Monocyte and Macrophage in Follicular Liquid: Predictive Markers of Embryo Quality in Women with Obesity and Infertility

Background: Over the past five years, the pregnancy rate in assisted reproductive technology (ART) programs in Russia has remained relatively stable. The aim of this study was to assess the distribution of monocyte and macrophage subsets in the blood and follicular fluid of infert...

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Main Authors: Evgeny D. Merkulov, Anastasia V. Prozorova, Iuliia G. Samoilova, Dmitry A. Svarovsky, Kira A. Sidorenkova, Liudmila V. Spirina, Marina N. Stakheeva, Oxana S. Timofeeva, Ilya A. Petrov
Format: Article
Language:English
Published: IMR Press 2025-01-01
Series:Frontiers in Bioscience-Landmark
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Online Access:https://www.imrpress.com/journal/FBL/30/1/10.31083/FBL26660
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author Evgeny D. Merkulov
Anastasia V. Prozorova
Iuliia G. Samoilova
Dmitry A. Svarovsky
Kira A. Sidorenkova
Liudmila V. Spirina
Marina N. Stakheeva
Oxana S. Timofeeva
Ilya A. Petrov
author_facet Evgeny D. Merkulov
Anastasia V. Prozorova
Iuliia G. Samoilova
Dmitry A. Svarovsky
Kira A. Sidorenkova
Liudmila V. Spirina
Marina N. Stakheeva
Oxana S. Timofeeva
Ilya A. Petrov
author_sort Evgeny D. Merkulov
collection DOAJ
description Background: Over the past five years, the pregnancy rate in assisted reproductive technology (ART) programs in Russia has remained relatively stable. The aim of this study was to assess the distribution of monocyte and macrophage subsets in the blood and follicular fluid of infertile women undergoing assisted reproductive technology. Methods: The study involved 45 women with a mean age of 35 ± 4.66 years. Monocytes and macrophages were identified using flow cytometry. Results: We observed a decrease in the CD68+CD163+CD206+ and the CD68+CD163–CD206+ cells in patients with a body mass index (BMI) >25 by 0.19 times and 6.56 times, respectively, compared to the group with a BMI <25 (p = 0.031). Patients with fair oocyte quality had 3.6 times more oocytes than those with poor quality (p = 0.010). The relative content of CD14+163–206+ monocytes was found to be 24.15 times higher in the follicular fluid of women with poor embryo quality compared to the group with good embryos (p = 0.010). We also noted that the number of oocytes increased in women with male factor infertility (p = 0.020) and those with unspecified infertility when compared to tubal infertility. An increase in the relative content of CD14+163+206+ in the blood was higher in women with other causes of female infertility compared to those with male factor infertility (p = 0.010). The relative content of M2-monocytes (CD14+163+206–) in the blood was 4.38 times higher in women with male factor infertility than in women with unexplained infertility (p = 0.010). Conclusions: A critical component of the inflammatory reaction in patients undergoing in vitro fertilization (IVF) involves more than just the activation of pro-inflammatory cells in response to ovarian stimulation. Our research shows that changes in the distribution of monocytes and macrophages can influence embryo implantation success and pregnancy outcomes in women. These processes are influenced by various infertility-related factors, including those mentioned above. However, these findings are preliminary and require further investigation.
