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FERTILITY CARE IN LOW- AND MIDDLE- INCOME COUNTRIES: The future use of AI to improve accessibility of assisted reproductive technology in low- and middle-income countries. 未来利用人工智能改善中低收入国家辅助生殖技术(ART)的可及性。
IF 3.4 Q2 REPRODUCTIVE BIOLOGY Pub Date : 2025-08-14 Print Date: 2025-07-01 DOI: 10.1530/RAF-24-0077
Gerardo Mendizabal-Ruiz, Omar Paredes, Ernesto Borrayo, Alejandro Chavez-Badiola
<p><strong>Abstract: </strong>People in low- and middle-income countries face many obstacles when trying to access fertility treatments. These challenges include high costs, the need for specialized medical facilities, and cultural beliefs that may discourage seeking help. This paper explores how artificial intelligence (AI) and automation could help overcome some of these barriers and make fertility treatments more widely available. It examines how AI may improve the accuracy, efficiency, and consistency of different steps in fertility treatments, such as choosing the healthiest embryos, analyzing sperm, evaluating eggs, and planning treatment. The paper also discusses how automation could simplify laboratory procedures, from growing embryos and freezing them for future use to the possibility of fully automating the in vitro fertilization (IVF) process, which could help lower costs and make these treatments more accessible. Finally, this paper addresses the ethical and practical challenges associated with using these technologies, including potential biases in AI, equitable access, quality control, data privacy, job implications, and cultural sensitivities.</p><p><strong>Lay summary: </strong>This paper explores how AI and automation could help make fertility treatments more accessible in low- and middle-income countries (LMICs). Many individuals and couples face difficulties conceiving, and assisted reproductive technology (ART) - which includes procedures such as intrauterine insemination (IUI) and IVF - offers them a chance to build a family. However, ART is often out of reach in LMICs due to high costs, the need for specialized medical facilities, and cultural barriers. AI and automation have the potential to improve accuracy, efficiency, and consistency in ART procedures, such as embryo selection, sperm and egg assessment, and treatment planning. Automation could also streamline laboratory processes, including embryo culture and freezing, which may eventually lead to more affordable and scalable fertility treatments. By reducing human error and dependence on highly trained specialists, AI-driven technologies could help lower costs and make ART available to more people. This paper also considers the ethical and practical challenges of using AI in reproductive medicine, including potential biases in AI algorithms, fairness in access to treatment, data privacy, workforce impact, and cultural sensitivities. Fertility treatments can be life-changing for those struggling with infertility due to medical conditions, age, or personal circumstances. They also provide opportunities for same-sex couples and individuals who want to start a family. However, in LMICs, infertility is often surrounded by social stigma, economic hardship, and limited medical resources, making access to ART even more difficult. By integrating AI and automation into reproductive medicine, it may be possible to break down these barriers, reduce costs, and create more inclusive
摘要:低收入和中等收入国家的人们在尝试获得生育治疗时面临许多障碍。这些挑战包括高昂的费用,对专业医疗设施的需求,以及可能阻碍寻求帮助的文化信仰。本文探讨了人工智能(AI)和自动化如何帮助克服这些障碍,并使生育治疗更广泛地得到应用。它研究了人工智能如何提高生育治疗中不同步骤的准确性、效率和一致性,比如选择最健康的胚胎、分析精子、评估卵子和计划治疗。这篇论文还讨论了自动化如何简化实验室程序,从培养胚胎和冷冻胚胎以备将来使用,到完全自动化体外受精过程的可能性,这有助于降低成本,使这些治疗更容易获得。最后,本文讨论了与使用这些技术相关的道德和实践挑战,包括人工智能中的潜在偏见、公平访问、质量控制、数据隐私、工作影响和文化敏感性。概要:本文探讨了人工智能(AI)和自动化如何帮助低收入和中等收入国家(LMICs)更容易获得生育治疗。许多个人和夫妇面临怀孕困难,辅助生殖技术(ART)——包括宫内人工授精(IUI)和体外受精(IVF)——为他们提供了建立家庭的机会。然而,由于成本高昂、需要专门的医疗设施以及文化障碍,抗逆转录病毒治疗在中低收入国家往往遥不可及。人工智能和自动化有可能提高ART程序的准确性、效率和一致性,例如胚胎选择、精子和卵子评估以及治疗计划。自动化还可以简化实验室流程,包括胚胎培养和冷冻,这可能最终导致更实惠和可扩展的生育治疗。通过减少人为错误和对训练有素的专家的依赖,人工智能驱动的技术可以帮助降低成本,并使更多人获得抗逆转录病毒治疗。本文还考虑了在生殖医学中使用人工智能的伦理和实践挑战,包括人工智能算法中的潜在偏见、获得治疗的公平性、数据隐私、劳动力影响和文化敏感性。对于那些由于医疗条件、年龄或个人情况而与不孕症作斗争的人来说,生育治疗可以改变他们的生活。他们也为同性伴侣和想要组建家庭的个人提供了机会。然而,在中低收入国家,不孕症往往伴随着社会耻辱、经济困难和有限的医疗资源,使得获得抗逆转录病毒治疗更加困难。通过将人工智能和自动化整合到生殖医学中,有可能打破这些障碍,降低成本,并创造更具包容性和可及性的生育护理。这些进步有可能给数百万梦想成为父母但目前缺乏实现这一梦想的人带来希望。
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引用次数: 0
Use of organotypic or three-dimensional systems with basic fibroblast growth factor for in vitro culture of immature collared peccary testicle. 使用器官型或三维系统与碱性成纤维细胞生长因子在体外培养未成熟睾丸。
IF 3.4 Q2 REPRODUCTIVE BIOLOGY Pub Date : 2025-08-08 Print Date: 2025-07-01 DOI: 10.1530/RAF-25-0026
Ana Glória Pereira, Andréia Maria da Silva, Luana Grasiele Pereira Bezerra, Joana Letícia Cottin de Albuquerque, Gabriel Santos Costa Bezerra, Alexsandra Fernandes Pereira, Carlos Eduardo Bezerra de Moura, Pierre Comizzoli, Alexandre Rodrigues Silva

