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1.
Life Sci Alliance ; 4(10)2021 10.
Artigo em Inglês | MEDLINE | ID: mdl-34376568

RESUMO

Ovarian cancer metastasizes into peritoneum through dissemination of transformed epithelia as multicellular spheroids. Harvested from the malignant ascites of patients, spheroids exhibit startling features of organization typical to homeostatic glandular tissues: lumen surrounded by smoothly contoured and adhered epithelia. Herein, we demonstrate that cells of specific ovarian cancer lines in suspension, aggregate into dysmorphic solid "moruloid" clusters that permit intercellular movement, cell penetration, and interspheroidal coalescence. Moruloid clusters subsequently mature into "blastuloid" spheroids with smooth contours, a temporally dynamic lumen and immotile cells. Blastuloid spheroids neither coalesce nor allow cell penetration. Ultrastructural examination reveals a basement membrane-like extracellular matrix coat on the surface of blastuloid, but not moruloid, spheroids. Quantitative proteomics reveals down-regulation in ECM protein Fibronectin-1 associated with the moruloid-blastuloid transition; immunocytochemistry also confirms the relocalization of basement membrane ECM proteins: collagen IV and laminin to the surface of blastuloid spheroids. Fibronectin depletion accelerates, and enzymatic basement membrane debridement impairs, lumen formation, respectively. The regulation by ECM dynamics of the morphogenesis of cancer spheroids potentially influences the progression of the disease.


Assuntos
Blástula/metabolismo , Blástula/patologia , Matriz Extracelular/metabolismo , Mórula/metabolismo , Mórula/patologia , Neoplasias Ovarianas/metabolismo , Neoplasias Ovarianas/patologia , Linhagem Celular Tumoral , Feminino , Imunofluorescência , Expressão Gênica , Genes Reporter , Humanos , Imuno-Histoquímica , Neoplasias Ovarianas/etiologia , Esferoides Celulares , Células Tumorais Cultivadas
2.
J Reprod Dev ; 67(2): 109-114, 2021 Apr 21.
Artigo em Inglês | MEDLINE | ID: mdl-33563870

RESUMO

We previously developed a new vitrification method (equilibrium vitrification) by which two-cell mouse embryos can be vitrified in liquid nitrogen in a highly dehydrated/concentrated state using low concentrations of cryoprotectants. In the present study, we examined whether this method is effective for mouse embryos at multiple developmental stages. Four-cell embryos, eight-cell embryos, morulae, and blastocysts were vitrified with EDFS10/10a, 10% (v/v) ethylene glycol and 10% (v/v) DMSO in FSa solution. The FSa solution was PB1 medium containing 30% (w/v) Ficoll PM-70 plus 0.5 M sucrose. The state of dehydration/concentration was assessed by examining the survival of vitrified embryos after storage at -80°C. When four-cell embryos and eight-cell embryos were vitrified with EDFS10/10a in liquid nitrogen and then stored at -80°C, the survival rate was high, even after 28 days, with relatively high developmental ability. On the other hand, the survival of morulae and blastocysts vitrified in liquid nitrogen and stored at -80°C for four days was low. Therefore, morulae and blastocysts cannot be vitrified in a highly dehydrated/concentrated state using the same method as with two-cell embryos. However, when blastocysts were shrunken artificially before vitrification, survival was high after storage at -80°C for four days with high developmental ability. In conclusion, the equilibrium vitrification method using low concentrations of cryoprotectants, which is effective for two-cell mouse embryos, is also useful for embryos at multiple stages. This method enables the convenient transportation of vitrified embryos using dry ice.


Assuntos
Criopreservação/instrumentação , Crioprotetores/farmacologia , Vitrificação , Animais , Blastocisto/patologia , Blástula/patologia , Sobrevivência Celular , Gelo-Seco , Etilenoglicol/química , Feminino , Ficoll/química , Técnicas In Vitro , Camundongos , Camundongos Endogâmicos ICR , Mórula/patologia , Oócitos/citologia , Concentração Osmolar , Manejo de Espécimes/métodos , Sacarose/química , Temperatura
3.
PLoS One ; 15(9): e0238599, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32916690

RESUMO

OBJECTIVE: To assess the efficacy and clinical outcome of PGT-M undertaken on Day-3, Day-4 and Day-4 "delayed" embryos that were unsuitable for biopsy on Day-3. DESIGN AND SETTING: Cohort-historical study of all consecutive patients admitted to the IVF-PGT-M program in a large tertiary center. MAIN OUTCOME MEASURE(S): The pregnancy rates and the percentages of complete, incomplete diagnosis, PCR failure, abnormal embryos in PGT of Day-3 cleavage-stage, Day-4 and Day-4 "delayed" embryos. PATIENTS AND METHODS: We reviewed the medical files of all consecutive patients admitted to our IVF for a fresh IVF-PGT-M cycle. Patients were divided into 3 groups according to the day of blastomere biopsy: Day 3 cleavage-stage, Day-4 morula and Day-4 "delayed" embryos. The laboratory data, genetic diagnostic and clinical results were collected and compared between the different study groups. RESULTS: Nine hundred and six patients underwent PGT-M cycles in our PGT program: 747, 127 and 32 in the Day-3, Day- 4 and Day-4 "delayed" groups, respectively. Ongoing pregnancy rates per transfer and per patient (15.8% and 9.4%, respectively) were non-significantly lower in the Day-4 "delayed", compared to Day-3 (21.4% and 17.5%, respectively) and Day-4 (24.3% and 19.7%, respectively). When comparing ALL morulas (Day-4 and Day-4 "delayed") to ALL cleavage-stage embryos (Day-3, Day-4 and Day-4 "delayed"), a significantly higher ongoing pregnancy rate was demonstrated following the transfer of embryos derived from morula biopsy, as compared to biopsy at the cleavage-stage (33.3% vs 20.5%, p<0.03, respectively). CONCLUSION: Day-4 embryo biopsy is feasible and yields comparable and even higher ongoing pregnancy rate if undertaken at the morula stage. Further studies evaluating the cumulative live-birth rate per started cycles in Day-3 vs Day-4 embryo biopsy for PGT-M are warranted.


