Cell-free fat extract improves embryo development and clinical outcomes in older women with previous in-vitro fertilization failure

Abstract Background Preimplantation embryos in vivo are exposed to various growth factors in the female reproductive tract that are absent in in vitro embryo culture media. Cell-free fat extract exerts antioxidant, anti-ageing, and ovarian function-promoting effects. However, its effects on embryo q...

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Main Authors: Xiaowei Zhou, Hanfei Zhu, Jingru Duan, Lan Xia, Shen Zhao, Huihui Xu, Xian Wu, Xiaoling Wang, Bufang Xu, Yi Cao, Aijun Zhang
Format: Article
Language:English
Published: BMC 2025-01-01
Series:Reproductive Biology and Endocrinology
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Online Access:https://doi.org/10.1186/s12958-024-01341-4
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author Xiaowei Zhou
Hanfei Zhu
Jingru Duan
Lan Xia
Shen Zhao
Huihui Xu
Xian Wu
Xiaoling Wang
Bufang Xu
Yi Cao
Aijun Zhang
author_facet Xiaowei Zhou
Hanfei Zhu
Jingru Duan
Lan Xia
Shen Zhao
Huihui Xu
Xian Wu
Xiaoling Wang
Bufang Xu
Yi Cao
Aijun Zhang
author_sort Xiaowei Zhou
collection DOAJ
description Abstract Background Preimplantation embryos in vivo are exposed to various growth factors in the female reproductive tract that are absent in in vitro embryo culture media. Cell-free fat extract exerts antioxidant, anti-ageing, and ovarian function-promoting effects. However, its effects on embryo quality are yet to be investigated. Methods We assessed the effect of cell-free fat extract supplementation on embryo culture using a naturally ageing mouse model. We assessed the model’s efficacy in influencing embryo development and pregnancy rates in older women with in vitro fertilization failure. In addition, we performed immunofluorescence staining, multiplex immunoassay, whole-genome amplification and DNA sequencing, time-lapse embryo monitoring, and in vitro experiments. Results Cell-free fat extract-supplemented media has a suitable osmolarity and pH and contains high levels of bioactive growth factors. Cell-free fat extract promoted embryo development and implantation in aged mice, probably by increasing embryo growth rate, inhibiting cell apoptosis, and promoting blastocyst adhesion. Clinical results showed that the cell-free fat extract group had significantly higher rates of the day 3 available and high-quality embryos than the control group, and the rate of usable embryos tended to be higher in the cell-free fat extract group. Furthermore, implantation and clinical pregnancy rates improved in the cell-free fat extract group than in the control group. Conclusions Our study implies that cell-free fat extract supplementation can promote embryo development and clinical outcomes and may serve as a rescue strategy for older women with in vitro fertilization failure.
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institution Kabale University
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publishDate 2025-01-01
publisher BMC
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series Reproductive Biology and Endocrinology
spelling doaj-art-0ba8d51742f4439c82ba3561f93784fa2025-01-19T12:43:29ZengBMCReproductive Biology and Endocrinology1477-78272025-01-0123111210.1186/s12958-024-01341-4Cell-free fat extract improves embryo development and clinical outcomes in older women with previous in-vitro fertilization failureXiaowei Zhou0Hanfei Zhu1Jingru Duan2Lan Xia3Shen Zhao4Huihui Xu5Xian Wu6Xiaoling Wang7Bufang Xu8Yi Cao9Aijun Zhang10Department of Obstetrics and Gynecology, Ruijin Hospital, Shanghai Jiao Tong University School of MedicineDepartment of Obstetrics and Gynecology, Ruijin Hospital, Shanghai Jiao Tong University School of MedicineDepartment of Obstetrics and Gynecology, Ruijin Hospital, Shanghai Jiao Tong University School of MedicineDepartment of Obstetrics and Gynecology, Ruijin Hospital, Shanghai Jiao Tong University School of MedicineDepartment of Obstetrics and Gynecology, Ruijin Hospital, Shanghai Jiao Tong University School of MedicineDepartment of Obstetrics and Gynecology, Ruijin Hospital, Shanghai Jiao Tong University School of MedicineDepartment of Obstetrics and Gynecology, Ruijin Hospital, Shanghai Jiao Tong University School of MedicineDepartment of Obstetrics and Gynecology, Ruijin Hospital, Shanghai Jiao Tong University School of MedicineDepartment of Obstetrics and Gynecology, Ruijin Hospital, Shanghai Jiao Tong University School of MedicineDepartment of Obstetrics and Gynecology, The Minhang Hospital of Fudan UniversityDepartment of Obstetrics and Gynecology, Ruijin Hospital, Shanghai Jiao Tong University School of MedicineAbstract Background Preimplantation embryos in vivo are exposed to various growth factors in the female reproductive tract that are absent in in vitro embryo culture media. Cell-free fat extract exerts antioxidant, anti-ageing, and ovarian function-promoting effects. However, its effects on embryo quality are yet to be investigated. Methods We assessed the effect of cell-free fat extract supplementation on embryo culture using a naturally ageing mouse model. We assessed the model’s efficacy in influencing embryo development and pregnancy rates in older women with in vitro fertilization failure. In addition, we performed immunofluorescence staining, multiplex immunoassay, whole-genome amplification and DNA sequencing, time-lapse embryo monitoring, and in vitro experiments. Results Cell-free fat extract-supplemented media has a suitable osmolarity and pH and contains high levels of bioactive growth factors. Cell-free fat extract promoted embryo development and implantation in aged mice, probably by increasing embryo growth rate, inhibiting cell apoptosis, and promoting blastocyst adhesion. Clinical results showed that the cell-free fat extract group had significantly higher rates of the day 3 available and high-quality embryos than the control group, and the rate of usable embryos tended to be higher in the cell-free fat extract group. Furthermore, implantation and clinical pregnancy rates improved in the cell-free fat extract group than in the control group. Conclusions Our study implies that cell-free fat extract supplementation can promote embryo development and clinical outcomes and may serve as a rescue strategy for older women with in vitro fertilization failure.https://doi.org/10.1186/s12958-024-01341-4Embryo developmentCulture mediaCell-free fat extractGrowth factorIn vitro fertilizationOlder women
spellingShingle Xiaowei Zhou
Hanfei Zhu
Jingru Duan
Lan Xia
Shen Zhao
Huihui Xu
Xian Wu
Xiaoling Wang
Bufang Xu
Yi Cao
Aijun Zhang
Cell-free fat extract improves embryo development and clinical outcomes in older women with previous in-vitro fertilization failure
Reproductive Biology and Endocrinology
Embryo development
Culture media
Cell-free fat extract
Growth factor
In vitro fertilization
Older women
title Cell-free fat extract improves embryo development and clinical outcomes in older women with previous in-vitro fertilization failure
title_full Cell-free fat extract improves embryo development and clinical outcomes in older women with previous in-vitro fertilization failure
title_fullStr Cell-free fat extract improves embryo development and clinical outcomes in older women with previous in-vitro fertilization failure
title_full_unstemmed Cell-free fat extract improves embryo development and clinical outcomes in older women with previous in-vitro fertilization failure
title_short Cell-free fat extract improves embryo development and clinical outcomes in older women with previous in-vitro fertilization failure
title_sort cell free fat extract improves embryo development and clinical outcomes in older women with previous in vitro fertilization failure
topic Embryo development
Culture media
Cell-free fat extract
Growth factor
In vitro fertilization
Older women
url https://doi.org/10.1186/s12958-024-01341-4
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