D. Royere et al., ASSESSMENT OF PREIMPLANTATION EMBRYO DEVE LOPMENT - EXPERIMENTAL-DATAIN MAMMALS, Contraception fertilite sexualite, 24(9), 1996, pp. 653-656
Assessing and/or improving the implantation prognostic remain a major
goal for research studies as well as for teams doing embryo transfer i
n many species. Criteria for such a goal were focussed ten years ago a
nd combined theoretically: -sensitivity for applying to one embryo; -c
lear cut-off for individual decision; -fastness to be suitable for emb
ryo transfer in due time; -no toxicity or invasiveness for embryo; -fi
nally some simple technical approach in order to be applies by a large
number of teams. Moreover whatever may be qualitative or quantitative
criteria, they should be relied to the final result as alive newborn.
The more ancient way to appreciate embryo quality deal with the simpl
e observation of morphological and kinetic criteria about embryo, but
such non invasive approach was obviously limited, in spite of the posi
tive influence of regular blastomers, absence of fragmentation and syn
chronization with time of transfer on implantation rate. The major tra
nscriptionnal activity of human embryo developping between 6 and 8 cel
ls stage, of course, were unassessed by transfer to day 2. Moreover th
e apparent quality of the embryo better reflected oocyte qualify than
embryo quality. Coculture development encompassed only partially such
limitation. Using fluorescent probes, it was possible to evaluate some
metabolic activity as well as membrane integrity, but such criteria r
evealed to be both invasive and uneasily reliable with develomental ab
ility of the embryo. Methods dealing with glucidic, protidic or lipidi
c metabolisms are developped elsewhere, but revealed uneasy to apply,
due both to their invasiveness or technical difficulties and their lar
ge inter-individual variability Some hope has raised by the finding of
growth factors or cytokines which are expressed by the embryo and/or
embryotrophic but a lot of works remain to be down before an easy prac
tical application.