Assuntos
Testes Genéticos , Mórula/patologia , Diagnóstico Pré-Implantação , Adulto , Biópsia , Embrião de Mamíferos/embriologia , Estudos de Viabilidade , Feminino , Humanos , Gravidez , Taxa de Gravidez
4.
Anim Reprod Sci ; 219: 106546, 2020 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-32828417

RESUMO

Whilst adoption of in vitro production (IVP) of cattle embryos and subsequent biopsy for genetic evaluation is increasing, biopsy techniques primarily used were developed to sample in vivo-produced blastocysts. This study was conducted to develop a laser-assisted blastomere extrusion approach for rapid and minimal-invasive biopsy of IVP cattle embryos at pre-morula to morula stages of development (Day 5 or 6 post-fertilisation). Embryo development into blastocysts was not compromised when ≤3 cells were collected by blastomere extrusion on Day 5 (44.4 ± 4.4 % and 34.3 ± 4.6 %) or Day 6 (58.0 ± 4.3 % and 57.5 ± 5.3 %) post-fertilisation compared with non-biopsied control embryos. Similarly, capacity to withstand cryopreservation was not different between embryos biopsied at Day 5 and 6 post-fertilisation and control-embryos (58.8 ± 6.0 %, 63.5 ± 5.6 %, and 56.0 ± 4.8 %, respectively). When more cells were collected from embryos at Day 6 post-fertilisation (≥8 compared to ≤3 cells), subsequent embryo development was not different (63.6 ± 6.1 % and 73.1 ± 6.2 %, respectively) nor was the capacity to withstand cryopreservation (67.9 ± 9.0 % and 62.5 ± 8.7 %, respectively). For biopsies on Day 6 post-fertilization, 95 % of samples produced a PCR product; however, when compared to the whole embryo PCR results, approximately 11 % of biopsy-samples classified as being from a male embryo were from female embryos (false positive), indicating DNA contamination between samples. In conclusion, results of this study indicate laser-assisted blastomere extrusion is a time efficient and minimally invasive approach to biopsy IVP morula and pre-morula cattle embryos to facilitate genetic analysis.


Assuntos
Blastômeros/patologia , Bovinos/embriologia , Fase de Clivagem do Zigoto/patologia , Lasers , Mórula/patologia , Animais , Biópsia/métodos , Biópsia/veterinária , Blastocisto/patologia , Células Cultivadas , Criopreservação/veterinária , Técnicas de Cultura Embrionária/veterinária , Embrião de Mamíferos/patologia , Desenvolvimento Embrionário/fisiologia , Feminino , Fertilização in vitro/veterinária , Lasers/efeitos adversos , Masculino , Reação em Cadeia da Polimerase/veterinária , Diagnóstico Pré-Implantação/métodos , Diagnóstico Pré-Implantação/veterinária
5.
J Assist Reprod Genet ; 37(8): 1815-1821, 2020 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-32740687

RESUMO

PURPOSE: The fertility of women decreases with age because of factors such as an increased incidence of aneuploidies and-possibly-decreased mitochondrial activity in oocytes. However, the relationship between maternal aging and mitochondrial function of their embryos remains unknown. Here, we assessed the relationship between maternal age and mitochondrial functions in their oocytes and embryos METHODS: The relationships between maternal age and oxygen consumption rates (OCRs), mitochondrial DNA (mtDNA) copy numbers, or blastocyst development was investigated using 81 embryos donated from 63 infertility couples. The developmental rates from morulae to blastocysts were retrospectively analyzed using data of 105 patients. RESULTS: The OCRs of morulae decreased with maternal age (r2 = 0.48, P < 0.05) although there were no relationships between maternal age and mtDNA copy number in any stages. The more oxygen consumed at the morula stage, the shorter time was required for embryo development to the mid-stage blastocyst (r2 = 0.236, P < 0.05). According to the clinical data analysis, the developmental rate from morulae to blastocysts decreased with maternal age (P < 0.05, < 37 years, 81.1%, vs. ≥ 37 years, 64.1%). CONCLUSIONS: The data of the present study revealed that mitochondrial function at the morula stage of human embryos decreased with their maternal age and a decrease of mitochondrial function led to slow-paced development and impaired developmental rate from morulae to blastocysts.


