Os mecanismos etiopatogênicos da infertilidade relacionada à endometriose não estão bem elucidados, especialmente em mulheres com estágios iniciais da doença (mínima e leve), em que não são observadas alterações anatômicas expressivas na cavidade pélvica. Questionamos a possibilidade de haver alterações no microambiente peritoneal de mulheres inférteis com endometriose que poderiam afetar a aquisição da competência oocitária e dessa forma, comprometer a fertilidade natural dessas mulheres. Para ser competente, o oócito precisa estar maduro e ter um fuso meiótico morfologicamente normal e funcional, garantindo a fidelidade da segregação cromossômica durante as divisões da meiose. Nesse sentido, o objetivo do presente estudo foi comparar o potencial impacto de diferentes concentrações (1% e 10%) de fluido peritoneal (FP) de mulheres férteis sem endometriose e mulheres inférteis com endometriose mínima e leve (EI/II) sobre a integridade do fuso celular e alinhamento cromossômico de oócitos bovinos maturados in vitro. Realizou-se um estudo experimental, onde amostras de FP foram obtidas de 12 mulheres (6 mulheres férteis sem endometriose e 6 mulheres inférteis com endometriose mínima e leve) submetidas a videolaparoscopia, respectivamente, para realização de laqueadura tubária e investigação de infertilidade. Oócitos bovinos imaturos foram submetidos a maturação in vitro (MIV) na ausência de FP, na presença de 1% e 10% de FP de mulheres férteis sem endometriose e na presença de 1% e 10% de FP de mulheres inférteis com EI/II. Foram realizados 6 experimentos de MIV e cada amostra de FP foi utilizada em apenas um experimento. Os oócitos foram fixados, marcados por imunofluorescência e então analisados por microscopia confocal. A porcentagem de oócitos meioticamente normais foi significantemente maior nos oócitos submetidos a MIV na ausência de FP (88.46%) e na presença de 1% (78.57%) e 10% (84.62%) de FP de mulheres férteis sem endometriose do que aqueles oócitos submetidos a MIV na presença de 1% (62.50%) e 10% (56.25%) de FP de mulheres inférteis com EI/II. Além disso, no grupo endometriose, a porcentagem de oócitos meioticamente normais foi significantemente maior nos oócitos submetidos a MIV na presença de 1% (62.50%) do que na presença de 10% (56.25%) de FP, sugerindo um efeito dose-dependente do FP de mulheres com endometriose na ocorrência de danos meióticos oocitários. Demonstrou-se que o FP de mulheres inférteis com EI/II comprometeu a maturação nuclear oocitária durante a MIV, de modo dosedependente, promovendo anormalidades meióticas em oócitos em metáfase II. Nossos resultados contribuem para a compreensão dos mecanismos etiopatogênicos da infertilidade relacionada à EI/II e abrem perspectivas para o estudo de novas abordagens terapêuticas visando melhorar a fertilidade natural destas pacientes. / The etiopathogenic mechanisms of endometriosis-related infertility are not well elucidated, especially in women with early stages of the disease (minimal and mild endometriosis), where significant anatomical abnormalities in the pelvic cavity are not observed. We question if alterations in the peritoneal microenvironment of infertile women with endometriosis might affect oocyte competence acquisition and in this way, compromise the natural fertility in these women. To be competent, the oocyte must be mature and have a morphologically normal and functional meiotic spindle, which ensure the fidelity of chromosome segregation during the divisions of meiosis. Thus, the aim of the present study was to compare the potencial impact of different concentrations (1% and 10%) of peritoneal fluid (PF) from fertile women without endometriosis and infertile women with minimal and mild endometriosis (EI/II) on spindle integrity and chromosomes alignment of bovine oocytes in vitro matured (IVM). We performed an experimental study, where PF samples were obtained from 12 women (six fertile women without endometriosis and six infertile women with minimal and mild endometriosis) submitted to laparoscopy, respectively for tubal ligation and investigation of infertility. Immature bovine oocytes were submitted to IVM in the absence of PF, in the presence of 1% and 10% PF from fertile women without endometriosis and in the presence of 1% and 10% PF from infertile women with EI/II. We performed 6 experiments of IVM and each PF sample was used in only one experiment. The oocytes were fixed, immunofluorescence staining and then, analyzed by confocal microscopy. The percentage of meiotically normal oocytes was significantly higher for oocytes that underwent IVM in the absence of PF (88.46%) and in the presence of 1% (78.57%) and 10% (84.62%) PF from fertile women without endometriosis than for oocytes that underwent IVM in the presence of 1% (62.50%) and 10% (56.25%) PF from infertile women with EI/II. Furthermore, in the endometriosis group, the percentage of meiotically normal oocytes was significantly higher for oocytes that underwent IVM in the presence of 1% (62.50%) than in the presence of 10% (56.25%) PF, suggesting a dose-dependent effect of PF from women with endometriosis on the occurrence of meiotic oocyte damage. The study have demonstrated that PF from infertile women with EI/II compromised the oocyte nuclear maturation during the IVM, in a dosedependent manner, promoting meiotic abnormalities in metaphase II oocytes. Our results contribute to a better understanding of the etiopathogenic mechanisms of infertility related to EI/II and open perspectives in the design of new therapeutic approaches to improve the natural fertility of these infertile women

Objetivos: Avaliar o fuso meiótico e a distribuição cromossômica de oócitos maturados in vitro obtidos de ciclos estimulados de mulheres inférteis com Síndrome dos Ovários Policísticos (SOP) e fatores masculino e/ou tubário de infertilidade. Métodos: Vinte e seis pacientes inférteis com SOP e 48 pacientes com fator tubário e/ou masculino de infertilidade, submetidas a ciclos estimulados para captação oocitária para injeção intracitoplasmática de espermatozóide, foram selecionadas prospectiva e consecutivamente e divididas em grupos de estudo e controle, respectivamente. Oócitos imaturos (34 e 56 oócitos) foram obtidos de 13 e 27 pacientes, respectivamente, dos grupos SOP e controle, sendo submetidos à maturação in vitro (MIV), respectivamente, por 19 horas ± 1 hora (VG) e 4 horas ± 30 minutos (MI), conforme curva de MIV previamente realizada no presente serviço. Oócitos em metáfase II (MII) após MIV, foram fixados, submetidos a imunocoloração e microscopia de fluorescência para avaliação morfológica do fuso e da distribuição cromossômica. Resultados: