代谢组学整合于辅助生殖技术中,以超越形态动力学分析来增强胚胎选择。

Metabolomics Integration in Assisted Reproductive Technologies for Enhanced Embryo Selection beyond Morphokinetic Analysis.

机构信息

Centre for Reproductive Genetics Alberto Barros, 4100-012 Porto, Portugal.

LAQV-REQUIMTE, Department of Chemistry, University of Aveiro, 3810-193 Aveiro, Portugal.

出版信息

Int J Mol Sci. 2023 Dec 29;25(1):491. doi: 10.3390/ijms25010491.

Abstract

Embryo quality evaluation during in vitro development is a crucial factor for the success of assisted reproductive technologies (ARTs). However, the subjectivity inherent in the morphological evaluation by embryologists can introduce inconsistencies that impact the optimal embryo choice for transfer. To provide a more comprehensive evaluation of embryo quality, we undertook the integration of embryo metabolomics alongside standardized morphokinetic classification. The culture medium of 55 embryos (derived from 21 couples undergoing ICSI) was collected at two timepoints (days 3 and 5). Samples were split into Good (n = 29), Lagging (n = 19), and Bad (n = 10) according to embryo morphokinetic evaluation. Embryo metabolic performance was assessed by monitoring the variation in specific metabolites (pyruvate, lactate, alanine, glutamine, acetate, formate) using H-NMR. Adjusted metabolite differentials were observed during the first 3 days of culture and found to be discriminative of embryo quality at the end of day 5. Pyruvate, alanine, glutamine, and acetate were major contributors to this discrimination. Good and Lagging embryos were found to export and accumulate pyruvate and glutamine in the first 3 days of culture, while Bad embryos consumed them. This suggests that Bad embryos have less active metabolic activity than Good and Lagging embryos, and these two metabolites are putative biomarkers for embryo quality. This study provides a more comprehensive evaluation of embryo quality and can lead to improvements in ARTs by enabling the selection of the best embryos. By combining morphological assessment and metabolomics, the selection of high-quality embryos with the potential to result in successful pregnancies may become more accurate and consistent.

摘要

胚胎在体外发育过程中的质量评估是辅助生殖技术(ART)成功的关键因素。然而,胚胎学家进行形态评估时固有的主观性会导致不一致性,从而影响最佳胚胎的选择用于移植。为了更全面地评估胚胎质量,我们将胚胎代谢组学与标准化形态动力学分类相结合。在两个时间点(第 3 天和第 5 天)收集了来自 21 对接受 ICSI 的夫妇的 55 个胚胎(衍生)的培养液。根据胚胎形态动力学评估,将样本分为良好(n = 29)、滞后(n = 19)和不良(n = 10)三组。通过监测特定代谢物(丙酮酸、乳酸、丙氨酸、谷氨酰胺、乙酸盐、甲酸盐)的变化,使用 H-NMR 评估胚胎代谢性能。在培养的前 3 天观察到调整后的代谢物差异,并发现它们可以在第 5 天结束时区分胚胎质量。丙酮酸、丙氨酸、谷氨酰胺和乙酸盐是这种区分的主要贡献者。良好和滞后胚胎在培养的前 3 天被发现可以输出和积累丙酮酸和谷氨酰胺,而不良胚胎则消耗它们。这表明不良胚胎的代谢活性低于良好和滞后胚胎,这两种代谢物可能是胚胎质量的生物标志物。这项研究提供了更全面的胚胎质量评估,并通过选择最佳胚胎,可能会改善辅助生殖技术。通过将形态评估和代谢组学相结合,可以更准确和一致地选择具有成功妊娠潜力的高质量胚胎。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/40e1/10778973/44e4f66e1329/ijms-25-00491-g001.jpg

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