Assuntos
Desenvolvimento Embrionário/genética , Idade Materna , Mitocôndrias/metabolismo , Consumo de Oxigênio/genética , Aneuploidia , Blastocisto/metabolismo , Blastocisto/patologia , DNA Mitocondrial/metabolismo , Embrião de Mamíferos , Feminino , Humanos , Mitocôndrias/patologia , Mórula/metabolismo , Mórula/patologia , Oócitos/metabolismo , Oócitos/patologia , Gravidez , Taxa de Gravidez
6.
Reprod Fertil Dev ; 32(6): 553-563, 2020 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-32036843

RESUMO

Maternal metabolic stress conditions are of growing importance in both human and dairy cattle settings as they can have significant repercussions on fertility. Upregulated lipolysis is a common trait associated with metabolic disorders and results in systemically elevated concentrations of non-esterified fatty acids (NEFAs). The effects of high NEFA concentrations on the follicular environment, oocyte and embryo development is well documented. However, knowledge on the effects of NEFAs within the oviduct, representing the initial embryonic growth environment, is currently lacking. Therefore, the experiments outlined here were designed to obtain fundamental insights into both the direct and indirect interactions between NEFAs, bovine oviductal cells and developing zygotes. Hence, zygotes were co-cultured with NEFA-pre-exposed bovine oviductal cells or subjected to simultaneous NEFA exposure during the co-culture period. The outcome parameters assessed were embryo development with cleavage (48h post insemination (pi)), morula (120-126h pi) and blastocyst (192h pi) rates, as well as morula intracellular lipid content and blastocyst quality using Bodipy and differential staining respectively. Our data suggest a direct embryotoxicity of NEFAs as well as impaired embryo development through a reduced oviductal ability to support and protect early embryo development.


Assuntos
Blastocisto/efeitos dos fármacos , Ácidos Graxos não Esterificados/toxicidade , Fertilidade/efeitos dos fármacos , Lipólise , Mórula/efeitos dos fármacos , Oviductos/metabolismo , Zigoto/efeitos dos fármacos , Animais , Blastocisto/metabolismo , Blastocisto/patologia , Bovinos , Células Cultivadas , Microambiente Celular , Técnicas de Cocultura , Técnicas de Cultura Embrionária , Desenvolvimento Embrionário , Ácidos Graxos não Esterificados/metabolismo , Feminino , Fertilização in vitro , Mórula/metabolismo , Mórula/patologia , Gravidez , Zigoto/metabolismo , Zigoto/patologia
7.
Int J Gynecol Pathol ; 39(1): 36-42, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-30676432

RESUMO

Cowden syndrome (CS) is a multiple hamartoma syndrome associated with the development of various tumors, including endometrial cancer. However, the histology of CS-associated endometrial cancer remains to be fully described. To our knowledge, this is the first report of a patient with CS having endometrial endometrioid carcinoma with ovarian metastasis demonstrating morula-like features. A 31-yr-old, nulliparous, Japanese woman presented with abnormal genital bleeding. Endometrial biopsy revealed endometrioid carcinoma with an extensive morular formation, partially resembling atypical polypoid adenomyoma (APAM). Moreover, she had a past history of bilateral breast cancer and a family history of juvenile breast cancer in her mother. Genetic testing revealed they shared the same pathogenic germline PTEN mutation. She underwent an abdominal hysterectomy, bilateral salpingo-oophorectomy, and pelvic lymph node biopsy. Pathologic examination revealed endometrial endometrioid carcinoma with APAM-like histology. Furthermore, the solid components with morula-like morphology and immunophenotypes showed myometrial invasion and ovarian metastasis (FIGO stage IIIA/pT3aN0M0). The present case highlights the need for careful assessment of myometrial invasion and extrauterine spread for appropriate gynecologic treatment even if endometrial biopsy shows APAM-like histology. Moreover, characterization of CS-associated endometrial cancers is required.


Assuntos
Carcinoma Endometrioide/secundário , Neoplasias do Endométrio/complicações , Neoplasias do Endométrio/patologia , Síndrome do Hamartoma Múltiplo/complicações , Neoplasias Ovarianas/secundário , Adenomioma/genética , Adenomioma/patologia , Adulto , Biópsia , Carcinoma Endometrioide/genética , Neoplasias do Endométrio/genética , Feminino , Mutação em Linhagem Germinativa , Síndrome do Hamartoma Múltiplo/genética , Humanos , Mórula/patologia , Invasividade Neoplásica , Neoplasias Ovarianas/genética , PTEN Fosfo-Hidrolase/genética
8.
Fertil Steril ; 112(6): 1080-1093.e1, 2019 12.
Artigo em Inglês | MEDLINE | ID: mdl-31843084

RESUMO

OBJECTIVE: To investigate whether the morphodynamic characterization of a euploid blastocyst's development allows a higher prediction of a live birth after single-embryo-transfer (SET). DESIGN: Observational cohort study conducted in two phases: training and validation. SETTING: Private in vitro fertilization centers. PATIENT(S): Euploid blastocysts: 511 and 319 first vitrified-warmed SETs from 868 and 546 patients undergoing preimplantation genetic testing for aneuploidies (PGT-A) in the training and validation phase, respectively. INTERVENTION(S): Data collected from time of polar body extrusion to time of starting blastulation, and trophectoderm and inner-cell-mass static morphology in all embryos cultured in a specific time-lapse incubator with a continuous medium. Logistic regressions conducted to outline the variables showing a statistically significant association with live birth. In the validation phase, these variables were tested in an independent data set. MAIN OUTCOME MEASURE(S): Live births per SET. RESULT(S): The average live birth rate (LBR) in the training set was 40% (N = 207/511). Only time of morulation (tM) and trophectoderm quality were outlined as putative predictors of live birth at two IVF centers. In the validation set, the euploid blastocysts characterized by tM <80 hours and high-quality trophectoderm resulted in a LBR of 55.2% (n = 37/67), while those with tM ≥ 80 hours and a low-quality trophectoderm resulted in a LBR of 25.5% (N = 13/51). CONCLUSION(S): Time of morulation and trophectoderm quality are better predictors of a euploid blastocyst's reproductive competence. Our evidence was reproducible across different centers under specific culture conditions. These data support the crucial role of morulation for embryo development, a stage that involves massive morphologic, cellular, and molecular changes and deserves more investigation.