Abstract: The objective was to evaluate the effects of different culture systems and the addition of fibroblast growth factor (bFGF) during in vitro culture (IVC) of testicular tissue fragments from prepubertal collared peccaries. Testes from five individuals were collected, dissected, and cultured for up to 56 days (34°C and 5% CO2) in Dulbecco's Modified Eagle's Medium (DMEM), supplemented or not with FGF at 10 ng/mL, in organotypic (ORG) or 3D system culture. Samples were evaluated every 14 days for histomorphology, cell viability, DNA integrity, and proliferative activity. Overall, the ORG system without FGF addition was the best to preserve testicular fragment histomorphology, viability, and DNA integrity during IVC. However, the 3D system, regardless of the presence of FGF, impaired the DNA integrity of testicular cells in all culture periods analyzed. Regarding cell proliferation, at 14 days the ORG group without addition of FGF showed a percentage of Ki-67 positive cells indicative of proliferation similar to the non-cultured group, while the other treatments reduced proliferation. However, at 28 days a reduction in proliferation was observed in this same group and an increase in proliferation in the others. Cell proliferation was reduced in all groups at 42 days (P < 0.05). In summary, we suggest the use of the organotypic system for long-term culture of testicular fragments of prepubertal collared peccaries. In addition, FGF supplementation to the culture medium does not seem to be essential.

Lay summary: Animals do not produce sperm cells before puberty. However, in case of unexpected death of young individuals carrying critical genes for the diversity and sustainability of an animal population, sperm cells can be obtained by recovering and culturing tissue from the testes in proper laboratory conditions. Resulting sperm cells can then be used to produce embryos using IVF methods. The goal of the present work was to find the best culture conditions to keep pieces of testicular tissue alive for extended periods of time using the collared peccary as a model. Two different methods were tested. The first approach was to place a piece of tissue on top of a gel that was rich in nutrients, similar to the natural supply to the tissue. This method is called organotypic culture. The second approach was to recreate a more natural environment by embedding the tissue inside the gel, which is known as 3D culture. Overall, the organotypic culture was the best way to keep the tissues alive for 56 days. This is a major step forward to allow the production of sperm cells from peccaries in the laboratory.

摘要:目的探讨不同培养体系及添加成纤维细胞生长因子(bFGF)对青春期前雄斑马鱼睾丸组织片段体外培养(IVC)的影响。收集5个个体的睾丸,解剖,在添加或不添加FGF (10 ng/mL)的Dulbecco改良Eagle培养基(DMEM)中进行器官型(ORG)或3D系统培养,培养长达56天(34°C和5% CO2)。每14天对样品进行组织形态学、细胞活力、DNA完整性和增殖活性评估。总体而言,不添加FGF的ORG系统在体外培养过程中最好地保留了睾丸碎片的组织形态、活力和DNA的完整性。然而,无论FGF是否存在,3D系统在分析的所有培养时期都损害了睾丸细胞的DNA完整性。在细胞增殖方面,在第14天,未添加FGF的ORG组显示ki-67阳性细胞百分比与未培养组相似,表明增殖,而其他处理则减少了增殖。然而,在第28天,观察到同一组的增殖减少,而其他组的增殖增加。42 d各组细胞增殖均明显减少(P < 0.05)。总之,我们建议使用器官型系统长期培养青春期前有项圈的雄鱼睾丸碎片。此外,在培养基中添加FGF似乎不是必需的。概要:动物在青春期前不产生精子细胞。然而,如果携带对动物种群的多样性和可持续性至关重要的基因的年轻个体意外死亡,可以通过在适当的实验室条件下从睾丸中恢复和培养组织来获得精子细胞。由此产生的精子细胞可以通过体外受精的方法产生胚胎。本研究的目的是寻找最佳的培养条件,以羽衣甘蓝为模型,使睾丸组织长时间存活。测试了两种不同的方法。第一种方法是将一块组织放在一种富含营养物质的凝胶上,这种营养物质与组织的自然供应相似。这种方法被称为器官型培养。第二种方法是通过将组织嵌入凝胶中来重建一个更自然的环境,这被称为3D培养。总的来说,器官型培养是使组织存活56天的最佳方法。这是允许在实验室中从鱼类中制造精子细胞的重要一步。
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引用次数: 0
The stem bark decoction of Myrianthus arboreus P. Beauv. (Cecropiaceae) shows anti-uterine leiomyoma effects in Wistar rat. 豆蔻的茎皮煎液。天蚕科植物对Wistar大鼠有抗子宫平滑肌瘤作用。
IF 3.4 Q2 REPRODUCTIVE BIOLOGY Pub Date : 2025-07-26 Print Date: 2025-07-01 DOI: 10.1530/RAF-25-0037
Sylvin Benjamin Ateba, Lauriane Francoise Chantal Engome Mbella, Judith Caroline Ngo Nyobe, Charline Florence Awounfack, Chelsa Jolivette Nanfah Voutsop, Perpetue Mbede Atsama, Christine Benderli Nana, Gisèle Etame-Loé, Alain Bertrand Dongmo, Dieudonné Njamen

Graphical abstract:

Abstract: Over the past 30 years, the number of new cases of uterine leiomyomas (UL) in women of reproductive age has increased by 67.14% worldwide. The limitations of the current therapeutic options have led to the search for alternatives. Myrianthus arboreus P. Beauv., used for infertility and tumors, has never been tested for UL. In the present study, the decoction of its stem bark was evaluated in a model of UL induced in female Wistar rats. Animals were treated once daily by gavage for 30 days. Normal control and model groups received distilled water, positive groups received mifepristone (5.2 mg/kg) and the remaining three groups were treated with 50, 100, and 200 mg/kg M. arboreus extract, respectively. Compared to the model group, the extract at 50 and 100 mg/kg reduced the E2B- and progesterone-induced uterine horn asymmetry and thickening, and the relative uterine weight and diameter; myometrial thickness; and collagen density (at 100 and 200 mg/kg). Regarding cytokines, the extract decreased the uterine levels of TGF-β1 and VEGF (at 100 and 200 mg/kg) and TNF-α (at all doses tested). It also decreased the serum levels of estradiol (at 100 and 200 mg/kg). Despite positive trend in reducing oxidative damage (decreased MDA at 50 mg/kg, increased catalase activity at all tested doses, and increased GSH at 100 mg/kg), the level of oxidative stress is still elevated. By attenuating key cellular events involved in the growth and development of UL, such as inflammation, fibrosis and angiogenesis, Myrianthus arboreus may be a promising option for UL treatment and management.

