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  • About
  • The Global ETD Search service is a free service for researchers to find electronic theses and dissertations. This service is provided by the Networked Digital Library of Theses and Dissertations.
    Our metadata is collected from universities around the world. If you manage a university/consortium/country archive and want to be added, details can be found on the NDLTD website.
1

Dynamics and regulation of ovarian antral follicular waves in sheep

Duggavathi, Rajesha 22 December 2004
The focus of the present thesis was on ultrasonographic, endocrine and molecular characterization of ovarian antral follicular waves in sheep. Transrectal ultrasonography and computer assisted image analysis were used to determine the feasibility of detecting ovulation and the forming corpus luteum (CL) and to non-invasively monitor CL differentiation and growth. High resolution transrectal ultrasonography and hormone measurements were used to assess changes in numbers of small ovarian antral follicles and their relationships to the emergence of follicular waves in cyclic ewes and to correlate pulsatile secretion of gonadotropins with follicular growth in a wave, during the mid to late-luteal phase of the ovine estrous cycle. A series of experiments were conducted, using treatment with injections of ovine follicle stimulating hormone (oFSH) and measurement of serum concentrations of FSH, in cyclic and anestrous sheep, to investigate the existence of follicular dominance. We also evaluated the characteristics of secretory patterns of FSH that are critical for follicular wave emergence, in anestrous ewes. The possible existence of an endogenous rhythm of FSH secretion, independent of ovarian antral follicular dynamics, was studied in ovariectomized ewes. Finally, ovarian antral follicles at defined stages of growth in a follicular wave (based on transrectal ultrasonographic observations) were collected from separate groups of sheep by ovariectomy, to profile the expression patterns of steroidogenic enzymes (3¦Â-HSD, 17¦Á-OH and aromatase) using immunohistochemistry and gray-scale densitometric analysis. <p> The results of the present studies showed that it is possible to detect ovulation and visualize developing CL as early as 12-24 h after ovulation in the ewe. Changes in echotexture of the CL were closely associated with its morphological and functional characteristics, and we concluded that computer assisted image analysis holds promise for the noninvasive monitoring of CL differentiation and growth. Follicles reaching ovulatory diameter (¡Ý 5 mm) emerged and grew in a wave-like pattern in sheep, but without variation in the number of small follicles (1-3 mm in diameter), as seen in cattle. We concluded that all follicles that are recruited to grow beyond 2-3-mm in diameter, to 4-mm diameter in a wave, succeed in reaching an ovulatory diameter of ¡Ý 5 mm in the ewe. The emergence and growth of ovarian antral follicles in follicular waves, in sheep, do not require changes in LH secretion and may perhaps involve changes in the follicular sensitivity to LH. The largest follicle of a wave, in sheep, appears to have limited effects on other small follicles and on the time of emergence of the next follicular wave. Thus, functional dominance, as is present in cattle, may be absent in sheep. An endogenous rhythm for periodic peaks in serum FSH concentrations that is independent of ovarian follicular dynamics may exist in sheep. The expression patterns of steroidogenic enzymes, in the theca and granulosa compartments of antral follicles growing in each follicular wave in the ewe, paralleled serum estradiol concentrations, with the exception of the concentrations of 3¦Â-HSD in granulosa cells, which increased continuously from follicles 3 mm in diameter to the preovulatory follicle after the LH surge. The largest follicle of any follicular wave, irrespective of the stage of the cycle, would appear to be mature enough to ovulate if a gonadotropin surge is provided.
2