Assuntos
Blastocisto/patologia , Fertilização in vitro , Infertilidade/terapia , Mórula/patologia , Transferência de Embrião Único , Imagem com Lapso de Tempo , Adulto , Técnicas de Cultura Embrionária , Implantação do Embrião , Desenvolvimento Embrionário , Feminino , Fertilidade , Fertilização in vitro/efeitos adversos , Humanos , Infertilidade/diagnóstico , Infertilidade/fisiopatologia , Cinética , Nascido Vivo , Pessoa de Meia-Idade , Valor Preditivo dos Testes , Gravidez , Taxa de Gravidez , Reprodutibilidade dos Testes , Fatores de Risco , Cidade de Roma , Transferência de Embrião Único/efeitos adversos , Espanha , Resultado do Tratamento
9.
Fertil Steril ; 109(6): 1025-1029, 2018 06.
Artigo em Inglês | MEDLINE | ID: mdl-29935640

RESUMO

OBJECTIVE: To study whether late spontaneous vacuolization on day 4 is an artefact or an alternate means of blastocele formation and to analyze its impact on pregnancy outcome and live birth. DESIGN: Prospective observational study. SETTING: University teaching hospital. PATIENT(S): A total of 424 patients who fulfilled inclusion criteria were subgrouped according to the spontaneous vacuolization on day 4: Group 1 had all morulas affected, group 2 showed no signs of vacuoles, and group 3 was mixed (some day 4 embryos had vacuoles and others did not). INTERVENTION(S): Screening for the presence of vacuoles on day 4 and fresh single-blastocyst transfer. MAIN OUTCOME MEASURE(S): Morula and blastocyst scoring, utilization rate, pregnancy and live birth rates. RESULT(S): Patients of group 1 had a reduced blastocyst formation rate on day 5 (P<.01) and significantly fewer good-quality blastocysts for usage (P<.05). In addition, pregnancy (P<.001) and live birth (P<.01) rate were significantly worse in group 1 compared with groups 2 and 3. CONCLUSION(S): Late onset of vacuolization around compaction stage is a negative predictor of blastocyst formation and outcome.


Assuntos
Blastocisto/patologia , Blastocisto/fisiologia , Mórula/patologia , Mórula/fisiologia , Vacúolos/patologia , Adulto , Coeficiente de Natalidade , Sobrevivência Celular , Implantação do Embrião/fisiologia , Transferência Embrionária , Desenvolvimento Embrionário/fisiologia , Feminino , Humanos , Gravidez , Resultado da Gravidez , Taxa de Gravidez , Controle de Qualidade
10.
Toxicol Sci ; 156(1): 289-299, 2017 03 01.
Artigo em Inglês | MEDLINE | ID: mdl-28069986

RESUMO

Alcohol consumption during pregnancy is still a cause of preventable birth defects and developmental disabilities. However, little is known about the impact of ethanol on preimplantation embryos and the molecular mechanisms involved. We aimed to determine the toxicogenomic impacts and the mechanisms involved in preimplantation embryonic survival following 0.2% ethanol exposure in porcine embryos. Gene expression changes were measured with a porcine embryo specific microarray and confirmed by RT-qPCR. When compared with control, ethanol exposure led to a 43% decrease in blastocyst rate and activated pathways associated with oxidative stress and nervous system damage, such as TP53 and TGF. Moreover, we observed a mitochondrial dysfunction in the exposed embryos as revealed by the decrease in Mitotracker Red fluorescence intensity (25 and 41% in 4-cell embryos and blastocysts, respectively) and a modification in the expression of GABRB3, APP, CLU, and MIOX genes. We therefore present evidence of neuronal-like adverse effects on undifferentiated cells suggesting that fetal alcohol spectrum disorder could have its origin as early as in the first week postfertilization.


Assuntos
Blastocisto/efeitos dos fármacos , Ectogênese/efeitos dos fármacos , Etanol/toxicidade , Regulação da Expressão Gênica no Desenvolvimento/efeitos dos fármacos , Mitocôndrias/efeitos dos fármacos , Estresse Oxidativo/efeitos dos fármacos , Solventes/toxicidade , Matadouros , Precursor de Proteína beta-Amiloide/genética , Precursor de Proteína beta-Amiloide/metabolismo , Animais , Blastocisto/citologia , Blastocisto/metabolismo , Blastocisto/patologia , Clusterina/genética , Clusterina/metabolismo , Perda do Embrião/induzido quimicamente , Perda do Embrião/metabolismo , Perda do Embrião/patologia , Feminino , Fertilização in vitro , Transtornos do Espectro Alcoólico Fetal/metabolismo , Transtornos do Espectro Alcoólico Fetal/patologia , Perfilação da Expressão Gênica , Inositol Oxigenase/genética , Inositol Oxigenase/metabolismo , Masculino , Potencial da Membrana Mitocondrial/efeitos dos fármacos , Mitocôndrias/metabolismo , Mitocôndrias/patologia , Mórula/citologia , Mórula/efeitos dos fármacos , Mórula/metabolismo , Mórula/patologia , Receptores de GABA-A/genética , Receptores de GABA-A/metabolismo , Solventes/efeitos adversos , Sus scrofa
11.
Reprod Biol Endocrinol ; 12: 54, 2014 Jun 20.
Artigo em Inglês | MEDLINE | ID: mdl-24951056

