Successful pregnancy following transfer of embryo with dissolved zona pellucida

This study aimed to describe a case of a patient with the spontaneous dissolution of zona pellucida (ZP) during cleavage embryo development after intracytoplasmic sperm injection (ICSI). This patient experienced early abortion due to fetal chromosome 8 abnormality and received ICSI at 31 years of ag...

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Main Author: Hong-Xing Li
Format: Article
Language:English
Published: Wolters Kluwer Health/LWW 2020-01-01
Series:Reproductive and Developmental Medicine
Subjects:
Online Access:http://www.repdevmed.org/article.asp?issn=2096-2924;year=2020;volume=4;issue=1;spage=60;epage=62;aulast=Li
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author Hong-Xing Li
author_facet Hong-Xing Li
author_sort Hong-Xing Li
collection DOAJ
description This study aimed to describe a case of a patient with the spontaneous dissolution of zona pellucida (ZP) during cleavage embryo development after intracytoplasmic sperm injection (ICSI). This patient experienced early abortion due to fetal chromosome 8 abnormality and received ICSI at 31 years of age. Time-lapse monitoring of embryo cleavage and blastocyst culture was performed, and we found that the ZP of embryos 1, 2, 4, and 5 dissolved gradually during the cleavage stage of embryo development. Five blastocysts that developed from 2 pronuclear zygotes were analyzed using next-generation sequencing, and one frozen-thawed blastocyst was transferred, resulting in intrauterine pregnancy. The results of amniotic fluid puncture showed normal fetal chromosomes. To our knowledge, this is the first report of ZP dissolution during the cleavage-stage embryo; however, the exact mechanism remains unknown. The morphological changes inferred that the granular matter in the periocular space was related to the dissolution of ZP through time-lapse observation.
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spelling doaj.art-f12a6011bb8e43269d5b66da08db65e72022-12-22T02:47:24ZengWolters Kluwer Health/LWWReproductive and Developmental Medicine2096-29242589-87282020-01-0141606210.4103/2096-2924.281856Successful pregnancy following transfer of embryo with dissolved zona pellucidaHong-Xing LiThis study aimed to describe a case of a patient with the spontaneous dissolution of zona pellucida (ZP) during cleavage embryo development after intracytoplasmic sperm injection (ICSI). This patient experienced early abortion due to fetal chromosome 8 abnormality and received ICSI at 31 years of age. Time-lapse monitoring of embryo cleavage and blastocyst culture was performed, and we found that the ZP of embryos 1, 2, 4, and 5 dissolved gradually during the cleavage stage of embryo development. Five blastocysts that developed from 2 pronuclear zygotes were analyzed using next-generation sequencing, and one frozen-thawed blastocyst was transferred, resulting in intrauterine pregnancy. The results of amniotic fluid puncture showed normal fetal chromosomes. To our knowledge, this is the first report of ZP dissolution during the cleavage-stage embryo; however, the exact mechanism remains unknown. The morphological changes inferred that the granular matter in the periocular space was related to the dissolution of ZP through time-lapse observation.http://www.repdevmed.org/article.asp?issn=2096-2924;year=2020;volume=4;issue=1;spage=60;epage=62;aulast=Liblastocyst transfer; intracytoplasmic sperm injection; next-generation sequencing; zona pellucida dissolution
spellingShingle Hong-Xing Li
Successful pregnancy following transfer of embryo with dissolved zona pellucida
Reproductive and Developmental Medicine
blastocyst transfer; intracytoplasmic sperm injection; next-generation sequencing; zona pellucida dissolution
title Successful pregnancy following transfer of embryo with dissolved zona pellucida
title_full Successful pregnancy following transfer of embryo with dissolved zona pellucida
title_fullStr Successful pregnancy following transfer of embryo with dissolved zona pellucida
title_full_unstemmed Successful pregnancy following transfer of embryo with dissolved zona pellucida
title_short Successful pregnancy following transfer of embryo with dissolved zona pellucida
title_sort successful pregnancy following transfer of embryo with dissolved zona pellucida
topic blastocyst transfer; intracytoplasmic sperm injection; next-generation sequencing; zona pellucida dissolution
url http://www.repdevmed.org/article.asp?issn=2096-2924;year=2020;volume=4;issue=1;spage=60;epage=62;aulast=Li
work_keys_str_mv AT hongxingli successfulpregnancyfollowingtransferofembryowithdissolvedzonapellucida