Lay summary: Uterine fibroids are non-cancerous tumors that originate from the smooth muscular wall of the uterus. They may cause severe symptoms, such as chronic pelvic pain, heavy menstrual bleeding, painful intercourse, frequent urination, back pain and obstetric complications (embryo implantation failure, fetal growth restriction, miscarriages, preterm delivery, and fertility impairment). The exact cause is not known, but hormonal changes may play an important role. Treatment options depend on the symptoms and desire to preserve the uterus, and may include medication, minimally invasive procedures and surgery. Their associated risks and limitations fuel searching for conservative alternatives. This study investigates the anti-uterine fibroid potential of the giant yellow mulberry (Myrianthus arboreus P. Beauv.) in rat. Consuming boiled M. arboreus stem bark in water reduced uterine wall thickness, inflammation, and collagen deposition, and increased the ability of the uterus to fight cell damage. Thus, this extract may prevent or shrink uterine fibroids by reducing uterine swelling, fibrosis and excessive cell growth.

摘要:在过去的30年里,全世界育龄妇女子宫平滑肌瘤(UL)的新病例数增加了67.14%。当前治疗方案的局限性促使人们寻找替代方案。百合花。这种药物用于治疗不孕症和肿瘤,但从未进行过UL检测。本研究采用雌性Wistar大鼠UL模型,对其茎皮煎剂进行评价。每天1次灌胃治疗,连续30天。正常对照组和模型组灌胃蒸馏水,阳性组灌胃米非司酮(5.2 mg/kg),其余3组分别灌胃50、100、200 mg/kg木香提取物。与模型组比较,50和100 mg/kg提取物可减轻E2B-和黄体酮诱导的大鼠子宫角不对称和增厚,降低子宫相对重量、直径、肌层厚度;胶原蛋白密度(100和200 mg/kg)。在细胞因子方面,提取物降低子宫TGF-β1和VEGF(100和200 mg/kg)和TNF-α(所有试验剂量)的水平。它还降低了血清雌二醇水平(100和200 mg/kg)。尽管在减少氧化损伤方面有积极的趋势(在50 mg/kg剂量下MDA降低,在所有试验剂量下过氧化氢酶活性增加,在100 mg/kg剂量下谷胱甘肽活性增加),但氧化应激水平仍然升高。通过减弱参与UL生长和发展的关键细胞事件,如炎症、纤维化和血管生成,豆蔻树可能是UL治疗和管理的一个有希望的选择。概要:子宫肌瘤是起源于子宫平滑肌壁的非癌性肿瘤。它们可能引起严重的症状,如慢性盆腔疼痛、月经大出血、性交疼痛、尿频、背痛和产科并发症(胚胎植入失败、胎儿生长受限、流产、早产、生育能力受损)。确切的原因尚不清楚,但荷尔蒙的变化可能起着重要作用。治疗方案取决于症状和保留子宫的愿望,可能包括药物治疗、微创手术和手术。它们相关的风险和局限性促使人们寻找保守的替代方案。本研究探讨巨黄桑(Myrianthus arboreus P. Beauv.)对大鼠子宫肌瘤的抑制作用。在水中食用煮熟的木参茎皮可以减少子宫壁厚度、炎症、胶原沉积,并增加子宫抵抗细胞损伤的能力。因此,这种提取物可以通过减少子宫肿胀、纤维化和过度的细胞生长来预防或缩小子宫肌瘤。
{"title":"The stem bark decoction of Myrianthus arboreus P. Beauv. (Cecropiaceae) shows anti-uterine leiomyoma effects in Wistar rat.","authors":"Sylvin Benjamin Ateba, Lauriane Francoise Chantal Engome Mbella, Judith Caroline Ngo Nyobe, Charline Florence Awounfack, Chelsa Jolivette Nanfah Voutsop, Perpetue Mbede Atsama, Christine Benderli Nana, Gisèle Etame-Loé, Alain Bertrand Dongmo, Dieudonné Njamen","doi":"10.1530/RAF-25-0037","DOIUrl":"10.1530/RAF-25-0037","url":null,"abstract":"<p><strong>Graphical abstract: </strong></p><p><strong>Abstract: </strong>Over the past 30 years, the number of new cases of uterine leiomyomas (UL) in women of reproductive age has increased by 67.14% worldwide. The limitations of the current therapeutic options have led to the search for alternatives. Myrianthus arboreus P. Beauv., used for infertility and tumors, has never been tested for UL. In the present study, the decoction of its stem bark was evaluated in a model of UL induced in female Wistar rats. Animals were treated once daily by gavage for 30 days. Normal control and model groups received distilled water, positive groups received mifepristone (5.2 mg/kg) and the remaining three groups were treated with 50, 100, and 200 mg/kg M. arboreus extract, respectively. Compared to the model group, the extract at 50 and 100 mg/kg reduced the E2B- and progesterone-induced uterine horn asymmetry and thickening, and the relative uterine weight and diameter; myometrial thickness; and collagen density (at 100 and 200 mg/kg). Regarding cytokines, the extract decreased the uterine levels of TGF-β1 and VEGF (at 100 and 200 mg/kg) and TNF-α (at all doses tested). It also decreased the serum levels of estradiol (at 100 and 200 mg/kg). Despite positive trend in reducing oxidative damage (decreased MDA at 50 mg/kg, increased catalase activity at all tested doses, and increased GSH at 100 mg/kg), the level of oxidative stress is still elevated. By attenuating key cellular events involved in the growth and development of UL, such as inflammation, fibrosis and angiogenesis, Myrianthus arboreus may be a promising option for UL treatment and management.</p><p><strong>Lay summary: </strong>Uterine fibroids are non-cancerous tumors that originate from the smooth muscular wall of the uterus. They may cause severe symptoms, such as chronic pelvic pain, heavy menstrual bleeding, painful intercourse, frequent urination, back pain and obstetric complications (embryo implantation failure, fetal growth restriction, miscarriages, preterm delivery, and fertility impairment). The exact cause is not known, but hormonal changes may play an important role. Treatment options depend on the symptoms and desire to preserve the uterus, and may include medication, minimally invasive procedures and surgery. Their associated risks and limitations fuel searching for conservative alternatives. This study investigates the anti-uterine fibroid potential of the giant yellow mulberry (Myrianthus arboreus P. Beauv.) in rat. Consuming boiled M. arboreus stem bark in water reduced uterine wall thickness, inflammation, and collagen deposition, and increased the ability of the uterus to fight cell damage. Thus, this extract may prevent or shrink uterine fibroids by reducing uterine swelling, fibrosis and excessive cell growth.</p>","PeriodicalId":101312,"journal":{"name":"Reproduction & fertility","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2025-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12308640/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144586057","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Regulatory mechanism of ghrelin on testosterone secretion in type 1 diabetic rats. Ghrelin对1型糖尿病大鼠睾酮分泌的调节机制。
IF 3.4 Q2 REPRODUCTIVE BIOLOGY Pub Date : 2025-07-21 Print Date: 2025-07-01 DOI: 10.1530/RAF-24-0087
Chien-Chen Lu, Chia-Hsin Chang, Jou-Chun Chou, Po-Ling Yu, Paulus S Wang

