LXR and Oocyte Meiosis Resumption

Not Applicable

• Conditions: Female Infertility
• Interventions: Other: IVF Procedure

• Registration Number: NCT03045315
• Lead Sponsor: University Hospital, Clermont-Ferrand

Brief Summary

Previous studies in animal model showed clearly that lipid homeostasis influence oocyte meiosis resumption. However Liver X Receptors pathway has never been investigated in human ovocyte

Detailed Description

In mice deficient of Liver X Receptor (LXR) genes, the oocytes are unable to resume meiosis. Oxysterols are molecules derived from the cholesterol synthesis pathway. They are ligands of the liver X receptors (LXRs). In human, the LXR signalling pathway has never been investigated in this process. The Investigator propose to analyse in granulosa cells surrounding ovocyte the expression of LXR, their target genes and the enzymes involved in oxysterols synthesis. These granulosa cells are normally retrieved and destroyed 18 hours after sperm insemination of oocytes in a In Vitro Fertilization program. The oocyte meiosis resumption will be considered as positive (Granulosa cell positive, GC+) if a zygote is observed 18 hours after sperm insemination and negative (Granulosa cell negative, GC-) if none zygote appears. Moreover the investigator will analyse the quality of embryo development during 5 days after zygote is formed (normal process of In Vitro Fertilization) . The both populations of granulosa cells (GC+ and GC-) will be compared. The measurements of Liver X Receptor genes and the enzymes involved in oxysterols pathways xill be performed by Reverse Transcription-Polymerase Chain Reaction. The accumulation of lipid in granulosa cells will be measures by oil red staining. By this sudy the investigator will probably find new biological markers of resumption meiosis for women enrolled in In Vitro Fertilization programm. Moreover, data will help to better understand the physiopathology of oocyte meiosis failures.

Study Timeline

• Study Start: 2015-01
• Study First Submitted: 2017-01-27
• Status Verified: 2017-02
• Study First Submitted QC: 2017-02-03
• Study First Posted: 2017-02-07
• Last Update Submitted: 2017-02-07
• Last Update Posted: 2017-02-09
• Primary Completion: 2019-05
• Study Completion: 2019-08

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: Female
• Target Recruitment: 250

Inclusion Criteria

• woman aged less 37 years
• included in a IVF program
• tubal infertility
• ovarian stimulation with recombinant FSH
• induced ovulation by recombinant chorionic gonaotrophin

Exclusion Criteria

• dysovulation
• male infertility
• Ovarian insuficiency

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
women included in a IVF program	IVF Procedure	-

Primary Outcome Measures

Name	Time	Method
Expression of RNAs of LXR pathways in granulosa cells surrounding oocyte	at day 1	The day of the retrieve of granulosa cells, RNA extraction will be performed and the expression of Liver X Receptors genes, their downstream target genes and the enzymes of oxyterols synthesis will be analysed.

Secondary Outcome Measures

Name	Time	Method
Accumulation of lipid in granulosa cells surrounding oocyte	at day 5	Embryo development of inseminated ovocytes at day 5 after sperm insemination during In Vitro Fertilization process

Trial Locations

Locations (1)

CHU Clermont-Ferrand; 🇫🇷 Clermont-Ferrand, France