Skip to main content
Top
Published in: Journal of Assisted Reproduction and Genetics 5/2007

01-05-2007 | Assisted Reproduction

Developmental prognosis for zygotes based on pronuclear pattern: Usefulness of pronuclear scoring

Authors: Gemma Arroyo, Anna Veiga, Josep Santaló, Pere Nolasc Barri

Published in: Journal of Assisted Reproduction and Genetics | Issue 5/2007

Login to get access

Abstract

Purpose: To relate pronuclear patterns (PN) and zygote cytoplasmic appearance and embryo morphology.
Methods: The usefulness of PN classification described by Tesarik et al. 1999 (patterns p0-5) and Scott et al. 2000 (Z1-4), for embryo selection is assessed.
Results: Sinchrony on polarization and number of nucleolar precursor bodies (NPB) were associated with good quality embryos (p0 60.9% and p3 67.3%, and Z1 62.5% and Z2 64.7%; p<0.01). Pattern 4 zygotes were associated with small number of NPB developed into multinucleated embryos (14.3%) and poor quality embryos (61.9%). No significant differences were found in the pregnancy rate between transfer of at least one good prognosis PN pattern and transfer of poor prognosis PN patterns, although 75% of the transfers included at least one embryo derived from a pattern 0 zygote, and 55% included embryos from categories Z1 or Z2.
Conclusions: Sequential assessment involving the evaluation of oocyte quality, the classification of PN patterns and embryo morphology allows a more accurate evaluation of embryos to be selected for transfer.
Literature
1.
go back to reference Gardner DK, Lane M. Towards a single embryo transfer. Reprod BioMed Online 2003;6:470–81.PubMed Gardner DK, Lane M. Towards a single embryo transfer. Reprod BioMed Online 2003;6:470–81.PubMed
2.
go back to reference Ludwig M, Schopper B, Al-Hasani S, Dietrich K. Clinical use of a pronuclear stage score following intracytoplasmatic sperm injection: impact on pregnancy rates under the conditions of the German embryo law. Hum Reprod 2000;15:325–29.PubMedCrossRef Ludwig M, Schopper B, Al-Hasani S, Dietrich K. Clinical use of a pronuclear stage score following intracytoplasmatic sperm injection: impact on pregnancy rates under the conditions of the German embryo law. Hum Reprod 2000;15:325–29.PubMedCrossRef
3.
go back to reference Zollner U, Zollner K-P, Hartl G, Dietl J, Steck T. The use of a detailed zygote score after IVF/ICSI to obtain good quality blastocysts: the German experience. Hum Reprod 2002;17:1327–33.PubMedCrossRef Zollner U, Zollner K-P, Hartl G, Dietl J, Steck T. The use of a detailed zygote score after IVF/ICSI to obtain good quality blastocysts: the German experience. Hum Reprod 2002;17:1327–33.PubMedCrossRef
4.
go back to reference Tesarik J, Greco E. The probability of abnormal preimplantation development can be predicted by a single static observation on pronuclear stage morphology. Hum Reprod 1999;14:1318–23.PubMedCrossRef Tesarik J, Greco E. The probability of abnormal preimplantation development can be predicted by a single static observation on pronuclear stage morphology. Hum Reprod 1999;14:1318–23.PubMedCrossRef
5.
go back to reference Scott L, Alvero R, Leondires M, Miller B. The morphology of human pronuclear embryos is positively related to blastocyst development and implantation. Hum Reprod 2000;15:2394–403.PubMedCrossRef Scott L, Alvero R, Leondires M, Miller B. The morphology of human pronuclear embryos is positively related to blastocyst development and implantation. Hum Reprod 2000;15:2394–403.PubMedCrossRef
6.
go back to reference Sadowy S, Tomkin G, Munné S, Ferrara-Congedo T, Cohen J. Impaired development of zygotes with uneven pronuclear size. Zygote 1998;6:137–41.PubMedCrossRef Sadowy S, Tomkin G, Munné S, Ferrara-Congedo T, Cohen J. Impaired development of zygotes with uneven pronuclear size. Zygote 1998;6:137–41.PubMedCrossRef
7.