Abstract: Ghrelin, which is a hormone composed of 28 amino acids that is mainly produced in the stomach, is also secreted by Leydig cells in the testes of rats and humans. The hypothalamus regulates testosterone secretion by releasing gonadotropin-releasing hormone (GnRH), which stimulates the pituitary gland to release luteinizing hormone (LH). LH then prompts the testes to produce testosterone via the activity of steroidogenic acute regulatory protein (StAR). Consequently, ghrelin may play a regulatory role in gonadal function. Male Sprague-Dawley rats were randomly assigned to four groups: the control, ghrelin-treated, diabetic, and diabetic plus ghrelin treatment groups. After the rats were sacrificed, plasma samples were collected. Leydig cells were isolated and cultured with human chorionic gonadotropin (hCG, which is similar to LH and is used to stimulate Leydig cells to synthesize testosterone), 8-bromoadenosine 3',5'-cyclic monophosphate (8-Br-cAMP, which is an activator of cyclic adenosine monophosphate-dependent protein kinase), or forskolin (an activator of adenylyl cyclase in a wide variety of cell types). Compared with normal treatment, ghrelin treatment in diabetic rats markedly increased plasma testosterone levels by 3.75-fold (P < 0.05), Leydig cell testosterone secretion by 2.8-fold (P < 0.05), GnRH-mediated LH release from the anterior pituitary by 2.95-fold (P < 0.05), and StAR expression by 1.96-fold (P < 0.05) in testicular Leydig cells. These findings indicated that ghrelin enhanced testosterone production in diabetic rats, which was partially achieved by the hypothalamic-pituitary-gonadal axis and StAR. This study emphasized the potential use of ghrelin as a treatment for improving testosterone levels and gonadal function in individuals with diabetes.

Lay summary: This study explored how a hormone known as ghrelin (which is mainly produced in the stomach) may help in regulating testosterone levels. Researchers examined male rats in four groups, including diabetic rats treated with ghrelin, and discovered that ghrelin increased testosterone production in diabetic rats by improving the communication between the brain, pituitary gland, and testes. This hormone also helped specific cells in the testes to function more effectively. The diabetic rats treated with ghrelin exhibited notable increases in testosterone levels and improved hormone function. These findings suggest that ghrelin could potentially help to address hormonal imbalances related to diabetes and improve reproductive health. This research highlights the potential benefits of ghrelin in addressing hormonal imbalances.

摘要:胃饥饿素(Ghrelin)是一种由28个氨基酸组成的激素,主要在胃中产生,也由大鼠和人类睾丸的间质细胞分泌。下丘脑通过释放促性腺激素释放激素(GnRH)来调节睾丸激素的分泌,GnRH刺激脑垂体释放黄体生成素(LH)。然后,黄体生成素通过类固醇急性调节蛋白(StAR)的活性促使睾丸产生睾酮。因此,胃饥饿素可能在性腺功能中起调节作用。雄性Sprague-Dawley大鼠随机分为4组,分别为对照组、胃饥饿素治疗组、糖尿病组和糖尿病+胃饥饿素治疗组。处死大鼠后,采集血浆样本。分离出间质细胞,用人绒毛膜促性腺激素(hCG,类似于黄体生成素,用于刺激间质细胞合成睾酮)、8-溴腺苷3′,5′-环单磷酸(8-Br-cAMP,环腺苷单磷酸依赖蛋白激酶的激活剂)或福斯克林(多种细胞类型中腺苷环化酶的激活剂)培养。与正常治疗相比,胃饥饿素治疗糖尿病大鼠的血浆睾酮水平明显提高了3.75倍(摘要:本研究探讨了胃饥饿素(主要在胃中产生)如何帮助调节睾酮水平。研究人员对四组雄性大鼠进行了研究,其中包括用胃饥饿素治疗的糖尿病大鼠,他们发现胃饥饿素通过改善大脑、脑垂体和睾丸之间的交流来增加糖尿病大鼠的睾丸激素分泌。这种激素还能帮助睾丸中的特定细胞更有效地发挥作用。用胃饥饿素治疗的糖尿病大鼠睾酮水平显著升高,激素功能改善。这些发现表明,胃饥饿素可能有助于解决与糖尿病相关的激素失衡问题,并改善生殖健康。这项研究强调了胃饥饿素在解决激素失衡方面的潜在益处。
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引用次数: 0
Live birth rates in natural compared to artificial frozen blastocyst transfer cycles. 自然与人工冷冻囊胚移植周期的活产率比较。
IF 3.4 Q2 REPRODUCTIVE BIOLOGY Pub Date : 2025-07-10 Print Date: 2025-07-01 DOI: 10.1530/RAF-24-0104
Romana Dmitrovic, Maja Banovic, Karolina Poljak Panic, Sanja Vujisic

Abstract: Debate persists regarding the optimal endometrial preparation model for frozen embryo transfer (FET). Among the various approaches, the natural cycle and artificially programmed cycles are commonly employed. However, no established guidelines currently recommend a preferred method. The aim of the present study was to compare live birth rates after FET in natural cycle versus artificial cycle endometrial preparation in a non-selected, real-life population. This retrospective study included patients from a single centre who underwent vitrified-thawed blastocyst transfer between January 2016 and April 2023. In the natural cycle FET group, no medication was used, and the transfer date was determined by luteinising hormone ovulation test results. In the artificial cycle FET group, patients received oestradiol and progesterone tablets. A total of 905 cycles were analysed, which included 164 NC-FET cycles and 741 AC-FET cycles. From the 295 live births, there were a total of 320 neonates, with multiple gestations occurring in 8% of cases. The live birth rates were significantly higher in the NC-FET group at 43%, compared to 30% in the AC-FET group (P = 0.001). The AC-FET group also experienced higher rates of biochemical pregnancies and spontaneous abortions. However, when adjusting for confounding variables in multivariate analysis, the type of FET was not found to be an independent predictor of live birth.

