Abstract

Background/aimA synchronized dialogue between maternal and embryonic tissues is required for successful implantation. Low uterine receptivity is responsible for two-thirds of implantation failures and leptin is effective in the physiology of reproduction by binding to specific receptors. In this study, we investigate leptin receptor expression in cases of embryo transfer to endometrial coculture. Materials and methods Biopsy materials were taken from 20 females with indication for coculture application and were cultured in an appropriate medium after the epithelial cells were isolated. The grown cells were cultured in chamber slides as the first group. For the second group, day 3 embryo was added to chamber slides and the development was observed. The embryo was transferred 1 or 2 days later and other cells (after the transfer process) were used to form the second group. After fixation, immunohistochemical staining was performed with anti-leptin primary antibody. Results Regarding the coculture without embryo transfer, moderate leptin receptor immunoreactivity was seen in the perinuclear region and the cell membrane. Also, regarding the coculture with embryo transfer, moderate leptin receptor immunoreactivity was seen in the cytoplasm and strong leptin receptor immunoreactivity was seen in the cell membrane.Conclusion Embryo transfer to endometrium coculture triggers leptin receptor expression.

Highlights

  • Infertility is an important public health problem

  • Regarding the coculture without embryo transfer, moderate leptin receptor immunoreactivity was seen in the perinuclear region and the cell membrane

  • Regarding the coculture with embryo transfer, moderate leptin receptor immunoreactivity was seen in the cytoplasm and strong leptin receptor immunoreactivity was seen in the cell membrane

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Summary

Introduction

Infertility is an important public health problem. Around 40%–50% of cases are due to female infertility, whereas 30% of cases are linked to male infertility. There is no identifiable causative factor defined in 15%–25% of the couples [1]. Reproductive biotechnologies such as artificial insemination (AI), embryo transfer (ET), and embryo production via in vitro fertilization (IVF) have improved significantly in recent years [2]. The rate of live births per embryo transfer through assisted reproductive technologies remains as low as 30%, so there is still a substantial need to improve current human IVFET procedures by determining optimal embryonic culture conditions [3]. For patients with repeated IVF failures, the methods to improve IVF outcomes include focusing on improvement in embryo quality and implantation rates, because repeated IVF failure occurs due to unsuccessful implantation, according to the generally accepted view [4]

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