Não observamos diferença significativa nas taxas de MIV entre os dois grupos avaliados (50% e 42,8%, respectivamente, para os grupos SOP e controle). Na análise por microscopia de imunofluorescência, detectaram-se 3 e 2 oócitos, respectivamente, no grupo de estudo e no grupo controle, em estágio de Telófase I e 3 oócitos ativados partenogeneticamente no grupo controle. Ocorreu a impossibilidade de análise de 4 oócitos do grupo controle em virtude de dificuldades técnicas durante o processo de imunocoloração. Não houve diferença significativa nas proporções de anomalias meióticas entre os grupos SOP e controle (57,1 e 46,7%, respectivamente). Conclusões: Os dados preliminares do presente estudo, apesar de não demonstrarem aumento significativo na incidência de anomalias meióticas nas portadoras de SOP, sugerem uma tendência a maior ocorrência de anomalias meióticas nos oócitos deste grupo de pacientes, quando comparados aos de portadoras de fator masculino e/ou tubário de infertilidade, o que deverá ser mais bem avaliado em estudos com maiores casuísticas. Estes achados têm potencial clínico para apontar uma possível explicação para as controversas menores taxas de fertilização observadas em pacientes com SOP submetidas às Técnicas de Reprodução Assistida. / Objectives: To evaluate the meiotic spindle and the chromosome distribution of in vitro matured oocytes obtained during stimulated cycles from infertile women with Polycystic Ovary Syndrome (PCOS) and with male factor and/or tubal infertility. Methods: Twenty six infertile patients with PCOS and 48 patients with infertility due to tubal and/or male factor, submitted to stimulated cycles for oocyte retrieval for intracytoplasmic sperm injection, were selected prospectively and consecutively and respectively assigned to the study group and the control group. Imature oocytes (34 and 56 oocytes) were obtained from 13 and 27 patients, respectively, of PCOS and control groups, and submitted to in vitro maturation (IVM) for 19 hours ± 1 hour (GV) and 4 hours ± 30 minutes (MI) according to the IVM curve previously constructed in the present service. After IVM, oocytes in metaphase II (MII) were fixed and submitted to immunostaining and fluorescence microscopy for morphological evaluation of the spindle and of chromosome distribution. Results: IVM rates were similar between the two analyzed groups (50% e 42.8%, respectively, in PCOS e control groups). By immunofluorescence analysis, there were 3 and 2 oocytes, respectively, in PCOS e control groups, in telophase I stage, and 3 parthenogenetic activated oocytes in control group. Because of technical difficulties during the execution of the immunofluorescence protocol, 4 oocytes from the control group could not be analyzed. The difference in the proportions of meiotic anomalies between the two groups was not statistically significant (57.1 e 46.7%, respectively, in PCOS e control groups). Conclusions: The present preliminary data, although not showing a significant increase in the incidence of meiotic anomalies in women with PCOS, suggest a tendency to a higher occurrence of meiotic anomalies in the oocytes of this group of patients compared to women with male and/or tubal infertility, a fact to be better evaluated in studies on larger patient series. The present findings have the clinical potential to provide a possible explanation for the controversial lower fertilization rates observed in patients with PCOS submitted to Assisted Reproduction Techniques

L'infertilité affecte environ 15% des couples et l'étiologie est masculine dans la moitié des cas.Cette thèse étudie trois facteurs de l'infertilité masculine et se divise en deux parties décrites ci-dessous. Dans la première partie,l'équipement chromosomique et la fragmentation de I'ADN spermatique dans les gamètes d'hommes infertiles ont été étudiés par la technique FISH et TUNEL. Chez 4 patients présentant une mosaïque gonosomique, un taux élevé de gamètes aneuploïdes et de fragmentation de I'ADN spermatique a été observé. Concernant les l3 patients ayant une anomalie chromosomique de structure, l'équipement chromosomique et l'état de I'ADN spermatique ont été analysés dans chaque gamète. Les résultats montrent que les gamètes chromosomiquement déséquilibrés ont un ADN plus fragmenté que ceux dont l'équipement chromosomique est normal ou équilibré. Dans la deuxième partie, la mise au point d'une technique d'étude du transcriptome dans les spermatozoïdes a été faite sur des échantillons de sperme frais et congelé. La combinaison d'un gradient de densités discontinues et d'une lyse des cellules somatiques permet d'éliminer complètement des cellules somatiques en récupérant le maximum possible de spermatozoïdes dans le sperme. Le kit NucleoSpin RNA XS (Macherey Nagel) est plus adapté pour I'extraction d'ARN spermatiques que le kit d'extraction d'ARN de chez Qiagen. La pureté des ARN spermatiques est vérifiée par RT-PCR et le Bioanalyzer 2700. Ces deux méthodes donnent des résultats similaires et concordants. L'analyse de microarray montre que les spermatozoïdes frais ne partagent pas le même profil d'expression génétique que les spermatozoïdes congelés. / Infertility affects about 15% of couples with male factor found in half of the cases. This Ph.D thesisinvestigates three causes of male infertility including chromosomal abnormality, genetic disorderand factors related to alterations in sperm DNA quality. The thesis is organized into two parts.In the first part, the chromosomal equipment and sperm DNA fragmentation in gametes of infertilemen were assessed by FISH and TUNEL. On the one hand, a high rate of aneuploid gametes andsperm DNA fragmentation were observed in four patients with gonosomal mosaicism. On the otherhand, analysis of chromosomal equipment and sperm nuclear DNA in each gamete from 13 patientswith structural chromosome abnormalities showed that unbalanced gametes have more fragmentedDNA than normal or balanced ones.In the second part, a technique for analysing the transcriptome in spermatozoa was developed onfresh and frozen semen. In fact, the combination of a discontinuous density gradient and a somaticcell lysis solution makes it possible to completely eliminate somatic cells and to recover as manysperms in the semen as possible. The XS NucleoSpin RNA kit (Macherey Nagel) was found to bemore suitable for RNA extraction than the RNA extraction kit from Qiagen. The purity of sperm RNA was verified by both RT-PCR and the Bíoanalyzer 2100. These two methods have yieldedsimilar and consistent results. The microarray analysis showed that fresh sperms do not share thesame gene expression profile than frozen ones.

