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卵胞浆内单精子注射后裸卵的命运:一例病例报告及文献复习

The Fate of Zona free Oocyte Following Intracytoplasmic Sperm Injection: A Case Report and Review of Literature.

作者信息

Faizah Zakiyatul, Laurus Geraldo, Lie Vellyana, Hendarto Hendy

机构信息

Doctoral Program of Medical Sciences, Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia.

Department of Biomedical Science, Universitas Airlangga, Surabaya, Indonesia.

出版信息

J Hum Reprod Sci. 2025 Jan-Mar;18(1):48-53. doi: 10.4103/jhrs.jhrs_174_24. Epub 2025 Mar 29.

DOI:10.4103/jhrs.jhrs_174_24
PMID:40342886
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12057837/
Abstract

The zona pellucida (ZP) is essential in reproductive biology, covering sperm selection, species-specific fertilisation, inhibition of polyspermy and stability of blastomeres in embryos. This case report highlights the developmental potential of a zona-free oocyte (ZFO). A 44-year-old woman produced a single oocyte, where detachment of the ZP occurred during the denudation process, leaving a ZFO. This oocyte underwent intracytoplasmic sperm injection (ICSI) and subsequent culture, developing into a four-cell embryo on the 3 day. Despite embryo transfer, no pregnancy was achieved 14 days post-transfer. This case underlines the potential for cell development in ZFOs while emphasising the challenges of achieving successful implantation.

摘要

透明带(ZP)在生殖生物学中至关重要,涵盖精子选择、物种特异性受精、多精受精抑制以及胚胎中卵裂球的稳定性。本病例报告突出了无透明带卵母细胞(ZFO)的发育潜力。一名44岁女性产生了一个单一卵母细胞,在剥除过程中透明带发生脱离,形成了一个无透明带卵母细胞。该卵母细胞接受了胞浆内单精子注射(ICSI)并随后进行培养,在第3天发育成了一个四细胞胚胎。尽管进行了胚胎移植,但移植后14天未实现妊娠。该病例强调了无透明带卵母细胞的细胞发育潜力,同时也凸显了实现成功着床的挑战。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3fcf/12057837/c60f88b3f6a8/JHRS-18-48-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3fcf/12057837/c60f88b3f6a8/JHRS-18-48-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3fcf/12057837/c60f88b3f6a8/JHRS-18-48-g001.jpg

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本文引用的文献

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BMC Pregnancy Childbirth. 2023 Jun 15;23(1):447. doi: 10.1186/s12884-023-05760-w.
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不良生育相关因素对卵母细胞中线粒体 DNA 的影响:全面综述。
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Front Endocrinol (Lausanne). 2022 Jun 23;13:859361. doi: 10.3389/fendo.2022.859361. eCollection 2022.
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A recurrent ZP1 variant is responsible for oocyte maturation defect with degenerated oocytes in infertile females.一种反复出现的 ZP1 变体是导致不孕女性卵母细胞成熟缺陷和卵母细胞退化的原因。
Clin Genet. 2022 Jul;102(1):22-29. doi: 10.1111/cge.14144. Epub 2022 Jun 1.
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Genes (Basel). 2021 Aug 19;12(8):1266. doi: 10.3390/genes12081266.
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Live birth in a complete zona-free patient: a case report.完全去透明带患者的活产:病例报告。
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Qualitative and Quantitative Ovarian and Peripheral Blood Mitochondrial DNA (mtDNA) Alterations: Mechanisms and Implications for Female Fertility.卵巢及外周血线粒体DNA(mtDNA)的定性与定量改变:机制及其对女性生育力的影响
Antioxidants (Basel). 2021 Jan 5;10(1):55. doi: 10.3390/antiox10010055.
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