Biphasic (5–2%) oxygen concentration strategy significantly improves the usable blastocyst and cumulative live birth rates in in vitro fertilization

Abstract Oxygen (O2) concentration is approximately 5% in the fallopian tube and 2% in the uterus in humans. A “back to nature” approach could increase in vitro fertilization (IVF) outcomes. This hypothesis was tested in this monocentric observational retrospective study that included 120 couples wh...

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Autores principales: Sophie Brouillet, Chloé Baron, Fatima Barry, Aneta Andreeva, Delphine Haouzi, Anna Gala, Alice Ferrières-Hoa, Vanessa Loup, Tal Anahoryl, Noémie Ranisavljevic, Laura Gaspari, Samir Hamamah
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Publicado: Nature Portfolio 2021
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Acceso en línea:https://doaj.org/article/acc30814cd1c49d48f2027ea033cb66e
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spelling oai:doaj.org-article:acc30814cd1c49d48f2027ea033cb66e2021-11-21T12:23:25ZBiphasic (5–2%) oxygen concentration strategy significantly improves the usable blastocyst and cumulative live birth rates in in vitro fertilization10.1038/s41598-021-01782-62045-2322https://doaj.org/article/acc30814cd1c49d48f2027ea033cb66e2021-11-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-01782-6https://doaj.org/toc/2045-2322Abstract Oxygen (O2) concentration is approximately 5% in the fallopian tube and 2% in the uterus in humans. A “back to nature” approach could increase in vitro fertilization (IVF) outcomes. This hypothesis was tested in this monocentric observational retrospective study that included 120 couples who underwent two IVF cycles between 2014 and 2019. Embryos were cultured at 5% from day 0 (D0) to D5/6 (monophasic O2 concentration strategy) in the first IVF cycle, and at 5% O2 from D0 to D3 and 2% O2 from D3 to D5/6 (biphasic O2 concentration strategy) in the second IVF cycle. The total and usable blastocyst rates (44.4% vs. 54.8%, p = 0.049 and 21.8% vs. 32.8%, p = 0.002, respectively) and the cumulative live birth rate (17.9% vs. 44.1%, p = 0.027) were significantly higher with the biphasic (5%-2%) O2 concentration strategy. Whole transcriptome analysis of blastocysts donated for research identified 707 RNAs that were differentially expressed in function of the O2 strategy (fold-change > 2, p value < 0.05). These genes are mainly involved in embryo development, DNA repair, embryonic stem cell pluripotency, and implantation potential. The biphasic (5–2%) O2 concentration strategy for preimplantation embryo culture could increase the “take home baby rate”, thus improving IVF cost-effectiveness and infertility management.Sophie BrouilletChloé BaronFatima BarryAneta AndreevaDelphine HaouziAnna GalaAlice Ferrières-HoaVanessa LoupTal AnahorylNoémie RanisavljevicLaura GaspariSamir HamamahNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-12 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Sophie Brouillet
Chloé Baron
Fatima Barry
Aneta Andreeva
Delphine Haouzi
Anna Gala
Alice Ferrières-Hoa
Vanessa Loup
Tal Anahoryl
Noémie Ranisavljevic
Laura Gaspari
Samir Hamamah
Biphasic (5–2%) oxygen concentration strategy significantly improves the usable blastocyst and cumulative live birth rates in in vitro fertilization
description Abstract Oxygen (O2) concentration is approximately 5% in the fallopian tube and 2% in the uterus in humans. A “back to nature” approach could increase in vitro fertilization (IVF) outcomes. This hypothesis was tested in this monocentric observational retrospective study that included 120 couples who underwent two IVF cycles between 2014 and 2019. Embryos were cultured at 5% from day 0 (D0) to D5/6 (monophasic O2 concentration strategy) in the first IVF cycle, and at 5% O2 from D0 to D3 and 2% O2 from D3 to D5/6 (biphasic O2 concentration strategy) in the second IVF cycle. The total and usable blastocyst rates (44.4% vs. 54.8%, p = 0.049 and 21.8% vs. 32.8%, p = 0.002, respectively) and the cumulative live birth rate (17.9% vs. 44.1%, p = 0.027) were significantly higher with the biphasic (5%-2%) O2 concentration strategy. Whole transcriptome analysis of blastocysts donated for research identified 707 RNAs that were differentially expressed in function of the O2 strategy (fold-change > 2, p value < 0.05). These genes are mainly involved in embryo development, DNA repair, embryonic stem cell pluripotency, and implantation potential. The biphasic (5–2%) O2 concentration strategy for preimplantation embryo culture could increase the “take home baby rate”, thus improving IVF cost-effectiveness and infertility management.
format article
author Sophie Brouillet
Chloé Baron
Fatima Barry
Aneta Andreeva
Delphine Haouzi
Anna Gala
Alice Ferrières-Hoa
Vanessa Loup
Tal Anahoryl
Noémie Ranisavljevic
Laura Gaspari
Samir Hamamah
author_facet Sophie Brouillet
Chloé Baron
Fatima Barry
Aneta Andreeva
Delphine Haouzi
Anna Gala
Alice Ferrières-Hoa
Vanessa Loup
Tal Anahoryl
Noémie Ranisavljevic
Laura Gaspari
Samir Hamamah
author_sort Sophie Brouillet
title Biphasic (5–2%) oxygen concentration strategy significantly improves the usable blastocyst and cumulative live birth rates in in vitro fertilization
title_short Biphasic (5–2%) oxygen concentration strategy significantly improves the usable blastocyst and cumulative live birth rates in in vitro fertilization
title_full Biphasic (5–2%) oxygen concentration strategy significantly improves the usable blastocyst and cumulative live birth rates in in vitro fertilization
title_fullStr Biphasic (5–2%) oxygen concentration strategy significantly improves the usable blastocyst and cumulative live birth rates in in vitro fertilization
title_full_unstemmed Biphasic (5–2%) oxygen concentration strategy significantly improves the usable blastocyst and cumulative live birth rates in in vitro fertilization
title_sort biphasic (5–2%) oxygen concentration strategy significantly improves the usable blastocyst and cumulative live birth rates in in vitro fertilization
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/acc30814cd1c49d48f2027ea033cb66e
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