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  1. Article ; Online: Timing of exposure to gonadotropins has differential effects on the conceptus: evidence from a mouse model†.

    Sullivan-Pyke, Chantae / Mani, Sneha / Rhon-Calderon, Eric A / Ord, Teri / Coutifaris, Christos / Bartolomei, Marisa S / Mainigi, Monica

    Biology of reproduction

    2020  Volume 103, Issue 4, Page(s) 854–865

    Abstract: Superovulation with gonadotropins alters the hormonal milieu during early embryo development and placentation, and may be responsible for fetal and placental changes observed after in vitro fertilization (IVF). We hypothesized that superovulation has ... ...

    Abstract Superovulation with gonadotropins alters the hormonal milieu during early embryo development and placentation, and may be responsible for fetal and placental changes observed after in vitro fertilization (IVF). We hypothesized that superovulation has differential effects depending on timing of exposure. To test our hypothesis, we isolated the effect of superovulation on pre- and peri-implantation mouse embryos. Blastocysts were obtained from either natural mating or following superovulation and mating, and were transferred into naturally mated or superovulated pseudopregnant recipient mice. Fetal weight was significantly lower after peri-implantation exposure to superovulation, regardless of preimplantation exposure (p = 0.006). Placentas derived from blastocysts exposed to superovulation pre- and peri-implantation were larger than placentas derived from natural blastocysts that are transferred into a natural or superovulated environment (p < 0.05). Fetal-to-placental weight ratio decreased following superovulation during the pre- or peri-implantation period (p = 0.05, 0.01, respectively) and these effects were additive. Peg3 DNA methylation levels were decreased in placentas derived from exposure to superovulation both pre- and peri-implantation compared with unexposed embryos and exposure of the preimplantation embryo only. Through RNA sequencing on placental tissue, changes were identified in genes involved in immune system regulation, specifically interferon signaling, which has been previously implicated in implantation and maintenance of early pregnancy in mice. Overall, we found that the timing of exposure to gonadotropin stimulation can have differential effects on fetal and placental growth. These findings could impact clinical practice and underscores the importance of dissecting the role of procedures utilized during IVF on pregnancy complications.
    MeSH term(s) Animals ; Chorionic Gonadotropin/pharmacology ; DNA Methylation ; Drug Administration Schedule ; Embryo Transfer ; Female ; Fetal Weight ; Fetus/drug effects ; Gonadotropins, Equine/pharmacology ; Litter Size ; Male ; Mice ; Mice, Transgenic ; Organ Size ; Placenta/anatomy & histology ; Placenta/drug effects ; Pregnancy ; Pregnancy Rate ; Sex Ratio ; Superovulation/drug effects ; Tissue and Organ Harvesting
    Chemical Substances Chorionic Gonadotropin ; Gonadotropins, Equine
    Language English
    Publishing date 2020-06-19
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't
    ZDB-ID 1118-6
    ISSN 1529-7268 ; 0006-3363
    ISSN (online) 1529-7268
    ISSN 0006-3363
    DOI 10.1093/biolre/ioaa109
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Ovarian tissue cryopreservation (OTC) in prepubertal girls and young women: an analysis of parents' and patients' decision-making.

    Sullivan-Pyke, Chantae S / Carlson, Claire A / Prewitt, Maureen / Gracia, Clarisa R / Ginsberg, Jill P

    Journal of assisted reproduction and genetics

    2018  Volume 35, Issue 4, Page(s) 593–600

    Abstract: ... The factors that influenced decision-making were compared using Student's t test, and the scores of DMCI and ...

    Abstract Purpose: The purpose of this study was to explore the decision-making influences, perceived level of control over decision-making, and mood states of parents and patients who were offered OTC prior to gonadotoxic therapy.
    Methods: Parents and patients, at least 12 years old, who required gonadotoxic therapy and were offered OTC prior to therapy, were asked to complete questionnaires. Two validated instruments were also used: the Decision-Making Control Instrument (DMCI) and the Profile of Mood States (POMS). The factors that influenced decision-making were compared using Student's t test, and the scores of DMCI and POMS were compared using the Mann-Whitney test.
    Results: Thirty-six parents and 16 patients who elected ovarian tissue cryopreservation (OTC) completed questionnaires. Five parents who declined OTC also completed questionnaires. Accepters thought OTC was a good idea and that, in the future, science would enable cryopreserved ovarian tissue to be used to restore fertility (100% parents, 93.8% patients). Among accepters, the desire for genetically related children and prevention of the stress of infertility drove parents' and patients' decisions (90.9 and 100%, respectively). The desire to prevent the stress of infertility was important to parents, but patients were less likely to report that a desire to prevent the stress of infertility factored into their decision-making (66.7 vs. 50.0%; p < 0.001). All respondents felt in control of their decision and displayed low levels of mood disturbance.
    Conclusions: Though the decision to undergo experimental OTC is difficult and often urgent, this study suggests that families feel in control of their decision-making and report little emotional disturbance.
    MeSH term(s) Adolescent ; Adult ; Child ; Child, Preschool ; Cryopreservation ; Decision Making ; Female ; Humans ; Infertility, Female/psychology ; Infertility, Female/therapy ; Middle Aged ; Neoplasms/physiopathology ; Ovary/cytology ; Ovary/physiology ; Ovulation Induction ; Parents/psychology ; Tissue Preservation
    Language English
    Publishing date 2018-02-01
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 1112577-9
    ISSN 1573-7330 ; 1058-0468
    ISSN (online) 1573-7330
    ISSN 1058-0468
    DOI 10.1007/s10815-018-1123-7
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: In Vitro fertilization and adverse obstetric and perinatal outcomes.

