Mitochondrial DNA Content May Not Be a Reliable Screening Biomarker for Live Birth After Single Euploid Blastocyst Transfer

An increasing number of studies have related the mitochondrial DNA (mtDNA) content to embryo viability and transfer outcomes. However, previous studies have focused more on the relationship between mtDNA and embryo implantation, few studies have studied the effect of the mtDNA content on live birth....

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Autores principales: Xuanyou Zhou, Xueli Liu, Weihui Shi, Mujin Ye, Songchang Chen, Chenming Xu
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Publicado: Frontiers Media S.A. 2021
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Acceso en línea:https://doaj.org/article/867af9060ae040fb807b737ab66088a9
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spelling oai:doaj.org-article:867af9060ae040fb807b737ab66088a92021-11-16T16:00:48ZMitochondrial DNA Content May Not Be a Reliable Screening Biomarker for Live Birth After Single Euploid Blastocyst Transfer1664-239210.3389/fendo.2021.762976https://doaj.org/article/867af9060ae040fb807b737ab66088a92021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fendo.2021.762976/fullhttps://doaj.org/toc/1664-2392An increasing number of studies have related the mitochondrial DNA (mtDNA) content to embryo viability and transfer outcomes. However, previous studies have focused more on the relationship between mtDNA and embryo implantation, few studies have studied the effect of the mtDNA content on live birth. In the study, we investigated whether mtDNA content is a reliable screening biomarker for live birth after single blastocyst transfer. A total of 233 couples with 316 blastocyst stage embryos undergoing in vitro fertilization treatment and pre-implantation genetic testing analysis were included in the study. All embryos were chromosomally normal and had undergone single-embryo transfers. There was no significant difference observed in the blastocyst mtDNA content among the live birth, miscarriage and non-implanted groups (p=0.999), and the mtDNA content in blastocysts from the miscarriage and live birth groups was similar [median (interquartile range), 1.00*108(7.59*107- 1.39*108) vs 1.01*108 (7.37*107- 1.32*108)]. Similarly, no significant association was observed between mtDNA content and embryo implantation potential (p=0.965). After adjusting for multiple confounders in a logistic regression analysis with generalized estimating equations, no associations between mtDNA content and live birth were observed in all blastocysts, Day-5 and Day-6 blastocysts (p=0.567, p=0.673, p=0.165, respectively). The live birth rate was not significantly different between blastocysts with an elevated mtDNA content and blastocysts with a normal mtDNA content (26.7% vs 33.6% p=0.780). Additionally, there was no linear correlation between the mtDNA content and maternal age (p=0.570). In conclusion, the mtDNA content does not seem to be a potential biomarker for embryo transfer outcomes (i.e., implantation and live birth) based on the existing testing tools. Embryos with an elevated mtDNA content also have development potential for successful live birth.Xuanyou ZhouXuanyou ZhouXueli LiuXueli LiuWeihui ShiWeihui ShiMujin YeMujin YeSongchang ChenSongchang ChenSongchang ChenChenming XuChenming XuChenming XuFrontiers Media S.A.articlemitochondrial DNAlive birthIVFembryo viabilityquiet embryo hypothesisDiseases of the endocrine glands. Clinical endocrinologyRC648-665ENFrontiers in Endocrinology, Vol 12 (2021)
institution DOAJ
collection DOAJ
language EN
topic mitochondrial DNA
live birth
IVF
embryo viability
quiet embryo hypothesis
Diseases of the endocrine glands. Clinical endocrinology
RC648-665
spellingShingle mitochondrial DNA
live birth
IVF
embryo viability
quiet embryo hypothesis
Diseases of the endocrine glands. Clinical endocrinology
RC648-665
Xuanyou Zhou
Xuanyou Zhou
Xueli Liu
Xueli Liu
Weihui Shi
Weihui Shi
Mujin Ye
Mujin Ye
Songchang Chen
Songchang Chen
Songchang Chen
Chenming Xu
Chenming Xu
Chenming Xu
Mitochondrial DNA Content May Not Be a Reliable Screening Biomarker for Live Birth After Single Euploid Blastocyst Transfer
description An increasing number of studies have related the mitochondrial DNA (mtDNA) content to embryo viability and transfer outcomes. However, previous studies have focused more on the relationship between mtDNA and embryo implantation, few studies have studied the effect of the mtDNA content on live birth. In the study, we investigated whether mtDNA content is a reliable screening biomarker for live birth after single blastocyst transfer. A total of 233 couples with 316 blastocyst stage embryos undergoing in vitro fertilization treatment and pre-implantation genetic testing analysis were included in the study. All embryos were chromosomally normal and had undergone single-embryo transfers. There was no significant difference observed in the blastocyst mtDNA content among the live birth, miscarriage and non-implanted groups (p=0.999), and the mtDNA content in blastocysts from the miscarriage and live birth groups was similar [median (interquartile range), 1.00*108(7.59*107- 1.39*108) vs 1.01*108 (7.37*107- 1.32*108)]. Similarly, no significant association was observed between mtDNA content and embryo implantation potential (p=0.965). After adjusting for multiple confounders in a logistic regression analysis with generalized estimating equations, no associations between mtDNA content and live birth were observed in all blastocysts, Day-5 and Day-6 blastocysts (p=0.567, p=0.673, p=0.165, respectively). The live birth rate was not significantly different between blastocysts with an elevated mtDNA content and blastocysts with a normal mtDNA content (26.7% vs 33.6% p=0.780). Additionally, there was no linear correlation between the mtDNA content and maternal age (p=0.570). In conclusion, the mtDNA content does not seem to be a potential biomarker for embryo transfer outcomes (i.e., implantation and live birth) based on the existing testing tools. Embryos with an elevated mtDNA content also have development potential for successful live birth.
format article
author Xuanyou Zhou
Xuanyou Zhou
Xueli Liu
Xueli Liu
Weihui Shi
Weihui Shi
Mujin Ye
Mujin Ye
Songchang Chen
Songchang Chen
Songchang Chen
Chenming Xu
Chenming Xu
Chenming Xu
author_facet Xuanyou Zhou
Xuanyou Zhou
Xueli Liu
Xueli Liu
Weihui Shi
Weihui Shi
Mujin Ye
Mujin Ye
Songchang Chen
Songchang Chen
Songchang Chen
Chenming Xu
Chenming Xu
Chenming Xu
author_sort Xuanyou Zhou
title Mitochondrial DNA Content May Not Be a Reliable Screening Biomarker for Live Birth After Single Euploid Blastocyst Transfer
title_short Mitochondrial DNA Content May Not Be a Reliable Screening Biomarker for Live Birth After Single Euploid Blastocyst Transfer
title_full Mitochondrial DNA Content May Not Be a Reliable Screening Biomarker for Live Birth After Single Euploid Blastocyst Transfer
title_fullStr Mitochondrial DNA Content May Not Be a Reliable Screening Biomarker for Live Birth After Single Euploid Blastocyst Transfer
title_full_unstemmed Mitochondrial DNA Content May Not Be a Reliable Screening Biomarker for Live Birth After Single Euploid Blastocyst Transfer
title_sort mitochondrial dna content may not be a reliable screening biomarker for live birth after single euploid blastocyst transfer
publisher Frontiers Media S.A.
publishDate 2021
url https://doaj.org/article/867af9060ae040fb807b737ab66088a9
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