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spelling doaj-art-4ae65fe4d531492c9366af1d20cbadf82025-01-25T08:55:52ZengIMR PressFrontiers in Bioscience-Landmark2768-67012025-01-013012666010.31083/FBL26660S2768-6701(24)01581-8Monocyte and Macrophage in Follicular Liquid: Predictive Markers of Embryo Quality in Women with Obesity and InfertilityEvgeny D. Merkulov0Anastasia V. Prozorova1Iuliia G. Samoilova2Dmitry A. Svarovsky3Kira A. Sidorenkova4Liudmila V. Spirina5Marina N. Stakheeva6Oxana S. Timofeeva7Ilya A. Petrov8Division of Biochemistry and Molecular Biology, Federal State Budgetary Educational Institution of Higher Education “Siberian State Medical University” of the Ministry of Health of Russia, 634050 Tomsk, RussiaDivision of Biochemistry and Molecular Biology, Federal State Budgetary Educational Institution of Higher Education “Siberian State Medical University” of the Ministry of Health of Russia, 634050 Tomsk, RussiaDivision of Biochemistry and Molecular Biology, Federal State Budgetary Educational Institution of Higher Education “Siberian State Medical University” of the Ministry of Health of Russia, 634050 Tomsk, RussiaDivision of Biochemistry and Molecular Biology, Federal State Budgetary Educational Institution of Higher Education “Siberian State Medical University” of the Ministry of Health of Russia, 634050 Tomsk, RussiaDivision of Biochemistry and Molecular Biology, Federal State Budgetary Educational Institution of Higher Education “Siberian State Medical University” of the Ministry of Health of Russia, 634050 Tomsk, RussiaDivision of Biochemistry and Molecular Biology, Federal State Budgetary Educational Institution of Higher Education “Siberian State Medical University” of the Ministry of Health of Russia, 634050 Tomsk, RussiaDivision of Biochemistry and Molecular Biology, Federal State Budgetary Educational Institution of Higher Education “Siberian State Medical University” of the Ministry of Health of Russia, 634050 Tomsk, RussiaDivision of Biochemistry and Molecular Biology, Federal State Budgetary Educational Institution of Higher Education “Siberian State Medical University” of the Ministry of Health of Russia, 634050 Tomsk, RussiaDivision of Biochemistry and Molecular Biology, Federal State Budgetary Educational Institution of Higher Education “Siberian State Medical University” of the Ministry of Health of Russia, 634050 Tomsk, RussiaBackground: Over the past five years, the pregnancy rate in assisted reproductive technology (ART) programs in Russia has remained relatively stable. The aim of this study was to assess the distribution of monocyte and macrophage subsets in the blood and follicular fluid of infertile women undergoing assisted reproductive technology. Methods: The study involved 45 women with a mean age of 35 ± 4.66 years. Monocytes and macrophages were identified using flow cytometry. Results: We observed a decrease in the CD68+CD163+CD206+ and the CD68+CD163–CD206+ cells in patients with a body mass index (BMI) >25 by 0.19 times and 6.56 times, respectively, compared to the group with a BMI <25 (p = 0.031). Patients with fair oocyte quality had 3.6 times more oocytes than those with poor quality (p = 0.010). The relative content of CD14+163–206+ monocytes was found to be 24.15 times higher in the follicular fluid of women with poor embryo quality compared to the group with good embryos (p = 0.010). We also noted that the number of oocytes increased in women with male factor infertility (p = 0.020) and those with unspecified infertility when compared to tubal infertility. An increase in the relative content of CD14+163+206+ in the blood was higher in women with other causes of female infertility compared to those with male factor infertility (p = 0.010). The relative content of M2-monocytes (CD14+163+206–) in the blood was 4.38 times higher in women with male factor infertility than in women with unexplained infertility (p = 0.010). Conclusions: A critical component of the inflammatory reaction in patients undergoing in vitro fertilization (IVF) involves more than just the activation of pro-inflammatory cells in response to ovarian stimulation. Our research shows that changes in the distribution of monocytes and macrophages can influence embryo implantation success and pregnancy outcomes in women. These processes are influenced by various infertility-related factors, including those mentioned above. However, these findings are preliminary and require further investigation.https://www.imrpress.com/journal/FBL/30/1/10.31083/FBL26660follicular fluidmacrophagesmonocytesoocytesassisted reproductive technologyin vitro fertilizationembryo competence
spellingShingle Evgeny D. Merkulov
Anastasia V. Prozorova
Iuliia G. Samoilova
Dmitry A. Svarovsky
Kira A. Sidorenkova
Liudmila V. Spirina
Marina N. Stakheeva
Oxana S. Timofeeva
Ilya A. Petrov
Monocyte and Macrophage in Follicular Liquid: Predictive Markers of Embryo Quality in Women with Obesity and Infertility
Frontiers in Bioscience-Landmark
follicular fluid
macrophages
monocytes
oocytes
assisted reproductive technology
in vitro fertilization
embryo competence
title Monocyte and Macrophage in Follicular Liquid: Predictive Markers of Embryo Quality in Women with Obesity and Infertility
title_full Monocyte and Macrophage in Follicular Liquid: Predictive Markers of Embryo Quality in Women with Obesity and Infertility
title_fullStr Monocyte and Macrophage in Follicular Liquid: Predictive Markers of Embryo Quality in Women with Obesity and Infertility
title_full_unstemmed Monocyte and Macrophage in Follicular Liquid: Predictive Markers of Embryo Quality in Women with Obesity and Infertility
title_short Monocyte and Macrophage in Follicular Liquid: Predictive Markers of Embryo Quality in Women with Obesity and Infertility
title_sort monocyte and macrophage in follicular liquid predictive markers of embryo quality in women with obesity and infertility
topic follicular fluid
macrophages
monocytes
oocytes
assisted reproductive technology
in vitro fertilization
embryo competence
url https://www.imrpress.com/journal/FBL/30/1/10.31083/FBL26660
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