Oxidative stress and assisted reproduction: a comprehensive review of its pathophysiological role and strategies for optimizing embryo culture environment.
Author(s)
Agarwal, Ashok
Maldonado Rosas, Israel
Anagnostopoulou, Christina
Cannarella, Rossella
Boitrelle, Florence
Type
Journal Article
Abstract
Oxidative stress (OS) due to an imbalance between reactive oxygen species (ROS) and antioxidants has been established as an important factor that can negatively affect the outcomes of assisted reproductive techniques (ARTs). Excess ROS exert their pathological effects through damage to cellular lipids, organelles, and DNA, alteration of enzymatic function, and apoptosis. ROS can be produced intracellularly, from immature sperm, oocytes, and embryos. Additionally, several external factors may induce high ROS production in the ART setup, including atmospheric oxygen, CO2 incubators, consumables, visible light, temperature, humidity, volatile organic compounds, and culture media additives. Pathological amounts of ROS can also be generated during the cryopreservation-thawing process of gametes or embryos. Generally, these factors can act at any stage during ART, from gamete preparation to embryo development, till the blastocyst stage. In this review, we discuss the in vitro conditions and environmental factors responsible for the induction of OS in an ART setting. In addition, we describe the effects of OS on gametes and embryos. Furthermore, we highlight strategies to ameliorate the impact of OS during the whole human embryo culture period, from gametes to blastocyst stage.
Date Issued
2022-02-28
Date Acceptance
2022-02-21
Citation
Antioxidants (Basel), 2022, 11 (3), pp.1-22
ISSN
2076-3921
Publisher
MDPI
Start Page
1
End Page
22
Journal / Book Title
Antioxidants (Basel)
Volume
11
Issue
3
Copyright Statement
Copyright: © 2022 by the authors.
Licensee MDPI, Basel, Switzerland.
This article is an open access article
distributed under the terms and
conditions of the Creative Commons
Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
Licensee MDPI, Basel, Switzerland.
This article is an open access article
distributed under the terms and
conditions of the Creative Commons
Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
Identifier
https://www.ncbi.nlm.nih.gov/pubmed/35326126
PII: antiox11030477
Subjects
antioxidants
culture media
embryo development
in vitro fertilization
IVF
oxidative stress
Publication Status
Published
Coverage Spatial
Switzerland
Date Publish Online
2022-02-28