Rodolpho Cruz Vieira

Comparative analysis of the spindle and chromosome configurations of in vitro–matured oocytes from patients with endometriosis and from control subjects: a pilot study

Preliminary data from a prospective controlled study did not demonstrate an increased percentage of meiotic abnormalities for in vitro-matured oocytes obtained from stimulated cycles of endometriosis and control patients. However, the tendency toward a higher proportion of telophase I in apparently matured oocytes observed in endometriosis patients suggests an impairment or delay of the completion of meiosis I which requires further evaluation.

Spindle and chromosome configurations of in vitro-matured oocytes from polycystic ovary syndrome and ovulatory infertile women: a pilot study.

PurposeTo evaluate the meiotic spindle and chromosomal distribution of in vitro-matured oocytes from infertile nonobese women with PCOS and male or tubal causes of infertility (controls), and to compare in vitro maturation (IVM) rates between groups.MethodsSeventy four patients (26 with PCOS and 48 controls) undergoing stimulated cycles of oocyte retrieval for ICSI were selected prospectively. Thirteen PCOS patients and 27 controls had immature oocytes retrieved submitted to IVM. After IVM, oocytes showing extrusion of the first polar body were fixed and processed for evaluation of the meiotic spindle and chromosome distribution by immunofluorescence microscopy.ResultsThere were no differences between PCOS and control groups with respect to IVM rates (50.0% and 42.9%, respectively) nor the percentage of meiotic abnormalities in metaphase II oocytes (35.3% and 25%, respectively).ConclusionsIn vitro-matured oocytes obtained from stimulated cycles of nonobese PCOS did not have an increased ratio of meiotic abnormalities.

Avaliação de anomalias meióticas de oócitos em pacientes com síndrome dos ovários policísticos submetidas à estimulação ovariana

OBJETIVO: avaliar o fuso meiotico e a distribuicao cromossomica de oocitos maturados in vitro, obtidos de ciclos estimulados de mulheres inferteis com sindrome dos ovarios policisticos (SOP) e fatores masculino e/ou tubario de infertilidade (Grupo Controle) e comparar as taxas de maturacao in vitro (MIV) entre os dois grupos avaliados. METODOS: cinco pacientes inferteis com SOP e oito pacientes controles, submetidas a estimulacao ovariana para injecao intracitoplasmatica de espermatozoide, foram selecionadas prospectiva e consecutivamente, e constituiram os grupos de estudo e Controle, respectivamente. Oocitos imaturos captados apos estimulacao ovariana para a realizacao de injecao intracitoplasmatica de espermatozoide (21 e 29, respectivamente, nos Grupos SOP e Controle) foram submetidos a MIV. Apenas os oocitos que apresentaram a extrusao do primeiro corpusculo polar apos a MIV foram fixados e submetidos a imunocoloracao e analise por microscopia de fluorescencia para avaliacao morfologica do fuso e da distribuicao cromossomica. A analise estatistica foi realizada utilizando o teste exato de Fisher, com significância estatistica quando p<0,05. RESULTADOS: as taxas de MIV foram similares entre os dois grupos (47,6 e 44,8%, respectivamente, nos Grupos SOP e Controle). Seis dos dez oocitos (60%) analisados do grupo de estudo e quatro dos 12 oocitos (33,3%) analisados do Grupo Controle apresentaram anomalias meioticas, caracterizadas por anomalias do fuso e/ou distribuicao cromossomica oocitaria, sem diferenca significativa entre os grupos. CONCLUSOES: os dados do presente estudo nao demonstraram diferenca significativa nas taxas de MIV e nas proporcoes de anomalias meioticas entre os oocitos maturados in vitro, provenientes de ciclos estimulados de pacientes com SOP, quando comparados aos controles.