Saccharomyces cerevisiae HOP1, which encodes a component of the synaptonemal complex, plays an important role in both gene conversion and crossing over between homologs, as well as enforces the meiotic recombination checkpoint control over the progression of recombination intermediates. The zinc-finger motif (Znf) 348CX2CX19CX2C374) of Hop1 is crucial for its function in meiosis, since mutation of conserved Cys371 to Ser in this motif results in a temperature-sensitive phenotype, which is defective in sporulation and meiosis. The direct role for Hop1 or its ZnF in the formation of joint molecules and checkpoint control over the progression of meiotic recombination intermediates is unknown. To understand the underlying biochemical mechanism, we constructed a series of recombination intermediates. Hop1 or its ZnF were able to bind different recombination intermediates. Interestingly, the binding affinity of Hop1 and its ZnF was much higher for the Holliday junction as compared to other recombination intermediates. The complexes of Hop1 or its ZnF with the Holliday junction were stable and specific as shown by NaCl titration and competition experiment. Hop1 and its ZnF blocked BLM helicase-induced unwinding of the Holliday junction, indicating that the interaction between Hop1 and its ZnF with the Holliday junction is specific. DNase I footprinting experiment showed that Hop1 or its ZnF bind to the center of the Holliday junction. 2-aminopurine fluorescence and KMnO4 experiments showed that Hop1 or its ZnF can distort the Holliday junction in a 2-fold symmetrical manner. The molecular modeling study showed that Hop1 ZnF folded into unique helix-loop-helix motif and bound to center of the Holliday junction. In summary, this study shows that Hop1 protein or its ZnF interact specifically with the Holliday junction and distort its structure. Taken together, these results implicate that Hop1 protein might coordinate the physical monitoring of meiotic recombination intermediates during the process of branch migration and that Hop1 ZnF acts as a structural determinant of Hop1 protein functions.

Spermatogenesis is a complex process of male germ cell development in which the diploid spermatogonia undergo series of mitotic divisions and differentiation steps culminating into the preleptotene spermatocytes which then enter into the meiotic prophase following a single replication cycle. This phase is characterized by meiotic recombination and is followed by reduction division resulting in haploid round spermatids. These cells then undergo extensive morphological and nuclear changes to form a unique cell, spermatozoa. This entire germ cell differentiation process occurs in a unique environment present inside the seminiferous tubules which is created by the Sertoli cells, the somatic cells in the tubules by forming junctions with each other thus providing unique milieu to the developing germ cells. Within the tubule, the germ cells are also arranged in an orderly manner called stages of spermatogenesis indicating a complex mechanism of germ cell differentiation. This complex differentiation process is a consequence of developmentally and precisely regulated differential gene expression (Eddy, 2002). Unraveling the molecular mechanisms involved in the male germ cell development is an uphill task due to the complexity of the cyto-architecture existing in the tubules and further complicated by unavailability of established germ cell lines and lack of cell culture systems that facilitate the germ cell differentiation in vitro. Comparative gene expression analysis of spermatogenesis in nematodes, flies and rodents revealed highly conserved transcriptomes and have provided some insights into its regulation (Schlecht and Primig, 2003). However, these data fail to represent the genetic and biological complexity of human spermatogenesis. In the present study, an attempt has been made to identify the genes that are differentially expressed in human tetraploid and haploid germ cells and to investigate the mechanism of regulation of the genes expressed in the post-meiotic germ cells. To identify the cell type specific genes, expression profiling of the human tetraploid and haploid germ cells was carried out using cDNA microarray. These cells were purified by centrifugal elutriation (Meistrich et al., 1981; Shetty et al., 1996) from the human testicular tissues obtained from the patients undergoing orchidectomy as treatment for prostate cancer. Purity of the enriched population of the germ cells was ascertained by DNA flow cytometry and by RT-PCR analysis using the known cell-specific markers and ruling out contamination of the somatic cells such as the Sertoli cells and the Leydig cells. Microarray experiments were carried out with the RNA isolated from each cell type and labeling the cDNA with Cy3/Cy5-dUTP and hybridizing to the human 19K array chip (University Health Network, Toronto, Canada) containing 19,200 ESTs. Two independent hybridizations were carried out using the germ cells isolated from two individuals and the microarray data were analyzed using Avadis 3.1 software (Strand Life Sciences, India). Analysis of the microarray data following normalization revealed that 723 transcripts showed higher expression in the meiotic cells whereas 459 transcripts showed higher expression in the post-meiotic germ cells. Microarray data were validated further by RT-PCR analysis of some of the differentially regulated genes. The DAVID analysis (Database for Annotation, Visualization and Integrated Discovery; http://david.abcc.ncifcrf.gov/) of these genes revealed that many genes associated with diverse functions and pathways appeared to be differentially