RESUMO

BACKGROUND: Time-lapse imaging combined with embryo morphokinetics may offer a non-invasive means for improving embryo selection. Data from clinics worldwide are necessary to compare and ultimately develop embryo classifications models using kinetic data. The primary objective of this study was to determine if there were kinetic differences between embryos with limited potential and those more often associated with in vitro blastocyst formation and/or implantation. We also wanted to compare putative kinetic markers for embryo selection as proposed by other laboratories to what we were observing in our own laboratory setting. METHODS: Kinetic data and cycle outcomes were retrospectively analyzed in patients age 39 and younger with 7 or more zygotes cultured in the Embryoscope. Timing of specific events from the point of insemination were determined using time-lapse (TL) imaging. The following kinetic markers were assessed: time to syngamy (tPNf), t2, time to two cells (c), 3c (t3), 4c ( t4), 5c (t5), 8c (t8), morula (tMor), start of blastulation (tSB); tBL, blastocyst (tBL); expanded blastocyst (tEBL). Durations of the second (cc2) and third (cc3) cell cycles, the t5-t2 interval as well as time to complete synchronous divisions s1, s2 and s3 were calculated. Incidence and impact on development of nuclear and cleavage anomalies were also assessed. RESULTS: A total of 648 embryos transferred on day 5 were analyzed. The clinical pregnancy and implantation rate were 72% and 50%, respectively. Morphokinetic data showed that tPNf, t2,t4, t8, s1, s2,s3 and cc2 were significantly different in embryos forming blastocysts (ET or frozen) versus those with limited potential either failing to blastulate or else forming poor quality blastocysts ,ultimately discarded. Comparison of embryo kinetics in cycles with all embryos implanting (KID+) versus no implantation (KID-) suggested that markers of embryo competence to implant may be different from ability to form a blastocyst. The incidence of multinucleation and reverse cleavage amongst the embryos observed was 25% and 7%, respectively. Over 40% of embryos exhibiting these characteristics did however form blastocysts meeting our criteria for freezing. CONCLUSIONS: These data provide us with a platform with which to potentially enhance embryo selection for transfer.


Assuntos
Blastocisto/citologia , Blastômeros/citologia , Ectogênese , Embrião de Mamíferos/citologia , Mórula/citologia , Zigoto/citologia , Adulto , Blastocisto/classificação , Blastocisto/patologia , Blastômeros/patologia , Divisão do Núcleo Celular , Proliferação de Células , Criopreservação , Técnicas de Cultura Embrionária , Embrião de Mamíferos/patologia , Feminino , Humanos , Infertilidade Feminina/terapia , Infertilidade Masculina , Masculino , Microscopia de Vídeo , Mórula/patologia , Ohio/epidemiologia , Indução da Ovulação , Gravidez , Taxa de Gravidez , Estudos Retrospectivos , Injeções de Esperma Intracitoplásmicas , Imagem com Lapso de Tempo , Zigoto/patologia
12.
Prensa méd. argent ; 99(2): 120-124, abr. 2013. ilus, graf
Artigo em Espanhol | LILACS | ID: lil-699427

RESUMO

Los carcinomas de endometrio se dividen en dos categorías mayores (I y II), según los datos clínico-patológicos y las alteraciones genéticas. Los de tipo I se asocian con hiperestimulación estrogénica, obesidad, tratamiento hormonal exógeno y reconocen como lesión precursora a la hiperplasia endometrial con desarrollo de carcinomas endometrioides (CE). Los de tipo II predominan en mujeres postmenopáusicas, de subtipos histológicos más frecuentes serosos y de células claras. El objetivo es realizar una revisión anátomo-clínica de los carcinomas de endometrio, estudiados en nuestra institución entre el periodo comprendido entre 1/01/2005 y 31/12/2010. Se realizó estudio retrospectivo y descriptivo de 234 casos de pacientes con diagnóstico de carcinoma endometrial. La edad promedio de las pacientes fue de 68,6 años. El motivo de la consulta en la mayoría de los casos fue metrorragia de la postmenopausia (91,2 por ciento). El factor de riesgo más frecuente fue hipertensión arterial (22 pacientes). El 67,5 por ciento de las pacientes tenían antecedentes de biopsia previa por videohisteroscopía realizada en nuestra institución, observándose concordancia diagnóstica en un 91 por ciento. Se clasificaron según la OMS en CE (79 por ciento), adenocarcinoma seroso (9 por ciento) y mixtos (12 por ciento). El grado histológico (GH) FIGO fue en el 86 por ciento tipo I (exclusión de carcinomas serosos) y el estadío más frecuente fue el I ( 65 por ciento). La metaplasia (Me) más frecuente observada en estas neoplasias fue la mucinosa (35 por ciento). Las mórulas se presentaron en 2 casos comprobados por IHQ con positividad para CD 10 y CDX-2 y negatividad para p63. Se evidenciaron cambios reactivos en el 26 por ciento. El patrón MELF (glándulas microquísticas, elongadas y fragmentadas), de infiltración en la pared miometrial, se identificó en 3 casos. El CE fue el tipo histológico más frecuente y su presentación (mayoritariamente en estadios tempranos de enfermedad), se asoció en un alto porcentaje con las metaplasias mucinosa y tubaria...