Conclusion: Our findings suggest that while NC-FET is associated with higher live birth rates, other factors such as patient characteristics also play a significant role in these differences. Further prospective studies are needed to validate these results.

关于冷冻胚胎移植(FET)的最佳子宫内膜制备模型的争论仍然存在。在各种方法中,通常采用自然循环和人工编程循环。然而,目前没有既定的指南推荐首选方法。本研究的目的是比较FET在自然周期和人工周期子宫内膜制备后的活产率,在非选择的现实人群中。该回顾性研究包括来自单一中心的2016年1月至2023年4月期间接受玻璃化解冻囊胚移植的患者。自然周期FET组不使用药物,通过黄体生成素(LH)排卵试验结果确定转移日期。人工周期FET组给予雌二醇和黄体酮片。共分析了905个周期,其中包括164个NC-FET周期和741个AC-FET周期。在295例活产中,共有320例新生儿,8%的病例发生多胎妊娠。NC-FET组的活产率为43%,显著高于AC-FET组的30% (p=0.001)。AC-FET组也经历了更高的生化妊娠和自然流产率。然而,当在多变量分析中调整混杂变量时,发现FET类型不是活产的独立预测因子。结论:我们的研究结果表明,虽然NC-FET与较高的活产率有关,但其他因素,如患者特征,也在这些差异中起着重要作用。需要进一步的前瞻性研究来验证这些结果。
{"title":"Live birth rates in natural compared to artificial frozen blastocyst transfer cycles.","authors":"Romana Dmitrovic, Maja Banovic, Karolina Poljak Panic, Sanja Vujisic","doi":"10.1530/RAF-24-0104","DOIUrl":"10.1530/RAF-24-0104","url":null,"abstract":"<p><strong>Abstract: </strong>Debate persists regarding the optimal endometrial preparation model for frozen embryo transfer (FET). Among the various approaches, the natural cycle and artificially programmed cycles are commonly employed. However, no established guidelines currently recommend a preferred method. The aim of the present study was to compare live birth rates after FET in natural cycle versus artificial cycle endometrial preparation in a non-selected, real-life population. This retrospective study included patients from a single centre who underwent vitrified-thawed blastocyst transfer between January 2016 and April 2023. In the natural cycle FET group, no medication was used, and the transfer date was determined by luteinising hormone ovulation test results. In the artificial cycle FET group, patients received oestradiol and progesterone tablets. A total of 905 cycles were analysed, which included 164 NC-FET cycles and 741 AC-FET cycles. From the 295 live births, there were a total of 320 neonates, with multiple gestations occurring in 8% of cases. The live birth rates were significantly higher in the NC-FET group at 43%, compared to 30% in the AC-FET group (P = 0.001). The AC-FET group also experienced higher rates of biochemical pregnancies and spontaneous abortions. However, when adjusting for confounding variables in multivariate analysis, the type of FET was not found to be an independent predictor of live birth.</p><p><strong>Conclusion: </strong>Our findings suggest that while NC-FET is associated with higher live birth rates, other factors such as patient characteristics also play a significant role in these differences. Further prospective studies are needed to validate these results.</p>","PeriodicalId":101312,"journal":{"name":"Reproduction & fertility","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12257601/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144556370","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
FERTILITY CARE IN LOW- AND MIDDLE-INCOME COUNTRIES: Public sector access to medically assisted reproduction in South Africa: a case study. 南非公共部门获得医疗辅助生殖:个案研究。
IF 3.4 Q2 REPRODUCTIVE BIOLOGY Pub Date : 2025-07-10 Print Date: 2025-07-01 DOI: 10.1530/RAF-24-0072
Gerhardus Marthinus Boshoff, Willem Ombelet, Carin Huyser

Abstract: In South Africa, approximately 10% of the calculated need for medically assisted reproduction is being met due to limited access and unequal availability of these services. To facilitate understanding of challenges associated with access to assisted reproduction, a retrospective case study spanning 6 years was performed at one public sector hospital in South Africa offering these services. Demographic profiles, including income, region of residency and access to medical insurance, of patients seeking assistance to become pregnant were investigated. Patients were categorised as those who underwent diagnostic investigations only vs those who returned for therapeutic procedures, and the difference in demographic profiles between the two groups was determined. This investigation showed that patients from the lower-income classification group, without medical insurance, tend to return for therapeutic procedures less often than those with a higher income and medical insurance, even though these low-income patients qualify for a therapeutic procedure subsidy. An inverse relationship existed where patient numbers decreased as their travel distance increased, but patients who were required to travel further for assisted reproductive therapy tended to return for these procedures more often than patients who resided closer to the medical facility. In conclusion, access to medically assisted reproduction facilities is critically undersupplied and limited in the region. In order to ease the travel distance of patients, alternative primary diagnostic routes with accessible clinics are needed. In addition, costs of therapeutic procedures in the public sector should be re-evaluated to be offered at affordable rates for marginalised patients.

Lay summary: In South Africa, about 10% of patients who need assistance to become pregnant are being helped. To better understand this phenomenon, researchers considered information about patients from a public sector hospital in South Africa. This includes how much money the patients earned, how far they travelled to the hospital and whether they had medical insurance. The patients were grouped into those who requested initial investigations but never returned for treatments, and those who returned for medical treatment. The differences between these groups were then evaluated. The research showed that people with less money tend to abandon further treatment more often, or take longer to return, than those with more money. The conclusion drawn is that assisted reproductive therapy is too expensive and that more IVF clinics are needed, using cheaper and simpler procedures of the same quality.