Dynamics and regulation of ovarian antral follicular waves in sheep

Duggavathi, Rajesha 22 December 2004 (has links)
The focus of the present thesis was on ultrasonographic, endocrine and molecular characterization of ovarian antral follicular waves in sheep. Transrectal ultrasonography and computer assisted image analysis were used to determine the feasibility of detecting ovulation and the forming corpus luteum (CL) and to non-invasively monitor CL differentiation and growth. High resolution transrectal ultrasonography and hormone measurements were used to assess changes in numbers of small ovarian antral follicles and their relationships to the emergence of follicular waves in cyclic ewes and to correlate pulsatile secretion of gonadotropins with follicular growth in a wave, during the mid to late-luteal phase of the ovine estrous cycle. A series of experiments were conducted, using treatment with injections of ovine follicle stimulating hormone (oFSH) and measurement of serum concentrations of FSH, in cyclic and anestrous sheep, to investigate the existence of follicular dominance. We also evaluated the characteristics of secretory patterns of FSH that are critical for follicular wave emergence, in anestrous ewes. The possible existence of an endogenous rhythm of FSH secretion, independent of ovarian antral follicular dynamics, was studied in ovariectomized ewes. Finally, ovarian antral follicles at defined stages of growth in a follicular wave (based on transrectal ultrasonographic observations) were collected from separate groups of sheep by ovariectomy, to profile the expression patterns of steroidogenic enzymes (3¦Â-HSD, 17¦Á-OH and aromatase) using immunohistochemistry and gray-scale densitometric analysis. <p> The results of the present studies showed that it is possible to detect ovulation and visualize developing CL as early as 12-24 h after ovulation in the ewe. Changes in echotexture of the CL were closely associated with its morphological and functional characteristics, and we concluded that computer assisted image analysis holds promise for the noninvasive monitoring of CL differentiation and growth. Follicles reaching ovulatory diameter (¡Ý 5 mm) emerged and grew in a wave-like pattern in sheep, but without variation in the number of small follicles (1-3 mm in diameter), as seen in cattle. We concluded that all follicles that are recruited to grow beyond 2-3-mm in diameter, to 4-mm diameter in a wave, succeed in reaching an ovulatory diameter of ¡Ý 5 mm in the ewe. The emergence and growth of ovarian antral follicles in follicular waves, in sheep, do not require changes in LH secretion and may perhaps involve changes in the follicular sensitivity to LH. The largest follicle of a wave, in sheep, appears to have limited effects on other small follicles and on the time of emergence of the next follicular wave. Thus, functional dominance, as is present in cattle, may be absent in sheep. An endogenous rhythm for periodic peaks in serum FSH concentrations that is independent of ovarian follicular dynamics may exist in sheep. The expression patterns of steroidogenic enzymes, in the theca and granulosa compartments of antral follicles growing in each follicular wave in the ewe, paralleled serum estradiol concentrations, with the exception of the concentrations of 3¦Â-HSD in granulosa cells, which increased continuously from follicles 3 mm in diameter to the preovulatory follicle after the LH surge. The largest follicle of any follicular wave, irrespective of the stage of the cycle, would appear to be mature enough to ovulate if a gonadotropin surge is provided.
3

Studies of Follicular and Endocrine Dynamics of Luteinized Unruptured Follicle (LUF) Syndrome in Women and Mares

Shah, Tauseef Bashir 01 August 2015 (has links)
Understanding the fundamental physiological mechanisms underlying ovarian physiology is important for accomplishing ways to diagnose and treat ovulatory dysfunction. With the advancement of assisted reproductive technologies, it became imperative to understand the details of the factors that affect the follicular development, oocyte competence, and embryo production. In primates and large domestic species including women and mares, ovarian follicles grow in a wave-like fashion with waves that can be anovulatory or ovulatory. Although considerable progress has been made in understanding ovarian follicular dynamics, more knowledge needs to be acquired to treat ovulatory problems like luteinized unruptured follicle (LUF) syndrome. Such information can be applied to optimizing treatment outcomes through assisted reproductive technologies that can be of benefit to both humans and animals. Three studies involving five experiments were conducted to improve our understanding on: 1) follicular growth patterns and endocrine profiles of LUFs and dominant follicles of major anovulatory and ovulatory waves in women; 2) physiologic mechanisms underlying luteinized unruptured follicles (LUFs) in mares with the goal of providing a model for human anovulation; and 3) dynamic changes in intrafollicular growth factors and hormones during the dominance and impending ovulation phases in mares. The results from Study 1 indicated that growth and endocrinological differences existed among LUFs, and physiological anovulatory and ovulatory dominant follicles in women. These differences were observed in follicle growth rates, intervals between follicular events, and in systemic concentration of hormones. In Study 2, LUFs were induced in 100% of the mares evaluated using a prostaglandin synthesis inhibitor; differences in intrafollicular prostaglandins, estradiol, growth hormone (GH), cortisol, and PRL were observed. In Study 3, changes in the concentrations of intrafollicular growth factors and hormones such as insulin-like growth factor-1 (IGF-1), inhibin-A, activin-A, VEGF, and PRL were detected during the dominance and impending ovulation phases in mares. The above-mentioned findings will provide the basis to compare the intrafollicular growth factors and hormones of potential LUFs and normal ovulatory follicles in the future. In conclusion, the results from these studies will shed light in the design of future studies on mechanisms of LUF formation and the role of intrafollicular growth factors and hormones in ovulation in women, mares, and perhaps also in other species.
4

