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氧化应激与辅助生殖:对其病理生理作用及优化胚胎培养环境策略的全面综述

Oxidative Stress and Assisted Reproduction: A Comprehensive Review of Its Pathophysiological Role and Strategies for Optimizing Embryo Culture Environment.

作者信息

Agarwal Ashok, Maldonado Rosas Israel, Anagnostopoulou Christina, Cannarella Rossella, Boitrelle Florence, Munoz Lina Villar, Finelli Renata, Durairajanayagam Damayanthi, Henkel Ralf, Saleh Ramadan

机构信息

American Center for Reproductive Medicine, Cleveland Clinic, Cleveland, OH 44195, USA.

Citmer Reproductive Medicine, IVF LAB, Mexico City 11520, Mexico.

出版信息

Antioxidants (Basel). 2022 Feb 28;11(3):477. doi: 10.3390/antiox11030477.

Abstract

Oxidative stress (OS) due to an imbalance between reactive oxygen species (ROS) and antioxidants has been established as an important factor that can negatively affect the outcomes of assisted reproductive techniques (ARTs). Excess ROS exert their pathological effects through damage to cellular lipids, organelles, and DNA, alteration of enzymatic function, and apoptosis. ROS can be produced intracellularly, from immature sperm, oocytes, and embryos. Additionally, several external factors may induce high ROS production in the ART setup, including atmospheric oxygen, CO incubators, consumables, visible light, temperature, humidity, volatile organic compounds, and culture media additives. Pathological amounts of ROS can also be generated during the cryopreservation-thawing process of gametes or embryos. Generally, these factors can act at any stage during ART, from gamete preparation to embryo development, till the blastocyst stage. In this review, we discuss the in vitro conditions and environmental factors responsible for the induction of OS in an ART setting. In addition, we describe the effects of OS on gametes and embryos. Furthermore, we highlight strategies to ameliorate the impact of OS during the whole human embryo culture period, from gametes to blastocyst stage.

摘要

活性氧(ROS)与抗氧化剂之间的失衡所导致的氧化应激(OS)已被确认为一个可对辅助生殖技术(ART)结局产生负面影响的重要因素。过量的ROS通过损伤细胞脂质、细胞器和DNA、改变酶功能以及诱导细胞凋亡来发挥其病理作用。ROS可在细胞内由未成熟精子、卵母细胞和胚胎产生。此外,在ART操作过程中,一些外部因素可能会诱导产生高水平的ROS,包括大气氧、二氧化碳培养箱、耗材、可见光、温度、湿度、挥发性有机化合物和培养基添加剂。在配子或胚胎的冷冻保存-解冻过程中也会产生病理性数量的ROS。一般来说,这些因素可在ART的任何阶段起作用,从配子制备到胚胎发育,直至囊胚阶段。在本综述中,我们讨论了ART环境中导致OS诱导的体外条件和环境因素。此外,我们描述了OS对配子和胚胎的影响。此外,我们重点介绍了在从配子到囊胚阶段的整个人类胚胎培养期间减轻OS影响的策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fef7/8944628/71a05f5f82ce/antioxidants-11-00477-g001.jpg

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