Melatonin application during cryopreservation improves the development and clinical outcomes of human vitrified–warmed oocytes

In this clinical study, we investigated the potential of melatonin (MT) supplementation in the freeze-thaw medium used for cryopreserved human oocytes. In total, 152 patients who underwent in vitro fertilization between January 2020 and December 2022 were included and categorized into different grou...

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Veröffentlicht in:Cryobiology 2024-06, Vol.115, p.104902-104902, Article 104902
Hauptverfasser: Zhang, Chao, Yang, Dandan, Ding, Ding, Fan, Yongqi, Yang, Han, Wang, Jing, Zou, Huijuan, Rao, Bihua, Wang, Qiushuang, Ye, Tingting, Yu, Min, Zhang, Zhiguo
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container_title Cryobiology
container_volume 115
creator Zhang, Chao
Yang, Dandan
Ding, Ding
Fan, Yongqi
Yang, Han
Wang, Jing
Zou, Huijuan
Rao, Bihua
Wang, Qiushuang
Ye, Tingting
Yu, Min
Zhang, Zhiguo
description In this clinical study, we investigated the potential of melatonin (MT) supplementation in the freeze-thaw medium used for cryopreserved human oocytes. In total, 152 patients who underwent in vitro fertilization between January 2020 and December 2022 were included and categorized into different groups as follows: the donor group, comprising 108 patients who donated their oocytes, with 34 patients using a vitrification and warming medium supplemented with MT (D-MT subgroup) and 74 patients using conventional medium without MT (D-0 subgroup); and the autologous group, comprising 38 patients who used their own oocytes, with 19 patients using medium supplemented with MT (A-MT subgroup) and 19 patients using medium without MT (A-0 subgroup). After thawing, the surviving oocytes in the D-MT and A-MT subgroups and D-0 and A-0 subgroups were cultured in a fertilization media with and without 10−9 MMT for 2.5 h, respectively, followed by intracytoplasmic sperm injection insemination, embryo culture, and transfer. The survival, cleavage, high-quality embryo, clinical pregnancy, ongoing pregnancy, and implantation rates were significantly higher in the D-MT subgroup than in the D-0 subgroup (all P 
doi_str_mv 10.1016/j.cryobiol.2024.104902
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In total, 152 patients who underwent in vitro fertilization between January 2020 and December 2022 were included and categorized into different groups as follows: the donor group, comprising 108 patients who donated their oocytes, with 34 patients using a vitrification and warming medium supplemented with MT (D-MT subgroup) and 74 patients using conventional medium without MT (D-0 subgroup); and the autologous group, comprising 38 patients who used their own oocytes, with 19 patients using medium supplemented with MT (A-MT subgroup) and 19 patients using medium without MT (A-0 subgroup). After thawing, the surviving oocytes in the D-MT and A-MT subgroups and D-0 and A-0 subgroups were cultured in a fertilization media with and without 10−9 MMT for 2.5 h, respectively, followed by intracytoplasmic sperm injection insemination, embryo culture, and transfer. The survival, cleavage, high-quality embryo, clinical pregnancy, ongoing pregnancy, and implantation rates were significantly higher in the D-MT subgroup than in the D-0 subgroup (all P &lt; 0.05). Similarly, the survival, fertilization, high-quality embryo, and high-quality blastocyst rates were significantly higher in the A-MT subgroup than in the A-0 subgroup (all P &lt; 0.05). These findings indicate that MT addition during cryopreservation can enhance the development of vitrified-warmed human oocytes and improve clinical outcomes. •MT application in cryopreservation can enhance the development of freeze–thawed human oocytes and improve clinical outcomes.•This study suggest that heterogeneity issues do not need to be considered for oocyte donation therapy.•This study offers a promising solution regarding the cryopreservation of human oocytes.</description><identifier>ISSN: 0011-2240</identifier><identifier>EISSN: 1090-2392</identifier><identifier>DOI: 10.1016/j.cryobiol.2024.104902</identifier><identifier>PMID: 38734365</identifier><language>eng</language><publisher>Netherlands: Elsevier Inc</publisher><subject>Adult ; blastocyst ; Blastocyst - drug effects ; Clinical outcomes ; cryobiology ; Cryopreservation ; Cryopreservation - methods ; Cryoprotective Agents - pharmacology ; Development ; embryo culture ; Embryo Culture Techniques - methods ; Embryo Transfer ; Female ; Fertilization in Vitro - methods ; freeze-thaw cycles ; Human oocyte ; Humans ; insemination ; intracytoplasmic sperm injection ; Melatonin ; Melatonin - pharmacology ; oocytes ; Oocytes - drug effects ; Pregnancy ; Pregnancy Rate ; Sperm Injections, Intracytoplasmic - methods ; vitrification ; Vitrification - drug effects</subject><ispartof>Cryobiology, 2024-06, Vol.115, p.104902-104902, Article 104902</ispartof><rights>2024 Society for Cryobiology</rights><rights>Copyright © 2024 Society for Cryobiology. 