Follicular Waves and their Impact on the Dominant Follicle, Uterus, and Subsequent Pregnancy Rates in Beef Cattle

Muth-Spurlock, Ashleigh Marie 12 August 2016 (has links)
Ovarian steroids assist in the development of the follicle and its enclosed oocyte as well as prepare the maternal environment for pregnancy. The objective of experiment 1 was to elucidate the differences between dominant follicles of each follicular wave in terms of intraollicular concentration of steroids after 4 d of dominance. Differences in blood perfusion between the dominant follicle of the first and second non-ovulatory wave were also examined. Follicular waves were monitored daily via ultrasonography from emergence to aspiration of the dominant follicle. It was determined that although the dominant follicles aspirated from ovulatory waves possessed a greater concentration of estradiol and a greater ratio of estradiol to progesterone, there was no difference in concentrations of steroid hormones or the ratio of estradiol to progesterone between dominant follicles collected from non-ovulatory waves and ovulatory waves. In a subset of cows, blood perfusion tended to be greater in dominant follicles that developed during the second non-ovulatory wave. The objective of experiment 2 was to determine whether or not the follicular wave had an effect on diameter of the ovulatory follicle, thickness of the endometrium, or subsequent pregnancy rates. Estrus was synchronized in females in such a way that females would ovulate the dominant follicle of the first or second follicular wave at timed artificial insemination. Diameter of the ovulatory follicle and endometrial thickness were not different between treatments; however, increased pregnancy rates were observed in heifers that ovulated the dominant follicle of the second follicular wave. There was no effect of follicular wave on pregnancy rates in cows. In conclusion, the role of follicular wave on the dominant follicle, maternal environment, and subsequent pregnancy rates is not fully understood. Additional experiments need to be conducted to further elucidate the differences in developmental potential of the oocyte and maternal environment when the dominant follicle of the first and second wave are destined to become the ovulatory follicle at timed insemination.
5

The relationships between ovarian antral follicle dynamics, luteal function and endocrine variables in ewes

Bartlewski, Pawel Mieczyshaw 01 January 2001 (has links)
Transrectal ovarian ultrasonography and hormone measurements were used to study ovarian antral follicular dynamics and development of luteal structures during the middle portion of the breeding season in non-prolific cross-bred Western white-faced ewes and prolific Finn sheep. Studies were also done on ovarian activity in Western white-faced ewes during the transition to seasonal anoestrus and at the onset of the breeding season. Lastly, two experiments were carried out to examine ovulatory responses and subsequent luteal function in Western white-faced ewes treated with luteolysin (PgF 2á) and progestogen (medroxyprogesterone acetate-MAP) during the luteal phase of the oestrous cycle and after ovulation induction with gonadotrophin-releasing hormone (GnRH) in mid-anoestrus. The results of the present experiments showed that the growth of ovine antral follicles reaching ovulatory sizes of >=5 mm in diameter occurred in a wave-like pattern throughout the oestrous cycle in both breeds of sheep under study. There were typically 3 or 4 waves of follicle production throughout the 17-day interovulatory period. Ovarian follicular emergence, or beginning of growth from the pool of 3-mm follicles, appeared to be primarily controlled by changes in circulating concentrations of follicle-stimulating hormone (FSH). In cyclic ewes, the largest ovarian follicles acquired the ability to secrete oestradiol from the day of emergence and a peak of oestradiol secretion occurred about the time they reached their maximum diameter. The high ovulation rate in prolific Finn sheep appeared to be achieved mainly by the ovulation of follicles emerging in the last two waves of the interovulatory interval. Interestingly, prolific Finn ewes produced more but smaller corpora lutea (CL) and had lower serum concentrations of progesterone during the luteal phase of the oestrous cycle as compared to non-prolific Western white-faced ewes. During the transition into seasonal anoestrus in Western white-faced ewes, FSH secretion resembled that during the breeding season but the pattern of emergence of sequential follicular waves was dissociated from FSH and oestradiol secretion. Prior to the first ovulation of the breeding season, there was a distinct elevation in circulating concentrations of progesterone produced by luteinized unovulated follicles and/or interstitial tissue of unknown origin. This increase in serum levels of progesterone, heralding the resumption of ovulatory cycles, did not alter the rhythmic pattern FSH secretion or follicular wave emergence. Treatment of non-prolific Western white-faced ewes with PgF2á and MAP applied late in the oestrous cycle changed follicular dynamics and increased ovulation rate to resemble that in prolific Finn sheep. Effects of MAP on the recruitment and growth of ovulatory follicles in Western white-faced ewes did not have a clear gonadotrophic dependancy, suggesting a possible local regulation of ovarian activity by progestins in ewes. Following the induction of ovulation with GnRH in anoestrous Western white-faced ewes, an array of ovarian responses were detected with ultrasonography, including failure of ovulation of large antral follicles, normal (fall-lifespan) and short-lived CL post-ovulation, and luteinized cystic-like follicles. The normal luteinization of ovulated follicles appeared to be related to the amplitude of episodic elevations in daily serum FSH concentrations before induction of ovulation and characteristics of the preovulatory LH surge.
6

