Analysis of glucose and glutamate consumption in culture media as a method for assessing the quality of human embryos on their fifth day of development
Objective. To estimate changes in glucose and glutamate levels in the culture media of 5-day-old embryos with fluorimetric detection and to determine the association between the studied indicators and the quality and ploidy of embryos.Zorina I.M., Smolnikova V.Yu., Eldarov Ch.M., Yarygina S.A., Gorshinova V.K., Makarova N.P., Kalinina E.A., Bobrov M.Yu.
Material and methods. A cross-sectional parallel-group study was conducted to examine 68 embryo samples from the culture media of different morphological quality embryos from 21 patients less than 45 years of age who underwent IVF (ICSI) using gonadotropin preparations and preimplantation genetic screening with comparative genomic hybridization, as indicated. Glucose and glutamate consumption in the culture media of 5-day-old embryos was analyzed with fluorescence photometry using the Amplex Red Glucose Assay kit and the Amplex Red Glutamic Acid Assay kit (Molecular Probes, Life technologies).
Results. The investigation established that the proposed methodological approaches allow the recording of glucose consumption by embryos after five days of cultivation. The embryos demonstrating the higher rates of development at the time of the study were shown to have an increased glucose consumption level. It was also found that the embryos with a normal and aneuploid karyotype did not show significant differences in glucose uptake on day 5 of cultivation. Estimation of the implantation potential and glucose levels in culture media showed that the embryos with higher glucose consumption are more likely to develop pregnancy after their transfer.
Conclusion. On the basis of the findings, the proposed method for measuring the concentration of glucose may be recommended as an additional noninvasive investigation for the selective transfer with similar morphological parameters.
Keywords
References
1. Беляева Н.А., Калинина Е.А., Горшинова В.К., Зобова А.В., Глинкина Ж.И. Возможности применения преимплантационной генетической диагностики с целью повышения эффективности программ ЭКО/ИКСИ у супружеских пар с мужским фактором бесплодия и генетическими особенностями у мужчин. Акушерство и гинекология. 2016; 8: 107-11. http://dx.doi.org/10.18565/aig.2016.8.107-111 [Belyaeva N.A., Kalinina E.A., Gorshinova V.K., Zobova A.V., Glinkina Zh.I. Possibilities of preimplantation genetic diagnosis in enhancing the efficiency of IVF/ICSI programs in married couples with male factor infertility and male genetic traits. Akusherstvo i ginekologiya/Obstetrics and Gynecology. 2016; (8): 107-111. (in Russian). http://dx.doi.org/10.18565/aig.2016.8.107-111]
2. Зобова А.В., Екимов А.Н., Беляева Н.А., Кулакова Е.В., Смольникова В.Ю., Владимирова И.В., Макарова Н.П., Калинина Е.А. Применение преимплантационного генетического скрининга у бесплодных супружеских пар: собственный опыт. В кн.: Материалы XXVI Международной конференции Российской ассоциации репродукции человека: тезисы докладов. 7-10 сентября 2016 Москва. М.; 2016: 169-70. [Zobova A.V., Ekimov A.N., Belyaeva N.A., Kulakova E.V., Smolnikova V.Yu., Vladimirova I.V., Makarova N.P., Kalinina E.A. Application of preimplantation genetic screening in infertile couples: own experience. In: Materials of the XXVI International Conference of the Russian Association for Human Reproduction: abstracts. September 7-10, 2016, Moscow. Moscow; 2016: 169-70. (in Russian)]
3. Seli E., Botros L., Sakkas D., Burns D.H. Noninvasive metabolomic profiling of embryo culture media using proton nuclear magnetic resonance correlates with reproductive potential of embryos in women undergoing in vitro fertilization. Fertil. Steril. 2008; 90(6): 2183-9.
4. Vergouw C.G., Botros L.L., Roos P., Lens J.W., Schats R., Hompes P.G. et al. Metabolomic profiling by near-infrared spectroscopy as a tool to assess embryo viability: a novel, non-invasive method for embryo selection. Hum. Reprod. 2008; 23(7): 1499-504.
5. Wong K.M., Repping S., Mastenbroek S. Limitations of embryo selection methods. Semin. Reprod. Med. 2014; 32(2): 127-33.
6. Cimadomo D., Capalbo A., Ubaldi F.M., Scarica C., Palagiano A., Canipari R., Rienzi L. The impact of biopsy on human embryo developmental potential during preimplantation genetic diagnosis. Biomed. Res. Int. 2016; 2016: 7193075.
7. van Echten-Arends J., Mastenbroek S., Sikkema-Raddatz B., Korevaar J.C., Heineman M.J., van der Veen F., Repping S. Chromosomal mosaicism in human preimplantation embryos: a systematic review. Hum. Reprod. Update. 2011; 17(5): 620-7.
8. Northrop L.E., Treff N.R., Levy B., Scott R.T. Jr. SNP microarray-based 24 chromosome aneuploidy screening demonstrates that cleavage-stage FISH poorly predicts aneuploidy in embryos that develop to morphologically normal blastocysts. Mol. Hum. Reprod. 2010; 16(8): 590-600.
9. Renard J.P., Philippon A., Menezo Y. In-vitro uptake of glucose by bovine blastocysts. J. Reprod. Fertil. 1980; 58(1): 161-4.
10. Sakkas D., Sueldo K., Katz-Jaffe M. Gamete and embryo selection. Genomics, metabolomics and morphological assessment. SpringerBriefs in Reproductive Biology. 2014; 6-7.