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The survival, cleavage, high-quality embryo, clinical pregnancy, ongoing pregnancy, and implantation rates were significantly higher in the D-MT subgroup than in the D-0 subgroup (all P &lt; 0.05). Similarly, the survival, fertilization, high-quality embryo, and high-quality blastocyst rates were significantly higher in the A-MT subgroup than in the A-0 subgroup (all P &lt; 0.05). These findings indicate that MT addition during cryopreservation can enhance the development of vitrified-warmed human oocytes and improve clinical outcomes. •MT application in cryopreservation can enhance the development of freeze–thawed human oocytes and improve clinical outcomes.•This study suggest that heterogeneity issues do not need to be considered for oocyte donation therapy.•This study offers a promising solution regarding the cryopreservation of human oocytes.</description><subject>Adult</subject><subject>blastocyst</subject><subject>Blastocyst - drug effects</subject><subject>Clinical outcomes</subject><subject>cryobiology</subject><subject>Cryopreservation</subject><subject>Cryopreservation - methods</subject><subject>Cryoprotective Agents - pharmacology</subject><subject>Development</subject><subject>embryo culture</subject><subject>Embryo Culture Techniques - methods</subject><subject>Embryo Transfer</subject><subject>Female</subject><subject>Fertilization in Vitro - methods</subject><subject>freeze-thaw cycles</subject><subject>Human oocyte</subject><subject>Humans</subject><subject>insemination</subject><subject>intracytoplasmic sperm injection</subject><subject>Melatonin</subject><subject>Melatonin - pharmacology</subject><subject>oocytes</subject><subject>Oocytes - drug effects</subject><subject>Pregnancy</subject><subject>Pregnancy Rate</subject><subject>Sperm Injections, Intracytoplasmic - methods</subject><subject>vitrification</subject><subject>Vitrification - drug effects</subject><issn>0011-2240</issn><issn>1090-2392</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkc9u1DAQhy0EotvCK1Q-csnWf-I0voEqCkhFXOBsOfaEeuXYwXaC9tZ34A15ErxKy7WnkUbfzE8zH0KXlOwpod3VYW_SMQ4u-j0jrK3NVhL2Au0okaRhXLKXaEcIpQ1jLTlD5zkfCCHdNW9fozPe18o7sUMPX8HrEoMLWM-zd0YXFwO2S3LhJz5lzAkypHXru2lOcYWMyz1gCyv4OE8QCtbBYuNdqAs8jksxcapUHPH9MumAV1eSGx3Yvw9_fus0gcUxmmOB_Aa9GrXP8PaxXqAftx-_33xu7r59-nLz4a4xvO1LY4ns-Mh70_ec93ygY2vMUO_QRAoLnNFRj0wYKXprAK5t23EuOcAgB2tFyy_Qu21vPeDXArmoyWUD3usAccmKU8FFJyTlz6NEcNlTJkVFuw01KeacYFRzcpNOR0WJOolSB_UkSp1EqU1UHbx8zFiG-o3_Y09mKvB-A6A-ZXWQVDYOggHrEpiibHTPZfwDKkGsoQ</recordid><startdate>202406</startdate><enddate>202406</enddate><creator>Zhang, Chao</creator><creator>Yang, Dandan</creator><creator>Ding, Ding</creator><creator>Fan, Yongqi</creator><creator>Yang, Han</creator><creator>Wang, Jing</creator><creator>Zou, Huijuan</creator><creator>Rao, Bihua</creator><creator>Wang, Qiushuang</creator><creator>Ye, Tingting</creator><creator>Yu, Min</creator><creator>Zhang, Zhiguo</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>7S9</scope><scope>L.6</scope></search><sort><creationdate>202406</creationdate><title>Melatonin application during cryopreservation improves the development and clinical outcomes of human vitrified–warmed oocytes</title><author>Zhang, Chao ; 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The survival, cleavage, high-quality embryo, clinical pregnancy, ongoing pregnancy, and implantation rates were significantly higher in the D-MT subgroup than in the D-0 subgroup (all P &lt; 0.05). Similarly, the survival, fertilization, high-quality embryo, and high-quality blastocyst rates were significantly higher in the A-MT subgroup than in the A-0 subgroup (all P &lt; 0.05). These findings indicate that MT addition during cryopreservation can enhance the development of vitrified-warmed human oocytes and improve clinical outcomes. •MT application in cryopreservation can enhance the development of freeze–thawed human oocytes and improve clinical outcomes.•This study suggest that heterogeneity issues do not need to be considered for oocyte donation therapy.•This study offers a promising solution regarding the cryopreservation of human oocytes.</abstract><cop>Netherlands</cop><pub>Elsevier Inc</pub><pmid>38734365</pmid><doi>10.1016/j.cryobiol.2024.104902</doi><tpages>1</tpages></addata></record>
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subjects Adult
blastocyst
Blastocyst - drug effects
Clinical outcomes
cryobiology
Cryopreservation
Cryopreservation - methods
Cryoprotective Agents - pharmacology
Development
embryo culture
Embryo Culture Techniques - methods
Embryo Transfer
Female
Fertilization in Vitro - methods
freeze-thaw cycles
Human oocyte
Humans
insemination
intracytoplasmic sperm injection
Melatonin
Melatonin - pharmacology
oocytes
Oocytes - drug effects
Pregnancy
Pregnancy Rate
Sperm Injections, Intracytoplasmic - methods
vitrification
Vitrification - drug effects
title Melatonin application during cryopreservation improves the development and clinical outcomes of human vitrified–warmed oocytes
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