Skip to main content
Log in

Intra- and inter-individual variability of fatty acid composition of the follicular fluid in a cohort of 23 women undergoing assisted reproductive treatment

  • Assisted Reproduction Technologies
  • Published:
Journal of Assisted Reproduction and Genetics Aims and scope Submit manuscript

Abstract

Purpose

To examine the intra- and inter-individual variability in fatty acid composition of follicular fluid (FF) of 23 patients undergoing assisted reproductive treatment.

Methods

The average coefficient of variation within each patient (CVw) and intra-class correlation coefficient (ICC) values of FF fatty acid composition as well as correlation between the fatty acid composition of individual, pooled or first-punctured follicles, were assessed.

Results

The proportions of 16:0, 18:0, cis-9 18:1, 18:2n-6, 20:5n-3, total MUFA and n-3 PUFA showed good reproducibility (CVw < 10%). Although CVw values of 18:3n-3 and 20:3n-6 exceeded 10%, variation between patients exceeded intra-individual variation as indicated by elevated ICC values (0.61 and 0.66, respectively). Nevertheless, 20:4n-6 and 22:6n-3 showed non-negligible intra-patient variation. With the exception of some minor fatty acids (< 0.30 g/100 g), strong relationships were demonstrated between the average proportion in individually analysed follicles and the proportion determined in pooled samples and in the first, largest follicle.

Conclusion

The CVw and ICC values of proportions of 16:0, 18:0, cis-9 18:1, 18:2n-6, 18:3n-3, 20:5n-3, total MUFA and n-3 PUFA showed limited intra-individual variation and moderate to good reliability. However, this is not the case for some other PUFA, such as 20:4n-6 and 22:6n-3. Nevertheless, for all of these fatty acid(s) (groups), calculated average fatty acid proportions were highly correlated with proportions determined in pooled samples and in the first, largest follicle. This implies that single or pooled follicle aspiration suffices to assess intra-individual variation in the FF of these fatty acids.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2

Similar content being viewed by others

References

  1. Valckx SDM, Arias-Alvarez M, De Pauw I, Fievez V, Vlaeminck B, Fransen E, et al. Fatty acid composition of the follicular fluid of normal weight, overweight and obese women undergoing assisted reproductive treatment: a descriptive cross-sectional study. Reprod Biol Endocrinol. 2014;12:13.

    Article  Google Scholar 

  2. O’Gorman A, Wallace M, Cottell E, Gibney MJ, McAuliffe FM, Wingfield M, et al. Metabolic profiling of human follicular fluid identifies potential biomarkers of oocyte developmental competence. Reproduction. 2013;146(4):389–95.

    Article  Google Scholar 

  3. McKeegan PJ, Sturmey RG. The role of fatty acids in oocyte and early embryo development. Reprod Fertil Dev. 2012;24(1):59–67.

    Article  Google Scholar 

  4. Revelli A, Piane LD, Casano S, Molinari E, Massobrio M, Rinaudo P. Follicular fluid content and oocyte quality: from single biochemical markers to metabolomics. Reprod Biol Endocrinol. 2009;7:40.

    Article  Google Scholar 

  5. Pantasri T, Wu LL, Hull ML, Sullivan TR, Barry M, Norman RJ, et al. Distinct localisation of lipids in the ovarian follicular environment. Reprod Fertil Dev. 2015;27(4):593–601.

    Article  CAS  Google Scholar 

  6. Jungheim ES, Macones GA, Odem RR, Patterson BW, Lanzendorf SE, Ratts VS, et al. Associations between free fatty acids, cumulus oocyte complex morphology and ovarian function during in vitro fertilization. Fertil Steril. 2011;95(6):1970–4.

    Article  CAS  Google Scholar 

  7. Valckx SDM, De Pauw I, De Neubourg D, Inion I, Berth M, Fransen E, et al. BMI-related metabolic composition of the follicular fluid of women undergoing assisted reproductive treatment and the consequences for oocyte and embryo quality. Hum Reprod. 2012;27(12):3531–9.

    Article  CAS  Google Scholar 

  8. Kim K, Bloom MS, Fujimoto VY, Bell EM, Yucel RM, Browne RW. Variability in follicular fluid high density lipoprotein particle components measured in ipsilateral follicles. J Assist Reprod Genet. 2016;33(3):423–30.

    Article  Google Scholar 

  9. Robker RL, Akison LK, Bennett BD, Thrupp PN, Chura LR, Russell DL, et al. Obese women exhibit differences in ovarian metabolites, hormones, and gene expression compared with moderate-weight women. J Clin Endocrinol Metab. 2009;94(5):1533–40.

    Article  CAS  Google Scholar 

  10. Kralikova M, Melounova J, Crha I, Matejovicova M, Zakova J, Jarkovsky J, et al. Intraindividual variability of homocysteine and related thiols concentrations in follicular fluid. J Assist Reprod Genet. 2011;28(9):863–8.

    Article  Google Scholar 

  11. Vandekerckhove F, Gerris J, Vansteelandt S, De Baerdemaeker A, Tilleman K, De Sutter P. Delaying the oocyte maturation trigger by one day leads to a higher metaphase II oocyte yield in IVF/ICSI: a randomised controlled trial. Reprod Biol Endocrinol. 2014;12:31.

    Article  Google Scholar 

  12. Vlaeminck B, Braeckman T, Fievez V. Rumen metabolism of 22:6n-3 in vitro is dependent on its concentration and inoculum size, but less dependent on substrate carbohydrate composition. Lipids. 2014;49(6):517–25.

    Article  CAS  Google Scholar 

  13. Canchola JA, Tang S, Hemyari P, Paxinos E, Marins E. Correct use of percent coefficient of variation (%CV) formula for log-transformed datalog transformation back to calculate the CV. MOJ Proteomics Bioinforma. 2017;6(4):316–7.

