2012
DOI: 10.1007/s10815-012-9855-2
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Carnitine content in the follicular fluid and expression of the enzymes involved in beta oxidation in oocytes and cumulus cells

Abstract: Purpose The purpose of this study is to study lipid metabolism in oocytes and embryos that is a neglected parameter in human IVF. Methods We have tested the total carnitine content (TC) in the follicular fluid of 278 patients (217 non pregnant, 61 pregnant) undergoing IVF. Results The follicular fluid TC is neither correlated with the circulating estradiol content in serum nor with the outcome the IVF attempt. Carnitine, through the carnitine shuttle, is a major partner in lipid beta oxidation, metabolic pathw… Show more

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Cited by 37 publications
(30 citation statements)
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“…We can speculate that decreased levels of carnitine and acylcarnitines were associated with improved reproductive potential as a result of their increased utilization via beta-oxidation during oocyte maturation (Varnagy et al, 2013). A similar association was not seen in in a separate study, however, only total carnitine was measured and compared with pregnant and nonpregnant cycles (Montjean et al, 2012). Replication of the association between carnitine (total and free) and the acylcarnitine metabolites with oocyte quality and fertility outcomes, in particular live birth, would be of interest.…”
Section: Carnitine and Fertilitysupporting
confidence: 53%
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“…We can speculate that decreased levels of carnitine and acylcarnitines were associated with improved reproductive potential as a result of their increased utilization via beta-oxidation during oocyte maturation (Varnagy et al, 2013). A similar association was not seen in in a separate study, however, only total carnitine was measured and compared with pregnant and nonpregnant cycles (Montjean et al, 2012). Replication of the association between carnitine (total and free) and the acylcarnitine metabolites with oocyte quality and fertility outcomes, in particular live birth, would be of interest.…”
Section: Carnitine and Fertilitysupporting
confidence: 53%
“…Carnitine is present in human follicular fluid (Dunning and Robker, 2012; Montjean et al, 2012;Valckx et al, 2012;Varnagy et al, 2013;Zhao et al, 2015;Giorgi et al, 2016). While follicular fluid from these studies was sampled following ovulation induction, we can infer from the chemical properties of carnitine and its presence in serum, that carnitine would be present during oocyte maturation in vivo.…”
Section: Carnitine and Fertilitymentioning
confidence: 99%
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“…The expression of Cpt1b within the mouse oocyte itself at the MII stage has also been reported (Gentile et al 2004). Recently, gene transcripts involved in b-oxidation, including acyl-CoA synthetases, acyl-CoA dehydrogenases and enoyl-CoA hydratase, have been detected in human oocytes and cumulus cells (Montjean et al 2012). Activity of these enzymes involved in the b-oxidation spiral have also been detected in human oocytes and, interestingly, found to be negatively associated with maternal age (Yazigi et al 1993).…”
Section: Metabolism Of Fatty Acids For the Production Of Atpmentioning
confidence: 95%
“…Furthermore, human oocytes and cumulus cells lack transcripts for the genes involved in the biosynthetic pathway for carnitine production (Montjean et al 2012). In vivo carnitine is most likely to be sourced from the follicular fluid from which levels are abundant and reflect those that found in serum , Montjean et al 2012, Valckx et al 2012; however, in vitro cultures of COCs would lack carnitine and are likely to be deficient in b-oxidation. Thus the potential to improve human oocyte quality during IVM by modulating b-oxidation, including with L-carnitine warrants further investigation.…”
Section: Metabolism Of Fatty Acids For the Production Of Atpmentioning
confidence: 99%