在南非,由于获得医疗辅助生殖服务的机会有限和不平等,大约10%的计算需求得到了满足。为了便于了解与获得辅助生殖有关的挑战,在南非一家提供此类服务的公立医院进行了为期六年的回顾性案例研究。调查了寻求怀孕援助的患者的人口概况,包括收入、居住地区和获得医疗保险的情况。将患者分为仅接受诊断调查的患者和返回治疗程序的患者,并确定两组之间人口统计学特征的差异。这项调查显示,来自低收入分类组的患者,没有医疗保险,往往比那些高收入和医疗保险的患者更少返回治疗程序,即使这些低收入患者有资格获得治疗程序补贴。当病人的数量随着路程的增加而减少时,存在着反比关系,但是那些需要走得更远的辅助生殖治疗的病人往往比那些住得离医疗机构更近的病人更经常地返回这些程序。最后,该区域使用医疗辅助生殖设施的机会严重不足和有限。为了减轻患者的旅行距离,需要有可接近诊所的替代初级诊断路线,还应重新评估公共部门治疗程序的费用,以便以可负担得起的价格向边缘化患者提供服务。
{"title":"FERTILITY CARE IN LOW- AND MIDDLE-INCOME COUNTRIES: Public sector access to medically assisted reproduction in South Africa: a case study.","authors":"Gerhardus Marthinus Boshoff, Willem Ombelet, Carin Huyser","doi":"10.1530/RAF-24-0072","DOIUrl":"10.1530/RAF-24-0072","url":null,"abstract":"<p><strong>Abstract: </strong>In South Africa, approximately 10% of the calculated need for medically assisted reproduction is being met due to limited access and unequal availability of these services. To facilitate understanding of challenges associated with access to assisted reproduction, a retrospective case study spanning 6 years was performed at one public sector hospital in South Africa offering these services. Demographic profiles, including income, region of residency and access to medical insurance, of patients seeking assistance to become pregnant were investigated. Patients were categorised as those who underwent diagnostic investigations only vs those who returned for therapeutic procedures, and the difference in demographic profiles between the two groups was determined. This investigation showed that patients from the lower-income classification group, without medical insurance, tend to return for therapeutic procedures less often than those with a higher income and medical insurance, even though these low-income patients qualify for a therapeutic procedure subsidy. An inverse relationship existed where patient numbers decreased as their travel distance increased, but patients who were required to travel further for assisted reproductive therapy tended to return for these procedures more often than patients who resided closer to the medical facility. In conclusion, access to medically assisted reproduction facilities is critically undersupplied and limited in the region. In order to ease the travel distance of patients, alternative primary diagnostic routes with accessible clinics are needed. In addition, costs of therapeutic procedures in the public sector should be re-evaluated to be offered at affordable rates for marginalised patients.</p><p><strong>Lay summary: </strong>In South Africa, about 10% of patients who need assistance to become pregnant are being helped. To better understand this phenomenon, researchers considered information about patients from a public sector hospital in South Africa. This includes how much money the patients earned, how far they travelled to the hospital and whether they had medical insurance. The patients were grouped into those who requested initial investigations but never returned for treatments, and those who returned for medical treatment. The differences between these groups were then evaluated. The research showed that people with less money tend to abandon further treatment more often, or take longer to return, than those with more money. The conclusion drawn is that assisted reproductive therapy is too expensive and that more IVF clinics are needed, using cheaper and simpler procedures of the same quality.</p>","PeriodicalId":101312,"journal":{"name":"Reproduction & fertility","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12257605/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144334765","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Key biochemical pathways during pregnancy in livestock: mechanisms regulating uterine and placental development and function. 家畜妊娠期间的关键生化途径:调节子宫和胎盘发育和功能的机制。
IF 3.4 Q2 REPRODUCTIVE BIOLOGY Pub Date : 2025-07-08 Print Date: 2025-07-01 DOI: 10.1530/RAF-25-0056
Katherine M Halloran, Claire Stenhouse

Abstract: Development and function of the uterus and placenta are essential for a successful pregnancy, particularly in livestock species where reproductive efficiency is economically important. Several metabolic pathways play critical roles in uterine and placental function during pregnancy by supporting processes important for cellular function and proliferation, as well as conceptus growth and development. Among these, one-carbon metabolism, the pentose cycle, serine biosynthesis (serinogenesis), and polyamine metabolism have emerged as key metabolic pathways contributing to uterine and placental function that enhance conceptus growth. These pathways are not only regulated by maternal plane of nutrition but also by stage of the estrous cycle or day of gestation, implying that circulating steroid hormones may influence metabolism through these pathways. This review first discusses the development of the female reproductive system and the placenta, focusing on sheep, cattle, and pigs. We then highlight what is currently known regarding key metabolic pathways in the uterus and placenta of these species and where knowledge gaps still exist. Improving our understanding of the mechanisms that regulate the metabolism of key nutrients provides a basis for nutritional or hormonal interventions that can potentially improve pregnancy success and conceptus development in livestock species.

Lay summary: Key nutrients are essential for a successful pregnancy. These nutrients are processed through several important pathways that support the growth and function of the uterus and placenta. Understanding the impacts of these pathways may help improve pregnancy outcomes in farm animals. This review summarizes our current knowledge on the impact of maternal nutrition and hormonal status on key pathways for the development and function of the uterus and placenta.

子宫和胎盘的发育和功能对成功怀孕至关重要,特别是在繁殖效率在经济上很重要的牲畜物种中。几种代谢途径通过支持细胞功能和增殖以及胎儿生长发育的重要过程,在妊娠期间的子宫和胎盘功能中发挥关键作用。其中,单碳代谢、戊糖循环、丝氨酸生物合成(丝氨酸生成)和多胺代谢已成为促进胎儿生长的子宫和胎盘功能的关键代谢途径。这些途径不仅受母体营养平面的调节,还受发情周期阶段或妊娠天数的影响,提示循环中的类固醇激素可能通过这些途径影响代谢。本文首先讨论了女性生殖系统和胎盘的发育,重点是羊、牛和猪。然后,我们强调了目前已知的关于这些物种的子宫和胎盘中的关键代谢途径,以及知识差距仍然存在的地方。提高我们对关键营养物质代谢调节机制的理解为营养或激素干预提供了基础,这些干预可能会提高牲畜物种的妊娠成功率和受孕发育。
{"title":"Key biochemical pathways during pregnancy in livestock: mechanisms regulating uterine and placental development and function.","authors":"Katherine M Halloran, Claire Stenhouse","doi":"10.1530/RAF-25-0056","DOIUrl":"10.1530/RAF-25-0056","url":null,"abstract":"<p><strong>Abstract: </strong>Development and function of the uterus and placenta are essential for a successful pregnancy, particularly in livestock species where reproductive efficiency is economically important. Several metabolic pathways play critical roles in uterine and placental function during pregnancy by supporting processes important for cellular function and proliferation, as well as conceptus growth and development. Among these, one-carbon metabolism, the pentose cycle, serine biosynthesis (serinogenesis), and polyamine metabolism have emerged as key metabolic pathways contributing to uterine and placental function that enhance conceptus growth. These pathways are not only regulated by maternal plane of nutrition but also by stage of the estrous cycle or day of gestation, implying that circulating steroid hormones may influence metabolism through these pathways. This review first discusses the development of the female reproductive system and the placenta, focusing on sheep, cattle, and pigs. We then highlight what is currently known regarding key metabolic pathways in the uterus and placenta of these species and where knowledge gaps still exist. Improving our understanding of the mechanisms that regulate the metabolism of key nutrients provides a basis for nutritional or hormonal interventions that can potentially improve pregnancy success and conceptus development in livestock species.</p><p><strong>Lay summary: </strong>Key nutrients are essential for a successful pregnancy. These nutrients are processed through several important pathways that support the growth and function of the uterus and placenta. Understanding the impacts of these pathways may help improve pregnancy outcomes in farm animals. This review summarizes our current knowledge on the impact of maternal nutrition and hormonal status on key pathways for the development and function of the uterus and placenta.</p>","PeriodicalId":101312,"journal":{"name":"Reproduction & fertility","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2025-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12243100/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144500029","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Endocrine profile and OPU-ICSI outcomes in mares: a comparative study. 内分泌谱和母马OPU-ICSI结果:一项比较研究。
IF 3.4 Q2 REPRODUCTIVE BIOLOGY Pub Date : 2025-07-04 Print Date: 2025-07-01 DOI: 10.1530/RAF-25-0027
Dragos Scarlet, Gerhard Schuler, Eleni Malama, Heinrich Bollwein, Carlotta Bocci, Silvia Colleoni, Giovanna Lazzari, Cesare Galli, Mariusz Pawel Kowalewski