    Sullivan-Pyke, Chantae S / Senapati, Suneeta / Mainigi, Monica A / Barnhart, Kurt T

    Seminars in perinatology

    2017  Volume 41, Issue 6, Page(s) 345–353

    Abstract: Most IVF-conceived children are healthy, but IVF has also been associated with adverse obstetric and perinatal outcomes as well as congenital anomalies. There is also literature suggesting an association between IVF and neurodevelopmental disorders as ... ...

    Abstract Most IVF-conceived children are healthy, but IVF has also been associated with adverse obstetric and perinatal outcomes as well as congenital anomalies. There is also literature suggesting an association between IVF and neurodevelopmental disorders as well as potentially long-term metabolic outcomes. The main driver for adverse outcomes is the higher risk of multiple gestations in IVF, but as the field moves toward single embryo transfer, the rate of multiple gestations is decreasing. Studies have shown that singleton IVF pregnancies still have a higher incidence of adverse outcomes compared to unassisted singleton pregnancies. Infertility itself may be an independent risk factor. Animal models suggest that epigenetic changes in genes involved in growth and development are altered in IVF during the hormonal stimulation and embryo culture. Further animal research and prospective human data are needed to elucidate the mechanisms by which IVF may contribute to adverse outcomes and to decrease risks.
    MeSH term(s) Blood Pressure ; Body Mass Index ; Congenital Abnormalities/epidemiology ; Diabetes, Gestational/epidemiology ; Epigenesis, Genetic ; Female ; Fertilization in Vitro/statistics & numerical data ; Genomic Imprinting ; Glucose Intolerance/epidemiology ; Gonadotropins/therapeutic use ; Humans ; Hypertension, Pregnancy-Induced/epidemiology ; Infant, Low Birth Weight ; Infant, Newborn ; Infertility/therapy ; Models, Animal ; Neurodevelopmental Disorders/epidemiology ; Pregnancy ; Pregnancy Outcome ; Premature Birth/epidemiology ; Sperm Injections, Intracytoplasmic/statistics & numerical data
    Chemical Substances Gonadotropins
    Language English
    Publishing date 2017-08-14
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 752403-1
    ISSN 1558-075X ; 0146-0005
    ISSN (online) 1558-075X
    ISSN 0146-0005
    DOI 10.1053/j.semperi.2017.07.001
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Kisspeptin as a new serum biomarker to discriminate miscarriage from viable intrauterine pregnancy.

    Sullivan-Pyke, Chantae / Haisenleder, Daniel J / Senapati, Suneeta / Nicolais, Olivia / Eisenberg, Esther / Sammel, Mary D / Barnhart, Kurt T

    Fertility and sterility

    2018  Volume 109, Issue 1, Page(s) 137–141.e2

    Abstract: ... Academic medical centers.: Patient(s): Women with confirmed viable intrauterine pregnancy (IUP) at estimated ... gestational age 6-10 weeks (n = 20), and nonpregnant women (n = 19).: Intervention(s): Collection of serum ... and serum hCG levels.: Main outcome measure(s): Serum kisspeptin and hCG.: Result(s): The limit ...