expressed in both cell types. It is known that many biological systems exhibit distinct temporal gene expression profiles during different processes related to cell cycle, stress response and differentiation. Similarly, there are sets of genes, which respond to specific stimuli, appear to be synchronized in their expression. Such ‘synexpressed’ genes have been shown to be regulated by common transcription regulatory processes and have similar upstream transcription factor binding sites (Niehrs and Pollet, 1999). And therefore, having identified genes that appeared to be differentially expressed in the haploid and the tetraploid germ cells, attempt was made to analyze transcription factor binding sites in the promoter of those genes. In silico promoter analysis of several genes showing higher post-meiotic expression was carried out in order to identify the common regulatory motifs. Analysis of the annotated promoters (available from Eukaryotic Promoter Database; http://www.epd.isb-sib.ch/) of about forty genes highly expressed in the post-meiotic germ cells using TFSEARCH program (http://www.cbrc.jp/ research/db/TFSEARCH.html) confirmed that many genes had common transcription factor binding sites. Interestingly, almost all of the analyzed genes harbored SRY (Sex determining Region in Y)/SOX (SRY-box containing) binding motifs. In addition, the promoters of genes such as Protamine 1 and 2, Transition protein 1 and 2, A kinase (PRKA) anchor protein 4 that are known to be expressed post-meiotically, also harbor SRY binding sites suggesting that SRY may be one of the key regulators of the post-meiotic gene expression. SRY is a HMG-box containing member of Sox-family of architectural transcription factors. SRY is encoded by the Y chromosome and was first discovered as the testis-determining factor in mammals (Koopman et al., 1991). SRY HMG-box is eighty amino acids conserved motif that binds to the minor groove of the DNA in a sequence-dependent manner resulting in its bending and thus regulating the gene expression. The RT-PCR analysis of the human haploid and tetraploid germ cells showed very high expression of SRY in the post-meiotic cells further suggesting key role of SRY in the post-meiotic gene regulation. Role of SRY in the post-meiotic gene expression was investigated by determining the effect of SRY on human Protamine 1 (PRM1) promoter, a gene known to be exclusively expressed in the round spermatids and as indicated above, harbors many SRY binding sites in its promoter. SRY cDNA was cloned into the mammalian expression vector, pcDNA3.1 and the PRM1 promoter was cloned into the promoter-less pGL3 Basic vector upstream of the Luciferase reporter gene. Co-transfection of both constructs led to up-regulation of PRM1 promoter activity in both HeLa cells and LNCaP cells in a dose-dependent manner clearly demonstrating the role of SRY in PRM1 gene expression. Sequential deletion of the SRY binding sites in the PRM1 promoter led to the identification of the critical SRY binding motif important for SRY-mediated upregulation of PRM1 gene expression. This was confirmed by demonstrating in vitro binding of SRY to its critical binding site in the PRM1 promoter by gel shift assay using the nuclear extract of the HeLa cells transfected with FLAG-tagged SRY. The human SRY is an atypical transcription factor that binds DNA through its HMG, but unlike the mouse Sry and other Sox proteins, lacks the trans-activation domain and therefore requires other factors for its actions. Recently, the glutamine-rich, zinc-finger containing transactivator, Specificity protein 1 (Sp1) has been identified as one such interacting partner (Wissmuller et al., 2006). RT-PCR analysis showed that human SP1 is highly expressed in the haploid germ cells and could up-regulate PRM1 expression which harbors two SP1 binding sites in its promoter. When co-transfected, SRY and SP1 up-regulated PRM1 promoter in co-operative manner suggesting that SP1 may act in coordination with SRY in regulating PRM1. All these data taken together clearly signifies a critical role of SRY in post-meiotic germ cell gene expression. Recent reports suggest that SRY is also expressed in the adult human brain and prostate. However, its role in these tissues is not clearly understood. The Y chromosome has been shown to be frequently lost in prostate cancer and has also been shown to suppress the tumorigenicity of the PC-3 prostate cancer cells suggesting that the Y chromosome encoded genes may be involved in tumor suppression. SRY can physically interact with the androgen receptor (AR) and thereby interfere in its downstream signaling (Yuan et al., 2001). Since the prostate tumors show initial androgen-dependency, it was interesting to look at the role of SRY in the prostate cancer. To decipher the effect of SRY on the androgen-responsive LNCaP cells, stable clones of LNCaP expressing human SRY were generated. These clones showed significant decrease in growth in response to 5α-dihydrotestosterone (DHT) compared to the vector transfected or the parental LNCaP cells. In the soft agar colony formation assay, the SRY expressing LNCaP formed smaller colonies as compared to the controls in presence of DHT. Preliminary experiments in male athymic nude mice demonstrated that one of the SRY expressing clones showed reduced tumor growth compared to control cells suggesting that SRY may play a role in prostate cancer progression by decreasing the sensitivity to DHT. To summarize, the present study has identified several genes differentially expressed in the human haploid and tetraploid germ cells and further showed that SRY may be one of the key regulators of the post-meiotic gene expression.