go back to reference Wright G, Wiker S, Elsner C, Kort H, Massey J, Mitchell D, Toledo A, Cohen J. Observations on the morphology in human zygotes and implications for cryopreservation. Hum Reprod 1990;5:109–15.PubMed Wright G, Wiker S, Elsner C, Kort H, Massey J, Mitchell D, Toledo A, Cohen J. Observations on the morphology in human zygotes and implications for cryopreservation. Hum Reprod 1990;5:109–15.PubMed
8.
go back to reference Scott L, Smith S. The successful of pronuclear embryo transfers the day following oocyte retrieval. Hum Reprod 1998;13:1003–13.PubMedCrossRef Scott L, Smith S. The successful of pronuclear embryo transfers the day following oocyte retrieval. Hum Reprod 1998;13:1003–13.PubMedCrossRef
9.
go back to reference Wittemer C, Bettahar-Lebugle K, Ohl J, Rongières C, Nisand I, Gerlinger P. Zygote evaluation: and efficient tool for embryo selection. Hum Reprod 2000;15:2591–7.PubMedCrossRef Wittemer C, Bettahar-Lebugle K, Ohl J, Rongières C, Nisand I, Gerlinger P. Zygote evaluation: and efficient tool for embryo selection. Hum Reprod 2000;15:2591–7.PubMedCrossRef
10.
go back to reference Payne D, Flaherty SP, Barry MF, Matthews CD. Preliminary observations on polar body extrusion and pronuclear formation in human oocytes using time-lapse cinematography. Hum Reprod 1997;12:532–41.PubMedCrossRef Payne D, Flaherty SP, Barry MF, Matthews CD. Preliminary observations on polar body extrusion and pronuclear formation in human oocytes using time-lapse cinematography. Hum Reprod 1997;12:532–41.PubMedCrossRef
11.
go back to reference Scott, L. Pronuclear scoring as a predictor of embryo development. Reprod BioMedOnline 2003;6:470–81. Scott, L. Pronuclear scoring as a predictor of embryo development. Reprod BioMedOnline 2003;6:470–81.
12.
go back to reference Nagy ZP, Liu J, Joris H, Devroey P, Van Steirteghem A. Time-course of oocyte activation, pronucleus formation and cleavage in human oocytes fertilized by intracytoplasmic sperm injection. Hum Reprod 1994;9:1743–8.PubMed Nagy ZP, Liu J, Joris H, Devroey P, Van Steirteghem A. Time-course of oocyte activation, pronucleus formation and cleavage in human oocytes fertilized by intracytoplasmic sperm injection. Hum Reprod 1994;9:1743–8.PubMed
13.
go back to reference Tesarik J, Kopecny V. Developmental control of the human male pronucleus by ooplasmic factors. Hum Reprod 1989;4:962–8.PubMed Tesarik J, Kopecny V. Developmental control of the human male pronucleus by ooplasmic factors. Hum Reprod 1989;4:962–8.PubMed
14.
go back to reference Tesarik J, Kopecny V. Development of human male pronucleous: ultrastructure and timing. Gamete Res 1989;24:135–49.PubMedCrossRef Tesarik J, Kopecny V. Development of human male pronucleous: ultrastructure and timing. Gamete Res 1989;24:135–49.PubMedCrossRef
15.
go back to reference Capmany G, Taylor A, Braude PR, Bolton VN. The timing of pronuclear formation, DNA synthesis and cleavage in the human 1-cell embryo. Molec Hum Reprod 1996;2:299–306.CrossRefPubMed Capmany G, Taylor A, Braude PR, Bolton VN. The timing of pronuclear formation, DNA synthesis and cleavage in the human 1-cell embryo. Molec Hum Reprod 1996;2:299–306.CrossRefPubMed
16.
go back to reference Balakier H, MacLusky NJ, Casper RF. Characterization of the first cell cycle in human zygotes. implications for cryopreservation. Fertil Steril 1993;59:359–65.PubMed Balakier H, MacLusky NJ, Casper RF. Characterization of the first cell cycle in human zygotes. implications for cryopreservation. Fertil Steril 1993;59:359–65.PubMed
17.
go back to reference Tesarik J, Kopecny V. Assembly of the nucleolar precursor bodies in human male pronuclei is correlated with an early RNA synthetic activity. Experimental Cell Research 1990;191:153–56.PubMedCrossRef Tesarik J, Kopecny V. Assembly of the nucleolar precursor bodies in human male pronuclei is correlated with an early RNA synthetic activity. Experimental Cell Research 1990;191:153–56.PubMedCrossRef
18.
go back to reference Edwards RG, Beard K. Oocyte polarity and cell determination in early mammalian embryos. Molec Hum Reprod 1997;3:863–905.CrossRefPubMed Edwards RG, Beard K. Oocyte polarity and cell determination in early mammalian embryos. Molec Hum Reprod 1997;3:863–905.CrossRefPubMed