    Abstract Objective: To validate the ability of serum kisspeptin-54 to discriminate between first-trimester viable pregnancies and miscarriages.
    Design: Case-control study.
    Setting: Academic medical centers.
    Patient(s): Women with confirmed viable intrauterine pregnancy (IUP) at estimated gestational age 6-10 weeks (n = 20), women with confirmed miscarriage (spontaneous abortion [SAB]) at estimated gestational age 6-10 weeks (n = 20), and nonpregnant women (n = 19).
    Intervention(s): Collection of serum samples from women with confirmed IUP, SAB, and nonpregnant women for the measurement of serum kisspeptin and serum hCG levels.
    Main outcome measure(s): Serum kisspeptin and hCG.
    Result(s): The limit of detection was 0.024 ng/mL; intra- and interassay coefficients of variation were 5.1% and 8.6%, respectively. Kisspeptin levels differed between the pregnant and nonpregnant state and by viability. Kisspeptin levels were positively associated with gestational age. There was also a significant positive association with hCG in SAB, but not in IUP.
    Conclusion(s): Plasma levels of kisspeptin have been suggested as a biomarker for miscarriage. This study demonstrates kisspeptin assay stability in serum and its potential clinical utility as a biomarker for early pregnancy viability.
    MeSH term(s) Abortion, Spontaneous/blood ; Abortion, Spontaneous/diagnosis ; Adult ; Biomarkers/blood ; Case-Control Studies ; Chorionic Gonadotropin/blood ; Cross-Sectional Studies ; Diagnosis, Differential ; Female ; Gestational Age ; Humans ; Kisspeptins/blood ; Limit of Detection ; Predictive Value of Tests ; Pregnancy ; Pregnancy Tests/methods ; Pregnancy Trimester, First/blood ; Reproducibility of Results ; Young Adult
    Chemical Substances Biomarkers ; Chorionic Gonadotropin ; Kisspeptins
    Language English
    Publishing date 2018-01-18
    Publishing country United States
    Document type Comparative Study ; Journal Article ; Research Support, N.I.H., Extramural
    ZDB-ID 80133-1
    ISSN 1556-5653 ; 0015-0282
    ISSN (online) 1556-5653
    ISSN 0015-0282
    DOI 10.1016/j.fertnstert.2017.09.029
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Dynamic maternal and fetal Notch activity and expression in placentation.

    Levin, Heather I / Sullivan-Pyke, Chantae S / Papaioannou, Virginia E / Wapner, Ronald J / Kitajewski, Jan K / Shawber, Carrie J / Douglas, Nataki C

    Placenta

    2017  Volume 55, Page(s) 5–12

    Abstract: Introduction: Murine placentation requires trophoblast Notch2, while the Notch ligand, JAGGED1, is reduced in invasive trophoblasts from women with preeclampsia. However, the placental cells with active Notch signaling and expression of other Notch ... ...

    Abstract Introduction: Murine placentation requires trophoblast Notch2, while the Notch ligand, JAGGED1, is reduced in invasive trophoblasts from women with preeclampsia. However, the placental cells with active Notch signaling and expression of other Notch proteins and ligands in placentation have yet to be defined. We sought to identify endothelial cell and trophoblast subtypes with canonical Notch signaling in the decidua and placenta and correlate this to expression of Notch proteins and ligands.
    Methods: Notch reporter transgenic mice were used to define canonical Notch activity and immunofluorescence staining performed to characterize expression of Notch1, 2, 3, 4 and ligands, Delta-like 4 (Dll4) and Jagged1 (Jag1) during early placentation and in the mature placenta.
    Results: Notch signaling is active in maternal and fetal endothelial cells and trophoblasts during early placentation and in the mature placenta. Dll4, Jag1, Notch1, and Notch4 are expressed in maternal vasculature in the decidua. Dll4, Jag1 and Notch1 are expressed in fetal vasculature in the labyrinth. Dll4, Notch2 and Notch4 are co-expressed in the ectoplacental cone. Notch2 and Notch4 are expressed in parietal-trophoblast giant cells and junctional zone trophoblasts with active canonical Notch signaling and in labyrinthine syncytiotrophoblasts and sinusoidal-trophoblast giant cells.
    Discussion: Canonical Notch activity and distinct expression patterns for Notch proteins and ligands was evident in endothelium and trophoblasts, suggesting Notch1, Notch2, Notch4, Dll4, and Jag1 have distinct and overlapping functions in placentation. Characterization of Notch signaling defects in existing mouse models of preeclampsia may shed light on the role of Notch in developing the preeclampsia phenotype.
    MeSH term(s) Animals ; Endothelial Cells/metabolism ; Female ; Male ; Mice, Inbred C57BL ; Mice, Transgenic ; Placentation ; Pregnancy ; Receptors, Notch/metabolism ; Trophoblasts/metabolism
    Chemical Substances Receptors, Notch
    Language English
    Publishing date 2017-04-21
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 603951-0
    ISSN 1532-3102 ; 0143-4004
    ISSN (online) 1532-3102
    ISSN 0143-4004
    DOI 10.1016/j.placenta.2017.04.014
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  6. Article ; Online: Successful pregnancy following assisted reproduction and transmyometrial embryo transfer in a patient with anatomical distortion of the cervical canal.

