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Esbert M, Pacheco A, Soares SR, Amorós D, Florensa M, Ballesteros A, Meseguer M. High sperm DNA fragmentation delays human embryo kinetics when oocytes from young and healthy donors are microinjected. Andrology 2018; 6:697-706. [PMID: 30259705 DOI: 10.1111/andr.12551] [Citation(s) in RCA: 44] [Impact Index Per Article: 7.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/13/2017] [Revised: 08/06/2018] [Accepted: 08/16/2018] [Indexed: 12/13/2022]
Abstract
BACKGROUND Time-lapse monitoring (TLM) technology has been implemented in the clinical setting for the culture and selection of human embryos. Many studies have assessed the association between sperm DNA fragmentation (sDNAf) and clinical outcomes after ART, but little is known about the influence of sDNA on embryo morphokinetics. OBJECTIVES The objective of this retrospective study, which includes 971 embryos from 135 consecutive ICSI cycles (56 cases with own oocytes, 79 with oocytes from young and healthy donors), was to assess if sDNAf has an impact on embryo morphokinetics. MATERIALS AND METHODS Samples used to perform ICSI were analyzed by the flow cytometry TUNEL assay, and embryo development was assessed through an EmbyoScope® system. The association between sDNAf and the timings of cell cleavage was analyzed by categorizing the first variable into quartiles: ≤6.50%; 6.51-10.70%; 10.71-20.15%; >20.15%. RESULTS In cases where sDNAf was above 20.15% (the upper quartile), embryos derived from donated oocytes (n = 644) showed significantly slower divisions. Such association was not observed in embryos obtained from the patients' own oocytes (n = 327). The embryo cleavage pattern (either normal, direct from 1 to 3 blastomeres, direct from 1 to 4 blastomeres, incomplete, reversed or asynchronous) was independent of the sDNAf level. Blastocyst arrival rate was 63.0% and the rate of good quality embryos (transferred and frozen embryos divided by the number of zygotes) was 45.49%. Neither parameter was related to the levels of sDNAf. DISCUSSION According to our results, the association between high sDNAf and donated oocytes led to delayed cell division. To our knowledge, this is the first study suggesting that sDNAf can delay human embryo cleavage timings when oocytes from donors are inseminated. CONCLUSIONS This finding may indicate that, in the presence of increased DNA damage, time is needed before the first embryonic cell division for the activation of the optimal DNA repairing machinery in higher quality oocytes.
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Alegre L, Del Gallego R, Peura T, Bori L, Aparicio Ruiz B, Adam A, Coello A, Castello D, Meseguer M. Embryologists team vs. automated annotation software outcomes. Fertil Steril 2018. [DOI: 10.1016/j.fertnstert.2018.07.628] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Zaninovic N, Rocha C, Zhan Q, Toschi M, Malmsten J, Nogueira M, Meseguer M, Rosenwaks Z, Hickman C. Application of artificial intelligence technology to increase the efficacy of embryo selection and prediction of live birth using human blastocysts cultured in a time-lapse incubator. Fertil Steril 2018. [DOI: 10.1016/j.fertnstert.2018.07.1039] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Aparicio Ruiz B, Basile N, Alegre L, Viloria T, Remohi J, Meseguer M. Comparison of embryo quality and euploidy rate using two different time-lapse systems and a benchtop incubator in the same IVF laboratory. Fertil Steril 2018. [DOI: 10.1016/j.fertnstert.2018.07.644] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Esbert M, Soares S, Pacheco A, Ballesteros A, Florensa M, Meseguer M. Human zygotes respond to sperm DNA damage by delaying embryonic development. Fertil Steril 2018. [DOI: 10.1016/j.fertnstert.2018.07.279] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Del Gallego R, Albert C, Marcos J, Larreategui Z, Alegre L, Meseguer M. Humid vs. dry embryo culture conditions on embryo development: a continuous embryo monitoring assessment. Fertil Steril 2018. [DOI: 10.1016/j.fertnstert.2018.07.1012] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Coello A, Cobo A, Galan A, Nohales M, Beltrán D, Meseguer M. The ability of warmed blastocysts to re-expand and the pre-vitrification trophoectoderm grade significantly correlated with implantation. Fertil Steril 2018. [DOI: 10.1016/j.fertnstert.2018.07.665] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Perez-Albala S, Aparicio Ruiz B, Galan Rivas A, Alegre L, Meseguer M. Delayed blastulation is linked with changes at early cleavage stage detected by continuous embryo monitoring. Fertil Steril 2018. [DOI: 10.1016/j.fertnstert.2018.07.630] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Basile N, Insua M, Cobo A, Tejera A, Pellicer A, Meseguer M. The difference in delivery rates and number of neonates between time-lapse systems and standard incubators changes depending on the number and the stage of the embryos being transferred. Fertil Steril 2017. [DOI: 10.1016/j.fertnstert.2017.07.478] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Coello A, Sanchez E, Campos P, Vallejo B, Meseguer M, Cobo A. Oocyte dysmorphisms are not associated with post warming survival, fertilization and embryo development in own oocytes vitrification cycles. Fertil Steril 2017. [DOI: 10.1016/j.fertnstert.2017.07.520] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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36
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Alegre L, Garrido N, Munoz M, Santos MDL, Gimenez JR, Meseguer M. Sperm selection with hyaluronic acid (PICSI) improves LBR in IVF treatments. Fertil Steril 2017. [DOI: 10.1016/j.fertnstert.2017.07.393] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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37
