Abstract
Purpose
To study the relationship between the migration speed of nucleolus precursor bodies (NPBs) in male and female pronuclei (mPN; fPN) and human embryo development during assisted reproduction.
Methods
The migration speed of 263 NPBs from 47 zygotes was quantitated, and embryonic development was observed until the blastocyst stage. The central coordinates of mPN, fPN, and NPBs were noted at multiple timepoints. Then, the distance traveled by the NPBs between two sequential images was measured, and migration speed was calculated. Additionally, we investigated the relationship between NPB migration speed and ploidy status (N = 33) or live birth/ongoing pregnancy (LB/OP) (N = 60) after assisted reproduction.
Results
The NPB migration speed in both mPN and fPN was significantly faster in the zygotes that developed into blastocysts (N = 25) than that in the zygotes that arrested (N = 22). The timing of blastulation was negatively correlated with NPB migration speed in the mPN. Faster NPB migration was significantly correlated with LB/OP. In multivariate logistic analysis, NPB migration speed in the mPN was the only morphokinetic parameter associated with LB/OP. In a receiver-operating characteristic curve analysis of LB/OP by the NPB migration speed in the mPN, the cut-off value was 4.56 μm/h. When this cut-off value was applied to blastocysts with preimplantation genetic testing for aneuploidy, 100% of the blastocysts faster than or equal to the cut-off value were euploid.
Conclusion
The NPBs migrated faster in zygotes having the potential to develop into a blastocyst, and eventually into a baby. This predictor could be an attractive marker for non-invasive embryo selection.
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Acknowledgements
We thank Kayoko Hirao for performing ICSI, cryopreservation, and warming. We thank Shogo Shiratsuki, PhD (Merck Biopharma Co., Ltd.) for critical review and scientific discussion on the manuscript. We thank Shannon Wyszomierski, PhD for editing the manuscript.
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T. I. designed this study, performed tracking NPBs and PNs, collected and analyzed data, and drafted the manuscript. S. T. annotated morphokinetic parameters. Y. T. performed biopsy for PGT-A. T. I., S. T., and Y. T. performed ICSI, cryopreservation, and warming. M. U. contributed to the data analysis and critically reviewed the manuscript. K. M. and Y. Y. performed ovarian stimulation, oocyte retrieval, blastocyst transfer, and luteal support. All authors approved the final manuscript.
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All procedures were performed in accordance with the 1964 Helsinki declaration. This study was approved by the Umeda Fertility Clinic Institutional Review Board (181215).
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Inoue, T., Taguchi, S., Uemura, M. et al. Migration speed of nucleolus precursor bodies in human male pronuclei: a novel parameter for predicting live birth. J Assist Reprod Genet 38, 1725–1736 (2021). https://doi.org/10.1007/s10815-021-02172-7
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DOI: https://doi.org/10.1007/s10815-021-02172-7