Total antioxidant capacity and oxidative stress in follicular fluid and
embryo cell culture media, their role in fertilization and embryo
selection in IVF cycles
Abstract
Objective: The aim of this study is to evaluate antioxidant parameters
as well as levels of lipid peroxidation, paraoxonase enzyme, and
nitrotyrosine in the follicular fluid and embryo culture media among
patients under IVF treatment. Material and methods: Fifty-one patients
who underwent IVF / ICSI were enrolled in this prospective study at the
IVF Center of University Hospital. A long agonist protocol was used in
22 cases for controlled ovarian stimulation, and an antagonist protocol
was used in 29 cases. Two-hundred sixty follicular fluid samples from a
total of 454 follicular fluids obtained from the cases and cell culture
media of 51 transferred embryos (one from each case) were examined.
Follicle fluids and embryo cell culture media were divided into groups
according to oocyte fertilization, the protocol applied, the day of
transfer, the quality of the embryos obtained and whether pregnancy was
achieved. medium obtained from 51 individually cultured embryos and
investigating their relationship with the controlled ovarian stimulation
applied Results: Thiobarbiturate reactive substances (TBARS) levels were
significantly lower in the fertilized oocytes follicular fluids compared
to the unfertilized ones (21 vs. 29.75 nmol/ml, p = 0.002). There were
no differences with regard to other parameters. Trolox Equivalent
Antioxidant Capacity (TEAC) levels were higher both in the fertilized
and unfertilized oocytes in the agonist protocol group compared to the
antagonist protocol group. As to the quality of embryos, there were no
differences between the groups in terms of the investigated parameters
and between the pregnant and the nonpregnant groups in follicular fluid
analysis. TEAC levels were higher in the embryo cell culture media in
the pregnant group during the day 2 embryo transfer. we found no
association between follicular fluid TEAC levels and fertilization rates
in total, however, TBARS values were significantly higher in the
unfertilized group, suggesting that