Endometrial carcinomas are divided into two major categories (I and II), according to clinicopathologic and genetic alterations. The type I is associated with estrogen hyperstimulation, obesity, exogenous hormonal treatment, and endometrial hyperplasia is recognized as a precursor lesion, with the consecuent endometroid carcinoma. The type II predominate in post-menopausal women, most common histologic subtypes are serous and clear cell. The aim is to review the anatomical and clinical characteristic of endometrial carcinomas, studied at our institution between 01/01/2005 and 31/12/2010. We performed a retrospective and descriptive study of 34 cases of patients with endometrial carcinoma. The average age was 68.6 years. The reason for consultation in most cases was post-menopausal's metrorrhagia (91.2 percent) Hypertension (22 patients) was the more prevalent risk fctor. 67.5 percent of the patients had a history of prior biopsy (histeroscopy) performed at our institution; diagnostic concordance was observed in 91 percent. Were classified according to the WHO in endometrioid carcinomas (79 percent), serous adenocarcinoma (9 percent) and mixed (12 percent). FIGO histologic grade was 86 percent in type I (excluding serous carcinomas) and stage I was the most frequent (65 percent). Mucinous metaplasia was the most frequently observed (35 percent). The morulae were presented in 2 cases (IHC positive for CDX-2 and CD10, and negative for p63). Reactive changes were in 26 percent. The MELF pattern of myometrial infiltration was identified in 3 cases. Endometrioid carcinoma was the most common histological type and presentation (mostly in early stages of disease). Was associated with a high percentaje of tubal and mucinous metaplasia (this would indicate malignancy attenuated). Not yet known meaning of morulae in carcinomas. While it must be record horns infiltration, the presence or not of the same does not change the treatment.


Assuntos
Pessoa de Meia-Idade , Adenocarcinoma/patologia , Hipertensão/patologia , Metaplasia/patologia , Metrorragia/patologia , Mórula/patologia , Neoplasias do Endométrio/patologia , Pós-Menopausa
13.
Reproduction ; 144(4): 455-65, 2012 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-22919046

RESUMO

Female mice generating oocytes lacking complex N- and O-glycans (double mutants (DM)) produce only one small litter before undergoing premature ovarian failure (POF) by 3 months. Here we investigate the basis of the small litter by evaluating ovulation rate and embryo development in DM (Mgat1(F/F)C1galt1(F/F):ZP3Cre) and Control (Mgat1(F/F)C1galt1(F/F)) females. Surprisingly, DM ovulation rate was normal at 6 weeks, but declined dramatically by 9 weeks. In vitro development of zygotes to blastocysts was equivalent to Controls although all embryos from DM females lacked a normal zona pellucida (ZP) and ∼30% lacked a ZP entirely. In contrast, in vivo preimplantation development resulted in less embryos recovered from DM females compared with Controls at 3.5 days post coitum (dpc) (3.2±1.3 vs 7.0±0.6). Furthermore, only 45% of mated DM females contained embryos at 3.5 dpc. Of the preimplantation embryos collected from DM females, approximately half were morulae unlike Controls where the majority were blastocysts, indicating delayed embryo development in DM females. Post-implantation development in DM females was analysed to determine whether delayed preimplantation development affected subsequent development. In DM females at 5.5 dpc, only ∼40% of embryos found at 3.5 dpc had implanted. However, at 6.5 dpc, implantation sites in DM females corresponded to embryo numbers at 3.5 dpc indicating delayed implantation. At 9.5 dpc, the number of decidua corresponded to embryo numbers 6 days earlier indicating that all implanted embryos progress to midgestation. Therefore, a lack of complex N- and O-glycans in oocytes during development impairs early embryo development and viability in vivo leading to delayed implantation and a small litter.


Assuntos
Aciltransferases/metabolismo , Implantação Tardia do Embrião , Perda do Embrião/metabolismo , Embrião de Mamíferos/metabolismo , Galactosiltransferases/metabolismo , Polissacarídeos/metabolismo , Aciltransferases/genética , Animais , Blastocisto/enzimologia , Blastocisto/metabolismo , Blastocisto/patologia , Decídua/enzimologia , Decídua/metabolismo , Ectogênese , Proteínas do Ovo/genética , Proteínas do Ovo/metabolismo , Perda do Embrião/enzimologia , Perda do Embrião/patologia , Embrião de Mamíferos/enzimologia , Embrião de Mamíferos/patologia , Feminino , Galactosiltransferases/genética , Glicoproteínas de Membrana/genética , Glicoproteínas de Membrana/metabolismo , Camundongos , Camundongos Mutantes , Camundongos Transgênicos , Mórula/enzimologia , Mórula/metabolismo , Mórula/patologia , N-Acetilglucosaminiltransferases , Ovulação , Gravidez , Receptores de Superfície Celular/genética , Receptores de Superfície Celular/metabolismo , Zona Pelúcida/enzimologia , Zona Pelúcida/metabolismo , Glicoproteínas da Zona Pelúcida , Zigoto/enzimologia , Zigoto/metabolismo , Zigoto/patologia
14.
Lab Invest ; 92(4): 511-21, 2012 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-22231735