O papel da emergência de ondas foliculares na sincronização da estimulação ovariana para fertilização in vitro / Ovarian stimulation protocols synchronized with follicular wave emergence for in vitro fertilization

Paulo Homem de Mello Bianchi 01 October 2013 (has links)
INTRODUÇÃO: A estimulação ovariana, parte fundamental dos tratamentos de fertilização in vitro, baseia-se no conhecimento da fisiologia deste órgão. Recentemente um novo modelo de foliculogênese, a teoria das ondas foliculares, foi descrito em humanos. A sincronização do início da estimulação com o surgimento de uma onda folicular melhora o desempenho dos tratamentos em animais. Os protocolos de estimulação ovariana para fertilização in vitro humana não são sincronizados com o início de uma onda folicular. O presente estudo tem como objetivos avaliar duas estratégias de controle da emergência de uma onda folicular (aspiração do folículo dominante e indução da ovulação mediada pelo hCG) e descrever a estimulação ovariana sincronizada com o início de uma onda. MÉTODOS: Participaram deste estudo controlado pacientes com indicação de fertilização in vitro (fatores tubário e/ou masculino de infertilidade), randomizadas em três grupos: controle, \"hCG\" e \"aspiração\". No grupo controle (n=6), a aplicação do FSH recombinante (150UI/d) teve início no terceiro dia do ciclo menstrual, seguindo o protocolo flexível do antagonista do GnRH. Nos grupos experimentais foram realizadas ultrassonografias transvaginais seriadas até a identificação de um folículo dominante >= 15mm. Neste momento, no grupo \"hCG\" (n=5) foi aplicada dose de 250ug de hCG recombinante e, após dois dias , retomado o seguimento ultrassonográfico seriado. No grupo \"aspiração\" (n=5) o folículo dominante e os subordinados > 10mm foram aspirados e o seguimento ultrassonográfico seriado foi retomado após um dia depois. Quando foi detectada o aumento do número de folículos < 10mm, caracterizando a emergência de uma onda folicular, iniciou-se a estimulação ovariana nos grupos experimentais seguindo o mesmo protocolo do grupo controle. Os embriões produzidos foram criopreservados para transferência posterior devido a assincronia endometrial. RESULTADOS: As duas intervenções resultaram na emergência de ondas foliculares em todas as mulheres, um dia após a aspiração do folículo dominante e dois dias após a aplicação do hCG. A dose total de gonadotrofinas utilizada, o tempo de estimulação, a variação dos níveis séricos de estradiol, a variação do número de folículos pequenos, médios e grandes durante o tratamento, o número de oócitos obtidos, a taxa de fertilização e o número de embriões de morfologia adequada e inadequada foram semelhantes nos três grupos. A velocidade de crescimento do maior folículo foi menor nos grupos experimentais até o 5o dia do estímulo, aumentando a partir daí. Os níveis séricos de progesterona foram maiores nos grupos experimentais a partir do quinto dia do estímulo até o final do tratamento. Não houve influência mecânica da presença do corpo lúteo na dinâmica folicular e nos desempenho laboratorial dos oócitos ipsilaterais. Oito pacientes realizaram transferências embrionárias e três apresentaram resultado positivo do betahCG, todas dos grupos experimentais. CONCLUSÕES: As intervenções propostas são capazes de desencadear a emergência de uma onda folicular, permitindo a sincronização do estímulo ovariano com a emergência de uma onda. O estímulo ovariano sincronizado com a emergência de uma onda folicular resultou na produção de embriões viáveis / INTRODUCTION: Ovarian stimulation, an important step of in vitro fertilization treatments, relies on the understanding of ovarian physiology. Recently, a new model of human folliculogenesis has been suggested, based on waves of coordinated follicular development. In animal studies, it has been shown that ovarian stimulation synchronized with the emergence of a follicular wave results in better treatment outcomes. Ovarian stimulation protocols for in vitro fertilization in humans are not synchronized with wave emergence. Therefore, the objectives of this study were to investigate two strategies to control a follicular wave emergence (aspiration of the dominant follicle and hCG mediated ovulation induction) and to describe the effects of synchronizing the beginning of stimulation with the start of a follicular wave. METHODS: Women with indications of in vitro fertilization due to tubal and/or male fator infertility were invited to participate in this controlled trial. Participants were randomized to the following groups: control, \"hCG\" and \"aspiration\". Patients on the control group (n=6) were submitted to the flexible GnRH antagonist protocol starting recombinant FSH administration (150 IU/d) on the third day of the menstrual cycle. Women on the experimental groups underwent serial transvaginal sonography until a dominant follicle >= 15 mm was identified. In the \"hCG\" group (n=5) 250ug of recombinant hCG was administered; serial transvaginal sonography was resumed two days later. In the \"aspiration\" group (n=5) the dominant and subordinated follicles larger than 10mm were aspirated; serial transvaginal sonography was resumed one day later. When a follicular wave emergence was detected (increase in the number of follicles < 10mm), patients were submitted to an ovarian stimulation protocol similar to the control group. Embryos were cryopreserved for future transfer due to endometrial asynchrony. RESULTS: A follicular wave emerged one day after the dominant follicle aspiration or two days after the administration of recombinant hCG in all women. Total dose of gonadotropins administered, stimulation length, variation of serum estradiol during stimulation, variation in the number of small, medium and large follicles during stimulation, number of oocytes harvested, fertilization rates and the number of embryos with adequate and inadequate morphology were similar in the three groups. The largest follicle growth rate was inferior for women in both experimental groups until day 5 of stimulation, increasing thereafter. Serum progesterone levels were superior in both experimental groups between the 5th day and the end of stimulation. The presence of the corpus luteum did not influence mechanically the follicular dynamics nor the laboratory performance of the ipsilateral oocytes. Eight patients have already been submitted to embryo transfers; three had a positive betahCG test, all from the experimental groups. CONCLUSIONS: Both interventions are able to induce a follicular wave emergence allowing the synchronization of ovarian stimulation. The synchronized ovarian stimulation resulted in the production of viable embryos
7

