Abstract

Sorbitol is a product of glucose metabolism through the polyol pathway. Many studies have demonstrated that excessive sorbitol can disrupt the intracellular redox balance. However, we still know very little about the impact of excessive intracellular sorbitol on oocyte quality, oocyte maturation, and embryo developmental potential. This study explored whether intracellular sorbitol accumulates in the oocytes of aged mice during in vitro maturation (IVM) and what roles sorbitol plays in oocyte development and maturation. Our results showed that sorbitol levels were significantly higher in in vitro-matured oocytes from aged mice than in oocytes from young mice (14.08 ± 3.78 vs. 0.23 ± 0.04 ng/oocyte). The expression of aldose reductase (AR) mRNA was significantly higher in the in vitro-cultured oocytes from 9-month-old mice than prior to culture. To decrease the excessive intracellular sorbitol in oocytes from aged mice, sorbinil, a specific inhibitor of aldose reductase, was supplemented in IVM medium, and the sorbitol level was significantly decreased (14.08 ± 3.78 vs. 0.48 ± 0.19 ng/oocyte). Our results indicated that the percentage of oocytes with first polar body extrusion (PBE) was significantly higher in the sorbinil group than in the aged group (82.4% ± 7.2% vs. 66.1% ± 6.9%), and the content of sorbitol was drastically increased in the aged group. The ROS fluorescence intensity in the sorbinil group was drastically lower than that in the aged group, while the GSH fluorescence intensity was significantly higher. Interestingly, SOD1 was upregulated in the sorbinil group. The present study suggests that excessive sorbitol accumulation is induced during IVM in aged mouse oocytes, which negatively influences oocyte quality by altering the intracellular redox balance. Inhibition of sorbitol accumulation may be a potential method to improve the nuclear maturation of aged oocytes.

Highlights

  • In vitro maturation (IVM) of immature oocytes has been applied to improve the clinical utility of oocytes, decrease the risk of ovarian hyperstimulation syndrome (OHSS) and increase the chances of fertility preservation [1]

  • Our results indicated that the percentage of oocytes with first polar body extrusion (PBE) was significantly higher in the sorbinil group than in the aged group (82.4% ± 7.2% vs. 66.1% ± 6.9%), and the content of sorbitol was drastically increased in the aged group

  • Ovarian aging is associated with the decreased levels of anti-Müllerian hormone (AMH) and the antral follicular count (AFC), but an increased level of the follicle-stimulating hormone (FSH).It is characterized by diminished ovarian reserve (DOR) in the clinic [9]

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Summary

Introduction

In vitro maturation (IVM) of immature oocytes has been applied to improve the clinical utility of oocytes, decrease the risk of ovarian hyperstimulation syndrome (OHSS) and increase the chances of fertility preservation [1]. The main causes of reproductive capacity decline are a decreasing number of oocytes and an increasing proportion of poorquality oocytes, which result from ovarian aging. The ovarian function and oocyte pool of women decrease with age, while the percentage of abnormal oocytes, such as aneuploidy, increases [8]. If fertilization fails during the optimal fertilization period, oocytes will undergo a time-dependent decrease in quality whether they remain in vivo or cultured in vitro [10]. To improve the quality of aged oocytes in vivo and in vitro, an increasing number of studies have focused on oocyte metabolism and its regulation [15]

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