Evidence map›Paper›PMID 30031399›Full record

Trial reportReproductive biology and endocrinology : RB&E2018

Is there a correlation between follicle size and gene expression in cumulus cells and is gene expression an indicator of embryo development?

Semra Kahraman, Caroline Pirkevi Çetinkaya, Murat Çetinkaya, Mehmet Ali Tüfekçi, Cumhur Gökhan Ekmekçi, Markus Montag

Registry-linked trialOpen access · goldAbstract readClinical Trial
In one paragraph

Trial report in Reproductive biology and endocrinology : RB&E, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02230449 (Identifying Markers of Oocyte Competence Through a Maturation Analysis), which is not on this map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02230449 completednot on this map

Identifying Markers of Oocyte Competence Through a Maturation Analysis

TypeobservationalSponsorMemorial Sisli Hospital, IstanbulRan2014 to 2016Enrolled200ConditionsInfertility
3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.

  1. Pooled it
  2. Oocyte-cumulus cell interaction: a key factor in early embryo development.Biological reviews of the Cambridge Philosophical Society · 2026
    Review
  3. Article
  4. Review
  5. Article
  6. Influence of Long Non-Coding RNAs on Human Oocyte Development.Pharmacogenomics and personalized medicine · 2024
    Review
  7. Article
  8. Review
  9. Article
  10. Review
  11. Article
  12. Article
  13. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Semra KahramanIstanbul Memorial Hospital, Assisted Reproductive Technologies and Reproductive Genetics Centre, Piyale Pasa Bulvari 34385 Okmeydani Sisli, Istanbul, Turkey. semkahraman@gmail.com.
Caroline Pirkevi ÇetinkayaIstanbul Memorial Hospital, Assisted Reproductive Technologies and Reproductive Genetics Centre, Piyale Pasa Bulvari 34385 Okmeydani Sisli, Istanbul, Turkey.
Murat ÇetinkayaIstanbul Memorial Hospital, Assisted Reproductive Technologies and Reproductive Genetics Centre, Piyale Pasa Bulvari 34385 Okmeydani Sisli, Istanbul, Turkey.
Mehmet Ali TüfekçiIstanbul Memorial Hospital, Assisted Reproductive Technologies and Reproductive Genetics Centre, Piyale Pasa Bulvari 34385 Okmeydani Sisli, Istanbul, Turkey.
Cumhur Gökhan EkmekçiIstanbul Memorial Hospital, Assisted Reproductive Technologies and Reproductive Genetics Centre, Piyale Pasa Bulvari 34385 Okmeydani Sisli, Istanbul, Turkey.
Markus Montagilabcomm GmbH, Eisenachstr. 34, 53757, Sankt Augustin, Germany.
Istanbul Memorial Hospital · TR

Funding

Merck KGaA GFI 2014
6 · The paper itself

Abstract

backgroundIn an article published in 2017, we discussed the results of the first part of our study into the morphokinetic development of embryos in relation to follicle diameter and homogeneity of follicular development. Our findings showed that embryos coming from small follicles in heterogeneous cycles had significantly higher rates of arrest or failure to reach blastocyst than embryos coming from large follicles in homogenous cycles. The aim of this further study was to investigate the relationship between follicular size and gene expression of cumulus cells (CCs) and evaluate whether gene expression could be an indicator of embryo development.

methodsThis study was based on 2495 COCs from 184 patients. CC expressions of five genes (TNFAIP6, PTGS2, HAS2, PTX3 and GDF9) were studied by generalized linear mixed models (GLMMs) regarding follicular size. CC expressions were then separately analysed regarding patient-specific variables (age, BMI, AMH and follicular size) in relation to embryos reaching blastocyst (eRB) or top or good quality blastocysts (TQ + GQ) using GLMMs with logit link.

resultsFollicular size significantly correlated with the potential of an oocyte to develop into a blastocyst: oocytes developing from large follicles were more than twice as likely to develop into an eRB than oocytes from small follicles (p < 0.001). Gene expression of HAS2 and GDF9 correlated with blastocyst quality when separately evaluated with follicular size and the patient specific variables of age, BMI and AMH. However, no such correlation was found in other gene expressions studied.

conclusionsOur findings suggest that differences in the expression of genes studied could be related to follicular size rather than to embryo quality. Although gene expression of HAS2 and GDF9 correlated with blastocyst quality, the only variable correlating with eRB and TQ and GQ blastocysts for each of these five models was follicular size.

trial registrationThis prospective cohort study was registered at clinicaltrials.gov (NCT02230449).

Indexed as

Gene ExpressionAdultAge FactorsAnti-Mullerian HormoneBody Mass IndexCell Adhesion MoleculesCohort StudiesC-Reactive ProteinCumulus CellsCyclooxygenase 2Embryonic DevelopmentFemaleGrowth Differentiation Factor 9HumansHyaluronan SynthasesOocytesAnti-Mullerian HormoneCell Adhesion MoleculesC-Reactive ProteinCyclooxygenase 2GDF9 protein, humanGrowth Differentiation Factor 9HAS2 protein, humanHyaluronan SynthasesPentraxinsPTGS2 protein, humanSerum Amyloid P-ComponentTNFAIP6 protein, humanBlastocystCumulus cellsFollicular sizeGene expression

Identifiers

PMID30031399
PMCPMC6054838
OpenAlexW2883735177

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.