Ottosen Lars D M, Hindkjaer Johnny, Lindenberg Svend, Ingerslev Hans Jakob
The Fertility Clinic, Department of Obstetrics and Gynaecology, Aarhus University Hospital Skejby Sygehus, Brendstrupgaardsvej, 8200, Arhus N, Denmark.
J Assist Reprod Genet. 2007 Aug;24(8):359-65. doi: 10.1007/s10815-007-9138-5. Epub 2007 Jul 17.
In search for a new marker of preimplantation embryo viability the present study investigated oxygen consumption of individual cleavage stage murine embryos, and evaluated the predictive value regarding subsequent development to expanded blastocysts.
In all, 248 embryos were investigated from 2 cell stage until blastocyst stage with individual measurement of oxygen consumption and recording of developmental stage. Cleavage stage embryos and morula were divided in groups according to their oxygen consumption, and odds ratios (OR) for subsequent development to expanded blastocyst were calculated.
Cleavage stage (2-8 cell) individual oxygen consumption was 0.16-0.20 nl O(2) h(-1), with a significant increase to 0.21-0.23 nl O(2) h(-1) at the morula stage followed by a more than twofold increase for the expanded blastocyst 0.47 nl O(2) h(-1). A significantly higher chance of reaching the expanded blastocyst stage was found in 4-cell embryos with high oxygen consumption, than embryos with low consumption (OR 2.25, 95% CI 1.04-4.90). Among 2-cell embryos the chance of low and high consumers was not significantly different. The method used in the present study somewhat compromised embryo development (51% blastocyst rate) compared to controls (80% blastocystrate) which could make our results less robust.
Preliminary data from the present study suggest that oxygen consumption in cleavage stage embryos may be an indicator, but a not a strong predictor, of subsequent development to expanded blastocysts.
为寻找着床前胚胎活力的新标志物,本研究调查了单个卵裂期小鼠胚胎的耗氧量,并评估了其对后续发育至扩张囊胚的预测价值。
总共对248个胚胎进行了研究,从2细胞期直至囊胚期,分别测量每个胚胎的耗氧量并记录发育阶段。根据耗氧量将卵裂期胚胎和桑葚胚分组,并计算后续发育至扩张囊胚的优势比(OR)。
卵裂期(2 - 8细胞)单个胚胎的耗氧量为0.16 - 0.20 nl O₂ h⁻¹,桑葚胚阶段显著增加至0.21 - 0.23 nl O₂ h⁻¹,而扩张囊胚阶段则增加了两倍多,达到0.47 nl O₂ h⁻¹。耗氧量高的4细胞胚胎发育至扩张囊胚阶段的可能性显著高于耗氧量低的胚胎(OR 2.25,95% CI 1.04 - 4.90)。在2细胞胚胎中,耗氧量低和高的胚胎发育至扩张囊胚阶段的可能性无显著差异。与对照组(囊胚率80%)相比,本研究中使用的方法在一定程度上影响了胚胎发育(囊胚率51%),这可能使我们的结果不够可靠。
本研究的初步数据表明,卵裂期胚胎的耗氧量可能是后续发育至扩张囊胚的一个指标,但并非强有力的预测指标。