RESUMO

Sox factors function as either activators or repressors of ß-catenin/TCF transcription depending on the cellular context and associated interacting proteins. Our previous study provided evidence that alteration in ß-catenin signaling is an essential event during transdifferentiation toward the morular phenotype of endometrial carcinomas (Em Cas). Here, we focused on related functional roles of Sox factors. Of eight Sox factors investigated, Sox4 could enhance ß-catenin/TCF4 transcription, through upregulation of TCF4 at the transcription level, without any direct ß-catenin association. Cells stably overexpressing Sox4 showed significant decreases in proliferation rate, along with increases in expression of p21(WAF1), as well as TCF4, in contrast to increased cell growth observed with knockdown. Of these factors, only Sox7 could transcriptionally upregulate Sox4 expression, but it also resulted in not only inhibition of Sox4-meditated activation of ß-catenin/TCF4-driven transcription, but also repression of its own promoter activity, indicating the existence of very complex feedback loop for Sox-mediated signal cascades. Finally, Sox4 immunoreactivity was frequently pronounced in morular lesions of Em Cas, the expression being positively correlated with status of ß-catenin, TCF4, and Sox7, and inversely with cell proliferation. These data therefore suggest that Sox4 may serve as a positive regulator of ß-catenin signaling through alteration in TCF4 expression during morular differentiation of Em Ca cells, leading to inhibition of cell proliferation. In addition, Sox7 may also participate in the process, having complex roles in modulation of signaling.


Assuntos
Fatores de Transcrição de Zíper de Leucina e Hélice-Alça-Hélix Básicos/metabolismo , Carcinoma Endometrioide/metabolismo , Neoplasias do Endométrio/metabolismo , Fatores de Transcrição SOXC/metabolismo , Fatores de Transcrição/metabolismo , beta Catenina/metabolismo , Animais , Carcinoma Endometrioide/patologia , Diferenciação Celular , Linhagem Celular Tumoral , Proliferação de Células , Metilação de DNA , Neoplasias do Endométrio/patologia , Endométrio/patologia , Feminino , Humanos , Imuno-Histoquímica , Camundongos , Mórula/patologia , Regiões Promotoras Genéticas , Fatores de Transcrição SOXF/metabolismo , Fator de Transcrição 4 , Regulação para Cima
15.
Fertil Steril ; 96(6): 1473-1478.e2, 2011 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-21982283

RESUMO

OBJECTIVE: To determine the influence of delayed compaction and fragmentation on the developmental capacity of morulas. DESIGN: Prospective study. SETTING: University IVF center. PATIENT(S): Intracytoplasmic sperm injection (ICSI) cycles with compact embryos on day 4 or day 5. INTERVENTION(S): The embryos were divided into day 4 (n = 329) and day 5 (n = 256) morulas and graded I, II, or III, according to the percentage of fragmentation (<5%, 5%-20%, or >20%). The embryos were measured using Cronus3 software. MAIN OUTCOME MEASUREMENT(S): Blastocyst development rate, blastocoel expansion rate, and optimal blastocyst rate. In an optimal blastocyst: surface area, trophectoderm cell number, inner cell mass (ICM) surface area, ICM volume and ICM shape. RESULT(S): Day 4 morulas in classes I-III developed into optimal blastocysts in 57.4%, 50%, and 35.6% of the total, respectively, and day 5 morulas in classes I-III in 43.3%, 29.1%, and 13.6% of the total, respectively. A negative association was identified between the amount of morula fragmentation, the blastocyst ICM size, and the number of trophectoderm cells. A delay of 1 day in compaction was associated with a reduced ICM volume. CONCLUSION(S): The measurement of compaction timing and cytoplasmic loss in morulas assists in predicting their ability to develop into optimal blastocysts.


Assuntos
Blastocisto/fisiologia , Fase de Clivagem do Zigoto/patologia , Desenvolvimento Embrionário/fisiologia , Mórula/metabolismo , Adulto , Blastocisto/citologia , Contagem de Células , Forma Celular , Células Cultivadas , Fase de Clivagem do Zigoto/citologia , Fase de Clivagem do Zigoto/fisiologia , Feminino , Fertilização in vitro , Humanos , Infertilidade/diagnóstico , Infertilidade/patologia , Infertilidade/terapia , Masculino , Mórula/citologia , Mórula/patologia , Mórula/fisiologia , Gravidez , Prognóstico , Fatores de Tempo
16.
Biol Reprod ; 85(4): 834-47, 2011 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-21677305

