Skip to main content
Erschienen in: Journal of Assisted Reproduction and Genetics 7/2016

12.05.2016 | Assisted Reproduction Technologies

The association between multinucleated blastomeres and poor ovarian response under the Bologna criteria

verfasst von: Johnny S. Younis, Vicky Yazdi, Ido Izhaki, Moshe Ben-Ami

Erschienen in: Journal of Assisted Reproduction and Genetics | Ausgabe 7/2016

Einloggen, um Zugang zu erhalten

Abstract

Purpose

To investigate the occurrence of multinucleated blastomeres (MNB) in poor ovarian response (POR) women defined under the Bologna criteria.

Methods

This observational study was designed in a prospective controlled manner. Among 380 cases evaluated for eligibility, 102 women were found suitable and recruited; 51 with POR in accordance with the Bologna criteria defined as the study group and 51 with normal ovarian response defined as the control group.

Results

Among the 51 women in each group, 8 and 2 did not achieve embryos in the study and control group, respectively (P < 0.05). The percentage of women that had at least one embryo with one MNB was significantly higher in the study as compared to the control group, corresponding to 49 and 29 %, respectively. The total number of embryos evaluated was 416; 167 in the study and 249 in the control groups. Among these embryos, the MNB rate was significantly higher in the study as compared to the control group, corresponding to 19 and 8 %, respectively.