Anomalias meióticas de oócitos de pacientes com endometriose submetidas à estimulação ovariana

PURPOSE to evaluate the meiotic spindle and the chromosome distribution of in vitro mature oocytes from stimulated cycles of infertile women with endometriosis, and with male and/or tubal infertility factors (Control Group), comparing the rates of in vitro maturation (IVM) between the two groups evaluated. METHODS fourteen patients with endometriosis and eight with male and/or tubal infertility factors, submitted to ovarian stimulation for intracytoplasmatic sperm injection have been prospectively and consecutively selected, and formed a Study and Control Group, respectively. Immature oocytes (46 and 22, respectively, from the Endometriosis and Control Groups) were submitted to IVM. Oocytes presenting extrusion of the first polar corpuscle were fixed and stained for microtubules and chromatin evaluation through immunofluorescence technique. Statistical analysis has been done by the Fishers exact test, with statistical significance at p<0.05. RESULTS there was no significant difference in the IVM rates between the two groups evaluated (45.6 and 54.5% for the Endometriosis and Control Groups, respectively). The chromosome and meiotic spindle organization was observed in 18 and 11 oocytes from the Endometriosis and Control Groups, respectively. In the Endometriosis Group, eight oocytes (44.4%) presented themselves as normal metaphase II (MII), three (16.7%) as abnormal MII, five (27.8%) were in telophase stage I and two (11.1%) underwent parthenogenetic activation. In the Control Group, five oocytes (45.4%) presented themselves as normal MII, three (27.3%) as abnormal MII, one (9.1%) was in telophase stage I and two (18.2%) underwent parthenogenetic activation. There was no significant difference in meiotic anomaly rate between the oocytes in MII from both groups. CONCLUSIONS the present study data did not show significant differences in the IVM or in the meiotic anomalies rate between the IVM oocytes from stimulated cycles of patients with endometriosis, as compared with controls. Nevertheless, they have suggested a delay in the outcome of oocyte meiosis I from patients with endometriosis, shown by the higher proportion of oocytes in telophase I observed in this group.PURPOSE: to evaluate the meiotic spindle and the chromosome distribution of in vitro mature oocytes from stimulated cycles of infertile women with endometriosis, and with male and/or tubal infertility factors (Control Group), comparing the rates of in vitro maturation (IVM) between the two groups evaluated. METHODS: fourteen patients with endometriosis and eight with male and/or tubal infertility factors, submitted to ovarian stimulation for intracytoplasmatic sperm injection have been prospectively and consecutively selected, and formed a Study and Control Group, respectively. Immature oocytes (46 and 22, respectively, from the Endometriosis and Control Groups) were submitted to IVM. Oocytes presenting extrusion of the first polar corpuscle were fixed and stained for microtubules and chromatin evaluation through immunofluorescence technique. Statistical analysis has been done by the Fishers exact test, with statistical significance at p<0.05. RESULTS: there was no significant difference in the IVM rates between the two groups evaluated (45.6 and 54.5% for the Endometriosis and Control Groups, respectively). The chromosome and meiotic spindle organization was observed in 18 and 11 oocytes from the Endometriosis and Control Groups, respectively. In the Endometriosis Group, eight oocytes (44.4%) presented themselves as normal metaphase II (MII), three (16.7%) as abnormal MII, five (27.8%) were in telophase stage I and two (11.1%) underwent parthenogenetic activation. In the Control Group, five oocytes (45.4%) presented themselves as normal MII, three (27.3%) as abnormal MII, one (9.1%) was in telophase stage I and two (18.2%) underwent parthenogenetic activation. There was no significant difference in meiotic anomaly rate between the oocytes in MII from both groups. CONCLUSIONS: the present study data did not show significant differences in the IVM or in the meiotic anomalies rate between the IVM oocytes from stimulated cycles of patients with endometriosis, as compared with controls. Nevertheless, they have suggested a delay in the outcome of oocyte meiosis I from patients with endometriosis, shown by the higher proportion of oocytes in telophase I observed in this group.