RESUMO

The permeability of cells is important for cryopreservation. Previously, we showed in mice that the permeability to water and cryoprotectants of oocytes and embryos at early cleavage stages (early embryos) is low because these molecules move across the plasma membrane predominantly by simple diffusion through the lipid bilayer, whereas permeability of morulae and blastocysts is high because of a water channel, aquaporin 3 (AQP3). In this study, we examined the pathways for the movement of water and cryoprotectants in bovine oocytes/embryos and the role of AQP3 in the movement by determining permeability, first in intact bovine oocytes/embryos, then in bovine morulae with suppressed AQP3 expression, and finally in mouse oocytes expressing bovine AQP3. Results suggest that water moves through bovine oocytes and early embryos slowly by simple diffusion, as is the case in mice, although channel processes are also involved in the movement. On the other hand, water appears to move through morulae and blastocysts predominantly by facilitated diffusion via channels, as in mice. Like water, cryoprotectants appear to move through bovine oocytes/early embryos mostly by simple diffusion, but channel processes could also be involved in the movement of glycerol and ethylene glycol, unlike that in mice. In bovine morulae, although glycerol and ethylene glycol would move predominantly by facilitated diffusion, mostly through AQP3, as in mice, dimethylsulfoxide appears to move predominantly by simple diffusion, unlike in mice. These results indicate that permeability-related properties of bovine oocytes/embryos are similar to those of mouse oocytes/embryos, but species-specific differences do exist.


Assuntos
Aquaporina 3/metabolismo , Blastocisto , Tamanho Celular/efeitos dos fármacos , Criopreservação , Crioprotetores/farmacologia , Deslocamentos de Líquidos Corporais/efeitos dos fármacos , Oócitos , Animais , Aquaporina 3/genética , Blastocisto/efeitos dos fármacos , Blastocisto/metabolismo , Bovinos , Crioprotetores/metabolismo , Crioprotetores/farmacocinética , Difusão/efeitos dos fármacos , Ectogênese , Difusão Facilitada/efeitos dos fármacos , Fertilização in vitro , Inativação Gênica , Soluções Hipertônicas , Técnicas de Maturação in Vitro de Oócitos , Camundongos , Camundongos Endogâmicos ICR , Mórula/efeitos dos fármacos , Mórula/metabolismo , Mórula/patologia , Oócitos/efeitos dos fármacos , Oócitos/metabolismo , Oócitos/patologia , Permeabilidade/efeitos dos fármacos , Proteínas Recombinantes/metabolismo , Especificidade da Espécie
17.
Toxicol In Vitro ; 25(1): 73-9, 2011 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-20863879

RESUMO

The aim of this study was to evaluate the possible effect of maternal poisoning by BASTA-15 on developmental capacities and quality of preimplantation embryos in a mouse model. During in vivo tests, fertilized mice were fed with various doses of BASTA-15 for several days. During in vitro tests, isolated embryos were cultured in a medium with the addition of herbicide or its main compound glufosinate ammonium. Stereomicroscopic evaluation of embryonic pools obtained from treated dams showed that BASTA-15 at dose 58 µl/kg bw negatively affected their ability to reach the blastocyst stage. Moreover, as shown by morphological evaluation, based on cell counting and cell death assay, even the application of herbicide at the lowest dose (approx. 1/100 LD50) had a negative effect on obtained embryo quality. In vitro tests proved the direct ability of BASTA-15 to negatively affect embryo growth and quality. On the other hand, the addition of glufosinate ammonium at equivalent concentrations (from 0.015 to 15 µg/ml) had almost no damaging effect on embryos. It was harmful only at very high doses. Results show that maternal intoxication with BASTA-15 might affect the development of preimplantation embryos and suggest that the responsibility for this effect lies probably not solely with glufosinate ammonium, but in combination with the herbicide's secondary compounds.


Assuntos
Aminobutiratos/toxicidade , Embrião de Mamíferos/efeitos dos fármacos , Desenvolvimento Embrionário/efeitos dos fármacos , Herbicidas/toxicidade , Exposição Materna/efeitos adversos , Teratogênicos/toxicidade , Aminobutiratos/administração & dosagem , Animais , Blastocisto/efeitos dos fármacos , Blastocisto/patologia , Contagem de Células , Morte Celular/efeitos dos fármacos , Núcleo Celular/efeitos dos fármacos , Núcleo Celular/patologia , Forma do Núcleo Celular/efeitos dos fármacos , Fragmentação do DNA/efeitos dos fármacos , Relação Dose-Resposta a Droga , Embrião de Mamíferos/patologia , Feminino , Herbicidas/administração & dosagem , Imageamento Tridimensional , Camundongos , Camundongos Endogâmicos ICR , Mórula/efeitos dos fármacos , Mórula/patologia , Necrose , Gravidez
18.
Fertil Steril ; 95(1): 363-5, 2011 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-20801438

RESUMO

Oocytes fertilized with spermatozoa obtained from Septin 12+/- chimeric mice failed to develop beyond the morula stage after IVF and intracytoplasmic sperm injection because of significant DNA defects in the spermatozoa. Given that SEPT12 is expressed at the edge of the sperm nucleus in both humans and mice, we hypothesized the vital roles of Septin 12 in sperm head shaping, nuclear DNA condensation, and early embryonic development.


Assuntos
Desenvolvimento Embrionário/fisiologia , Infertilidade Masculina/genética , Infertilidade Masculina/patologia , Septinas/genética , Cabeça do Espermatozoide/patologia , Animais , Núcleo Celular/patologia , Núcleo Celular/fisiologia , Feminino , Masculino , Camundongos , Camundongos Endogâmicos C57BL , Camundongos Mutantes , Mórula/patologia , Gravidez , Septinas/deficiência , Cabeça do Espermatozoide/fisiologia , Injeções de Esperma Intracitoplásmicas
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