Conclusions

Blastomere multinuclearity is significantly more common in women and embryos of POR cases, defined under the Bologna criteria. Future studies are warranted to substantiate our observation that has the potential to be clinically implemented in this sub-group of women undergoing assisted reproductive technologies (ART) treatment.
Anhänge
Nur mit Berechtigung zugänglich
Literatur
1.
Zurück zum Zitat Pickering SJ, Taylor A, Johnson MH, Braude PR. An analysis of multinucleated blastomere formation in human embryos. Hum Reprod. 1995;10:1912–22.PubMed Pickering SJ, Taylor A, Johnson MH, Braude PR. An analysis of multinucleated blastomere formation in human embryos. Hum Reprod. 1995;10:1912–22.PubMed
2.
Zurück zum Zitat Scott L. The biological basis of non-invasive strategies for selection of human oocytes and embryos. Hum Reprod Update. 2003;9:237–49.CrossRefPubMed Scott L. The biological basis of non-invasive strategies for selection of human oocytes and embryos. Hum Reprod Update. 2003;9:237–49.CrossRefPubMed
3.
Zurück zum Zitat Levy R, Benchaib M, Cordonier H, Souchier C, Guerin J. Laser scanning confocal imaging of abnormal or arrested human preimplantation embryos. J Assist Reprod Genet. 1998;15:485–95.CrossRefPubMedPubMedCentral Levy R, Benchaib M, Cordonier H, Souchier C, Guerin J. Laser scanning confocal imaging of abnormal or arrested human preimplantation embryos. J Assist Reprod Genet. 1998;15:485–95.CrossRefPubMedPubMedCentral
4.
Zurück zum Zitat Hardarson T, Hanson C, Sjögren A, Lundin K. Human embryos with unevenly sized blastomeres have lower pregnancy and implantation rates: indications for aneuploidy and multinucleation. Hum Reprod. 2001;16:313–8.CrossRefPubMed Hardarson T, Hanson C, Sjögren A, Lundin K. Human embryos with unevenly sized blastomeres have lower pregnancy and implantation rates: indications for aneuploidy and multinucleation. Hum Reprod. 2001;16:313–8.CrossRefPubMed
5.
Zurück zum Zitat Van Royen E, Mangelschots K, Vercruyssen M, De Neubourg D, Valkenburg M, Ryckaert G, et al. Multinucleation in cleavage stage embryos. Hum Reprod. 2003;18:1062–9.CrossRefPubMed Van Royen E, Mangelschots K, Vercruyssen M, De Neubourg D, Valkenburg M, Ryckaert G, et al. Multinucleation in cleavage stage embryos. Hum Reprod. 2003;18:1062–9.CrossRefPubMed
6.
Zurück zum Zitat Moriwaki T, Suganuma N, Hayakawa M, Hibi H, Katsumata Y, Oguchi H, et al. Embryo evaluation by analysing blastomere nuclei. Hum Reprod. 2004;19:152–6.CrossRefPubMed Moriwaki T, Suganuma N, Hayakawa M, Hibi H, Katsumata Y, Oguchi H, et al. Embryo evaluation by analysing blastomere nuclei. Hum Reprod. 2004;19:152–6.CrossRefPubMed
7.
Zurück zum Zitat Yakin K, Balaban B, Urman B. Impact of the presence of one or more multinucleated blastomeres on the developmental potential of the embryo to the blastocyst stage. Fertil Steril. 2005;83:243–5.CrossRefPubMed Yakin K, Balaban B, Urman B. Impact of the presence of one or more multinucleated blastomeres on the developmental potential of the embryo to the blastocyst stage. Fertil Steril. 2005;83:243–5.CrossRefPubMed
8.
Zurück zum Zitat Scott L, Finn A, O’Leary T, McLellan S, Hill J. Morphologic parameters of early cleavage-stage embryos that correlate with fetal development and delivery: prospective and applied data for increased pregnancy rates. Hum Reprod. 2007;22:230–40.CrossRefPubMed Scott L, Finn A, O’Leary T, McLellan S, Hill J. Morphologic parameters of early cleavage-stage embryos that correlate with fetal development and delivery: prospective and applied data for increased pregnancy rates. Hum Reprod. 2007;22:230–40.CrossRefPubMed
9.
Zurück zum Zitat Gerris J, De Neubourg D, Mangelschots K, Van Royen E, Van de Meerssche M, Valkenburg M. Prevention of twin pregnancy after in-vitro fertilization or intracytoplasmic sperm injection based on strict embryo criteria: a prospective randomized clinical trial. Hum Reprod. 1999;14:2581–7.CrossRefPubMed Gerris J, De Neubourg D, Mangelschots K, Van Royen E, Van de Meerssche M, Valkenburg M. Prevention of twin pregnancy after in-vitro fertilization or intracytoplasmic sperm injection based on strict embryo criteria: a prospective randomized clinical trial. Hum Reprod. 1999;14:2581–7.CrossRefPubMed
10.
Zurück zum Zitat Saldeen P, Sundström P. Nuclear status of four-cell preembryos predicts implantation potential in in vitro fertilization treatment cycles. Fertil Steril. 2005;84:584–9.CrossRefPubMed Saldeen P, Sundström P. Nuclear status of four-cell preembryos predicts implantation potential in in vitro fertilization treatment cycles. Fertil Steril. 2005;84:584–9.CrossRefPubMed
11.
Zurück zum Zitat Sundström P, Saldeen P. Early embryo cleavage and day 2 mononucleation after intracytoplasmatic sperm injection for predicting embryo implantation potential in single embryo transfer cycles. Fertil Steril. 2008;89:475–7.CrossRefPubMed Sundström P, Saldeen P. Early embryo cleavage and day 2 mononucleation after intracytoplasmatic sperm injection for predicting embryo implantation potential in single embryo transfer cycles. Fertil Steril. 2008;89:475–7.CrossRefPubMed
12.