    Google Scholar 

  14. Donner A, Koval JJ. The estimation of intraclass correlation in the analysis of family data. Biometrics. 1980;36:19–25.

    Article  CAS  Google Scholar 

  15. Shrout PE, Fleiss JL. Intraclass correlations: uses in assessing rater reliability. Psychol Bull. 1979;86(2):420–8.

    Article  CAS  Google Scholar 

  16. Leushuis E, van der Steeg JW, Steures P, Repping S, Bossuyt PMM, Blankenstein MA, et al. Reproducibility and reliability of repeated semen analyses in male partners of subfertile couples. Fertil Steril. 2010;94(7):2631–5.

    Article  Google Scholar 

  17. Roura M, Catala MG, Soto-Heras S, Hammami S, Izquierdo D, Fouladi-Nashta A, et al. Linoleic (LA) and linolenic (ALA) acid concentrations in follicular fluid of prepubertal goats and their effect on oocyte in vitro maturation and embryo development. Reprod Fertil Dev. 2018;30(2):286–96.

    Article  CAS  Google Scholar 

  18. Moore SG, O’Gorman A, Brennan L, Fair T, Butler ST. Follicular fluid and serum metabolites in Holstein cows are predictive of genetic merit for fertility. Reprod Fertil Dev. 2017;29(4):658–69.

    Article  CAS  Google Scholar 

  19. Matoba S, Bender K, Fahey AG, Mamo S, Brennan L, Lonergan P, et al. Predictive value of bovine follicular components as markers of oocyte developmental potential. Reprod Fertil Dev. 2014;26(2):337–45.

    Article  CAS  Google Scholar 

  20. Shaaker M, Rahimipour A, Nouri M, Khanaki K, Darabi M, Farzadi L, et al. Fatty acid composition of human follicular fluid phospholipids and fertilization rate in assisted reproductive techniques. Iran Biomed J. 2012;16(3):162–8.

    CAS  PubMed  PubMed Central  Google Scholar 

  21. Mirabi P, Chaichi MJ, Esmaeilzadeh S, Jorsaraei SGA, Bijani A, Ehsani M, et al. The role of fatty acids on ICSI outcomes: a prospective cohort study. Lipids Health Dis. 2017;16(1):18.

    Article  CAS  Google Scholar 

  22. Zarezadeh R, Mehdizadeh A, Leroy JLMR, Nouri M, Fayezi S, Darabi M. Action mechanisms of n-3 polyunsaturated fatty acids on the oocyte maturation and developmental competence: potential advantages and disadvantages. J Cell Physiol. 2019;234(2):1016–29.

    Article  CAS  Google Scholar 

  23. Niu Z, Lin N, Gu R, Sun Y, Feng Y. Associations between insulin resistance, free fatty acids, and oocyte quality in polycystic ovary syndrome during in vitro fertilization. J Clin Endocrinol Metab. 2014;99(11):2269–76.

    Article  Google Scholar 

  24. Aardema H, Vos PLAM, Lolicato F, Roelen BAJ, Knijn HM, Vaandrager AB, et al. Oleic acid prevents detrimental effects of saturated fatty acids on bovine oocyte developmental competence. Biol Reprod. 2011;85(1):62–9.

    Article  CAS  Google Scholar 

  25. Annes K, Müller DB, Vilela JAP, Valente RS, Caetano DP, Cibin FWS, et al. Influence of follicle size on bovine oocyte lipid composition, follicular metabolic and stress markers, embryo development and blastocyst lipid content. Reprod Fertil Dev. 2019;31(3):462.

    Article  CAS  Google Scholar 

  26. Pounis G, de Lorgeril M, Salen P, Laporte F, Krogh V, Siani A, et al. Dietary patterns and fatty acids levels of three European populations. Results from the IMMIDIET study. Nutr Metab Cardiovasc Dis. 2014;24(8):883–90.

    Article  CAS  Google Scholar 

  27. Ruiz-Sanz JI, Pérez-Ruiz I, Meijide S, Ferrando M, Larreategui Z, Ruiz-Larrea MB. Lower follicular n-3 polyunsaturated fatty acid levels are associated with a better response to ovarian stimulation. J Assist Reprod Genet. 2019;36(3):473–82.

    Article  Google Scholar 

Download references

Acknowledgements

We thank Charlotte Melis for her assistance in processing the samples. We thank the team of the Department of Reproductive Medicine, especially Dr. Frank Dumortier for the sampling of the follicles, the colleagues from the IVF lab for the processing of the FF samples and the study nurses for helping in the patient recruitment.

Funding

This study was funded by the Chinese Scholarship Council and the Fund for Scientific Research-Flanders (Belgium).

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to V. Fievez.

Ethics declarations

Conflict of interest

The authors declare that they have no conflict of interest.

Informed consent

Informed consent was obtained from each patient prior to assisted reproductive treatment.

Ethical approval

The study design was approved by the local ethics committee of the Ghent University Hospital (2016/0259, Belgian registration number: B670201627735).

Additional information

Publisher’s note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Electronic supplementary material

ESM 1

Percentiles (25th, 50th, 75th) of non-normally distributed fatty acids proportions in the follicular fluid from 23 patients undergoing assisted reproductive technology. (PDF 32 kb)

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Liu, Y.J., Vlaeminck, B., Tilleman, K. et al. Intra- and inter-individual variability of fatty acid composition of the follicular fluid in a cohort of 23 women undergoing assisted reproductive treatment. J Assist Reprod Genet 37, 649–655 (2020). https://doi.org/10.1007/s10815-019-01669-6

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10815-019-01669-6

Keywords

Navigation