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1.
Mol Reprod Dev ; 81(12): 1115-35, 2014 Dec.
Article in English | MEDLINE | ID: mdl-25511183

ABSTRACT

Glycoprotein oligosaccharides play major roles during reproduction, yet their function in gamete interactions is not fully elucidated. Identification and comparison of the glycan pattern in cumulus-oocyte complexes (COCs) from species with different efficiencies of in vitro spermatozoa penetration through the zona pellucida (ZP) could help clarify how oligosaccharides affect gamete interactions. We compared the expression and localization of 12 glycosidic residues in equine and porcine in vitro-matured (IVM) and preovulatory COCs by means of lectin histochemistry. The COCs glycan pattern differed between animals and COC source (IVM versus preovulatory). Among the 12 carbohydrate residues investigated, the IVM COCs from these two species shared: (a) sialo- and ßN-acetylgalactosamine (GalNAc)-terminating glycans in the ZP; (b) sialylated and fucosylated glycans in cumulus cells; and (c) GalNAc and N-acetylglucosamine (GlcNAc) glycans in the ooplasm. Differences in the preovulatory COCs of the two species included: (a) sialoglycans and GlcNAc terminating glycans in the equine ZP versus terminal GalNAc and internal GlcNAc in the porcine ZP; (b) terminal galactosides in equine cumulus cells versus terminal GlcNAc and fucose in porcine cohorts; and (c) fucose in the mare ooplasm versus lactosamine and internal GlcNAc in porcine oocyte cytoplasm. Furthermore, equine and porcine cumulus cells and oocytes contributed differently to the synthesis of ZP glycoproteins. These results could be attributed to the different in vitro fertilization efficiencies between these two divergent, large-animal models.


Subject(s)
Cumulus Cells/metabolism , Horses/metabolism , Oligosaccharides/metabolism , Oocytes/metabolism , Swine/metabolism , Zona Pellucida/metabolism , Animals , Female , Histocytochemistry , In Vitro Techniques , Lectins , Species Specificity , Statistics, Nonparametric
2.
Reproduction ; 146(2): 119-33, 2013 Aug.
Article in English | MEDLINE | ID: mdl-23722152

ABSTRACT

Oviductal environment affects preparation of gametes for fertilization, fertilization itself, and subsequent embryonic development. The aim of this study was to evaluate the effect of oviductal fluid and the possible involvement of deleted in malignant brain tumor 1 (DMBT1) on IVF in porcine and equine species that represent divergent IVF models. We first performed IVF after pre-incubation of oocytes with or without oviductal fluid supplemented or not with antibodies directed against DMBT1. We showed that oviductal fluid induces an increase in the monospermic fertilization rate and that this effect is canceled by the addition of antibodies, in both porcine and equine species. Moreover, pre-incubation of oocytes with recombinant DMBT1 induces an increase in the monospermic fertilization rate in the pig, confirming an involvement of DMBT1 in the fertilization process. The presence of DMBT1 in the oviduct at different stages of the estrus cycle was shown by western blot and confirmed by immunohistochemical analysis of ampulla and isthmus regions. The presence of DMBT1 in cumulus-oocyte complexes was shown by western blot analysis, and the localization of DMBT1 in the zona pellucida and cytoplasm of equine and porcine oocytes was observed using immunofluorescence analysis and confocal microscopy. Moreover, we showed an interaction between DMBT1 and porcine spermatozoa using surface plasmon resonance studies. Finally, a bioinformatic and phylogenetic analysis allowed us to identify the DMBT1 protein as well as a DMBT1-like protein in several mammals. Our results strongly suggest an important role of DMBT1 in the process of fertilization.


Subject(s)
Fertilization in Vitro/veterinary , Membrane Glycoproteins/metabolism , Mucins/metabolism , Oocytes/physiology , Oviducts/metabolism , Sperm-Ovum Interactions , Spermatozoa/physiology , Animals , Antibodies/metabolism , Bodily Secretions/metabolism , Cumulus Cells/physiology , Cytoplasm/metabolism , Estrous Cycle/metabolism , Female , Horses , Male , Membrane Glycoproteins/antagonists & inhibitors , Membrane Glycoproteins/genetics , Mucins/antagonists & inhibitors , Mucins/genetics , Oocytes/cytology , Oviducts/cytology , Protein Transport , Recombinant Proteins/metabolism , Spermatozoa/cytology , Sus scrofa , Zona Pellucida/metabolism
3.
Mol Biol Cell ; 23(11): 2028-40, 2012 Jun.
Article in English | MEDLINE | ID: mdl-22496422