Zurück zum Zitat Pelinck MJ, Hoek A, Simons AH, Heineman MJ, van Echten-Arends J, Arts EG. Embryo quality and impact of specific embryo characteristics on ongoing implantation in unselected embryos derived from modified natural cycle in vitro fertilization. Fertil Steril. 2010;94:527–34.CrossRefPubMed Pelinck MJ, Hoek A, Simons AH, Heineman MJ, van Echten-Arends J, Arts EG. Embryo quality and impact of specific embryo characteristics on ongoing implantation in unselected embryos derived from modified natural cycle in vitro fertilization. Fertil Steril. 2010;94:527–34.CrossRefPubMed
13.
Zurück zum Zitat Fauque P, Audureau E, Leandri R, Delaroche L, Assouline S, Epelboin S, et al. Is the nuclear status of an embryo an independent factor to predict its ability to develop to term? Fertil Steril. 2013;99:1299–304.CrossRefPubMed Fauque P, Audureau E, Leandri R, Delaroche L, Assouline S, Epelboin S, et al. Is the nuclear status of an embryo an independent factor to predict its ability to develop to term? Fertil Steril. 2013;99:1299–304.CrossRefPubMed
14.
Zurück zum Zitat Van Royen E, Mangelschots K, De Neubourg D, Valkenburg M, Van de Meerssche M, Ryckaert G, et al. Characterization of a top quality embryo, a step towards single-embryo transfer. Hum Reprod. 1999;14:2345–9.CrossRefPubMed Van Royen E, Mangelschots K, De Neubourg D, Valkenburg M, Van de Meerssche M, Ryckaert G, et al. Characterization of a top quality embryo, a step towards single-embryo transfer. Hum Reprod. 1999;14:2345–9.CrossRefPubMed
15.
Zurück zum Zitat Holte J, Berglund L, Milton K, Garello C, Gennarelli G, Revelli A, et al. Construction of an evidence-based integrated morphology cleavage embryo score for implantation potential of embryos scored and transferred on day 2 after oocyte retrieval. Hum Reprod. 2007;22:548–57.CrossRefPubMed Holte J, Berglund L, Milton K, Garello C, Gennarelli G, Revelli A, et al. Construction of an evidence-based integrated morphology cleavage embryo score for implantation potential of embryos scored and transferred on day 2 after oocyte retrieval. Hum Reprod. 2007;22:548–57.CrossRefPubMed
16.
Zurück zum Zitat Agerholm IE, Hnida C, Crüger DG, Berg C, Bruun-Petersen G, Kølvraa S, et al. Nuclei size in relation to nuclear status and aneuploidy rate for 13 chromosomes in donated four cells embryos. J Assist Reprod Genet. 2008;25:95–102.CrossRefPubMedPubMedCentral Agerholm IE, Hnida C, Crüger DG, Berg C, Bruun-Petersen G, Kølvraa S, et al. Nuclei size in relation to nuclear status and aneuploidy rate for 13 chromosomes in donated four cells embryos. J Assist Reprod Genet. 2008;25:95–102.CrossRefPubMedPubMedCentral
17.
Zurück zum Zitat Yilmaz A, Zhang L, Zhang XY, Son WY, Holzer H, Ao A. Chromosomal complement and clinical relevance of multinucleated embryos in PGD and PGS cycles. Reprod Biomed Online. 2014;28:380–7.CrossRefPubMed Yilmaz A, Zhang L, Zhang XY, Son WY, Holzer H, Ao A. Chromosomal complement and clinical relevance of multinucleated embryos in PGD and PGS cycles. Reprod Biomed Online. 2014;28:380–7.CrossRefPubMed
18.
Zurück zum Zitat Gardner DK, Schoolcraft WB, Wagley L, Schlenker T, Stevens J, Hesla J. A prospective randomized trial of blastocyst culture and transfer in in-vitro fertilization. Hum Reprod. 1998;13:3434–40.CrossRefPubMed Gardner DK, Schoolcraft WB, Wagley L, Schlenker T, Stevens J, Hesla J. A prospective randomized trial of blastocyst culture and transfer in in-vitro fertilization. Hum Reprod. 1998;13:3434–40.CrossRefPubMed
19.
Zurück zum Zitat Donoso P, Staessen C, Fauser BC, Devroey P. Current value of preimplantation genetic aneuploidy screening in IVF. Hum Reprod Update. 2007;13:15–25.CrossRefPubMed Donoso P, Staessen C, Fauser BC, Devroey P. Current value of preimplantation genetic aneuploidy screening in IVF. Hum Reprod Update. 2007;13:15–25.CrossRefPubMed
20.
Zurück zum Zitat Ferraretti AP, La Marca A, Fauser BC, Tarlatzis B, Nargund G, Gianaroli L, et al. ESHRE consensus on the definition of ’poor response’ to ovarian stimulation for in vitro fertilization: the Bologna criteria. Hum Reprod. 2011;26:1616–24.CrossRefPubMed Ferraretti AP, La Marca A, Fauser BC, Tarlatzis B, Nargund G, Gianaroli L, et al. ESHRE consensus on the definition of ’poor response’ to ovarian stimulation for in vitro fertilization: the Bologna criteria. Hum Reprod. 2011;26:1616–24.CrossRefPubMed
21.
22.
Zurück zum Zitat Younis JS, Radin O, Mirsky N, Izhaki I, Majara T, Bar-ami S, et al. First polar body and nucleolar precursor body morphology is related to the ovarian reserve of infertile women. Reprod Biomed Online. 2008;16:851–8.CrossRefPubMed Younis JS, Radin O, Mirsky N, Izhaki I, Majara T, Bar-ami S, et al. First polar body and nucleolar precursor body morphology is related to the ovarian reserve of infertile women. Reprod Biomed Online. 2008;16:851–8.CrossRefPubMed
23.
Zurück zum Zitat Younis JS. The Bologna criteria for poor ovarian response; has the job been accomplished? Hum Reprod. 2012;27:1874–5.CrossRefPubMed Younis JS. The Bologna criteria for poor ovarian response; has the job been accomplished? Hum Reprod. 2012;27:1874–5.CrossRefPubMed
24.
Zurück zum Zitat Younis JS, Jadaon J, Izhaki I, Haddad S, Radin O, Bar-Ami S, et al. A simple multivariate score could predict ovarian reserve, as well as pregnancy rate, in infertile women. Fertil Steril. 2010;94:655–61.CrossRefPubMed Younis JS, Jadaon J, Izhaki I, Haddad S, Radin O, Bar-Ami S, et al. A simple multivariate score could predict ovarian reserve, as well as pregnancy rate, in infertile women. Fertil Steril. 2010;94:655–61.CrossRefPubMed
25.
