Reproduction and Fertility
Latest Impact Factor: 2.8
2023 Journal CiteScore: 2.8
 

 

CO-EDITORs-IN-CHIEF

Professor Andrew Horne
 
Andrew Horne, PhD FRCOG FRCP Edin FRCSEd FRSE
Professor of Gynaecology and Reproductive
Sciences,
MRC Centre for Reproductive Health,
University of Edinburgh, UK
 
Professor Norah Spears
Norah Spears, D Phil
Professor of Reproductive Physiology,
Centre for Integrative Physiology,
University of Edinburgh, UK
 
Meet the Editorial Board

Abstract

The eutherian placenta is highly complex, evolving to regulate the inflammatory phase of pregnancy during conceptus attachment and placental tissue development. Tripartite motif family-like (TRIMLs) proteins are implicated in downregulating inflammation. In mammals, TRIML1 and TRIML2 show preferential expression in gonads, preimplantation embryos and placenta. TRIML1 domains differ between eutherians and marsupials, while TRIML2 is absent in marsupials, suggesting it may play a unique role in regulating the inflammatory phase during conceptus attachment, critical for establishing and maintaining pregnancy to term. This study aimed to investigate the expression pattern of TRIML1 and TRIML2 in various tissues, as well as during embryo development, conceptus attachment, and placental formation in pigs. Transcripts for TRIML2 were detected in embryos, conceptuses, extraembryonic membranes, ovary and testis but not in any of the other tissues examined. In contrast, TRIML1 expression was only observed in testis. In situ hybridization of TRIML1 and TRIML2 confirmed these results. The specific expression of TRIML2 in immune privileged sites is consistent with it serving as an anti-inflammatory factor to provide immunological protection of the eutherian placenta. To further investigate the role of TRIML2, CRISPR/Cas9 gene editing was employed to knock out either TRIML1 (control) or TRIML2. TRIML1 −/− and TRIML2 −/− porcine fetal fibroblasts were used for somatic cell nuclear transfer, and the resulting embryos were transferred into surrogate gilts. Early conceptus and placental development were not affected by the loss of conceptus TRIML2. Although a tissue-specific expression pattern was found, TRIML1 or TRIML2 are not required for pregnancy establishment in the pig.

Lay summary

This study investigates the expression and possible roles of two specific proteins in pigs. These proteins are implicated in regulating inflammation and are thought to be important for the proper development of the placenta, which is essential for a successful pregnancy. TRIML2 was found in embryos and certain tissues, including ovary, testis and placenta, while TRIML1 appears only in the testis. We further used gene-editing techniques to generate pig embryos lacking these proteins to test whether their absence would affect early pregnancy and placental development. Lack of either TRIML1 or TRIML2 did not disrupt the early stages of pregnancy or placental formation, indicating that these proteins may not be critical for these processes in pigs.

Abstract

To improve clinical outcomes of human medically assisted reproduction, the transfer of multiple embryos is frequently performed. This leads to high rates of multiple pregnancies. In this study we explored if a cohort of patients can be defined, that benefits from the transfer of two embryos while mitigating the odds of multiple pregnancies by considering female patients’ age, embryo quality and embryo cohort quality. In this retrospective cohort study, clinical pregnancy rate (CPR), live birth rate (LBR) and multiple pregnancy rate (MPR) after fresh single embryo transfers (SETs, n = 245) were compared to those after double embryo transfer (DET, n = 278). Female patient’s age, embryo quality and embryo cohort quality were used to explore clinical outcomes in subgroups. Overall, this study found that compared to SET, DET significantly increased the CPR (33.5 vs 49.6%, adjusted odds ratio (aOR): 2.233, 95% CI: 1.529–3.261, P < 0.001), LBR (24.1 vs 39.2%, aOR: 2.416, 1.605–3.636, P < 0.001) and MPR (0.0 vs 25.4%, P < 0.001). Subgroup analysis based on female age, embryo quality and further stratification based on embryo cohort score revealed that the MPR in all subgroups was high after DET and a subgroup with significantly reduced MPR after DET could not be defined. In conclusion, DETs are associated with high MPRs that cannot be avoided by considering female patients’ age, embryo quality and embryo cohort quality. SET is the most effective way to avoid a multiple pregnancy.

Lay summary

This study examined whether it is possible to avoid multiple pregnancies in treatments of assisted reproduction when two embryos are transferred to certain patients. Transferring more than one embryo can increase the chances of pregnancy and live birth but also raises the risk of multiple pregnancies. Multiple pregnancies are linked to health risks for both the mother and the children. Using data from a single clinic, this study explored whether there are specific patients who could benefit from the transfer of two embryos while still having a lower risk of multiple pregnancy. However, the researchers found that DETs consistently lead to high rates of multiple pregnancies, even when factors like the mother’s age, embryo quality and overall embryo cohort quality are considered. The researchers concluded that transferring a single embryo remains the safest approach to prevent multiple pregnancies.

This study explores the impact of the menstrual cycle on physical fitness in female athletes. It highlights the role of fluctuations in estrogen and progesterone during the menstrual cycle, noting that regular bleeding does not necessarily indicate ovulation. The study recruited 27 women aged 18 to 40, all athletes classified as level II-III according to McKay et al. (2022) based on training volume and activity metrics. Cardiorespiratory fitness was assessed using V̇O2max measurements, and blood and urine samples were collected to determine the menstrual phase and detect ovulation. Progesterone levels were analyzed to confirm ovulation, with a threshold of 16 nmol/L in the mid-luteal phase. 26% of participants did not meet this threshold, indicating anovulatory or deficient luteal phases, leading to the creation of two groups: ovulatory (n=20) and anovulatory (n=7). No significant differences in age, weight, BMI, or V̇O2max were found between groups during the bleeding phase. While female sex hormones varied significantly in the ovulatory group, they remained stable in the anovulatory group. V̇O2max levels changed significantly in the ovulatory group (p=3.78E-4), while no changes were observed in the anovulatory group (p=0.638). The study reveals a high prevalence of anovulatory cycles in female athletes and suggests that women with anovulatory cycles may maintain stable fitness levels, while training loads for those with ovulatory cycles could be adjusted according to menstrual phases. Monitoring ovulation alongside menstrual bleeding is crucial for improving understanding of women's reproductive health.