Isogenic clonal fish lines are a powerful resource for aquaculture-related research. Fully inbred individuals, clone founders, can be produced either through mitotic gynogenesis or androgenesis and a further generation from those propagates fully inbred clonal lines. Despite rapid generation, as opposed to successive generation of sibling mating as in mice, the production of such lines may be hampered due to (i) potential residual contribution from irradiated gametes associated with poorly optimised protocols, (ii) reduced survival of clone founders and (iii) spontaneous arisal of meiotic gynogenetics with varying degree of heterozygosity, contaminating fully homozygous progenies. This research set out to address challenges and gain insights into isogenic clonal fish lines development by using double-digest RADseq (ddRADseq) to generate large numbers of genetic markers covering the genome of interest. Analysis of potential contribution from irradiated sperm indicated successful uniparental inheritance in meiotic and mitotic gynogenetics European seabass. Exclusive transmission of maternal alleles was detected in G1 progeny of Atlantic salmon (with a duplicated genome), while G2 progenies presented varying levels of sire contribution suggesting sub-optimal UV irradiation which was undetected previously with 27 microsatellite markers. Identification of telomeric markers in European seabass, with higher recombination frequencies for efficient differentiation of meiotic and mitotic gynogenetics was successful, and a genetic linkage map was generated from this data. One clear case of a spontaneous meiotic gynogenetic fish was detected among 18 putative DH fish in European seabass, despite earlier screening for isogenicity using 11 microsatellite markers. An unidentified larval DNA restriction digestion inhibition mechanism observed in Nile tilapia prevented the construction of SNP-based genetic linkage map. In summary, this study provides strong evidence on efficacy of NGS technologies for the development and verification of isogenic clonal fish lines. Reliable establishment of isogenic clonal fish lines is critical for their utility as a research tool.

Conselho Nacional de Desenvolvimento Científico e Tecnológico / The aim of this study was to evaluate the effect of fibroblast growth factor 10 (FGF10) on bovine oocyte meiotic resumption in an in vitro oocyte and follicular cells co-culture system. At first, an oil-free culture system able to maintain a stable osmolality of the medium without the negative interference of the oil was established. The maintenance of osmotic equilibrium confirms that fourwell plate with water in the central hole can be a feasible alternative to replace oil for scientific experimentation and embryo culture. The embryo development rate in the alternative system (near 30% blastocyst) was similar to that obtained in the conventional system (33% blastocyst). Afterwards, the role of FGF10 on bovine oocyte meiotic resumption was evaluated in a co-culture of oocytes and follicular cells in the presence of angiotensin II (10-11M AngII). All tested concentrations of FGF10 inhibited the resumption of meiosis induced by AngII (P ≤ 0.05). The highest germinal vesicle breakdown (GVBD) rate was observed when FGF10 was absent (45.3%). At concentrations of 10, 100, and 1000ng mL-1 FGF10, the rates of GVBD were 30.2, 29.6 and 27%, respectively. In a second experiment, oocytes were co-cultured with follicular hemisections to test if FGF10 (100ng mL-1) acts directly on COCs or through follicular cells to inhibit AngII (10-11M)-induced meiotic resumption. The AngII-induced GVBD (62.6%) was inhibited when FGF10 was added to in vitro co-culture system (37.8%; P ≤ 0.05). However, FGF10 did not affect meiotic resumption of COCs cultured without AngII in the presence or absence of follicular cells. The third experiment tested if FGF10 inhibits progesterone-induced meiotic resumption. The addition of FGF10 did not affect the meiotic resumption rate induced by progesterone (41.1% and 41.7% GVBD with and without FGF10, respectively; P ≥ 0.05). However, indomethacin (10μM) blocked (20.1% GVBD; P ≤ 0.05) progesterone positive effect suggesting that this steroid, like AngII, acts through cyclooxygenases pathway to induce meiotic resumption. Results show that FGF10 interacts with follicular cells to inhibit AngII but not progesterone-induced meiotic resumption of bovine oocytes. / O presente trabalho teve por objetivo averiguar o papel do fator de crescimento fibroblástico 10 (FGF10) no reinício da meiose de oócitos bovinos, utilizando um modelo in vitro de co-cultivo de oócitos e células foliculares. Em um primeiro estudo, foi estabelecido um sistema de cultivo capaz de manter a osmolalidade dos meios constante na ausência de óleo. A adição de água entre os poços de placas de cultivo foi eficiente na prevenção da evaporação dos meios sendo uma alternativa na experimentação científica e produção in vitro de embriões. Com este sistema, se obteve uma taxa média de 30% de desenvolvimento embrionário, resultado similar ao obtido no sistema convencional (33% blastocistos). Após o estabelecimento do sistema, avaliou-se a participação do FGF10 no reinício da meiose de oócitos bovinos e sua interação com a maturação nuclear induzida por angiotensina II (AngII; 10-11M) e progesterona (100ng mL-1). Todas as concentrações de FGF10 testadas foram eficientes na inibição do reinício da meiose induzido por AngII (P ≤ 0,05). As maiores taxas de rompimento de vesícula germinativa (RVG) foram observadas na ausência de FGF10 (45,3%). Nas concentrações de 10, 100, e 1000ng mL-1 de FGF10, as taxas de RVG foram 30,2, 29,6 e 27%, respectivamente. Após o estabelecimento da dose ideal, foi verificado que a adição de FGF10 (100ng mL-1) ao cultivo de complexos cumulus-oócitos acarretou em diminuição na taxa de reinício da meiose somente na presença de células foliculares e AngII (37,8% e 62,6% de RVG com e sem FGF10, respectivamente; P ≤ 0,05). A partir dos resultados dos experimentos anteriores, o terceiro experimento foi delineado para testar se o FGF10 é capaz de inibir o reinício da divisão meiótica induzido por progesterona. A adição de FGF10 não afetou a taxa de reinício da meiose induzida pela progesterona (41,1% e 41,7% de RVG com e sem FGF10, respectivamente; P ≥ 0,05). Entretanto, a adição de indometacina (10μM) bloqueou (20,1% de RVG; P ≤ 0,05) o efeito positivo da progesterona. Este bloqueio demonstra que a progesterona, assim como já foi demonstrado para AngII, utiliza a via das ciclooxigenases para induzir o reinício da meiose e este evento parece não ser regulado pelo FGF10. Os resultados demonstram que o FGF10 interage com as células foliculares para inibir o reinício da meiose estimulado pela AngII mas não pela progesterona.

