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Oxidative Stress-Related Signaling Pathways Predict Oocytes' Fertilization In Vitro and Embryo Quality
Paolo Giovanni Artini1, Giorgia Scarfò2, Ilaria Marzi1
1Division of Gynecology and Obstetrics, Department of Clinical and Experimental Medicine, University of Pisa, 56100 Pisa, Italy.
International Journal of Molecular Sciences
|November 11, 2022
Summary
Follicular fluid
Area of Science:
- Reproductive Biology
- In Vitro Fertilization (IVF)
Background:
- The follicular fluid (FF) microenvironment significantly impacts oocyte development and fertilization.
- Understanding FF's molecular and metabolic composition is key to improving IVF success rates.
Purpose of the Study:
- To investigate the relationship between oxidative stress, inflammation markers in FF, and IVF outcomes.
- To assess the predictive value of FF antioxidant capacity and specific molecules for fertilization and embryo quality.
Main Methods:
- Measurement of oxidative stress and inflammation-related molecules in FF during oocyte retrieval in IVF.
- Correlation analysis of FF antioxidant potential with oocyte retrieval, maturation, fertilization rates, and embryo quality.
Main Results:
- FF from normally fertilized oocytes showed higher antioxidant capacity and lower pro-inflammatory molecules (IL-6, IL-8, IL-12, TGF-β, HIF-1α) with higher IL-10.
- FF associated with top-quality embryos had distinct antioxidant capacity and reduced pro-inflammatory markers compared to FF from poor-quality embryos.
- Successful embryo implantation correlated with lower pro-inflammatory molecules and high FF antioxidant capacity.
- Antioxidant capacity and IL-10 demonstrated predictive value for fertilization and embryo quality.
Conclusions:
- Oxidative stress significantly affects oocyte fertilization.
- Controlling the inflammatory and oxidative status of FF is crucial for achieving good-quality embryos with implantation potential.