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Alegre L, Palma A, Marcos J, Albert C, Del Gallego R, Pellicer A, Meseguer M. Time-lapse technology combined with a novel automated analysis method for embryo selection; clinical validation. Fertil Steril 2017. [DOI: 10.1016/j.fertnstert.2017.07.718] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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38
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Esbert M, Marconetto A, Soares S, Quera M, Molina J, Florensa M, Ballesteros A, Meseguer M. Does the blastocyst collapse respond to a biological need? The analysis of 1,952 embryos by time-lapse can give an answer. Fertil Steril 2017. [DOI: 10.1016/j.fertnstert.2017.07.473] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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39
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Garcia-Laez V, Castello D, Gabrielsen A, Meseguer M. Clinical validation of a home test kit for semen quality analysis; comparison with gold standard i.e. conventional sperm counting. Fertil Steril 2017. [DOI: 10.1016/j.fertnstert.2017.07.390] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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40
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Egea RR, Sota N, Meseguer M, Dominguez F, Gimenez JR, Garrido N. Differential sperm proteomic profile between sperm samples achieving pregnancy or not in intracytoplasmic sperm injection (ICSI) cycles in oocyte donation program. Fertil Steril 2017. [DOI: 10.1016/j.fertnstert.2017.07.426] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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41
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Castelló D, Motato Y, Basile N, Remohí J, Espejo-Catena M, Meseguer M. How much have we learned from time-lapse in clinical IVF? Mol Hum Reprod 2016; 22:719-727. [DOI: 10.1093/molehr/gaw056] [Citation(s) in RCA: 29] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/28/2015] [Accepted: 08/11/2016] [Indexed: 11/13/2022] Open
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42
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Alegre L, Romany L, Garrido N, Tejera A, Remohi Gimenez J, Meseguer M. Morphokinetic parameters in sperm selection by Annexin-V sorting prior to ICSI in ovum donation program results from a prospective randomized trial. Fertil Steril 2016. [DOI: 10.1016/j.fertnstert.2016.07.873] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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43
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Herrer Saura R, Marcos J, Valero P, Ramirez V, Serna J, Gil Arribas E, Meseguer M. Blastocyst collapse. Validation of previous data. Fertil Steril 2016. [DOI: 10.1016/j.fertnstert.2016.07.507] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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44
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Aparicio-Ruiz B, Basile N, Romany L, Viloria T, Remohi Gimenez J, Meseguer M. Pregnancy rates are significantly higher when selecting embryos for transfer according to the classification provided by an automatic diagnostic test. Fertil Steril 2016. [DOI: 10.1016/j.fertnstert.2016.07.266] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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45
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Basile N, Aparicio-Ruiz B, Garcia Velasco J, de los Santos M, Remohi Gimenez J, Meseguer M. Blastocyst formation rate can be predicted by an automatic system independently of the number of oocytes retrieved and the morphology of the embryos on day 3. Fertil Steril 2016. [DOI: 10.1016/j.fertnstert.2016.07.1011] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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46
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Coello A, Cobo A, Galan A, Alegre L, Nohales M, Meseguer M. A novel hierarchical classification method based on morphology dynamics of vitrified-warmed blastocysts to forecast implantation potential. Fertil Steril 2016. [DOI: 10.1016/j.fertnstert.2016.07.413] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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47
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Cobo A, Coello A, Meseguer M, Remohi J. Implantation potential is related to embryo quality regardless whether they are fresh or vitrified. Fertil Steril 2015. [DOI: 10.1016/j.fertnstert.2015.07.602] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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48
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Insua M, Cobo A, Larreategui Z, Ferrando M, Remohi J, Meseguer M. Obstetric and perinatal outcomes of singleton newborns using time lapse monitoring. Fertil Steril 2015. [DOI: 10.1016/j.fertnstert.2015.07.670] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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49
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Basile N, Cabanes I, Testillano M, Cernuda D, Garcia-Velasco J, Meseguer M. Predicting blastocyst formation rate: an automatic cell tracking system aids in the selection among good morphology embryos. Fertil Steril 2015. [DOI: 10.1016/j.fertnstert.2015.07.992] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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50
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Aguilar J, Munoz E, Ojeda M, Taboas E, Perez M, Meseguer M. Embryo cytoplasmatic wave and evenness of blastomeres characterization at the end of cell cycle and their relation with clinical outcome. Fertil Steril 2015. [DOI: 10.1016/j.fertnstert.2015.07.1058] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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