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NMR metabolomics study of follicular fluid in women with cancer resorting to fertility preservation.

Abstract：

PURPOSE:The purpose of this study was to evaluate the possible application of metabolomics to identify follicular fluid changes in cancer patients undergoing fertility preservation. Although metabolomics have been applied already in cancer studies, this is the first application on follicular fluid of cancer patients. METHODS:We selected for the study ten patients with breast cancer and lymphoma who resorted to oocyte cryopreservation to preserve fertility and ten healthy women undergoing in vitro fertilization treatments. Follicular fluid was collected at the time of oocytes retrieval. Metabolomic analysis of follicular fluids was performed by 1H-nuclear magnetic resonance (NMR) spectroscopy in combination with multivariate analysis to interpret the spectral data. Univariate statistical analysis was applied to find correlations between patients' features and metabolites identified by NMR. RESULTS:Partial least squares discriminant analysis allowed to discriminate samples from cancer patients and healthy controls. Univariate statistical analysis found significant correlations between patients' features and metabolites identified by NMR. This finding allowed to identify biomarkers to differentiate both healthy controls from cancer patients and the two different classes of oncological patients. CONCLUSION:The follicular fluids of cancer patients display significant metabolic alterations in comparison to healthy subjects. NMR-based metabolomics could be a valid prognostic tool for identifying and selecting the best cryopreserved oocytes and improving the outcome prediction in cancer women undergoing in vitro fertilization.

journal_name

J Assist Reprod Genet

journal_title

Journal of assisted reproduction and genetics

authors

Castiglione Morelli MA,Iuliano A,Schettini SCA,Petruzzi D,Ferri A,Colucci P,Viggiani L,Cuviello F,Ostuni A

doi

10.1007/s10815-018-1281-7

subject

Has Abstract

pub_date

2018-11-01 00:00:00

pages

2063-2070

issue

11

eissn

1058-0468

issn

1573-7330

pii

10.1007/s10815-018-1281-7

journal_volume

35

pub_type

杂志文章

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