Publication: Human trophoblast cell during first trimester after IVF-ET differs from natural conceived pregnancy in development and function
Authors
Yang, Rui ; Liu, Ying Ying ; Zhao, Liang ; Wang, Ying ; Li, Rong ; Liu, Ping ; Ma, Cai Hong ; Chen, Xin Na ; Qiao, Jie
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Publisher
Universidad de Murcia. Departamento de Biología Celular e Histología
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DOI
DOI: 10.14670/HH-11-787
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info:eu-repo/semantics/article
Description
Abstract
Objective. To explore the differences of the
trophoblast cell function in first trimester between
natural pregnancy and pregnancy after IVF-ET therapy.
Methods. 102 cases with twin to singleton fetal
reduction after IVF-ET treatment from July 2010 to
August 2013 in Peking University Third Hospital were
involved in analysis, and eight specimens were obtained
from this group. 10 natural-pregnancy cases undergoing
artificial abortion with unwanted pregnancy were
recruited as control. Semi-quantitative immunohistochemical method was used to detect the expression of
EGFR, Bcl-2, tubulin-α, metallothionein and AFP in
villi in both groups.
Results. Of the 102 cases, 14 cases (13.73%) were
aborted. Preterm birth occurred in seven cases (7.86%).
Low birth weight occurred in three patients (3.37%), and
extremely low birth weight occurred in four cases
(4.49%). The expression of EGFR, tubulin-α, Bcl-2, and
metallothionein in the IVF-ET group was significantly
lower than that in the control group (P<0.05). However,
AFP expression was significantly higher in IVF-ET
group than in control group (P<0.05). In IVF-ET group,
the miscarriage case had weaker EGFR, tubulin-α, and
metallothionein expression than full-term pregnancy; the
early preterm labor case had weaker Bcl-2, tubulin-α,
and metallothionein expression; and velamentous cord
insertion case had weaker tubulin-α expression.
Conclusions. The trophoblast cell function of IVF-ET
group in first trimester is different from control group in
proliferation, invasion, apoptosis and vascular
development, and optimal pregnancy outcome depends
on the self-healing balance of trophoblast cells.
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Citation
Histology and Histopathology, Vol.32, nº3, (2017)
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