Objective:Given that the embryo culture medium secretome reflects the embryo
development, we hypothesize that protein profiles are affected according to
infertility factors, which can be responsible for detrimental embryonic
developmental competence. The aim of this study was to screen the protein
profile of conditioned embryo culture media in patients presenting deep
infiltrating endometriosis (ENDO) and polycystic ovarian syndrome (PCOS)
undergoing IVF, by proteomics approaches. The control group was constituted
by tubal factor patients.Methods:Patients underwent in vitro fertilization (IVF) treatment as
routine and oocytes were fertilized by ICSI. The embryos were group cultured
until day 3 of development, and after transfer the culture media were
collected. For the proteomics analysis, two pools of samples were prepared
for groups CONTROL and PCOS, and 4 pools of samples for group DIE. Samples
were prepared to deplete high abundant proteins and followed evaluated by
high throughput proteomics approach.Results:The embryonic organ and tissue development were physiological functions
activated, based on proteins identified in the 3 study groups of samples.
The samples coming from DIE patients presented a high calcium activity and
on the other hand, embryos coming from PCOS patients showed a decreased
calcium action. Other pathways as grow factors through the EGF signaling
pathway overexpressed in ENDO culture medium and protein kinase A in PCOS
were also observed.Conclusions:Proteomic embryonic secretome will advance our knowledge of early
embryogenesis and additionally could lead to improved selection of embryos
for transfer warrants further investigation.