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Estudio2018

Creatine enhances the duration of sperm capacitation: a novel factor for improving in vitro fertilization with small numbers of sperm

Umehara T, Kawai T, Goto M, Richards JS, Shimada M

Human reproduction (Oxford, England) · 48 citas

Cómo se estudió

Diseño
Estudio en animales (clasificado por nuestro filtro de IA)
Estudiado en
Animales
Resultado principal
Marcadores de salud y funcionamiento

Quién lo pagó

Financiación
Financiación independiente
Gobierno
Japan Agency for Medical Research and Development
Gobierno
National Institutes of Health
Gobierno
Japan Society for the Promotion of Science
Gobierno
Eunice Kennedy Shriver National Institute of Child Health and Human Development
Gobierno
NICHD NIH HHS
Gobierno
JSPS KAKENHI
Subvenciones
Japan Society for the Promotion of Science (24688028); Japan Agency for Medical Research and Development (16gk0110015h0001); Eunice Kennedy Shriver National Institute of Child Health and Human Development (R01-HD076980); Japan Society for the Promotion of Science (17K19324); Japan Society for the Promotion of Science (15J05331); Japan Society for the Promotion of Science (16H05017); National Institutes of Health (NIH-HD-076980)

Según 6 financiadores declarados.

Publicación

Publicado
2018-03-16 · Hum Reprod · vol. 33 · número 6 · págs. 1117–1129
Editorial
Oxford University Press
Citado
67 citas · más que el 95% de estudios similares · 4.9× el promedio de su campo
Impacto
Entre el 10 % más citado de su campo
Referencias
51 trabajos
Acceso
Lectura gratuita
Áreas de investigación
Sperm and Testicular Function · Muscle metabolism and nutrition · Reproductive Biology and Fertility
Palabras clave
Capacitation, Sperm, Human fertilization, Andrology, Ovulation, Oocyte, In vitro fertilisation, Creatine, Biology, Sperm motility, In vivo, Endocrinology, Internal medicine, Medicine, Embryo, Anatomy, Hormone, Cell biology, Genetics
MeSH
animals, mice, inbred c57bl, humans, disease models, animal, guanidines, creatine, blotting, western, fertilization in vitro, sperm motility, sperm capacitation, female, male, cumulus cells, in vitro oocyte maturation techniques

5 autores

  • Takashi Umehara🇯🇵Hiroshima University
  • Tomoko Kawai🇯🇵Hiroshima University
  • Masaaki Goto🇯🇵Toyama Prefectural Agricultural, Forestry & Fisheries Research Center; Oita Prefectural Agriculture, Forestry and Fisheries Research Center
  • JoAnne S. Richards🇺🇸Baylor College of Medicine
  • Masayuki Shimada🇯🇵 · autor de correspondenciaHiroshima University

Resumen

El texto original del estudio, en el idioma en que se publicó.

Study question

Why are many sperm required for successful fertilization of oocytes in vitro, even though fertilization occurs in vivo when only a few sperm reach the oocyte?

Summary answer

Creatine produced in the ovary promotes efficient fertilization in vivo; however, in vitro, creatine is not contained in the in vitro fertilization (IVF) medium.

What is known already

The IVF medium enables capacitation of sperm. However, the IVF medium does not fully mimic the in vivo environment during fertilization. Consequently, fertilization in vitro is more inefficient than in the oviduct.

Study design, size, duration

Follicular and oviductal fluids were collected and then analyzed for creatine and glucose levels. To determine the physiological functions of creatine, the creatine antagonist 3-guanidinopropionic acid (GPA) was injected into hormonally primed mice. Using conventional IVF protocols, sperm were pre-incubated in IVF medium with creatine and then co-cultured with 10 ovulated cumulus-oocyte complexes (1-1000 per oocyte) in 50 μl medium droplets.

Participants/materials, setting, methods

Glucose and creatine levels were measured using commercial enzymatic assay kits. The effect of creatine in vivo was assessed by mating experiments using mice treated with or without GPA just before ovulation. To assess the functions of sperm incubated in IVF medium containing creatine, we analyzed (1) the motility of sperm using computer-assisted sperm assay, (2) the capacitation level of sperm by western blot analyses, and (3) the condition of sperm acrosomes by peanut agglutinin lectin-FITC staining.

Main results and the role of chance

Oviductal creatine levels were significantly increased following ovulation. Injecting mice with GPA just before ovulation significantly reduced the number of fertilized oocytes. The addition of creatine to IVF medium enhanced sperm capacitation by increasing ATP levels. Successful fertilization was achieved with as few as five sperm/oocyte in the creatine group, and the number of fertilized oocytes was significantly higher than in the control without creatine (P < 0.01).

Limitations, reasons for caution

In the present study, a pharmacological approach, creatine antagonist (GPA) treatment, but not a knockout mouse model, was used to understand the role of creatine in vivo. The role of creatine in fertilization processes can only be shown in a mouse model.

Wider implications of the findings

A modified IVF technique using creatine-containing medium was developed and shown to markedly improve fertilization with small numbers of sperm. This approach has the potential to be highly beneficial for human assisted reproductive technologies, especially for patients with a limited number of good quality sperm.

Study funding/competing interest(s)

This work was supported in part by JSPS KAKENHI Grant numbers JP24688028, JP16H05017 (to M.S.), and JP15J05331 (to T.U.), the Japan Agency for Medical Research and Development (AMED) (16gk0110015h0001 to M.S.), and National Institutes of Health (NIH-HD-076980 to J.S.R). The authors have nothing to disclose.

Resumen vía Europe PMC. Los derechos de autor siguen siendo de los autores o la editorial.

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