11. Gardner D.K., Leese H.J. Assessment of embryo viability prior to transfer by the noninvasive measurement of glucose uptake. J. Exp. Zool. 1987; 242(1): 103-5.
12. Lane M., Gardner D.K. Selection of viable mouse blastocysts prior to transfer using a metabolic criterion. Hum. Reprod. 1996; 11(9): 1975-8.
13. Crha I., Mádr A., Musilová J., Glatz Z., Záková J., Ventruba P. The new technologies for the analytical examination of the embryonic metabolome and its prospects. Česká Gynekol. 2012; 77(6): 502-6.
14. Gardner D.K., Lane M., Stevens J., Schoolcraft W.B. Noninvasive assessment of human embryonutrient consumption as a measure of developmental potential. Fertil. Steril. 2001; 76(6): 1175-80.
15. Gardner D.K., Wale P.L., Collins R., Lane M. Glucose consumption of single post-compaction human embryos is predictive of embryo sex and live birth outcome. Hum. Reprod. 2011; 26(8): 1981-6.
16. Приказ МЗ РФ №107н от 30 августа 2012 г. „О порядке использования вспомогательных репродуктивных технологий, противопоказаниях и ограничениях к их применению” (с изменениями и дополнениями). [Order of the Ministry of Health of the Russian Federation No. 107n of August 30, 2012 “On the procedure for the use of assisted reproductive technologies, contraindications and limitations to their use” (with amendments and additions). (in Russian)]
17. Alpha Scientists in Reproductive Medicine and ESHRE Special Interest Group of Embryology. The Istanbul consensus workshop on embryo assessment: proceedings of an expert meeting. Hum. Reprod. 2011; 26(6): 1270-83.
18. Leese H.J. Metabolic control during preimplantation mammalian development. Hum. Reprod. Update. 1995; 1(1): 63-72.
19. Leese H.J., Barton A.M. Pyruvate and glucose uptake by mouse ova and preimplantation embryos. J. Reprod. Fertil. 1984; 72(1): 9-13.
20. Brison D.R., Leese H.J. Energy metabolism in late preimplantation rat embryos. J. Reprod. Fertil. 1991; 93(1): 245-51.
Received 07.11.2017
Accepted 22.12.2017
About the Authors
Zorina Inna Mikhailovna, postgraduate student of Professor B.V. Leonov Department of Auxiliary Technologies in Infertility Treatment, National Medical Research Centerof Obstetrics, Gynecology, and Perinatology named after Academician V.I. Kulakov, Ministry of Health of Russia.
117997, Russia, Moscow, Ac. Oparina str. 4. Tel.: +79267126561. E-mail: afinna_153@mail.ru
Smolnikova Veronika Yuryevna, MD, leading research assistant of Professor B.V. Leonov Department of Auxiliary Technologies in Infertility Treatment, National Medical Research Center of Obstetrics, Gynecology, and Perinatology named after Academician V.I. Kulakov, Ministry of Health of Russia.
117997, Russia, Moscow, Ac. Oparina str. 4. E-mail: veronika.smolnikova@mail.ru
Eldarov Chupalov Maksudovich, Junior Researcher, Laboratory of Molecular Pathophysiology, National Medical Research Center of Obstetrics, Gynecology, and Perinatology named after Academician V.I. Kulakov, Ministry of Health of Russia. 117997, Russia, Moscow, Ac. Oparina str. 4
Svetlana A. Yarygina, postgraduate student of Professor B.V. Leonov Department of Auxiliary Technologies in Infertility Treatment, National Medical Research Center
of Obstetrics, Gynecology, and Perinatology named after Academician V.I. Kulakov, Ministry of Health of Russia. 117997, Russia, Moscow, Ac. Oparina str. 4
Viktoria Gorshinova, postgraduate student of Professor B.V. Leonov Department of Auxiliary Technologies in Infertility Treatment, National Medical Research Center
of Obstetrics, Gynecology, and Perinatology named after Academician V.I. Kulakov, Ministry of Health of Russia.
117997, Russia, Moscow, Ac. Oparina str. 4. E-mail: chiasma@mail.ru
Makarova Natalia Petrovna, Ph.D., embryologist, researcher of Professor B.V. Leonov Department of Auxiliary Technologies in Infertility Treatment, National Medical Research Center of Obstetrics, Gynecology, and Perinatology named after Academician V.I. Kulakov, Ministry of Health of Russia. 117997, Russia, Moscow, Ac. Oparina str. 4
Kalinina Elena Anatolievna, MD, Head of Professor B.V. Leonov Department of Auxiliary Technologies in Infertility Treatment, National Medical Research Center of Obstetrics, Gynecology, and Perinatology named after Academician V.I. Kulakov, Ministry of Health of Russia.
117997, Russia, Moscow, Ac. Oparina str. 4. E-mail: e_kalinina@oparina4.ru
Mikhail Bobrov, Ph.D., Head of the Laboratory of Molecular Pathophysiology, National Medical Research Center of Obstetrics, Gynecology, and Perinatology named
after Academician V.I. Kulakov, Ministry of Health of Russia. 117997, Russia, Moscow, Ac. Oparina str. 4. E-mail: mbobr@mail.ru
For citations: Zorina I.M., Smolnikova V.Yu., Eldarov Ch.M.,
Yarygina S.A., Gorshinova V.K., Makarova N.P., Kalinina E.A., Bobrov M.Yu.
Analysis of glucose and glutamate consumption in culture media as a method for assessing the quality of human embryos on their fifth day of development.
Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2018; (5): 64-9. (in Russian)
https://dx.doi.org/10.18565/aig.2018.5.64-69