Effect of the presence of trophectoderm vesicles on blastocyst in relation to in vitro hatching, clinical pregnancy, and miscarriage rates

Trophectoderm vesicles (TVs) are observed in some blastocysts that penetrate cells from the zona pellucida to the outer margin. Therefore, we compared this incidence in relation to hatching, pregnancy, and miscarriage rates between conventional in vitro fertilization (c-IVF) and intracytoplasmic spe...

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Veröffentlicht in:Human cell : official journal of Human Cell Research Society 2016-10, Vol.29 (4), p.176-180
Hauptverfasser: Araki, Yasuhisa, Matsui, Yuki, Iizumi, Ayaka, Tsuchiya, Syoutarou, Kaneko, Yumi, Sato, Kazufumi, Ozaki, Tomoya, Araki, Yasuyuki, Nishimura, Mitsuru
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container_issue 4
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container_title Human cell : official journal of Human Cell Research Society
container_volume 29
creator Araki, Yasuhisa
Matsui, Yuki
Iizumi, Ayaka
Tsuchiya, Syoutarou
Kaneko, Yumi
Sato, Kazufumi
Ozaki, Tomoya
Araki, Yasuyuki
Nishimura, Mitsuru
description Trophectoderm vesicles (TVs) are observed in some blastocysts that penetrate cells from the zona pellucida to the outer margin. Therefore, we compared this incidence in relation to hatching, pregnancy, and miscarriage rates between conventional in vitro fertilization (c-IVF) and intracytoplasmic sperm injection (ICSI). Vitrified/warmed blastocysts ( n  = 112) were derived from surplus embryos. The blastocysts were then observed using time-lapse cinematography to resolve the relationship between hatching and implantation. Another study was conducted that comprised 681 embryo transfer cycles in 533 patients who received a single vitrified/warmed blastocyst from our clinic. The incidence of TV was significantly higher in embryos inseminated by ICSI compared with c-IVF [ICSI: 51/56 (91 %); c-IVF: 25/56 (45 %); P  
doi_str_mv 10.1007/s13577-016-0141-y
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Therefore, we compared this incidence in relation to hatching, pregnancy, and miscarriage rates between conventional in vitro fertilization (c-IVF) and intracytoplasmic sperm injection (ICSI). Vitrified/warmed blastocysts ( n  = 112) were derived from surplus embryos. The blastocysts were then observed using time-lapse cinematography to resolve the relationship between hatching and implantation. Another study was conducted that comprised 681 embryo transfer cycles in 533 patients who received a single vitrified/warmed blastocyst from our clinic. The incidence of TV was significantly higher in embryos inseminated by ICSI compared with c-IVF [ICSI: 51/56 (91 %); c-IVF: 25/56 (45 %); P  &lt; 0.01]. The successful hatching rate was significantly lower in ICSI than in c-IVF [ICSI: 11/56 (20 %); c-IVF: 29/56 (52 %); P  &lt; 0.01]. In addition, the hatching rate was significantly lower when TVs were present (14/76; 18 %) than in non-TV embryos (26/36; 72 %) ( P  &lt; 0.01). 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Therefore, we compared this incidence in relation to hatching, pregnancy, and miscarriage rates between conventional in vitro fertilization (c-IVF) and intracytoplasmic sperm injection (ICSI). Vitrified/warmed blastocysts ( n  = 112) were derived from surplus embryos. The blastocysts were then observed using time-lapse cinematography to resolve the relationship between hatching and implantation. Another study was conducted that comprised 681 embryo transfer cycles in 533 patients who received a single vitrified/warmed blastocyst from our clinic. The incidence of TV was significantly higher in embryos inseminated by ICSI compared with c-IVF [ICSI: 51/56 (91 %); c-IVF: 25/56 (45 %); P  &lt; 0.01]. The successful hatching rate was significantly lower in ICSI than in c-IVF [ICSI: 11/56 (20 %); c-IVF: 29/56 (52 %); P  &lt; 0.01]. In addition, the hatching rate was significantly lower when TVs were present (14/76; 18 %) than in non-TV embryos (26/36; 72 %) ( P  &lt; 0.01). In regard to the clinical study results, no significant differences were found between the groups in the pregnancy rate (TV present group: 107/183, 58.5 %; TV absent group: 273/498, 54.8 %) and miscarriage rate (TV present group: 21/107, 19.6 %; TV absent group: 53/273, 19.4 %). In vivo, we hypothesized that hatching and hatched would occur naturally by assisting protease action in the uterus; therefore, these results suggest that the presence of TV has no effect on pregnancy rates in the clinical setting.</abstract><cop>Tokyo</cop><pub>Springer Japan</pub><pmid>27277221</pmid><doi>10.1007/s13577-016-0141-y</doi><tpages>5</tpages></addata></record>
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identifier ISSN: 1749-0774
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subjects Abortion, Spontaneous
Adult
Biomedical and Life Sciences
Blastocyst - cytology
Blastocyst - physiology
Blastocysts
Cell Biology
Cinematography
Embryo Implantation
Embryo Transfer
Female
Fertility
Fertilization in Vitro
Gynecology
Hatching
Humans
Implantation
In vitro fertilization
Life Sciences
Oncology
Pregnancy
Pregnancy Rate
Reproductive Medicine
Research Article
Sperm Injections, Intracytoplasmic
Stem Cells
Surgery
Trophectoderm
Uterus
Vesicles
Zona Pellucida
title Effect of the presence of trophectoderm vesicles on blastocyst in relation to in vitro hatching, clinical pregnancy, and miscarriage rates
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