2017
DOI: 10.1038/srep39927
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A simple and rapid flow cytometry-based assay to identify a competent embryo prior to embryo transfer

Abstract: Multiple pregnancy is a risk for prematurity and preterm birth. The goal of assisted reproduction is to achieve a single pregnancy, by transferring a single embryo. This requires improved methods to identify the competent embryo. Here, we describe such a test, based on flow cytometric determination of the nucleic acid (PI+) containing extracellular vesicle (EV) count in day 5 embryo culture media. 88 women undergoing IVF were included in the study. More than 1 embryos were transferred to most patients. In 58 w… Show more

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Cited by 39 publications
(36 citation statements)
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“…EVs are produced by all types of cells, and because they transport different kinds of molecules from one cell to the other, they can be considered as means of intercellular communication, and as such, might be considered as candidates for conveying the signal from the embryo to the mother. Earlier, we showed that in vitro cultured human embryos produce detectable numbers of EVs 4 , therefore, it seemed plausible, that these structures might be involved in the communication between the embryo and the endometrium during implantation.…”
Section: Introductionmentioning
confidence: 96%
“…EVs are produced by all types of cells, and because they transport different kinds of molecules from one cell to the other, they can be considered as means of intercellular communication, and as such, might be considered as candidates for conveying the signal from the embryo to the mother. Earlier, we showed that in vitro cultured human embryos produce detectable numbers of EVs 4 , therefore, it seemed plausible, that these structures might be involved in the communication between the embryo and the endometrium during implantation.…”
Section: Introductionmentioning
confidence: 96%
“…A recent study reported the presence of DNA in embryo-derived EVs by flow cytometry, associating higher concentrations of DNA-containing EVs with higher rates of implantation failure after embryo transfer. Nevertheless, this may be explained by the fact that these DNA-containing EVs were mainly apoptotic bodies, thus reflecting poor embryo quality [55]. To our knowledge, there are still no works addressing the potential diagnostic value of embryo derived EVs for the detection of DNA mutations/polymorphisms in the cells of origin, but some works in different biofluids, such as blood, urine, or seminal fluid, have done so, highlighting EVs as potential biomarkers for pathological mutations [56].…”
Section: Discussionmentioning
confidence: 99%
“…We have previously demonstrated EV in culture media of in vitro cultured human embryos [71]; thus it seemed plausible that these structures might be involved in communication between the embryo and the endometrium during implantation.…”
Section: The Embryo Communicates With the Maternal Immune System Via mentioning
confidence: 99%