Exploring the benefit of different methods to perform assisted hatching in the ART laboratory: A narrative review.

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State: Public
Version: Final published version
License: CC BY 4.0
Serval ID
serval:BIB_F7A47D3196DE
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Exploring the benefit of different methods to perform assisted hatching in the ART laboratory: A narrative review.
Journal
Reproductive biology
Author(s)
Sciorio R., Greco P.F., Adel M., Maresca L., Greco E., Fleming S.
ISSN
2300-732X (Electronic)
ISSN-L
1642-431X
Publication state
Published
Issued date
09/2024
Peer-reviewed
Oui
Volume
24
Number
3
Pages
100923
Language
english
Notes
Publication types: Journal Article ; Review
Publication Status: ppublish
Abstract
In the last decades, to enhance success rates in assisted reproductive technology (ART) cycles, scientists have continually tried to optimize embryo culture and selection to increase clinical outcomes. In this scenario, the application of laser technology has increased considerably worldwide and is currently applied across ART in several ways: for assisted hatching (AH) or thinning of the zona pellucida (ZP), embryo biopsy, to immobilize and select the sperm during intracytoplasmic sperm injection, as well as to induce artificial blastocyst shrinkage before cryopreservation. Laser-AH has been suggested as a procedure to improve embryo implantation: the concept is that drilling holes through or thinning of the ZP could improve the hatching process and implantation. The artificial disruption of the ZP can be performed by different approaches: mechanically, chemically and with the laser, which is one of the most favourable and easy methods to remove part of the ZP and to augment the possibilities of implantation in patients defined as having a poor prognosis of success, or when the ZP is too thick. However, in the current literature, there is not sufficient evidence about the potential risk or impairment that laser utilization might induce on embryo development; therefore, the main aim of the current review is to provide an overview of the existing knowledge on the ZP and the mechanisms of manipulating it to improve the effectiveness of ART. Also, it emphasizes the positive aspect of laser application as a powerful tool that might increase the chance of pregnancy for infertile couples undergoing ART cycles.
Keywords
Humans, Zona Pellucida/physiology, Reproductive Techniques, Assisted, Female, Pregnancy, Cryopreservation/methods, Male, Embryo Culture Techniques/methods, Embryo Implantation/physiology, Lasers, Assisted hatching, Assisted reproductive technology, Infertility, Laser assisted hatching, Zona pellucida, in-vitro fertilization
Pubmed
Web of science
Open Access
Yes
Create date
12/07/2024 11:55
Last modification date
10/09/2024 6:31
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