19.
go back to reference Staessen C, Janssenswillen C, Devroey P, Van Steirteghem AC. Cytogenetic and morphological observations of single pronucleated human oocytes after in-vitro fertilization. Hum Reprod 1993;8:221–3.PubMed Staessen C, Janssenswillen C, Devroey P, Van Steirteghem AC. Cytogenetic and morphological observations of single pronucleated human oocytes after in-vitro fertilization. Hum Reprod 1993;8:221–3.PubMed
20.
go back to reference Van Blerkom J, Davis P, Alexander S. Differential mitochondrial distribution in human pronuclear embryos leads to disproportionate inheritance between blastomeres: relationship to microtubular organization, ATP contents and competence. Hum Reprod 2000;15:2621–33.PubMedCrossRef Van Blerkom J, Davis P, Alexander S. Differential mitochondrial distribution in human pronuclear embryos leads to disproportionate inheritance between blastomeres: relationship to microtubular organization, ATP contents and competence. Hum Reprod 2000;15:2621–33.PubMedCrossRef
21.
go back to reference Salumets, A, Hydén-Granskog, C, Suikkari, A-M, Tiitinen, A, Tuuri, T. The predective value of pronuclear morphology of zygotes in the assessment of human embryo quality. Hum Reprod 2001;16:2177–81.PubMedCrossRef Salumets, A, Hydén-Granskog, C, Suikkari, A-M, Tiitinen, A, Tuuri, T. The predective value of pronuclear morphology of zygotes in the assessment of human embryo quality. Hum Reprod 2001;16:2177–81.PubMedCrossRef
22.
go back to reference Demirel LC, Evirgen O, Aydos K, Ünlü C. The impact of the source of spermatozoa used for ICSI on pronuclear morphology. Hum Reprod 2001;16:2327–32.PubMed Demirel LC, Evirgen O, Aydos K, Ünlü C. The impact of the source of spermatozoa used for ICSI on pronuclear morphology. Hum Reprod 2001;16:2327–32.PubMed
23.
go back to reference Ebner T, Moser M, Sommergruber M, Gaiswinkler U, Wiesinger R, Puchner M, Tews G. Presence, but not type or degree of extension, of a cytoplasmic halo has a significant influence on preimplantation development and implantation behavior. Hum Reprod 2003;18:2406–12.PubMedCrossRef Ebner T, Moser M, Sommergruber M, Gaiswinkler U, Wiesinger R, Puchner M, Tews G. Presence, but not type or degree of extension, of a cytoplasmic halo has a significant influence on preimplantation development and implantation behavior. Hum Reprod 2003;18:2406–12.PubMedCrossRef
24.
go back to reference Plachot M, Crozet N. Fertilization abnormalities in human in vitro fertilization. Hum Reprod 1992;7(Suppl 1):89–94.PubMed Plachot M, Crozet N. Fertilization abnormalities in human in vitro fertilization. Hum Reprod 1992;7(Suppl 1):89–94.PubMed
25.
go back to reference Ebner T, Yaman C, Moser M. Prognostic value of first polar body morphology on fertilization rate and embryo quality in intracytoplasmic sperm injection. Hum Reprod 2000;15:427–30.PubMedCrossRef Ebner T, Yaman C, Moser M. Prognostic value of first polar body morphology on fertilization rate and embryo quality in intracytoplasmic sperm injection. Hum Reprod 2000;15:427–30.PubMedCrossRef
26.
go back to reference Van Blerkom J, Henry G. Oocyte dysmorphism and aneuploidy in meiotically mature human oocytes after ovarian stimulation. Hum Reprod 1992;3:379–90. Van Blerkom J, Henry G. Oocyte dysmorphism and aneuploidy in meiotically mature human oocytes after ovarian stimulation. Hum Reprod 1992;3:379–90.
27.
go back to reference Alikani M, Palermo G, Adler A, Bertoli M, Blake M, Cohen J. Intracytoplasmic sperm injection in dysmorphic human oocytes. Zygote 1995;3:283–88.PubMedCrossRef Alikani M, Palermo G, Adler A, Bertoli M, Blake M, Cohen J. Intracytoplasmic sperm injection in dysmorphic human oocytes. Zygote 1995;3:283–88.PubMedCrossRef
28.