Abstract: Despite recent improvements in equine ovum pick-up (OPU) combined with intracytoplasmic sperm injection (ICSI), there is still significant inter-individual variability. In this study, serum concentrations of the oocyte-secreted factors growth differentiation factor 9 (GDF9) and bone morphogenetic protein 15 (BMP15), as well as the GDF9/BMP15 complex, anti-Müllerian hormone (AMH), progesterone (P4), and free and conjugated estradiol-17β (E2), were determined in 59 mares (3-24 years) at the time of OPU. Mares were classified retrospectively, based on the number of embryos obtained, into low or high outcome groups, using two or three embryos as the threshold values. Results of OPU-ICSI were not affected by the mare's age, body condition score, cycle stage, number of aspirated follicles, number of recovered oocytes, or the recovery rate (P > 0.05 in all cases). Mares with <2 or ≥2 embryos had similar hormone levels (P > 0.05 in all cases), but there was a >90% likelihood of obtaining ≥2 embryos per session when P4 and E2 concentrations were considered simultaneously. Mares with ≥3 embryos/session had lower P4 and higher AMH (P < 0.05 in both cases). GDF9 and BMP15 were detectable in 14 and 12% of mares, respectively, while the GDF9/BMP15 complex was detected in 93% of mares, with no correlation to other factors. In conclusion, these preliminary findings suggest a negative correlation between high P4 levels and OPU-ICSI outcome in horses.

Lay summary: We analyzed the relationship between the hormone profiles of mares at the time of egg collection and the outcome of intracytoplasmic sperm injection (ICSI), as ICSI success often varies significantly between individuals. There were no differences in the hormone profiles of mares producing fewer than two or two or more embryos. However, mares with three or more embryos/session showed significant differences in their hormone profiles compared to those producing fewer than three embryos/session. These changes were mainly related to steroid hormones produced by the ovary, such as progesterone and estradiol, and to the concentration of AMH. Our results suggest a possible influence of the hormone profile of the mare on the number of embryos obtained.

尽管最近在马取卵(OPU)结合卵浆内单精子注射(ICSI)方面取得了进展,但仍然存在显著的个体间差异。在本研究中,测定了59匹(3-24岁)母马OPU时血清中卵母细胞分泌因子、生长分化因子9 (GDF9)、骨形态发生蛋白15 (BMP15)、GDF9/BMP15复合物、抗勒氏激素(AMH)、孕酮(P4)、游离和共轭雌二醇-17β (E2)的浓度。根据获得的胚胎数量,以2个或3个胚胎作为阈值,回顾性地将母马分为低结局组和高结局组。母马年龄、体况评分、抽吸卵泡数、恢复卵母细胞数、恢复率均不影响OPU-ICSI结果(P < 0.05)。胚胎数< 2或≥2的母马的激素水平相似(P < 0.05),但当P4和E2浓度同时考虑时,每胎获得≥2个胚胎的可能性为>90%。胎数≥3胎/次的母马P4较低,AMH较高(P < 0.05)。GDF9和BMP15分别在14%和12%的母马中检测到,而GDF9/BMP15复合物在93%的母马中检测到,与其他因素无关。总之,这些初步发现表明,高P4水平与马的OPU-ICSI结果呈负相关。
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引用次数: 0
Incubation of semen with human follicular fluid improves the antioxidant status and quality of spermatozoa after freezing-thawing. 人卵泡液与精液孵育可提高精子冷冻后的抗氧化状态和质量。
IF 3.4 Q2 REPRODUCTIVE BIOLOGY Pub Date : 2025-06-26 Print Date: 2025-04-01 DOI: 10.1530/RAF-24-0056
Monireh Mahmoodi, Elham Shojafar, Maryam Dastjani-Farahani

Graphical abstract:

Abstract: The sperm freezing-thawing procedure is the most commonly used technique in clinics to preserve male fertility before any pathological destruction of the testis. Therefore, most studies are currently focused on optimizing this method to achieve high-quality semen after thawing. During cryopreservation, oxidative stress-induced damage affects sperm structures and decreases their fertility potential. The use of antioxidants in freezing media can protect sperm against oxidative damage. We designed this study to evaluate whether incubation of semen with human follicular fluid, which contains a wide variety of enzymatic and nonenzymatic antioxidants, can prevent the negative effects of freezing-thawing on human spermatozoa. Human semen was divided into three groups i) the 0-hour group (before freezing), ii) the control group (after freezing-thawing), and iii) the FF group (after freezing with 50% follicular fluid). The sperm motility, viability, integrity of the plasma membrane and DNA, mitochondrial membrane potential, malondialdehyde level, total antioxidant capacity, and catalase activity were assessed in these three groups. The findings showed a significant decrease in sperm motility, viability, plasma membrane and DNA integrity, mitochondrial membrane potential, total antioxidant capacity, and catalase activity and a significant increase in malondialdehyde level in the control group compared with the 0-hour group. The FF group displayed a considerable increase in sperm parameters, total antioxidant capacity, and catalase activity and a significant decrease in malondialdehyde level compared with the control group. Follicular fluid can be considered an effective supplement to improve antioxidant indices and sperm parameters during freezing-thawing.