ABSTRACT

Metastatic cells are highly plastic for differential expression of tumor phenotype hallmarks and metastatic organotropism. The signaling proteins orchestrating the shift of one cell phenotype and organ pattern to another are little known. Na(+)/H(+) exchanger regulatory factor (NHERF1) is a molecular pathway organizer, PDZ-domain protein that recruits membrane, cytoplasmic, and cytoskeletal signaling proteins into functional complexes. To gain insight into the role of NHERF1 in metastatic progression, we stably transfected a metastatic breast cell line, MDA-MB-231, with an empty vector, with wild-type NHERF1, or with NHERF1 mutated in either the PDZ1- or PDZ2-binding domains to block their binding activities. We observed that NHERF1 differentially regulates the expression of two phenotypic programs through its PDZ domains, and these programs form the mechanistic basis for metastatic organotropism. The PDZ2 domain promotes visceral metastases via increased invadopodia-dependent invasion and anchorage-independent growth, as well as by inhibition of apoptosis, whereas the PDZ1 domain promotes bone metastases by stimulating podosome nucleation, motility, neoangiogenesis, vasculogenic mimicry, and osteoclastogenesis in the absence of increased growth or invasion. Collectively, these findings identify NHERF1 as an important signaling nexus for coordinating cell structure with metastatic behavior and identifies the "mesenchymal-to-vasculogenic" phenotypic transition as an essential step in metastatic progression.


Subject(s)
PDZ Domains , Phosphoproteins/chemistry , Phosphoproteins/metabolism , Sodium-Hydrogen Exchangers/chemistry , Sodium-Hydrogen Exchangers/metabolism , Tropism , Animals , Apoptosis , Cell Adhesion , Cell Line, Tumor , Cell Proliferation , Extracellular Matrix/metabolism , Female , Human Umbilical Vein Endothelial Cells/metabolism , Humans , Mice , Mice, Inbred BALB C , Models, Biological , Neoplasm Invasiveness , Neoplasm Metastasis , Neovascularization, Pathologic/metabolism , Neovascularization, Pathologic/pathology , Pseudopodia/metabolism , Structure-Activity Relationship , Xenograft Model Antitumor Assays
4.
Fertil Steril ; 97(3): 720-8.e1, 2012 Mar.
Article in English | MEDLINE | ID: mdl-22260855

ABSTRACT

OBJECTIVE: To analyze within-/between-subject, in vivo versus in vitro maturation (IVM), and age-related variations of mitochondrial (mt) bioenergy potential and oxidative status of metaphase II (MII) oocytes recovered from hormonally stimulated sheep. DESIGN: Prospective study. SETTING: Academic basic research laboratory. SUBJECT(S): Ten adult ewes. INTERVENTION(S): Estrus synchronization, controlled ovarian hyperstimulation (COH), ovariohysterectomy; follicular and oviductal oocyte retrieval; IVM of follicular oocytes. MAIN OUTCOME MEASURE(S): Mean ± SD, within-subject (CV(w)) and between-subject (CV(b)) variation coefficients of mt activity, intracellular reactive oxygen species (ROS) levels, and mt/ROS colocalization in sheep oocytes from young and aged donors and matured in vivo (in vivo MIIs) or in vitro (IVM MIIs). RESULT(S): Within- and between-subject, in vivo versus IVM, and age-related variations of mt activity were observed in MII oocytes from hormonally stimulated donor sheep. ROS levels increased significantly in oocytes from aged donors. Mt-ROS colocalization was consistently higher in in vivo MIIs compared with IVM MIIs. Oviductal energy/antioxidant ability is influenced by COH. CONCLUSION(S): Oocyte energy/oxidative status is affected by within-/between-subject, in vivo versus IVM, and age-related variations. Mt/ROS colocalization is a reliable marker of in vivo MII oocytes.