O papel da emergência de ondas foliculares na sincronização da estimulação ovariana para fertilização in vitro / Ovarian stimulation protocols synchronized with follicular wave emergence for in vitro fertilization

Bianchi, Paulo Homem de Mello 01 October 2013 (has links)
INTRODUÇÃO: A estimulação ovariana, parte fundamental dos tratamentos de fertilização in vitro, baseia-se no conhecimento da fisiologia deste órgão. Recentemente um novo modelo de foliculogênese, a teoria das ondas foliculares, foi descrito em humanos. A sincronização do início da estimulação com o surgimento de uma onda folicular melhora o desempenho dos tratamentos em animais. Os protocolos de estimulação ovariana para fertilização in vitro humana não são sincronizados com o início de uma onda folicular. O presente estudo tem como objetivos avaliar duas estratégias de controle da emergência de uma onda folicular (aspiração do folículo dominante e indução da ovulação mediada pelo hCG) e descrever a estimulação ovariana sincronizada com o início de uma onda. MÉTODOS: Participaram deste estudo controlado pacientes com indicação de fertilização in vitro (fatores tubário e/ou masculino de infertilidade), randomizadas em três grupos: controle, \"hCG\" e \"aspiração\". No grupo controle (n=6), a aplicação do FSH recombinante (150UI/d) teve início no terceiro dia do ciclo menstrual, seguindo o protocolo flexível do antagonista do GnRH. Nos grupos experimentais foram realizadas ultrassonografias transvaginais seriadas até a identificação de um folículo dominante >= 15mm. Neste momento, no grupo \"hCG\" (n=5) foi aplicada dose de 250ug de hCG recombinante e, após dois dias , retomado o seguimento ultrassonográfico seriado. No grupo \"aspiração\" (n=5) o folículo dominante e os subordinados > 10mm foram aspirados e o seguimento ultrassonográfico seriado foi retomado após um dia depois. Quando foi detectada o aumento do número de folículos < 10mm, caracterizando a emergência de uma onda folicular, iniciou-se a estimulação ovariana nos grupos experimentais seguindo o mesmo protocolo do grupo controle. Os embriões produzidos foram criopreservados para transferência posterior devido a assincronia endometrial. RESULTADOS: As duas intervenções resultaram na emergência de ondas foliculares em todas as mulheres, um dia após a aspiração do folículo dominante e dois dias após a aplicação do hCG. A dose total de gonadotrofinas utilizada, o tempo de estimulação, a variação dos níveis séricos de estradiol, a variação do número de folículos pequenos, médios e grandes durante o tratamento, o número de oócitos obtidos, a taxa de fertilização e o número de embriões de morfologia adequada e inadequada foram semelhantes nos três grupos. A velocidade de crescimento do maior folículo foi menor nos grupos experimentais até o 5o dia do estímulo, aumentando a partir daí. Os níveis séricos de progesterona foram maiores nos grupos experimentais a partir do quinto dia do estímulo até o final do tratamento. Não houve influência mecânica da presença do corpo lúteo na dinâmica folicular e nos desempenho laboratorial dos oócitos ipsilaterais. Oito pacientes realizaram transferências embrionárias e três apresentaram resultado positivo do betahCG, todas dos grupos experimentais. CONCLUSÕES: As intervenções propostas são capazes de desencadear a emergência de uma onda folicular, permitindo a sincronização do estímulo ovariano com