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Am J Reprod Immunol . SARS-CoV-2 infection negatively impacts on the quality of embryos by delaying early embryonic development

tetano

Editor, Senior Moderator
Am J Reprod Immunol


. 2024 Mar;91(3):e13831.
doi: 10.1111/aji.13831. SARS-CoV-2 infection negatively impacts on the quality of embryos by delaying early embryonic development

Linna Ma[SUP] 1 [/SUP], Yufei Yao[SUP] 1 [/SUP], Zhao Zhang[SUP] 2 [/SUP], Yanhua Huang[SUP] 1 [/SUP], Liuguang Zhang[SUP] 3 [/SUP], Pengyun Qiao[SUP] 4 [/SUP], Jinyu Kang[SUP] 1 [/SUP], Chune Ren[SUP] 4 [/SUP], Wenling Xie[SUP] 4 [/SUP], Rongwei Liang[SUP] 2 [/SUP], Hongbo Wu[SUP] 2 [/SUP], Zheng Liu[SUP] 5 [/SUP], Yanlin Ma[SUP] 1 [/SUP]



Affiliations
Abstract

Background: The COVID-19 pandemic is an unprecedented health crisis that has affected in vitro fertilization practices globally. Previous studies have shown that SARS-CoV-2 impacts the quality of embryos by inducing an immunological response in infertile patients. In this study, the early embryonic development of SARS-CoV-2-infected infertile patients was investigated.
Methods: Sixty-five SARS-CoV-2 infected infertile patients and 258 controls were involved in this study. The major outcome parameters for the cycle were analyzed, including the number of oocytes, maturation oocytes, available embryos per cycle, and embryo morpho kinetic characteristics.
Results: From SARS-CoV-2 infection until oocyte retrieval, it took an average of 6.63 days. The results revealed that the number of oocytes and high-quality embryos on day 3 dramatically reduced in SARS-CoV-2-infected infertile patients. SARS-CoV-2 was detected in the follicular fluid of three infertile patients. SARS-CoV-2 infection had negatively impacted the number of oocytes in multivariate linear regression models. The early embryonic development in the SARS-CoV-2 infection group had a noticeable delay from the six-cell stage to blastocyst stage.
Conclusions: SARS-CoV-2 infection reduced the number of oocytes and high-quality embryos on day 3. It delays the early embryonic development from the six-cell stage to blastocyst stage and has a negative impact on the quality of embryos.

Keywords: SARS-CoV-2 infection; follicular fluid; high-quality embryos; retrieved oocyte.

 
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