Subject(s)
Aging/metabolism , Energy Metabolism , In Vitro Oocyte Maturation Techniques , Mitochondria/metabolism , Oocytes/metabolism , Oxidative Stress , Age Factors , Animals , Biomarkers/metabolism , Cells, Cultured , Energy Metabolism/drug effects , Estrus Synchronization , Female , Fertility Agents, Female/pharmacology , Metaphase , Mitochondria/drug effects , Oocyte Retrieval , Oocytes/drug effects , Ovulation Induction , Oxidative Stress/drug effects , Reactive Oxygen Species/metabolism , Sheep
5.
PLoS One ; 6(11): e27452, 2011.
Article in English | MEDLINE | ID: mdl-22076161

ABSTRACT

Phthalates are ubiquitous environmental contaminants because of their use in plastics and other common consumer products. Di-(2-ethylhexyl) phthalate (DEHP) is the most abundant phthalate and it impairs fertility by acting as an endocrine disruptor. The aim of the present study was to analyze the effects of in vitro acute exposure to DEHP on oocyte maturation, energy and oxidative status in the horse, a large animal model. Cumulus cell (CC) apoptosis and oxidative status were also investigated. Cumulus-oocyte complexes from the ovaries of slaughtered mares were cultured in vitro in presence of 0.12, 12 and 1200 µM DEHP. After in vitro maturation (IVM), CCs were removed and evaluated for apoptosis (cytological assessment and TUNEL) and intracellular reactive oxygen species (ROS) levels. Oocytes were evaluated for nuclear chromatin configuration. Matured (Metaphase II stage; MII) oocytes were further evaluated for cytoplasmic energy and oxidative parameters. DEHP significantly inhibited oocyte maturation when added at low doses (0.12 µM; P<0.05). This effect was related to increased CC apoptosis (P<0.001) and reduced ROS levels (P<0.0001). At higher doses (12 and 1200 µM), DEHP induced apoptosis (P<0.0001) and ROS increase (P<0.0001) in CCs without affecting oocyte maturation. In DEHP-exposed MII oocytes, mitochondrial distribution patterns, apparent energy status (MitoTracker fluorescence intensity), intracellular ROS localization and levels, mt/ROS colocalization and total SOD activity did not vary, whereas increased ATP content (P<0.05), possibly of glycolytic origin, was found. Co-treatment with N-Acetyl-Cysteine reversed apoptosis and efficiently scavenged excessive ROS in DEHP-treated CCs without enhancing oocyte maturation. In conclusion, acute in vitro exposure to DEHP inhibits equine oocyte maturation without altering ooplasmic energy and oxidative stress parameters in matured oocytes which retain the potential to be fertilized and develop into embryos even though further studies are necessary to confirm this possibility.


Subject(s)
Diethylhexyl Phthalate/toxicity , Meiosis/drug effects , Mitochondria/drug effects , Oocytes/cytology , Oocytes/drug effects , Oxidative Stress/drug effects , Reactive Oxygen Species/metabolism , Acetylcysteine/pharmacology , Animals , Apoptosis/drug effects , Cells, Cultured , Cumulus Cells/cytology , Cumulus Cells/drug effects , Cumulus Cells/metabolism , Cytoplasm/drug effects , Cytoplasm/metabolism , Female , Free Radical Scavengers/pharmacology , Horses , Mitochondria/metabolism , Models, Animal , Oocytes/metabolism , Oogenesis/drug effects , Ovarian Follicle/cytology , Ovarian Follicle/drug effects , Ovarian Follicle/metabolism , Oxidation-Reduction , Plasticizers/toxicity , Superoxide Dismutase/metabolism
6.
PLoS One ; 6(3): e17714, 2011 Mar 17.
Article in English | MEDLINE | ID: mdl-21437284