a emergência de uma onda. O estímulo ovariano sincronizado com a emergência de uma onda folicular resultou na produção de embriões viáveis / INTRODUCTION: Ovarian stimulation, an important step of in vitro fertilization treatments, relies on the understanding of ovarian physiology. Recently, a new model of human folliculogenesis has been suggested, based on waves of coordinated follicular development. In animal studies, it has been shown that ovarian stimulation synchronized with the emergence of a follicular wave results in better treatment outcomes. Ovarian stimulation protocols for in vitro fertilization in humans are not synchronized with wave emergence. Therefore, the objectives of this study were to investigate two strategies to control a follicular wave emergence (aspiration of the dominant follicle and hCG mediated ovulation induction) and to describe the effects of synchronizing the beginning of stimulation with the start of a follicular wave. METHODS: Women with indications of in vitro fertilization due to tubal and/or male fator infertility were invited to participate in this controlled trial. Participants were randomized to the following groups: control, \"hCG\" and \"aspiration\". Patients on the control group (n=6) were submitted to the flexible GnRH antagonist protocol starting recombinant FSH administration (150 IU/d) on the third day of the menstrual cycle. Women on the experimental groups underwent serial transvaginal sonography until a dominant follicle >= 15 mm was identified. In the \"hCG\" group (n=5) 250ug of recombinant hCG was administered; serial transvaginal sonography was resumed two days later. In the \"aspiration\" group (n=5) the dominant and subordinated follicles larger than 10mm were aspirated; serial transvaginal sonography was resumed one day later. When a follicular wave emergence was detected (increase in the number of follicles < 10mm), patients were submitted to an ovarian stimulation protocol similar to the control group. Embryos were cryopreserved for future transfer due to endometrial asynchrony. RESULTS: A follicular wave emerged one day after the dominant follicle aspiration or two days after the administration of recombinant hCG in all women. Total dose of gonadotropins administered, stimulation length, variation of serum estradiol during stimulation, variation in the number of small, medium and large follicles during stimulation, number of oocytes harvested, fertilization rates and the number of embryos with adequate and inadequate morphology were similar in the three groups. The largest follicle growth rate was inferior for women in both experimental groups until day 5 of stimulation, increasing thereafter. Serum progesterone levels were superior in both experimental groups between the 5th day and the end of stimulation. The presence of the corpus luteum did not influence mechanically the follicular dynamics nor the laboratory performance of the ipsilateral oocytes. Eight patients have already been submitted to embryo transfers; three had a positive betahCG test, all from the experimental groups. CONCLUSIONS: Both interventions are able to induce a follicular wave emergence allowing the synchronization of ovarian stimulation. The synchronized ovarian stimulation resulted in the production of viable embryos
8

Endocrine and molecular regulation of ovarian antral follicular wave emergence and growth in sheep

