1. Biphasic (5-2%) oxygen concentration strategy significantly improves the usable blastocyst and cumulative live birth rates in in vitro fertilization
- Author
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Tal Anahoryl, Chloé Baron, Samir Hamamah, Aneta Andreeva, Noemie Ranisavljevic, Fatima Barry, Alice Ferrieres-Hoa, Anna Gala, Delphine Haouzi, Sophie Brouillet, V. Loup, Laura Gaspari, Herrada, Anthony, Centre Hospitalier Régional Universitaire [Montpellier] (CHRU Montpellier), Développement Embryonnaire, Fertilité et Environnement (DEFE), Université Toulouse III - Paul Sabatier (UT3), Université Fédérale Toulouse Midi-Pyrénées-Université Fédérale Toulouse Midi-Pyrénées-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Montpellier (UM), and Université de Montpellier (UM)
- Subjects
Male ,Molecular biology ,medicine.medical_treatment ,Cost-Benefit Analysis ,Uterus ,Diseases ,Stem cells ,Embryo Culture Techniques ,MESH: Birth Rate ,MESH: Embryo Implantation ,MESH: Gene Expression Regulation, Developmental ,MESH: Embryonic Development ,Birth Rate ,MESH: Treatment Outcome ,[SDV.BDLR.RS] Life Sciences [q-bio]/Reproductive Biology/Sexual reproduction ,Multidisciplinary ,Biological techniques ,[SDV.BDD.EO] Life Sciences [q-bio]/Development Biology/Embryology and Organogenesis ,Gene Expression Regulation, Developmental ,Embryo ,MESH: Embryo Culture Techniques ,medicine.anatomical_structure ,Treatment Outcome ,Medicine ,MESH: Live Birth ,Female ,Live birth ,Live Birth ,MESH: Oxygen ,Infertility ,Adult ,Cell biology ,Science ,Embryonic Development ,Fertilization in Vitro ,Article ,[SDV.BDLR.RS]Life Sciences [q-bio]/Reproductive Biology/Sexual reproduction ,Andrology ,Medical research ,Developmental biology ,medicine ,Humans ,MESH: Infertility ,Blastocyst ,Embryo Implantation ,Retrospective Studies ,MESH: Humans ,In vitro fertilisation ,business.industry ,MESH: Transcriptome ,Embryogenesis ,Health care ,MESH: Adult ,MESH: Retrospective Studies ,Embryo culture ,MESH: Embryo Transfer ,medicine.disease ,Embryo Transfer ,MESH: Male ,MESH: Fertilization in Vitro ,Oxygen ,MESH: Blastocyst ,[SDV.BDD.EO]Life Sciences [q-bio]/Development Biology/Embryology and Organogenesis ,business ,Transcriptome ,MESH: Female ,MESH: Cost-Benefit Analysis - Abstract
Oxygen (O2) concentration is approximately 5% in the fallopian tube and 2% in the uterus in humans. A “back to nature” approach could increase in vitro fertilization (IVF) outcomes. This hypothesis was tested in this monocentric observational retrospective study that included 120 couples who underwent two IVF cycles between 2014 and 2019. Embryos were cultured at 5% from day 0 (D0) to D5/6 (monophasic O2 concentration strategy) in the first IVF cycle, and at 5% O2 from D0 to D3 and 2% O2 from D3 to D5/6 (biphasic O2 concentration strategy) in the second IVF cycle. The total and usable blastocyst rates (44.4% vs. 54.8%, p = 0.049 and 21.8% vs. 32.8%, p = 0.002, respectively) and the cumulative live birth rate (17.9% vs. 44.1%, p = 0.027) were significantly higher with the biphasic (5%-2%) O2 concentration strategy. Whole transcriptome analysis of blastocysts donated for research identified 707 RNAs that were differentially expressed in function of the O2 strategy (fold-change > 2, p value 2 concentration strategy for preimplantation embryo culture could increase the “take home baby rate”, thus improving IVF cost-effectiveness and infertility management.
- Published
- 2021
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