ABSTRACT

BACKGROUND: The present study investigates the effects of high external calcium concentration ([Ca(2+)](o)) and the calcimimetic NPS R-467, a known calcium-sensing receptor (CaSR) agonist, on growth/proliferation of two equine size-sieved umbilical cord matrix mesenchymal stem cell (eUCM-MSC) lines. The involvement of CaSR on observed cell response was analyzed at both the mRNA and protein level. METHODOLOGY/PRINCIPAL FINDINGS: A large (>8 µm in diameter) and a small (<8 µm) cell line were cultured in medium containing: 1) low [Ca(2+)](o) (0.37 mM); 2) high [Ca(2+)](o) (2.87 mM); 3) NPS R-467 (3 µM) in presence of high [Ca(2+)](o) and 4) the CaSR antagonist NPS 2390 (10 µM for 30 min.) followed by incubation in presence of NPS R-467 in medium with high [Ca(2+)](o). Growth/proliferation rates were compared between groups. In large cells, the addition of NPS R-467 significantly increased cell growth whereas increasing [Ca(2+)](o) was not effective in this cell line. In small cells, both higher [Ca(2+)](o) and NPS R-467 increased cell growth. In both cell lines, preincubation with the CaSR antagonist NPS 2390 significantly inhibited the agonistic effect of NPS R-467. In both cell lines, increased [Ca(2+)](o) and/or NPS R-467 reduced doubling time values.Treatment with NPS R-467 down-regulated CaSR mRNA expression in both cell lines. In large cells, NPS R-467 reduced CaSR labeling in the cytosol and increased it at cortical level. CONCLUSIONS/SIGNIFICANCE: In conclusion, calcium and the calcimimetic NPS R-467 reduce CaSR mRNA expression and stimulate cell growth/proliferation in eUCM-MSC. Their use as components of media for eUCM-MSC culture could be beneficial to obtain enough cells for down-stream purposes.


Subject(s)
Extracellular Matrix/metabolism , Mesenchymal Stem Cells/metabolism , Receptors, Calcium-Sensing/metabolism , Umbilical Cord/cytology , Aniline Compounds/pharmacology , Animals , Calcimimetic Agents/pharmacology , Calcium/pharmacology , Cell Line , Cell Proliferation/drug effects , Extracellular Matrix/drug effects , Extracellular Space/metabolism , Gene Expression Regulation/drug effects , Horses , Mesenchymal Stem Cells/drug effects , Protein Transport/drug effects , RNA, Messenger/genetics , RNA, Messenger/metabolism , Receptors, Calcium-Sensing/genetics , Subcellular Fractions/drug effects , Subcellular Fractions/metabolism
7.
Anim Reprod Sci ; 117(1-2): 166-77, 2010 Jan.
Article in English | MEDLINE | ID: mdl-19372012

ABSTRACT

This study investigates the mitochondrial (mt) distribution in canine ovarian oocytes examined at recovery time, as related to the reproductive cycle stage, and in oviductal oocytes. Ovarian Germinal Vesicle (GV) stage oocytes were recovered from bitches in anestrous (A, n=2), follicular phase (F, n=4), ovulation (O, n=2), early luteal (EL, n=7) and mid/late luteal phase (MLL, n=2). Oviductal GV, metaphase I (MI) or MII stage oocytes were recovered from six bitches between 56 and 110 h after ovulation. Mitochondria were revealed by using MitoTracker Orange CMTM Ros and confocal microscopy. In ovarian oocytes, three mt distribution patterns were found: (I) small aggregates diffused throughout the cytoplasm; (II) diffused tubular networks; (III) pericortical tubular networks. Significantly higher rates of oocytes showing heterogeneous mt patterns (II+III) were obtained from bitches in F (75%) and in O (96%) compared with bitches in A (31%; F vs. A: P<0.05; O vs. A: P<0.001), in EL (61%; O vs. EL: P<0.01), or in MLL (0%; F vs. MLL: P<0.05; O vs. MLL: P<0.001). Fluorescence intensity did not vary according to mt distribution pattern except that it was lower in oocytes recovered in EL phase and showing small mt aggregations (P<0.001). The majority of ovulated MII stage oocytes (79%) showed diffused tubular mt network. We conclude that mt distribution pattern of canine ovarian immature oocytes changes in relation to reproductive cycle stage and that patterns observed in oocytes recovered from bitches in periovulatory phases are heterogeneous and similar to those of in vivo matured oocytes.


Subject(s)
Dogs/anatomy & histology , Dogs/physiology , Estrous Cycle/physiology , Mitochondria/ultrastructure , Oocytes/ultrastructure , Animals , Cell Nucleus/ultrastructure , Chromatin/ultrastructure , Female , Fluorescent Dyes , Meiosis , Microscopy, Confocal , Oocytes/growth & development , Ovulation/physiology
8.
Reprod Biol Endocrinol ; 7: 113, 2009 Oct 16.
Article in English | MEDLINE | ID: mdl-19835605