Seekallu, Srinivas 21 October 2009
In sheep, large ovarian antral follicles grow in waves with a periodicity of every 4 to 5 days; each wave is initiated by a peak in serum concentrations of follicle stimulating hormone (FSH). In the present thesis, follicular data and hormone estimations acquired from daily ultrasonography and blood samples, respectively, were used to study mechanisms regulating the number of follicular waves per estrous cycle. Using additional approaches such as implants releasing estradiol-17â and or progesterone, immunization against gonadotropin releasing hormone (GnRH), and injections of GnRH, the role of pulsed luteinizing hormone (LH) secretion and FSH peaks in follicular wave emergence and growth and the dependency of FSH peaks on pulsed GnRH secretion, were studied in sheep. The viability of aged follicles was also addressed.<p> The results of the present studies showed that ewes with three or four waves per cycle had cycles of the same length. The inter-wave interval was longer for the first and the last or ovulatory wave of the cycle in three compared to four wave cycles. The length of the lifespan and regression phase of the largest follicle of a wave declined across the cycle as FSH peak concentration and amplitude decreased. The maximum follicular diameter of the largest follicle growing in the first wave and the last or ovulatory wave of the cycle was greater compared to other waves of the cycle. Treatment of anestrous ewes with estradiol releasing implants alone completely abolished pulsed LH secretion and suppressed follicular wave development; however, FSH secretion was only minimally affected and the pool of small follicles was not affected. When pulsed secretion of LH was restored by frequent injections of GnRH, follicular waves were re-established. Treatment of anestrous ewes with implants releasing estradiol and progesterone, decreased FSH peak amplitude and abolished LH pulses and follicular waves; the size of the pool of small follicles increased. Immunization against GnRH in anestrous ewes abolished pulsatile LH secretion and suppressed follicular wave emergence; however, FSH peaks continued to occur for several weeks. In cyclic ewes, creating an LH pulse frequency typical of the follicular phase, during the luteal phase of the cycle by giving GnRH, increased maximum diameter of the largest follicle in a wave and serum concentrations of estradiol and progesterone. The enhanced growth of follicles in a wave blocked the next expected FSH peak and its associated follicular wave. Decreasing LH pulse frequencies lower than the minimal frequency seen in the luteal phase, by implants releasing progesterone, did not affect the growth of follicular waves.<p> It was previously demonstrated that treatment of non-prolific WWF ewes with Prostaglandin F2á (PGF2á) and medroxy progesterone acetate (MPA) increased the ovulation rate by adding ovulations from the penultimate wave in addition to the final wave of the cycle; however, fertility was not improved. In the last study of my thesis, we collected follicles, with an extended lifespan, from the penultimate wave of the cycle in ewes given the PGF2á and MPA treatment. We compared their quality with follicles from the final wave of the cycle by looking at the expression of markers of follicular development. The results showed that theca cells of follicles from the final wave had significantly higher mRNA expression for vascular endothelial growth factor (VEGF) compared to follicles from the penultimate wave. Granulosa cells of follicles from the final wave had significantly higher mRNA expression for connexion 43 (Cx43) compared to follicles from the penultimate wave. Protein expression for Cx43, proliferating cell nuclear antigen (PCNA) and Factor VIII was greater in follicles from the final compared to the penultimate wave.<p> We concluded from the present studies that: 1) the mechanism that makes a three wave or four wave cycle is unclear; 2) some level of pulsatile LH secretion is required for an FSH peak to trigger emergence of follicular waves in anestrous ewes; 3) progesterone enhances the inhibitory effects of estradiol on FSH secretion in anestrous ewes, suppressing specifically FSH peak amplitude; 4) an endogenous rhythm may exist that drives the peaks in FSH secretion independent of secretory products from the follicles growing in a wave and pulsed GnRH secretion; 5) follicular waves in ewes, when exposed to an LH pulse frequency similar to the follicular phase, during the luteal phase of the cycle, when serum progesterone concentrations are high, can grow and function like ovulatory follicles growing in the follicular phase of the cycle; 6) expression of some markers of vascularization/ angiogenesis, gap-junctional communication and cell proliferation, appeared to be decreased in follicles from the penultimate compared to the final wave of an estrous cycle, when the lifespan of follicles from the penultimate wave was extended such that they were present in the ovary with follicles from the final wave of the cycle.
9

