Document Detail


Can 'abnormally' fertilized zygotes give rise to viable embryos?
MedLine Citation:
PMID:  17008268     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Conventional practice in in vitro fertilization or intracytoplasmic sperm injection is to select the best quality embryos based on their morphology and cleavage status from a cohort of fertilized oocytes in which two pronuclei were observed at the time they were checked for fertilization. However, in a small proportion of cycles, the selection is limited to embryos that appeared to be either unfertilized (displaying zero pronuclei) or abnormally fertilized (displaying one or three pronuclei) at the time they were checked for fertilization. There is a lack of consensus on whether such embryos should be transferred to the uterus. Cytogenetic analysis of embryos from oocytes with one pronucleus has shown a proportion is diploid. Transfer of such embryos has resulted in healthy births. Limited cytogenetic analysis of oocytes that divide despite the absence of pronuclei at fertilization check indicates that a proportion also have a normal cytogenetic constitution. Cytogenetic analysis of embryos from oocytes with three pronuclei has shown high rates of triploidy and chaotic cell divisions. Subsequent foetuses have extremely unfavourable outcomes. Here, we review the published literature on the cytogenetic analysis of 'unfertilized' and 'abnormally fertilized' embryos and discuss possible pathways which lead to their formation. The limited evidence indicates that oocytes with one pronucleus and oocytes that show normal onward division despite the absence of pronuclei may be considered for replacement in certain circumstances.
Authors:
Katie Feenan; Mary Herbert
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Human fertility (Cambridge, England)     Volume:  9     ISSN:  1464-7273     ISO Abbreviation:  Hum Fertil (Camb)     Publication Date:  2006 Sep 
Date Detail:
Created Date:  2006-09-29     Completed Date:  2007-02-01     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  100888143     Medline TA:  Hum Fertil (Camb)     Country:  England    
Other Details:
Languages:  eng     Pagination:  157-69     Citation Subset:  IM    
Affiliation:
Newcastle Fertility Centre, Bioscience Centre, International Centre for Life, Times Square, Newcastle upon Tyne NE1 4EP, UK. katie.feenan@nuth.nhs.uk
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MeSH Terms
Descriptor/Qualifier:
Cell Nucleus / ultrastructure
Chromosome Aberrations
Cytogenetic Analysis
Diploidy
Embryo Transfer
Embryo, Mammalian / physiology*
Female
Fertilization in Vitro*
Humans
Male
Pregnancy
Pregnancy Outcome
Sperm Injections, Intracytoplasmic
Zygote / ultrastructure*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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