Zurück zum Zitat Balakier H, Cadesky K. The frequency and developmental capability of human embryos containing multinucleated blastomeres. Hum Reprod. 1997;12:800–4.CrossRefPubMed Balakier H, Cadesky K. The frequency and developmental capability of human embryos containing multinucleated blastomeres. Hum Reprod. 1997;12:800–4.CrossRefPubMed
26.
Zurück zum Zitat Jackson KV, Ginsburg ES, Hornstein MD, Rein MS, Clarke RN. Multinucleation in normally fertilized embryos is associated with an accelerated ovulation induction response and lower implantation and pregnancy rates in in vitro fertilization-embryo transfer cycles. Fertil Steril. 1998;70:60–6.CrossRefPubMed Jackson KV, Ginsburg ES, Hornstein MD, Rein MS, Clarke RN. Multinucleation in normally fertilized embryos is associated with an accelerated ovulation induction response and lower implantation and pregnancy rates in in vitro fertilization-embryo transfer cycles. Fertil Steril. 1998;70:60–6.CrossRefPubMed
27.
Zurück zum Zitat Baart EB, Martini E, Eijkemans MJ, Van Opstal D, Beckers NG, Verhoeff A, et al. Milder ovarian stimulation for in-vitro fertilization reduces aneuploidy in the human preimplantation embryo: a randomized controlled trial. Hum Reprod. 2007;22:980–8.CrossRefPubMed Baart EB, Martini E, Eijkemans MJ, Van Opstal D, Beckers NG, Verhoeff A, et al. Milder ovarian stimulation for in-vitro fertilization reduces aneuploidy in the human preimplantation embryo: a randomized controlled trial. Hum Reprod. 2007;22:980–8.CrossRefPubMed
28.
Zurück zum Zitat Munné S, Cohen J. Unsuitability of multinucleated human blastomeres for preimplantation genetic diagnosis. Hum Reprod. 1993;8:1120–5.PubMed Munné S, Cohen J. Unsuitability of multinucleated human blastomeres for preimplantation genetic diagnosis. Hum Reprod. 1993;8:1120–5.PubMed
29.
Zurück zum Zitat Kligman I, Benadiva C, Alikani M, Munné S. The presence of multinucleated blastomeres in human embryos is correlated with chromosomal abnormalities. Hum Reprod. 1996;11:1492–8.CrossRefPubMed Kligman I, Benadiva C, Alikani M, Munné S. The presence of multinucleated blastomeres in human embryos is correlated with chromosomal abnormalities. Hum Reprod. 1996;11:1492–8.CrossRefPubMed
30.
Zurück zum Zitat Laverge H, De Sutter P, Verschraegen-Spae MR, De Paepe A, Dhont M. Triple colour fluorescent in-situ hybridization for chromosomes X, Y and 1 on spare human embryos. Hum Reprod. 1997;12:809–14.CrossRefPubMed Laverge H, De Sutter P, Verschraegen-Spae MR, De Paepe A, Dhont M. Triple colour fluorescent in-situ hybridization for chromosomes X, Y and 1 on spare human embryos. Hum Reprod. 1997;12:809–14.CrossRefPubMed
31.
Zurück zum Zitat Ambroggio J, Gindoff PR, Dayal MB, Khaldi R, Peak D, Frankfurter D, et al. Multinucleation of a sibling blastomere on day 2 suggests unsuitability for embryo transfer in IVF-preimplantation genetic screening cycles. Fertil Steril. 2011;96:856–9.CrossRefPubMed Ambroggio J, Gindoff PR, Dayal MB, Khaldi R, Peak D, Frankfurter D, et al. Multinucleation of a sibling blastomere on day 2 suggests unsuitability for embryo transfer in IVF-preimplantation genetic screening cycles. Fertil Steril. 2011;96:856–9.CrossRefPubMed
32.
Zurück zum Zitat Desai N, Ploskonka S, Goodman LR, Austin C, Goldberg J, Falcone T. Analysis of embryo morphokinetics, multinucleation and cleavage anomalies using continuous time-lapse monitoring in blastocyst transfer cycles. Reprod Biol Endocrinol. 2014;12:54.CrossRefPubMedPubMedCentral Desai N, Ploskonka S, Goodman LR, Austin C, Goldberg J, Falcone T. Analysis of embryo morphokinetics, multinucleation and cleavage anomalies using continuous time-lapse monitoring in blastocyst transfer cycles. Reprod Biol Endocrinol. 2014;12:54.CrossRefPubMedPubMedCentral
33.
Zurück zum Zitat Goodman LR, Goldberg J, Falcone T, Austin C, Desai N. Does the addition of time-lapse morphokinetics in the selection of embryos for transfer improve pregnancy rates? A randomized controlled trial. Fertil Steril. 2016;105:275–85.CrossRefPubMed Goodman LR, Goldberg J, Falcone T, Austin C, Desai N. Does the addition of time-lapse morphokinetics in the selection of embryos for transfer improve pregnancy rates? A randomized controlled trial. Fertil Steril. 2016;105:275–85.CrossRefPubMed
34.
Zurück zum Zitat Gil M, D’Ommar G, Póo ME, Sosa A, Piras M, Piras R, et al. Insights on blastomere nuclearity. J Assist Reprod Genet. 2007;24:17–22.CrossRefPubMed Gil M, D’Ommar G, Póo ME, Sosa A, Piras M, Piras R, et al. Insights on blastomere nuclearity. J Assist Reprod Genet. 2007;24:17–22.CrossRefPubMed
35.
Zurück zum Zitat Staessen C, Van Steirteghem A. The genetic constitution of multinuclear blastomeres and their derivative daughter blastomeres. Hum Reprod. 1998;13:1625–31.CrossRefPubMed Staessen C, Van Steirteghem A. The genetic constitution of multinuclear blastomeres and their derivative daughter blastomeres. Hum Reprod. 1998;13:1625–31.CrossRefPubMed
Metadaten
Titel
The association between multinucleated blastomeres and poor ovarian response under the Bologna criteria
verfasst von
Johnny S. Younis
Vicky Yazdi
Ido Izhaki
Moshe Ben-Ami
Publikationsdatum
12.05.2016
Verlag
Springer US
Erschienen in
Journal of Assisted Reproduction and Genetics / Ausgabe 7/2016
Print ISSN: 1058-0468
Elektronische ISSN: 1573-7330
DOI
https://doi.org/10.1007/s10815-016-0731-3