ABSTRACT

BACKGROUND: The identification of the adipocyte-derived obesity gene product, leptin (Ob), and subsequently its association with reproduction in rodents and humans led to speculations that leptin may be involved in the regulation of oocyte and preimplantation embryo development. In mice and pigs, in vitro leptin addition significantly increased meiotic resumption and promoted preimplantation embryo development in a dose-dependent manner. This study was conducted to determine whether leptin supplementation during in vitro maturation (IVM) to horse oocytes could have effects on their developmental capacity after fertilization by IntraCytoplasmic Sperm Injection (ICSI). METHODS: Compact and expanded-cumulus horse oocytes were matured in medium containing different concentrations (1, 10, 100, 1000 ng/ml) of recombinant human leptin and the effects on maturation, fertilization and embryo cleavage were evaluated. Furthermore, early developmental expression of Ob and leptin receptor (Ob-R) was investigated by immunocytochemical staining. RESULTS: In expanded-cumulus oocytes, the addition of leptin in IVM medium improved maturation (74% vs 44%, for 100 ng/ml leptin-treated and control groups, respectively; P < 0.05) and fertilization after ICSI (56% vs 23% for 10 ng/ml leptin-treated and control groups, respectively; P < 0.05). However, the developmental rate and quality of 8-cell stage embryos derived from leptin-treated oocytes (100 ng/ml) was significantly reduced, in contrast to previous data in other species where leptin increased embryo cleavage. Ob and Ob-R proteins were detected up to the 8-cell stage with cortical and cytoplasmic granule-like distribution pattern in each blastomere. CONCLUSION: Leptin plays a cumulus cell-mediated role in the regulation of oocyte maturation in the mare. Species-specific differences may exist in oocyte sensitivity to leptin.


Subject(s)
Cleavage Stage, Ovum/drug effects , Embryonic Development/drug effects , Fertilization/drug effects , Leptin/metabolism , Leptin/pharmacology , Oogenesis/drug effects , Receptors, Leptin/metabolism , Animals , Cells, Cultured , Cleavage Stage, Ovum/cytology , Embryo, Mammalian , Female , Horses/metabolism , Horses/physiology , Male , Quality Control , Sperm Injections, Intracytoplasmic
9.
Biol Reprod ; 81(5): 856-70, 2009 Nov.
Article in English | MEDLINE | ID: mdl-19587333

ABSTRACT

The mechanism of fertilization remains largely enigmatic in mammals. Most studies exploring the molecular mechanism underlying fertilization have been restricted to a single species, generally the mouse, without a comparative approach. However, the identification of divergences between species could allow us to highlight key components in the mechanism of fertilization. In the pig, in vitro fertilization (IVF) and polyspermy rates are high, and spermatozoa penetrate easily through the zona pellucida (ZP). In contrast, IVF rates are low in the horse, and polyspermy is scarce. Our objective was to develop a comparative strategy between these two divergent models. First, we compared the role of equine and porcine gametes in the following five functions using intraspecific and interspecific IVF: ZP binding, acrosome reaction, penetration through the ZP, gamete fusion, and pronucleus formation. Under in vitro conditions, we showed that the ZP is a determining element in sperm-ZP attachment and penetration, whereas the capacity of the spermatozoa is of less importance. In contrast, the capacity of the spermatozoa is a key component of the acrosome reaction step. Second, we compared the composition and structure of the equine and porcine ZP. We observed differences in the number and localization of the ZP glycoproteins and in the mesh-like structure of the ZP between equine and porcine species. These differences might correlate with the differences in spermatozoal attachment and penetration rates. In conclusion, our comparative approach allows us to identify determining elements in the mechanism of fertilization.


Subject(s)
Horses/physiology , Oocytes/physiology , Sperm-Ovum Interactions/physiology , Spermatozoa/physiology , Swine/physiology , Zona Pellucida/physiology , Animals , Egg Proteins/metabolism , Female , Fertilization in Vitro , Immunohistochemistry , Male , Membrane Glycoproteins/metabolism , Microscopy, Confocal , Microscopy, Electron, Transmission , Receptors, Cell Surface/metabolism , Sperm Capacitation , Sperm Motility , Zona Pellucida Glycoproteins
10.
Reproduction ; 138(3): 439-52, 2009 Sep.
Article in English | MEDLINE | ID: mdl-19494043