Endocrine and molecular regulation of ovarian antral follicular wave emergence and growth in sheep

Seekallu, Srinivas 21 October 2009 (has links)
In sheep, large ovarian antral follicles grow in waves with a periodicity of every 4 to 5 days; each wave is initiated by a peak in serum concentrations of follicle stimulating hormone (FSH). In the present thesis, follicular data and hormone estimations acquired from daily ultrasonography and blood samples, respectively, were used to study mechanisms regulating the number of follicular waves per estrous cycle. Using additional approaches such as implants releasing estradiol-17â and or progesterone, immunization against gonadotropin releasing hormone (GnRH), and injections of GnRH, the role of pulsed luteinizing hormone (LH) secretion and FSH peaks in follicular wave emergence and growth and the dependency of FSH peaks on pulsed GnRH secretion, were studied in sheep. The viability of aged follicles was also addressed.<p> The results of the present studies showed that ewes with three or four waves per cycle had cycles of the same length. The inter-wave interval was longer for the first and the last or ovulatory wave of the cycle in three compared to four wave cycles. The length of the lifespan and regression phase of the largest follicle of a wave declined across the cycle as FSH peak concentration and amplitude decreased. The maximum follicular diameter of the largest follicle growing in the first wave and the last or ovulatory wave of the cycle was greater compared to other waves of the cycle. Treatment of anestrous ewes with estradiol releasing implants alone completely abolished pulsed LH secretion and suppressed follicular wave development; however, FSH secretion was only minimally affected and the pool of small follicles was not affected. When pulsed secretion of LH was restored by frequent injections of GnRH, follicular waves were re-established. Treatment of anestrous ewes with implants releasing estradiol and progesterone, decreased FSH peak amplitude and abolished LH pulses and follicular waves; the size of the pool of small follicles increased. Immunization against GnRH in anestrous ewes abolished pulsatile LH secretion and suppressed follicular wave emergence; however, FSH peaks continued to occur for several weeks. In cyclic ewes, creating an LH pulse frequency typical of the follicular phase, during the luteal phase of the cycle by giving GnRH, increased maximum diameter of the largest follicle in a wave and serum concentrations of estradiol and progesterone. The enhanced growth of follicles in a wave blocked the next expected FSH peak and its associated follicular wave. Decreasing LH pulse frequencies lower than the minimal frequency seen in the luteal phase, by implants releasing progesterone, did not affect the growth of follicular waves.<p> It was previously demonstrated that treatment of non-prolific WWF ewes with Prostaglandin F2á (PGF2á) and medroxy progesterone acetate (MPA) increased the ovulation rate by adding ovulations from the penultimate wave in addition to the final wave of the cycle; however, fertility was not improved. In the last study of my thesis, we collected follicles, with an extended lifespan, from the penultimate wave of the cycle in ewes given the PGF2á and MPA treatment. We compared their quality with follicles from the final wave of the cycle by looking at the expression of markers of follicular development. The results showed that theca cells of follicles from the final wave had significantly higher mRNA expression for vascular endothelial growth factor (VEGF) compared to follicles from the penultimate wave. Granulosa cells of follicles from the final wave had significantly higher mRNA expression for connexion 43 (Cx43) compared to follicles from the penultimate wave. Protein expression for Cx43, proliferating cell nuclear antigen (PCNA) and Factor VIII was greater in follicles from the final compared to the penultimate wave.<p> We concluded from the present studies that: 1) the mechanism that makes a three wave or four wave cycle is unclear; 2) some level of pulsatile LH secretion is required for an FSH peak to trigger emergence of follicular waves in anestrous ewes; 3) progesterone enhances the inhibitory effects of estradiol on FSH secretion in anestrous ewes, suppressing specifically FSH peak amplitude; 4) an endogenous rhythm may exist that drives the peaks in FSH secretion independent of secretory products from the follicles growing in a wave and pulsed GnRH secretion; 5) follicular waves in ewes, when exposed to an LH pulse frequency similar to the follicular phase, during the luteal phase of the cycle, when serum progesterone concentrations are high, can grow and function like ovulatory follicles growing in the follicular phase of the cycle; 6) expression of some markers of vascularization/ angiogenesis, gap-junctional communication and cell proliferation, appeared to be decreased in follicles from the penultimate compared to the final wave of an estrous cycle, when the lifespan of follicles from the penultimate wave was extended such that they were present in the ovary with follicles from the final wave of the cycle.

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