Serum metabolites as predictive molecular markers of ovarian response to controlled stimulation: a pilot study.

Autor:	Borges E Jr; Fertility Medical Group. São Paulo, SP - Brazil.; Instituto Sapientiae - Centro de Estudos e Pesquisa em Reprodução Assistida. São Paulo, SP - Brazil., Montani DA; Grupo de Bio-orgânica e Bioanalítica. Departamento de Química - Instituto de Ciências Ambientais, Químicas e Farmacêuticas - UNIFESP Diadema Campus, Diadema, SP - Brazil., Setti AS; Fertility Medical Group. São Paulo, SP - Brazil.; Instituto Sapientiae - Centro de Estudos e Pesquisa em Reprodução Assistida. São Paulo, SP - Brazil., Zanetti BF; Fertility Medical Group. São Paulo, SP - Brazil.; Instituto Sapientiae - Centro de Estudos e Pesquisa em Reprodução Assistida. São Paulo, SP - Brazil., Figueira RCS; Fertility Medical Group. São Paulo, SP - Brazil.; Instituto Sapientiae - Centro de Estudos e Pesquisa em Reprodução Assistida. São Paulo, SP - Brazil., Iaconelli A Jr; Fertility Medical Group. São Paulo, SP - Brazil.; Instituto Sapientiae - Centro de Estudos e Pesquisa em Reprodução Assistida. São Paulo, SP - Brazil., Oliveira-Silva D; Grupo de Bio-orgânica e Bioanalítica. Departamento de Química - Instituto de Ciências Ambientais, Químicas e Farmacêuticas - UNIFESP Diadema Campus, Diadema, SP - Brazil., Braga DPAF; Fertility Medical Group. São Paulo, SP - Brazil.; Instituto Sapientiae - Centro de Estudos e Pesquisa em Reprodução Assistida. São Paulo, SP - Brazil.
Jazyk:	angličtina
Zdroj:	JBRA assisted reproduction [JBRA Assist Reprod] 2019 Oct 14; Vol. 23 (4), pp. 323-327. Date of Electronic Publication: 2019 Oct 14.
DOI:	10.5935/1518-0557.20190008
Abstrakt:	Objective: This study aimed to look into the use of serum metabolites as potential biomarkers of response to controlled ovarian stimulation (COS) in patients undergoing intracytoplasmic sperm injection (ICSI) cycles. Methods: This case-control study analyzed serum samples from 30 patients aged <36 years undergoing COS for ICSI in a university-affiliated assisted reproduction center from January 2017 to August 2017. The samples were split into three groups based on response to COS as follows: poor responders: <4 retrieved oocytes (PR group, n=10); normal responders: ≥ 8 and ≤ 12 retrieved oocytes (NR group, n=10); and hyper-responders: >25 retrieved oocytes (HR, n=10). The metabolic profiles of the serum samples were compared between the groups through Principal Component Analysis (PCA). Receiver Operating Characteristic (ROC) curves were built to assess the power of the model at predicting response to COS. Results: PCA clearly distinguished between PR, NR and HR, and 10 ions were chosen as potential biomarkers of response to COS. These ions were more specific for PR than for NR. The ROC curve considering PR and NR had an area under the curve of 99.6% (95% CI: 88.9 - 100%). Conclusion: The preliminary evidence discussed in this study suggests that serum metabolites may be used as predictive molecular markers of ovarian response to controlled stimulation. The integration of clinical and "omics" findings may allow the migration toward an era of personalized treatment in reproductive medicine.
Databáze:	MEDLINE
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