go back to reference Tesarik J, Junca AM, Hazout A, Aubriot FX, Nathan C, Cohen-Bacrie P, Dumont-Hassan. Embryos with high implantation potential after intracytoplasmic sperm injection can be recognized by a simple, non-invasive examination of pronuclear morphology. Hum Reprod 2000;15:1396–99.PubMedCrossRef Tesarik J, Junca AM, Hazout A, Aubriot FX, Nathan C, Cohen-Bacrie P, Dumont-Hassan. Embryos with high implantation potential after intracytoplasmic sperm injection can be recognized by a simple, non-invasive examination of pronuclear morphology. Hum Reprod 2000;15:1396–99.PubMedCrossRef
29.
go back to reference Balaban B, Urman B, Isiklar A, Alatas C, Aksoy S, Mercan R, Mumcu A, Nuhoglu A. The effect of pronuclear morphology on embryo quality parameters and blastocyst transfer outcome. Hum Reprod 2001;16:2357–61.PubMedCrossRef Balaban B, Urman B, Isiklar A, Alatas C, Aksoy S, Mercan R, Mumcu A, Nuhoglu A. The effect of pronuclear morphology on embryo quality parameters and blastocyst transfer outcome. Hum Reprod 2001;16:2357–61.PubMedCrossRef
30.
go back to reference Balaban B. Pronuclear morphology predicts embryo development and chromosome constitution. Reprod BioMed Online 2004;8(6):695–700.PubMedCrossRef Balaban B. Pronuclear morphology predicts embryo development and chromosome constitution. Reprod BioMed Online 2004;8(6):695–700.PubMedCrossRef
31.
go back to reference Gmiz P, Rubio C, de los Santos MJ, Mercader A, Simón C, Remohí J, Pellicer A. The effect of pronuclear morphology on early development and chromosomal abnormalities in cleavage-stage embryos. Hum Reprod 2003;18:2413–9.CrossRef Gmiz P, Rubio C, de los Santos MJ, Mercader A, Simón C, Remohí J, Pellicer A. The effect of pronuclear morphology on early development and chromosomal abnormalities in cleavage-stage embryos. Hum Reprod 2003;18:2413–9.CrossRef
32.
go back to reference Kahraman S, Kumtepe Y, Sertyel S, Dönmez E, Benkhalifa M, Findikli N, Vanderzwalmen P. Pronuclear morphology scoring and chromosomal status of embryos in severe male infertility. Hum Reprod 2002;17:3193–3200.PubMedCrossRef Kahraman S, Kumtepe Y, Sertyel S, Dönmez E, Benkhalifa M, Findikli N, Vanderzwalmen P. Pronuclear morphology scoring and chromosomal status of embryos in severe male infertility. Hum Reprod 2002;17:3193–3200.PubMedCrossRef
33.
go back to reference Tur R, Barri PN, Coroleu B, Buxaderas R, Parera N, Balasch J. Use of a prediction model for a high-order multiple implantation after ovarian stimulation with gonadotrophins. Fertil Steril 2005;83(1):116–21.PubMedCrossRef Tur R, Barri PN, Coroleu B, Buxaderas R, Parera N, Balasch J. Use of a prediction model for a high-order multiple implantation after ovarian stimulation with gonadotrophins. Fertil Steril 2005;83(1):116–21.PubMedCrossRef
34.
go back to reference Neuber E, Rinaudo P, Trimarchi JR, Sakkas D. Sequential assessment of individually cultured human embryos as an indicator of subsequent good quality blastocyst development. Hum Reprod 2003;18:1307–12.PubMedCrossRef Neuber E, Rinaudo P, Trimarchi JR, Sakkas D. Sequential assessment of individually cultured human embryos as an indicator of subsequent good quality blastocyst development. Hum Reprod 2003;18:1307–12.PubMedCrossRef
35.
go back to reference Van Blerkom J, Antczak M, Schrader R. The developmental potential of the human oocyte to the dissolved oxygen content of follicular fluid: association with vascular endothelial growth factor levels and perifollicular blood flow characteristics. Hum Reprod 1997;12:1047–55.PubMedCrossRef Van Blerkom J, Antczak M, Schrader R. The developmental potential of the human oocyte to the dissolved oxygen content of follicular fluid: association with vascular endothelial growth factor levels and perifollicular blood flow characteristics. Hum Reprod 1997;12:1047–55.PubMedCrossRef
Metadata
Title
Developmental prognosis for zygotes based on pronuclear pattern: Usefulness of pronuclear scoring
Authors
Gemma Arroyo
Anna Veiga
Josep Santaló
Pere Nolasc Barri
Publication date
01-05-2007
Published in
Journal of Assisted Reproduction and Genetics / Issue 5/2007
Print ISSN: 1058-0468
Electronic ISSN: 1573-7330
DOI
https://doi.org/10.1007/s10815-006-9099-0

Other articles of this Issue 5/2007

Journal of Assisted Reproduction and Genetics 5/2007 Go to the issue