Weitere Artikel der Ausgabe 7/2016

Journal of Assisted Reproduction and Genetics 7/2016 Zur Ausgabe

Hirsutismus bei PCOS: Laser- und Lichttherapien helfen

26.04.2024 Hirsutismus Nachrichten

Laser- und Lichtbehandlungen können bei Frauen mit polyzystischem Ovarialsyndrom (PCOS) den übermäßigen Haarwuchs verringern und das Wohlbefinden verbessern – bei alleiniger Anwendung oder in Kombination mit Medikamenten.

ICI-Therapie in der Schwangerschaft wird gut toleriert

Müssen sich Schwangere einer Krebstherapie unterziehen, rufen Immuncheckpointinhibitoren offenbar nicht mehr unerwünschte Wirkungen hervor als andere Mittel gegen Krebs.

Weniger postpartale Depressionen nach Esketamin-Einmalgabe

Bislang gibt es kein Medikament zur Prävention von Wochenbettdepressionen. Das Injektionsanästhetikum Esketamin könnte womöglich diese Lücke füllen.

Bei RSV-Impfung vor 60. Lebensjahr über Off-Label-Gebrauch aufklären!

22.04.2024 DGIM 2024 Kongressbericht

Durch die Häufung nach der COVID-19-Pandemie sind Infektionen mit dem Respiratorischen Synzytial-Virus (RSV) in den Fokus gerückt. Fachgesellschaften empfehlen eine Impfung inzwischen nicht nur für Säuglinge und Kleinkinder.

Update Gynäkologie

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