ABSTRACT

The extracellular calcium-sensing receptor (CASR) plays an important role in cells involved in calcium (Ca2+) homeostasis by directly sensing changes in the extracellular Ca2+ ion concentration. We previously reported the localization and quantitative expression of CASR protein in human oocytes. In this study, we examined the expression and the functional role of CASR during oocyte meiotic maturation in a large mammal animal model, the horse. As in humans, CASR protein was found to be expressed in equine oocytes and cumulus cells. Western-blot analysis revealed a single 130 kDa band in denuded oocytes and a doublet of 130-120 kDa in cumulus cells. CASR labeling was observed by confocal microscopy in cumulus cells and in oocytes on the plasma membrane and within the cytoplasm at all examined stages of meiosis. Functionally, the CASR allosteric effector NPS R-467, in the presence of 2.92 mM external Ca2+, increased oocyte maturation rate in a dose-dependent manner and its stimulatory effect was attenuated by pre-treatment with the CASR antagonist NPS 2390. NPS R-467 had no effect in suboptimal external Ca2+ (0.5 mM), indicating that it requires higher external Ca2+ to promote oocyte maturation. In oocytes treated with NPS R-467, CASR staining increased at the plasmalemma and was reduced in the cytosol. Moreover, NPS R-467 increased the activity of MAPK, also called ERK, in cumulus cells and oocytes. These results provide evidence of a novel signal transduction pathway modulating oocyte meiotic maturation in mammals in addition to the well-known systemic hormones.


Subject(s)
Cumulus Cells/metabolism , Meiosis , Oocytes/metabolism , Oocytes/physiology , Receptors, Calcium-Sensing/genetics , Receptors, Calcium-Sensing/physiology , Adamantane/analogs & derivatives , Adamantane/pharmacology , Aniline Compounds/pharmacology , Animals , Cells, Cultured , Cumulus Cells/drug effects , Female , Gene Expression/drug effects , Horses , Immunohistochemistry , Mammals/genetics , Mammals/metabolism , Mammals/physiology , Meiosis/drug effects , Meiosis/genetics , Meiosis/physiology , Oocytes/drug effects , Oogenesis/drug effects , Oogenesis/genetics , Oogenesis/physiology , Quinoxalines/pharmacology , RNA, Messenger/analysis , RNA, Messenger/metabolism , Receptors, Calcium-Sensing/metabolism , Tissue Distribution
11.
Fertil Steril ; 91(1): 249-55, 2009 Jan.
Article in English | MEDLINE | ID: mdl-18367183

ABSTRACT

OBJECTIVE: To analyze the effects of GnRH agonists versus antagonists on mitochondrial distribution and activity in human mature oocytes. DESIGN: Randomized research experimental study. SETTING: Academic basic research laboratory and hospital-based fertility center. PATIENT(S): Two hundred twenty-five supernumerary mature oocytes from 44 patients. INTERVENTION(S): Fluorescent staining and confocal laser scanning microscopy on oocytes after the use of either GnRH agonist (group A) or GnRH antagonist (group B). MAIN OUTCOME MEASURE(S): Oocyte mitochondrial distribution pattern and activity using MitoTracker Orange CMTM Ros. RESULT(S): More oocytes showing polarized mitochondrial distribution pattern were found in group A than in group B (35% vs. 14%). In group B, hCG rather than GnRH agonist, for ovulation induction, resulted in more oocytes showing heterogeneous (57% vs. 14%), in particular polarized (24% vs. 0) mitochondrial distribution. In groups A and B, fluorescence intensity did not vary according to mitochondrial distribution pattern. However, fluorescence intensity was higher in oocytes with polarized and large granules configurations in group B compared to group A. CONCLUSION(S): The GnRH agonist and antagonist may have different effects on oocyte mitochondrial distribution pattern and activity. The GnRH antagonist may induce mitochondrial hyperactivity, which may be detrimental to the oocyte.


Subject(s)
Gonadotropin-Releasing Hormone/agonists , Gonadotropin-Releasing Hormone/antagonists & inhibitors , Mitochondria/physiology , Oocytes/physiology , Cell Nucleus/drug effects , Cell Nucleus/physiology , Chorionic Gonadotropin/pharmacology , Chromatin/drug effects , Chromatin/physiology , Female , Fertility/drug effects , Fertility/physiology , Humans , Luteolytic Agents/pharmacology , Mitochondria/drug effects , Oocytes/drug effects , Ovulation Induction , Sperm Injections, Intracytoplasmic , Triptorelin Pamoate/pharmacology
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