abrégé: J Assist Reprod Genet
Pays: Netherlands
ID NLM: 9206495

Informations de publication

Date de publication:
Oct 2023
Historique:
received: 13 03 2023
accepted: 18 07 2023
pmc-release: 01 10 2024
medline: 18 9 2023
pubmed: 28 7 2023
entrez: 27 7 2023
Statut: ppublish

Résumé

To assess the effects of oocyte central granularity and its underlying endocrine environment on developmental competence of dysmorphic and morphologically normal oocytes. Retrospective cohort study including 1,082 patients undergoing autologous ICSI cycles. Of these, 211 patients provided 602 oocytes with central granularity (CG) and 427 morphologically normal cycle companion oocytes (NCG). The remaining 871 patients provided only morphologically normal oocytes in cycles not yielding dysmorphic oocytes (N). Patient profile associated with CG was characterized, and fertilization rates, early morphokinetics and live birth rates were compared between N, CG and NCG groups. Patient characteristics associated with implantation and delivery performance of CG-derived embryos were assessed. CG was associated with higher maternal age, basal FSH concentrations and total FSH dose, but with lower circulating AMH (p ≤ 0.035). Fertilization rates were reduced and early morphokinetic parameters were delayed in CG (p < 0.025) and NCG (p < 0.05) groups as compared to the N group. Embryos derived from CG oocytes achieved a markedly lower live birth rate (14.9%) as compared to those derived from NCG (36.8%; p = 0.03) and N oocytes (29.8%; p = 0.002). The negative relationship between CG and live birth was confirmed by a multivariate analysis controlling for potential confounders (OR:2.59, IC:1.27-5.31; P = 0.009). Implantation and delivery rates following transfers of CG-derived embryos were inversely associated with maternal age. CG oocytes, but not their morphologically normal cycle companions, have severely compromised developmental competence. Maternal age should be a key parameter in deciding whether or not to utilize CG oocytes in ICSI cycles.

Identifiants

pubmed: 37501005
doi: 10.1007/s10815-023-02895-9
pii: 10.1007/s10815-023-02895-9
pmc: PMC10504199
doi:

Substances chimiques

Follicle Stimulating Hormone 9002-68-0

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

2375-2384

Informations de copyright

© 2023. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.

Références

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Auteurs

Jose Buratini (J)

Biogenesi, Reproductive Medicine Centre, Monza, Italy. jburatini@eugin.it.
Clinica EUGIN, Milan, Italy. jburatini@eugin.it.
Department of Structural and Functional Biology, Institute of Biosciences, Sao Paulo State University, Botucatu, SP, Brazil. jburatini@eugin.it.

Clarissa Moutier (C)

Biogenesi, Reproductive Medicine Centre, Monza, Italy.

Maria Cristina Guglielmo (MC)

Clinica EUGIN, Milan, Italy.

Diana Turchi (D)

Biogenesi, Reproductive Medicine Centre, Monza, Italy.

Robert Webb (R)

University of Nottingham, Nottinghamshire, UK.

Elena De Ponti (E)

Medical Physics, Fondazione IRCCS San Gerardo dei Tintori Monza, Monza, Italy.

Mario Mignini Renzini (MM)

Biogenesi, Reproductive Medicine Centre, Monza, Italy.
Clinica EUGIN, Milan, Italy.

Mariabeatrice Dal Canto (MD)

Biogenesi, Reproductive Medicine Centre, Monza, Italy.
Clinica EUGIN, Milan, Italy.

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