Os mecanismos etiopatogênicos da infertilidade relacionada à endometriose não estão bem elucidados, especialmente em mulheres com estágios iniciais da doença (mínima e leve), em que não são observadas alterações anatômicas expressivas na cavidade pélvica. Questionamos a possibilidade de haver alterações no microambiente peritoneal de mulheres inférteis com endometriose que poderiam afetar a aquisição da competência oocitária e dessa forma, comprometer a fertilidade natural dessas mulheres. Para ser competente, o oócito precisa estar maduro e ter um fuso meiótico morfologicamente normal e funcional, garantindo a fidelidade da segregação cromossômica durante as divisões da meiose. Nesse sentido, o objetivo do presente estudo foi comparar o potencial impacto de diferentes concentrações (1% e 10%) de fluido peritoneal (FP) de mulheres férteis sem endometriose e mulheres inférteis com endometriose mínima e leve (EI/II) sobre a integridade do fuso celular e alinhamento cromossômico de oócitos bovinos maturados in vitro. Realizou-se um estudo experimental, onde amostras de FP foram obtidas de 12 mulheres (6 mulheres férteis sem endometriose e 6 mulheres inférteis com endometriose mínima e leve) submetidas a videolaparoscopia, respectivamente, para realização de laqueadura tubária e investigação de infertilidade. Oócitos bovinos imaturos foram submetidos a maturação in vitro (MIV) na ausência de FP, na presença de 1% e 10% de FP de mulheres férteis sem endometriose e na presença de 1% e 10% de FP de mulheres inférteis com EI/II. Foram realizados 6 experimentos de MIV e cada amostra de FP foi utilizada em apenas um experimento. Os oócitos foram fixados, marcados por imunofluorescência e então analisados por microscopia confocal. A porcentagem de oócitos meioticamente normais foi significantemente maior nos oócitos submetidos a MIV na ausência de FP (88.46%) e na presença de 1% (78.57%) e 10% (84.62%) de FP de mulheres férteis sem endometriose do que aqueles oócitos submetidos a MIV na presença de 1% (62.50%) e 10% (56.25%) de FP de mulheres inférteis com EI/II. Além disso, no grupo endometriose, a porcentagem de oócitos meioticamente normais foi significantemente maior nos oócitos submetidos a MIV na presença de 1% (62.50%) do que na presença de 10% (56.25%) de FP, sugerindo um efeito dose-dependente do FP de mulheres com endometriose na ocorrência de danos meióticos oocitários. Demonstrou-se que o FP de mulheres inférteis com EI/II comprometeu a maturação nuclear oocitária durante a MIV, de modo dosedependente, promovendo anormalidades meióticas em oócitos em metáfase II. Nossos resultados contribuem para a compreensão dos mecanismos etiopatogênicos da infertilidade relacionada à EI/II e abrem perspectivas para o estudo de novas abordagens terapêuticas visando melhorar a fertilidade natural destas pacientes. / The etiopathogenic mechanisms of endometriosis-related infertility are not well elucidated, especially in women with early stages of the disease (minimal and mild endometriosis), where significant anatomical abnormalities in the pelvic cavity are not observed. We question if alterations in the peritoneal microenvironment of infertile women with endometriosis might affect oocyte competence acquisition and in this way, compromise the natural fertility in these women. To be competent, the oocyte must be mature and have a morphologically normal and functional meiotic spindle, which ensure the fidelity of chromosome segregation during the divisions of meiosis. Thus, the aim of the present study was to compare the potencial impact of different concentrations (1% and 10%) of peritoneal fluid (PF) from fertile women without endometriosis and infertile women with minimal and mild endometriosis (EI/II) on spindle integrity and chromosomes alignment of bovine oocytes in vitro matured (IVM). We performed an experimental study, where PF samples were obtained from 12 women (six fertile women without endometriosis and six infertile women with minimal and mild endometriosis) submitted to laparoscopy, respectively for tubal ligation and investigation of infertility. Immature bovine oocytes were submitted to IVM in the absence of PF, in the presence of 1% and 10% PF from fertile women without endometriosis and in the presence of 1% and 10% PF from infertile women with EI/II. We performed 6 experiments of IVM and each PF sample was used in only one experiment. The oocytes were fixed, immunofluorescence staining and then, analyzed by confocal microscopy. The percentage of meiotically normal oocytes was significantly higher for oocytes that underwent IVM in the absence of PF (88.46%) and in the presence of 1% (78.57%) and 10% (84.62%) PF from fertile women without endometriosis than for oocytes that underwent IVM in the presence of 1% (62.50%) and 10% (56.25%) PF from infertile women with EI/II. Furthermore, in the endometriosis group, the percentage of meiotically normal oocytes was significantly higher for oocytes that underwent IVM in the presence of 1% (62.50%) than in the presence of 10% (56.25%) PF, suggesting a dose-dependent effect of PF from women with endometriosis on the occurrence of meiotic oocyte damage. The study have demonstrated that PF from infertile women with EI/II compromised the oocyte nuclear maturation during the IVM, in a dosedependent manner, promoting meiotic abnormalities in metaphase II oocytes. Our results contribute to a better understanding of the etiopathogenic mechanisms of infertility related to EI/II and open perspectives in the design of new therapeutic approaches to improve the natural fertility of these infertile women

