Fauzdar Ashish, Halder Ashutosh, Kumar Anand
Department of Reproductive Biology, All India Institute of Medical Sciences, New Delhi, India.
Indian J Med Res. 2009 Jun;129(6):669-75.
BACKGROUND & OBJECTIVE: There are potential risks of major birth defect in IVF (in vitro fertilization) pregnancy as well as IVF-ICSI (intra cytoplasmic sperm injection) pregnancies in comparison with naturally conceived human pregnancies. This increase risk could be due to either gonadotropins used for ovarian stimulation or in vitro culture conditions or multiple pregnancy or combinations of all the factors. The effects of gonadotropins on chromosome aneuploidy, chromosome mosaicism and sex ratio on mouse preimplantation embryos were evaluated through the use of fluorescence in situ hybridization (FISH).
The study material consisted of 111 preimplantation mouse embryos (2-16 cell stage) in control group and 405 preimplantation mouse embryos in gonadotropin stimulated group from genetically identical Swiss Albino young (6-8 wk) mouse kept in a similar environmental conditions. The study was designed to investigate effect of gonadotropins on chromosome aneuploidy, chromosome mosaicism and sex ratio through the use of FISH technique using chromosome X, Y and 19 probes. All blastomeres of embryos in both groups were assessed.
Interpretable FISH results were obtained in 66 embryos in control group and 128 embryos in gonadotropin stimulated group. There was no excess of chromosome aneuploidy (only one case of sex chromosome trisomy in study group; 19, 19, X, Y, Y) or chromosome mosaicism or deviations in sex ratio between the two groups. However, deviation (1.36 M: 1 F in control group & 1.25 M : 1 F in study group) was seen from expected sex ratio (1 M : 1 F) i.e., skewed sex ratio in both the groups.
INTERPRETATION & CONCLUSION: Our results showed that gonadotropins used for ovarian stimulation had no effects in causing increase in chromosome X, Y, 19 aneuploidy and mosaicism and skewing of sex ratio in mouse model. A large scale study with more FISH probes on a larger sample size need to be done to confirm the findings.
与自然受孕的人类妊娠相比,体外受精(IVF)妊娠以及卵胞浆内单精子注射(IVF-ICSI)妊娠存在发生严重出生缺陷的潜在风险。这种风险增加可能归因于用于卵巢刺激的促性腺激素、体外培养条件、多胎妊娠或所有这些因素的综合作用。通过荧光原位杂交(FISH)技术评估促性腺激素对小鼠植入前胚胎染色体非整倍体、染色体嵌合体和性别比例的影响。
研究材料包括来自处于相似环境条件下的同基因瑞士白化幼鼠(6-8周龄)的对照组111个植入前小鼠胚胎(2-16细胞期)和促性腺激素刺激组405个植入前小鼠胚胎。该研究旨在通过使用染色体X、Y和19探针的FISH技术研究促性腺激素对染色体非整倍体、染色体嵌合体和性别比例的影响。对两组胚胎的所有卵裂球进行评估。
对照组66个胚胎和促性腺激素刺激组128个胚胎获得了可解释的FISH结果。两组之间不存在染色体非整倍体过多(研究组仅1例性染色体三体;19, 19, X, Y, Y)、染色体嵌合体或性别比例偏差。然而,观察到与预期性别比例(1雄:1雌)存在偏差(对照组为1.36雄:1雌,研究组为1.25雄:1雌),即两组的性别比例均有偏差。
我们的结果表明,用于卵巢刺激的促性腺激素在小鼠模型中不会导致染色体X、Y、19非整倍体增加、嵌合体增加以及性别比例偏差。需要进行一项使用更多FISH探针、更大样本量的大规模研究来证实这些发现。