Skip to main content
Erschienen in: Archives of Gynecology and Obstetrics 3/2019

04.01.2019 | Gynecologic Endocrinology and Reproductive Medicine

PGR and PTX3 gene expression in cumulus cells from obese and normal weighting women after administration of long-acting recombinant follicle-stimulating hormone for controlled ovarian stimulation

verfasst von: Tanja Burnik Papler, Eda Vrtačnik Bokal, Uršula Prosenc Zmrzljak, Martin Stimpfel, Antonio Simone Laganà, Fabio Ghezzi, Nina Jančar

Erschienen in: Archives of Gynecology and Obstetrics | Ausgabe 3/2019

Einloggen, um Zugang zu erhalten

Abstract

Purpose

The present study aimed to determine clinical IVF parameters and gene expression in cumulus cells (CCs) in obese and normal weighting women after administration of 150 mcg of corifollitropin alfa for controlled ovarian hyperstimulation (COH).

Methods

150 mcg of corifollitropin alfa and gonadotropin releasing hormone antagonist were used for COH. Analysis of CC gene expression was performed using quantitative real-time PCR.

Results

We did not find significant differences in biochemical and clinical pregnancy rates between obese and normal weighting women. Obese women required twice as much of additional gonadotropins for ovarian stimulation and had a significantly lower proportion of good quality embryos on day 5 of IVF cycle. Expression of PGR and PTX3 was significantly higher in CCs of obese women.

Conclusion

Obese women require significantly larger amounts of gonadotropins to achieve similar IVF success rates as normal weighting women. Differences in CC gene expression and smaller proportion of good quality embryos may imply that oocytes derived from obese women are of lower quality. Further studies are needed to evaluate whether obesity itself or the higher amount of gonadotropins used in obese women causes this effect.
Literatur
1.
Zurück zum Zitat WHO (2000) Obesity: preventing and managing the global epidemic. Report of a WHO consultation. World Health Organ Tech Rep Ser 894:i–xii(1-253) WHO (2000) Obesity: preventing and managing the global epidemic. Report of a WHO consultation. World Health Organ Tech Rep Ser 894:i–xii(1-253)
7.
Zurück zum Zitat Metwally M, Cutting R, Tipton A, Skull J, Ledger WL, Li TC (2007) Effect of increased body mass index on oocyte and embryo quality in IVF patients. Reprod Biomed Online 15:532–538CrossRefPubMed Metwally M, Cutting R, Tipton A, Skull J, Ledger WL, Li TC (2007) Effect of increased body mass index on oocyte and embryo quality in IVF patients. Reprod Biomed Online 15:532–538CrossRefPubMed
32.
Zurück zum Zitat Esinler I, Bozdag G, Yarali H (2008) Impact of isolated obesity on ICSI outcome. Reprod Biomed Online 17:583–587CrossRefPubMed Esinler I, Bozdag G, Yarali H (2008) Impact of isolated obesity on ICSI outcome. Reprod Biomed Online 17:583–587CrossRefPubMed
36.
Zurück zum Zitat Salha O, Dada T, Sharma V (2001) Influence of body mass index and self administration of hCG on the outcome of IVF cycles: a prospective cohort study. Hum Fertil (Camb) 4:37–42CrossRef Salha O, Dada T, Sharma V (2001) Influence of body mass index and self administration of hCG on the outcome of IVF cycles: a prospective cohort study. Hum Fertil (Camb) 4:37–42CrossRef
37.
Zurück zum Zitat van Swieten EC, van der Leeuw-Harmsen L, Badings EA, van der Linden PJ (2005) Obesity and clomiphene challenge test as predictors of outcome of in vitro fertilization and intracytoplasmic sperm injection. Gynecol Obst Invest 59:220–224. https://doi.org/10.1159/000084347 CrossRef van Swieten EC, van der Leeuw-Harmsen L, Badings EA, van der Linden PJ (2005) Obesity and clomiphene challenge test as predictors of outcome of in vitro fertilization and intracytoplasmic sperm injection. Gynecol Obst Invest 59:220–224. https://​doi.​org/​10.​1159/​000084347 CrossRef
45.
Zurück zum Zitat Buccione R, Vanderhyden BC, Caron PJ, Eppig JJ (1990) FSH-induced expansion of the mouse cumulus oophorus in vitro is dependent upon a specific factor(s) secreted by the oocyte. Dev Biol 138:16–25CrossRef Buccione R, Vanderhyden BC, Caron PJ, Eppig JJ (1990) FSH-induced expansion of the mouse cumulus oophorus in vitro is dependent upon a specific factor(s) secreted by the oocyte. Dev Biol 138:16–25CrossRef
48.
Zurück zum Zitat Morgan PM, Boatman DE, Bavister BD (1990) Relationships between follicular fluid steroid hormone concentrations, oocyte maturity, in vitro fertilization and embryonic development in the rhesus monkey. Mol Reprod Dev 27:145–151CrossRefPubMed Morgan PM, Boatman DE, Bavister BD (1990) Relationships between follicular fluid steroid hormone concentrations, oocyte maturity, in vitro fertilization and embryonic development in the rhesus monkey. Mol Reprod Dev 27:145–151CrossRefPubMed
49.
Zurück zum Zitat Eroglu A (1993) Experimental studies on in vitro maturation of porcine oocytes. II. Effects of estradiol-17 beta and progesterone. Berl Munch Tierarztl Wochenschr 106:157–159PubMed Eroglu A (1993) Experimental studies on in vitro maturation of porcine oocytes. II. Effects of estradiol-17 beta and progesterone. Berl Munch Tierarztl Wochenschr 106:157–159PubMed
50.
Zurück zum Zitat Revelli A, Pacchioni D, Cassoni P, Bussolati G, Massobrio M (1996) In situ hybridization study of messenger RNA for estrogen receptor and immunohistochemical detection of estrogen and progesterone receptors in the human ovary. Gynecol Endocrinol 10:177–186CrossRefPubMed Revelli A, Pacchioni D, Cassoni P, Bussolati G, Massobrio M (1996) In situ hybridization study of messenger RNA for estrogen receptor and immunohistochemical detection of estrogen and progesterone receptors in the human ovary. Gynecol Endocrinol 10:177–186CrossRefPubMed
51.
Zurück zum Zitat Shimada M, Terada T (2002) FSH and LH induce progesterone production and progesterone receptor synthesis in cumulus cells: a requirement for meiotic resumption in porcine oocytes. Mol Hum Reprod 8:612–618CrossRefPubMed Shimada M, Terada T (2002) FSH and LH induce progesterone production and progesterone receptor synthesis in cumulus cells: a requirement for meiotic resumption in porcine oocytes. Mol Hum Reprod 8:612–618CrossRefPubMed
Metadaten
Titel
PGR and PTX3 gene expression in cumulus cells from obese and normal weighting women after administration of long-acting recombinant follicle-stimulating hormone for controlled ovarian stimulation
verfasst von
Tanja Burnik Papler
Eda Vrtačnik Bokal
Uršula Prosenc Zmrzljak
Martin Stimpfel
Antonio Simone Laganà
Fabio Ghezzi
Nina Jančar
Publikationsdatum
04.01.2019
Verlag
Springer Berlin Heidelberg
Erschienen in
Archives of Gynecology and Obstetrics / Ausgabe 3/2019
Print ISSN: 0932-0067
Elektronische ISSN: 1432-0711
DOI
https://doi.org/10.1007/s00404-018-5031-y

Weitere Artikel der Ausgabe 3/2019

Archives of Gynecology and Obstetrics 3/2019 Zur Ausgabe

Update Gynäkologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert – ganz bequem per eMail.