Os mecanismos envolvidos na etiopatogênese da infertilidade em pacientes com endometriose não foram totalmente elucidados. A infertilidade apresentada por pacientes com as formas moderada e grave (estadios III e IV, respectivamente) seria, parcialmente, decorrente de alterações anatômicas pélvicas associadas à endometriose. Entretanto, há evidências de que lesões sutis ou implantes endometrióticos em estágios iniciais (estágio mínimo e leve) também poderiam contribuir com a etiopatogênese da infertilidade. Uma pior qualidade oocitária pode estar envolvida nas menores taxas de implantação após fertilização in vitro encontradas nessas pacientes. Questionamos a possibilidade de haver alterações no microambiente folicular de pacientes inférteis com endometriose, as quais poderiam afetar a aquisição de competência oocitária e, consequentemente, comprometer a fertilidade natural e os resultados dos tratamentos de reprodução assistida em mulheres com esta doença. Sabe-se que, para ser competente e poder ser fertilizado, o oócito precisa estar maduro e ter um fuso morfologicamente funcional, que garanta a fidelidade da segregação cromossômica durante a meiose. Dessa forma, o objetivo deste estudo foi avaliar o potencial impacto de diferentes concentrações de fluido folicular (FF) de mulheres inférteis com e sem endometriose leve sobre a integridade do fuso, alinhamento cromossômico e organização dos microfilamentos de actina de oócitos bovinos maturados in vitro. Realizou-se um estudo experimental, onde amostras de fluido follicular foram consecutivamente obtidas de 22 pacientes inférteis (11 com endometriose leve e 11 com infertilidade por fator tubário e/ou masculino) submetidas à estimulação ovariana para injeção intracitoplasmática de espermatozóide. Oócitos bovinos imaturos foram submetidos à maturação in vitro (MIV) sem adição de fluido follicular (sem fluido) e com 4 concentrações (1%, 5%, 10%, e 15%) de duas amostras de fluido folicular (uma de paciente com endometriose e outra de paciente sem endometriose). Foram realizadas 11 MIVs e cada amostra de fluido follicular foi usada apenas uma vez. Os oócitos foram fixados, marcados por imunofluorescência para visualização morfológica de microtúbulos, cromatina e microfilamentos de actina e, então, analisados por microscopia confocal. A porcentagem de anormalidade de oócitos em MII (fuso normal e cromossomos desalinhados, fuso anormal e cromossomos desalinhados, fuso anormal e cromossomos alinhados) foi significativamente maior naqueles maturados com FF de pacientes com endometriose (1%: 55,56%, 5%: 63,26%, 10%: 54,54%, 15%: 48,84%) quando comparados com oócitos maturados com FF de pacientes controles (1%: 19,15%, 5%: 23,44%, 10%: 25%, 15%: 23,81%) e oócitos maturados sem fluido (23,53%), sem haver diferença entre as concentrações testadas em cada grupo. Pode-se concluir que oócitos bovinos maturados in vitro na presença de FF de mulheres inférteis com endometriose leve têm maior freqüência de anormalidade meiótica. Estes dados sugerem que o FF de mulheres com endometriose pode comprometer a qualidade oocitária por promover danos ao fuso e/ou cromossomos / The mechanisms involved in the etiopathogenesis of infertility in patients with endometriosis have not been fully elucidated. The infertility presented by patients with moderate and severe disease (stages III and IV, respectively) would be partly due to anatomical pelvic changes associated with endometriosis. However, there are evidences that subtle lesions or endometriosis implants in the early stages (stages I and II) might also contribute to the etiophatogenesis of infertility. Impaired oocyte quality may be involved in lower implantation rates after in vitro fertilization in these patients. We question if alterations in the follicular microenvironment of infertile patients with endometriosis might affect oocyte competence acquisition and compromise the natural fertility and assisted reproduction treatment outcomes in women with this disease. It is known that to be competent and capable of fertilizing, the oocyte must be mature and have a morphologically functional spindle, which ensure the fidelity of chromosome segregation during meiosis. Thus, the aim of this study was to evaluate the potential impact of different concentrations of follicular fluid (FF) of infertile women with and without mild endometriosis on spindle integrity, chromosomes alignment and actin microfilaments organization of bovine oocytes in vitro matured. We performed an experimental study, where FF samples were consecutively obtained from 22 infertile patients (11 with mild endometriosis and 11 with tubal or male factors of infertility) submitted to ovarian stimulation for intracytoplasmic sperm injection. Immature bovine oocytes were submitted to in vitro maturation (IVM) without FF and with 4 concentrations (1%, 5%, 10%, and 15%) of 2 samples of FF (1 from a woman with endometriosis and one from a woman without endometriosis). We performed 11 IVM and each FF sample was used only once. The oocytes were then fixed, stained by immunofluorescence for morphological visualization of microtubules, chromatin and actin microfilaments, and then, analyzed by confocal microscopy. The percentage of abnormal MII oocytes was significantly higher for those matured with FF from patients with endometriosis (1%: 55.56%, 5%: 63.26%, 10%: 54.54%, 15%: 48.84%) when compared with oocytes matured with FF from patients without endometriosis (1%: 19.15%, 5%: 23.44%, 10%: 25%, 15%: 23.81%) and those matured without FF (23.53%), with no differences among the tested concentrations in each group. We can conclude that bovine oocytes matured in vitro in the presence of FF from infertile women with mild endometriosis have higher frequency of meiotic abnormalities. These data suggest that FF from women with endometriosis may compromise oocyte quality by promoting spindle and/or chromosomal damage

