Abstract
Purpose
This study evaluated the relationship between cytoplasmic granulation patterns and the developmental potential of mature sibling oocytes.
Methods
Data from 54 cycles of preimplantation genetic tests for structural rearrangement from July 2019 to June 2022 were analyzed. In total, 564 embryos were cultured using a time-lapse system. Sibling oocytes were divided into four groups based on cytoplasmic granulation patterns: fine granulation (FG) group (n = 177), central granulation (CG) group (n = 183), dispersed granulation (DG) group (n = 161), and uneven granulation (UG) group (n = 43). The CG group was further divided into three groups (grades I, II, and III) based on the tertile of the ratio of central granular distribution area to oocyte area. Fertilization rate, embryo morphokinetics, chromosomal ploidy, and clinical outcomes of the groups were compared.
Results
No significant differences were observed in morphokinetic parameters, fertilization rate, embryo production, blastocyst formation, and aneuploidy rates among the different cytoplasmic-granulation pattern groups. However, embryos derived from CG oocytes showed significantly higher aneuploidy rates in grade III compared to grade I (86.21% vs 61.54%, P = 0.036) or grade II (86.21% vs 56.00%, P = 0.013). Thirty embryos were transferred to the uteri of female patients and the clinical pregnancy and live birth rates did not significantly differ among groups.
Conclusions
Cytoplasmic granulation patterns may not affect embryo fertilization, development speed, and aneuploidy rates. However, a higher grade of CG may be associated with increased aneuploidy rates. Larger sample sizes are required to explore the impact of oocyte cytoplasmic granulation patterns on embryo implantation potential.
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Data availability
The data are available from the corresponding author on reasonable request.
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Acknowledgements
The study was supported by the Guangdong Special Support Program (2019BT02Y276), National Natural Science Foundation of China (81771579), Guangdong Basic and Applied Basic Research Foundation (2021A1515010377), and National Natural Science Foundation of China (32000589). The authors thank Taylor and Francis Editing Services for English language editing.
Funding
This work was supported by grants from the Guangdong Special Support Program (2019BT02Y276), National Natural Science Foundation of China (81771579), Guangdong Basic and Applied Basic Research Foundation (2021A1515010377), and National Natural Science Foundation of China (32000589).
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YW: Conceptualization, Formal Analysis, Project Administration, Resources, Writing–Review and Editing; DC: Data Curation, Investigation, Methodology, Validation, Writing–Original Draft Preparation; BC: Writing–Review and Editing; DH: Data Curation, Formal Analysis; YX: Supervision; CD: Supervision, Writing–Review and Editing.
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This study was approved by the Ethics Committee of the First Affiliated Hospital of Sun Yat-sen University (reference no. [2022] 566, date of approval 27th December 2022). Owing to the retrospective nature of this study, the requirement for informed consent was waived.
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Wang, Y., Chen, D., Cai, B. et al. Effects of different oocyte cytoplasmic granulation patterns on embryo development and euploidy: a sibling oocyte control study. Arch Gynecol Obstet 308, 1593–1603 (2023). https://doi.org/10.1007/s00404-023-07176-5
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DOI: https://doi.org/10.1007/s00404-023-07176-5