Lay summary: Sperm freezing is a useful method in clinics to preserve fertility in people who are affected by some problems such as diseases or chemotherapy which decrease their fertility. Although various studies are focused on optimizing this method, some challenges decrease the efficiency of this method. Oxidative stress has been reported as one of the mechanisms inducing negative effects on sperm during freezing-thawing. Therefore, the use of cryoprotectants and also some antioxidants has been suggested to increase sperm quality during freezing-thawing. In this study, we used human follicular fluid before freezing to assess sperm parameters. Our results showed that follicular fluid with antioxidant properties and other proper factors can have positive effects on human sperm during freezing-thawing and could be proposed to be added to the sperm freezing medium to improve sperm parameters, although this suggestion needs to be confirmed by further experiments.

精子冷冻解冻程序是临床上最常用的技术,用于在睾丸发生任何病理性破坏之前保持男性的生育能力。因此,目前大多数研究都集中在优化该方法以获得高质量的解冻后精液。在低温保存过程中,氧化应激引起的损伤会影响精子结构并降低其生育潜力。在冷冻介质中使用抗氧化剂可以保护精子免受氧化损伤。人类卵泡液含有多种酶促和非酶促抗氧化剂,我们设计了这项研究,以评估精液与卵泡液孵育是否能防止冷冻解冻对人类精子的负面影响。将人精液分为3组:1)0小时组(冷冻前),2)对照组(冻融后),3)FF组(50%卵泡液冷冻后)。测定3组精子活力、活力、质膜和DNA完整性、线粒体膜电位、丙二醛水平、总抗氧化能力和过氧化氢酶活性。结果表明,与0小时组相比,对照组精子活力、活力、质膜和DNA完整性、线粒体膜电位、总抗氧化能力和过氧化氢酶活性显著降低,丙二醛水平显著升高。与对照组相比,FF组精子参数、总抗氧化能力、过氧化氢酶活性显著增加,丙二醛水平显著降低。卵泡液可以被认为是提高冷冻解冻过程中精子抗氧化指标和参数的有效补充。
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引用次数: 0
Characterization of TNSALP expression and activity in porcine utero-placental tissues. 猪子宫胎盘组织中TNSALP表达及活性的研究。
IF 3.4 Q2 REPRODUCTIVE BIOLOGY Pub Date : 2025-06-18 Print Date: 2025-04-01 DOI: 10.1530/RAF-25-0005
Claire Stenhouse, Nirvay Sah, Katherine M Halloran, Robyn M Moses, Makenzie G Newton, Joe W Cain, Heewon Seo, Guoyao Wu, Gregory A Johnson, Fuller W Bazer

Abstract: Tissue non-specific alkaline phosphatase (TNSALP) regulates postnatal phosphate homeostasis, but its role in utero-placental phosphate availability remains poorly understood. Gilts were bred and hysterectomized on Day 60 or Day 90 of gestation (n = 6/day). Phosphate was less abundant in allantoic and amniotic fluids on Day 90 compared to Day 60. TNSALP protein was immunolocalized, and enzymatic activity was quantified and localized in endometrial and chorioallantois tissues. Day had no effect on TNSALP activity in the chorioallantois. In contrast, endometrial TNSALP activity was lower on Day 90 compared to Day 60. Phosphate abundance in allantoic fluid correlated positively with endometrial TNSALP activity on Day 60 but not Day 90. TNSALP protein was abundantly expressed in the endometrium and chorioallantois on both days investigated, with localization to the endometrial, chorionic, and areolar epithelia, as well as stromal cells and endothelium. TNSALP activity was detected in the endothelium of the blood vessels in both the endometrium and chorioallantois, and on the basal surface of the endometrial glands on Day 60 but not Day 90. The endometrial stratum compactum stroma had strong TNSALP activity on Day 60. Weak TNSALP activity was present in the areolar epithelium, with a modest increase in activity on Day 90 compared to Day 60. TNSALP activity was present in the columnar chorionic epithelial cells, with an apparent decrease in activity in the chorioallantois on Day 90 compared to Day 60. These data reveal spatiotemporal changes in TNSALP localization and activity, suggesting its involvement in regulating phosphate availability at the utero-placental interface in swine.

Lay summary: Phosphate is an essential nutrient for fetal growth, but how it is managed during pregnancy is not fully understood. This study explored the role of an enzyme called tissue non-specific alkaline phosphatase (TNSALP) in regulating phosphate availability in the uterus and placenta in pigs in mid- and late pregnancy. Phosphate levels decreased in the fluids surrounding the fetus in late pregnancy. TNSALP was present in the uterus and placenta, and the amount of the enzyme varied depending on the tissue and stage of pregnancy and correlated with changes in phosphate levels. These findings suggest that TNSALP plays a key role in managing phosphate transport from the mother to the fetus in pregnancy to support fetal development.

组织非特异性碱性磷酸酶(TNSALP)调节出生后磷酸盐稳态,但其在子宫胎盘磷酸盐可利用性中的作用仍然知之甚少。分别于妊娠第60天和第90天(n=6/天)进行子宫切除。与第60天相比,第90天尿囊液和羊水中的磷酸盐含量较低。在子宫内膜和绒毛膜尿囊组织中,TNSALP蛋白被免疫定位,酶活性被量化和定位。虽然白天对绒毛膜尿囊TNSALP活性没有影响,但子宫内膜TNSALP活性在第90天降低。第60天,尿囊液中磷酸盐丰度与子宫内膜TNSALP活性呈正相关。在研究的两天内,TNSALP蛋白在子宫内膜和绒毛膜尿囊中大量表达,并定位于子宫内膜、绒毛膜和乳晕上皮,以及间质细胞和内皮。在第60天,子宫内膜和绒毛膜尿囊的血管内皮以及子宫内膜腺的基底表面均检测到TNSALP活性,但第90天未检测到。子宫内膜致密层间质在第60天具有较强的TNSALP活性。乳晕上皮中存在较弱的TNSALP活性,与第60天相比,第90天的活性略有增加。柱状绒毛膜上皮细胞中存在TNSALP活性,与第60天相比,第90天绒毛膜尿囊中的活性明显降低。这些数据揭示了TNSALP定位和活性的时空变化,表明其参与调节猪子宫-胎盘界面的磷酸盐可用性。
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Reproduction & fertility
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