    Sullivan-Pyke, Chantae S / Kort, Daniel H / Sauer, Mark V / Douglas, Nataki C

    Systems biology in reproductive medicine

    2014  Volume 60, Issue 4, Page(s) 234–238

    Abstract: Abstract Presented is the case report of a patient noted to have gross distortion of the internal cervical canal during her attempt at embryo transfer following an in vitro fertilization with intracytoplasmic sperm injection (IVF-ICSI) procedure. ... ...

    Abstract Abstract Presented is the case report of a patient noted to have gross distortion of the internal cervical canal during her attempt at embryo transfer following an in vitro fertilization with intracytoplasmic sperm injection (IVF-ICSI) procedure. Multiple attempts at cervical dilation were unsuccessful and the patient was ultimately treated by transmyometrial embryo transfer also known as the Towako method. She successfully achieved a singleton pregnancy and delivered at 41 weeks by primary cesarean section because of arrest of cervical dilation. Transmyometrial embryo transfer represents a viable option for patients with cervical stenosis refractory to conventional methods of navigation or severe anatomical distortion of the internal cervical canal.
    MeSH term(s) Adult ; Cervix Uteri/physiology ; Dilatation ; Embryo Transfer/methods ; Female ; Fertilization in Vitro/methods ; Humans ; Infertility, Female/drug therapy ; Myometrium ; Pregnancy ; Pregnancy Outcome ; Reproductive Techniques, Assisted ; Sperm Injections, Intracytoplasmic/methods
    Language English
    Publishing date 2014-08
    Publishing country England
    Document type Case Reports ; Journal Article
    ZDB-ID 2417234-0
    ISSN 1939-6376 ; 1939-6368
    ISSN (online) 1939-6376
    ISSN 1939-6368
    DOI 10.3109/19396368.2014.917386
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  7. Article: VEGFR-1 blockade disrupts peri-implantation decidual angiogenesis and macrophage recruitment.

    Douglas, Nataki C / Zimmermann, Ralf C / Tan, Qian Kun / Sullivan-Pyke, Chantae S / Sauer, Mark V / Kitajewski, Jan K / Shawber, Carrie J

    Vascular cell

    2014  Volume 6, Page(s) 16

    Abstract: Background: Angiogenesis and macrophage recruitment to the uterus are key features of uterine decidualization; the progesterone-mediated uterine changes that allow for embryo implantation and initiation of pregnancy. In the current study, we ... ...

    Abstract Background: Angiogenesis and macrophage recruitment to the uterus are key features of uterine decidualization; the progesterone-mediated uterine changes that allow for embryo implantation and initiation of pregnancy. In the current study, we characterized the expression of vascular endothelial growth factor receptor-1 (VEGFR-1) in macrophages and endothelial cells of the peri-implantation uterus and determined if VEGFR-1 function is required for decidual angiogenesis, macrophage recruitment, and/or the establishment of pregnancy.
    Methods: Expression of VEGFR-1 in uterine endothelial cells and macrophages was determined with immunohistochemistry. To assess the effect of continuous VEGFR-1 blockade, adult female mice were given VEGFR-1 blocking antibody, MF-1, every 3 days for 18 days. After 6 doses, females were mated and a final dose of MF-1 was given on embryonic day 3.5. Endothelial cells and macrophages were quantified on embryonic day 7.5. Pregnancy was analyzed on embryonic days 7.5 and 10.5.
    Results: F4/80(+) macrophages are observed throughout the stroma and are abundant adjacent to the endometrial lumen and glands prior to embryo implantation and scatter throughout the decidua post implantation. VEGFR-1 expression is restricted to the uterine endothelial cells. F4/80(+) macrophages were often found adjacent to VEGFR-1(+) endothelial cells in the primary decidual zone. Continuous VEGFR-1 blockade correlates with a significant reduction in decidual vascular and macrophage density, but does not affect embryo implantation or maintenance of pregnancy up to embryonic day 10.5.
    Conclusions: We found that VEGFR-1 functions in both decidual angiogenesis and macrophage recruitment to the implantation site during pregnancy. VEGFR-1 is expressed by endothelial cells, however blocking VEGFR-1 function in endothelial cells results in reduced macrophage recruitment to the uterus. VEGFR-1 blockade did not compromise the establishment and/or maintenance of pregnancy.
    Language English
    Publishing date 2014-08-01
    Publishing country England
    Document type Journal Article
    ZDB-ID 2595417-9
    ISSN 2045-824X
    ISSN 2045-824X
    DOI 10.1186/2045-824X-6-16
    Database MEDical Literature Analysis and Retrieval System OnLINE

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