Recurrent spontaneous oocyte activation causes female infertility
Serdar Coskun1,2, Sateesh Maddirevula3, Khalid Awartani4
1Department of Pathology and Laboratory Medicine, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia. serdar@kfshrc.edu.sa.
Journal of Assisted Reproduction and Genetics
|February 14, 2022
Summary
Spontaneous oocyte activation (SOA) causes infertility in women. Investigations into two cases of recurrent SOA did not reveal clear genetic causes, highlighting the need for further research into its molecular mechanisms.
Area of Science:
- Reproductive biology
- Human embryology
- Infertility research
Background:
- Spontaneous oocyte activation (SOA) is a poorly understood phenomenon.
- Characterized by a single pronucleus post-retrieval without sperm.
- No clear genetic or pathological factors identified in humans.
Observation:
- Two patients with recurrent SOA and infertility were investigated.
- High rates of SOA observed across multiple cycles (61/69 and 44/49 oocytes).
- Embryo development and paternal contribution were assessed; no pregnancies resulted.
Findings:
- Clinical whole exome sequencing did not identify causative variants in either patient.
- Time-lapse imaging excluded transient second pronucleus formation in one case.
- Recurrent SOA significantly impacts fertility, leading to infertility.
Implications:
- Further research is crucial to understand the etiology of human SOA.
- Focus on molecular mechanisms regulating oocyte activation and calcium dynamics is needed.
- Understanding these mechanisms may lead to future treatments for recurrent SOA.
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