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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Nature Portfolio
2021
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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) |
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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 |
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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 |
work_keys_str_mv |
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