Cover
Vol. 11 No. 1 (2021)

Published: June 30, 2021

Pages: 84-95

Research Article

The Effect of Follicular Fluid Eight Hydroxyl Deoxyguanosine (8‐ OHdG) Levels on Intracytolplasmic Sperm Injection (ICSI) Outcome

Abstract

Reactive oxygen species (ROS) are believed to play an important role in the function of the male and female reproductive system, as well as in embryonic development. If the balance between production and elimination of ROS is disturbed, pathogenic consequences would happen. Reactive oxygen species can sometimes exert damaging effects when overabundant, oxidative stress is hypothesized to have a negative impact on, for example, folliculogenesis, embryo development, oocyte maturation, oocyte fertilization, endometriosis, polycystic ovary syndrome and unexplained infertility .8-Hydroxy2-desoxy guanosine (8‐OHdG) is a sensitive indicator of DNA damage as a result of oxidative stress. The study aim was to evaluate follicular fluid levels of 8-Hydroxy2-desoxy guanosine in patients undergoing Intracytoplasmic Sperm Injection (ICSI) and compared the results between both pregnant and non-pregnant patients . One hundred and twenty-seven women included in this study, they underwent controlled ovarian hyper stimulation, program followed by ova pick up, at that time follicular fluid were obtained and freezes till the time of analysis for reactive oxygen species (ROS), patient injected oocyte was cultured in CO2 incubator, then embryo grading, embryo transfer, pregnancy rate and reactive oxygen species level were determined. Follicular fluid 8-OHdG was significantly lower in pregnant females (p < 0.001), 8-OHdG had negative correlations with grade 1 and grade 2 embryos and negative correlation with total blastocyst count. Follicular fluid levels of 8-OHdG provides sensitive tool to predict positive pregnancy outcome in women undergoing ICSI.

References

  1. Weng M, Xie X, Liu C, Lim K L, Zhang C W, Li L. (2018). The sources of reactive oxygen species and its possible role in the pathogenesis of Parkinson’s disease. Parkinsons Dis. 9163040.
  2. Agarwal A, Aponte-Mellado A, Premkumar BJ, Shaman A, Gupta S. (2012). The effects of oxidative stress on female reproduction: a review. Reprod Biol Endocrinol. 10:49.
  3. Da Broi MG, Navarro PA. Oxidative stress and oocyte quality:ethiopathogenic mechanisms of minimal/mild endometriosis‐ relatedinfertility. Cell Tissue Res. 2016; 364:1‐7.
  4. Lu J, Wang Z, Cao J, Chen Y, Dong Y. (2018). A novel and compact review on the role of oxidative stress in female reproduction. Reprod. Biol. Endocrinol. 16(1):1-18.
  5. Dunn J D, Alvarez L A, Zhang X, Soldati T. (2015). Reactive oxygen species and mitochondria: A nexus of cellular homeostasis. Redox biology. 6; 472-485
  6. Phaniendra A, Jestadi D B, Periyasamy L. (2015). Free radicals: properties, sources, targets, and their implication in various diseases. Indian J Clin Biochem. 30(1): 11-26.
  7. Tamura H, Takasaki A, Miwa I, Taniguchi
  8. Irato P and Santovito G. (2021). Enzymatic and Non-Enzymatic Molecules with Antioxidant Function. Antioxidants (Basel). 10(4):579.
  9. Halim, B., Lubis, H.P., Novia, D. and Thaharuddin, M. (2017) ‘Does oval oocyte have an impact on embryo development in in vitro fertilization?’, JBRA assisted reproduction, 21 (1), pp.15-18.
  10. Sung, N., Kwak-Kim, J., Koo, H.S. and Yang, K.M., 2016. Serum hCG-β levels of postovulatory day 12 and 14 with the sequential application of hCG-β fold change significantly increased predictability of pregnancy outcome after IVF-ET cycle. Journal of assisted reproduction and genetics, 33(9), pp.1185-1194.
  11. Devine PJ, Perreault SD, Luderer U. (2012). Roles of reactive oxygen species and antioxidants in ovarian toxicity. Biol Reprod. 86(2):27.
  12. Dabrowska N & Wiczkowski A 2017 Analytics of oxidative stress markers in the early diagnosis of oxygen DNA damage. Advances in Clinical and Experimental Medicine 26 155–166.
  13. Evans MD, Dizdaroglu M & Cooke MS 2004 Oxidative DNA damage and disease: induction, repair and significance. Mutation Research 567 1–61. K, Maekawa R, Asada H, Taketani T, Matsuoka A, Yamagata Y, Shimamura K, Morioka H, Ishikawa H, Reiter RJ, Sugino N. (2008). Oxidative stress impairs oocyte quality and melatonin protects oocytes from free radical damage and improves fertilization rate. J Pineal Res. 44(3):280-287.
  14. Da Broi MG, De Albuquerque FO, De Andrade AZ, Cardoso RL, Jordao Junior AA & Navarro PA 2016 Increased concentration of 8-hydroxy-2′-deoxyguanosine in follicular fluid of infertile women with endometriosis. Cell and Tissue Research 366 231–242.
  15. Várnagy Á, Kőszegi T, Györgyi E, Szegedi S, Sulyok E, Prémusz V & Bódis J 2020 Levels of total antioxidant capacity and 8-hydroxy-2′-deoxyguanosine of serum and follicular fluid in women undergoing in vitro fertilization: focusing on endometriosis. Human Fertility 23 200–208.
  16. Bedaiwy, MA, Agarwal A., Falcone T., Goldberg JM., Arrigain S., Mascha E. Relationship of follicular fluid oxidative stress parameters and outcome ofintracytoplasmic sperm injection. Fertility and sterility, ASRM abstracts.2005;84,:S250.
  17. Seino T, Saito H, Kaneko T, Takahashi T, Kawachiya S, Kurachi H. Eight- -hydroxy- 2′-deoxyguanosine in granulosa cells is correlated with the quality of oocytes and embryos in an in vitro fertilisation-embryo transfer program. Fertil Steril. 2002;77:1184– 90; DOI:10.1016/.
  18. Ollero, M, et al. Characterization of subsets of human spermatozoa at different stages of maturation: implications in the diagnosis and treatment of male infertility. Hum Reprod.2001;16:1912-21.
  19. Agarwal, A, et al. Role of reactive oxygen species in the pathophysiology of human reproduction. Fertil Steril.2003;79:829-43.
  20. Machaty, Z, et al. Inhibitors of mitochondrial ATP production at the time of compaction improve development of in vitro produced porcine embryos. Mol Reprod Dev.2001;58:39-44.