Introdução: Apesar de controverso, questiona-se um papel deletério da endometriose nos resultados de procedimentos de reprodução assistida, o que pode estar relacionado ao comprometimento da qualidade oocitária. Para que o oócito maduro esteja preparado para a fertilização, é necessário que o fuso meiótico mantenha a sua integridade e funcionabilidade. Objetivos: Comparar a presença e localização do fuso meiótico e o estágio de maturação nuclear de oócitos com o primeiro corpúsculo polar (CP) visível de pacientes inférteis sem e com endometriose. Comparar os resultados de Injeção Intracitoplasmática de espermatozóides (ICSI) entre os oócitos em telófase I e metáfase II, e entre aqueles com e sem fuso celular visível, nos grupos analisados. Metodologia: Estudo prospectivo e controlado com pacientes inférteis, submetidas à estimulação ovariana para realização de ICSI, selecionadas consecutivamente e divididas em dois grupos: Controle (fator tubário e/ou masculino) e Endometriose (subdividido em endometriose mínima e leve I/II versus moderada e severa III/IV). Os oócitos com extrusão do primeiro CP foram avaliados pela microscopia de polarização imediatamente antes da realização da ICSI e caracterizados quanto à presença/localização do fuso celular em relação ao primeiro CP e ao estágio de maturação nuclear (telófase I ou metáfase II). Foram analisados as taxas de fertilização, clivagem, número de embriões de boa qualidade no segundo (D2) e terceiro (D3) dia de desenvolvimento oriundos dos oócitos em telófase I versus metáfase II, e metáfase II com fuso visível versus sem fuso visível, nos grupos controle, endometriose, endometriose I/II e endometriose III/IV. Resultados: Foram analisados 441 oócitos, sendo 254 do grupo controle e 187 do grupo endometriose (115 do grupo endometriose I/II e 72 do grupo endometriose III/IV). Não observamos diferença significativa entre a percentagem de oócitos em metáfase II com fuso celular visível e não visível (88,6%, 91,3%, 88,2%, respectivamente, nos grupos controle, endometriose I/II e endometriose III/IV) e entre a percentagem de oócitos com fuso celular nas diferentes localizações nos grupos avaliados. Entre os oócitos aparentemente maduros, observamos um aumento significativo de oócitos em telófase I no grupo endometriose III/IV (5,6%) quando comparado ao grupo endometriose I/II (0%). Observamos uma tendência a menores taxas de fertilização dos oócitos injetados em telófase I quando comparados aos em metáfase II, nos grupos controle (p=0,08), endometriose (p=0,05) e endometriose III/IV (p=0,09). Comparando-se os oócitos com e sem fuso celular visível, não observamos diferença significativa nos resultados de ICSI entre os grupos analisados. Conclusão: Não observamos diferença significativa entre os grupos analisados quanto à visualização e localização do fuso celular em oócitos maturados in vivo com o primeiro CP visível. Todavia, observamos um aumento significativo de oócitos em telófase I nas portadoras de endometriose moderada e severa, sugerindo um retardo ou comprometimento na conclusão da meiose I. Considerando que os oócitos injetados em telófase I apresentam piores taxas de fertilização do que os injetados em metáfase II, este achado poderia justificar o comprometimento dos resultados de reprodução assistida em mulheres inférteis com endometriose moderada e severa, além de ser utilizado com ferramenta prognóstica pós-ICSI. / Introduction: Although it has been a controversial issue for decades, a deleterious role of endometriosis on assisted reproductive techniques (ART) outcomes is questioned, which may be related to oocyte quality. For a mature oocyte be prepared for fertilization is necessary that the meiotic spindle keeps its integrity and its function. Objectives: To compare the presence and localization of the meiotic spindle and the oocyte nuclear maturation with the visible first polar body of infertile patients with and without endometriosis. To compare ICSI outcomes between oocytes on telophase I and metaphase II, and the ones with and without visible meiotic spindle, on those two groups. Methodology: A prospective and controlled study with infertile patients who underwent ovarian stimulation for purposes of ICSI, selected consecutively and divided into two groups: control (tubal and/or male factor) and endometriosis (subdivided in minimum and mild stage I/II versus moderate and severe stage III/IV). The oocytes with the first polar body extruded (in vivo matured oocytes) were imaged using a polarization microscopy immediately before ICSI and characterized according to the presence and localization of meiotic spindle and its relation to the first polar body and the nuclear maturation stage (telophase I and metaphase II). We have analyzed the fertilization rates, clivage, number of good quality embryos on the second (D2) and third (D3) day of development from oocytes on telophase I versus the ones on metaphase II, and metaphase II visible spindle versus the non-visible ones, on the control groups, endometriosis, endometriosis stage I/II and endometriosis stage III/IV. Results: A total of 441 oocytes were analyzed, 254 oocytes form the control group and 187 from the endometriosis one (115 from endometriosis stage I/II and 72 from endometriosis stage III/IV). No significant differences between the percentage of metaphase II with visible and non-visible meiotic spindle were found (88,6%, 91,3%, and 88,2%, in the control, endometriosis I/II and endometriosis III/IV groups, respectively). Among the apparently matured oocytes, we have observed a significant increase of oocytes on telophase I on the endometriosis III/IV group (5,6%) when compared with the endometriosis I/II group (0%). We have observed a tendency to fewer fertilization rates from the injected oocytes on telophase I when compared with the ones on metaphase II, on the control group (p=0,08), endometriosis (p=0,05) and endometriosis III/IV group (p=0,09). When we compared oocytes with and without visible meiotic spindle, we found no significant difference on ICSI outcomes among the studied groups. Conclusions: We have found no significant difference among the studied groups regarding the visualization and localization of the meiotic spindle from in vivo matured oocytes with a visible first polar body. However, we have observed a significant increase on the number of oocytes on telophase I from patients with moderate and severe endometriosis, suggesting a delay or an impairment in the completion of meiosis I. Since the injected oocytes on telophase I present a worse fertilization rates than the ones injected on metaphase II, this finding could explain the impairment on the outcomes of ART in infertile women with moderate and severe endometriosis, besides it could be used as a prognosis tool after ICSI procedures.