Evidence map›Paper›PMID 40140178›Full record

ArticleJournal of assisted reproduction and genetics2025

Up-regulated microRNAs in blastocoel fluid of human implanted embryos could control circuits of pluripotency and be related to embryo competence.

Rosalia Battaglia, Angela Caponnetto, Carmen Ferrara, Anna Fazzio, Cristina Barbagallo, Michele Stella, Davide Barbagallo, Marco Ragusa, Maria Elena Vento, Placido Borzì and 15 more

Abstract readClinical StudyMulticenter Study
In one paragraph

Article in Journal of assisted reproduction and genetics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Article
  6. Fluid biopsies forMedicine international
    Review
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

25 authors.

Rosalia BattagliaDepartment of Biomedical and Biotechnological Sciences, Section of Biology and Genetics "G. Sichel", University of Catania, 95123, Catania, Italy.
Angela CaponnettoDepartment of Biomedical and Biotechnological Sciences, Section of Biology and Genetics "G. Sichel", University of Catania, 95123, Catania, Italy.
Carmen FerraraDepartment of Biomedical and Biotechnological Sciences, Section of Biology and Genetics "G. Sichel", University of Catania, 95123, Catania, Italy.
Anna FazzioDepartment of Biomedical and Biotechnological Sciences, Section of Biology and Genetics "G. Sichel", University of Catania, 95123, Catania, Italy.
Cristina BarbagalloDepartment of Biomedical and Biotechnological Sciences, Section of Biology and Genetics "G. Sichel", University of Catania, 95123, Catania, Italy.
Michele StellaDepartment of Biomedical and Biotechnological Sciences, Section of Biology and Genetics "G. Sichel", University of Catania, 95123, Catania, Italy.
Davide BarbagalloDepartment of Biomedical and Biotechnological Sciences, Section of Biology and Genetics "G. Sichel", University of Catania, 95123, Catania, Italy.
Marco RagusaDepartment of Biomedical and Biotechnological Sciences, Section of Biology and Genetics "G. Sichel", University of Catania, 95123, Catania, Italy.
Maria Elena VentoIVF Unit, Cannizzaro Hospital, Catania, Italy.
Placido BorzìIVF Unit, Cannizzaro Hospital, Catania, Italy.
Paolo ScolloDepartment of Medicine and Surgery, University of Enna "Kore", 94100, Enna, Italy.
Luca CarliWunschbaby Institut Feichtinger, Vienna, Austria.
Michael FeichtingerWunschbaby Institut Feichtinger, Vienna, Austria.
Evangelia KasapiEmbryoClinic IVF, Kalamaria, Thessaloniki, Greece.
Elias TsakosEmbryoClinic IVF, Kalamaria, Thessaloniki, Greece.
Simone PaliniIVF Unit, Cervesi Hospital, Cattolica, Italy.
Wojciech SierkaGyncentrum Sp, Żelazna 1, 40-851, Katowice, Poland.
Basilio PecorinoDepartment of Medicine and Surgery, University of Enna "Kore", 94100, Enna, Italy.
Maria Rosaria CampitielloDepartment of Obstetrics and Gynecology and Physiopathology of Human Reproduction, ASL Salerno, Salerno, Italy.
Carlo RonsiniDepartment of Woman, Child and General and Specialized Surgery, University of Campania "Luigi Vanvitelli", Naples, Italy.
Michele PurrelloDepartment of Biomedical and Biotechnological Sciences, Section of Biology and Genetics "G. Sichel", University of Catania, 95123, Catania, Italy.
Domenico ValerioInstitute of Genetic Research (IRG), 80143, Naples, Italy.
Salvatore LongobardiGlobal Clinical Development, Merck Serono SpA, Rome, Italy.
Thomas D'HoogheMerck KGaA, Darmstadt, Germany.
Cinzia Di PietroDepartment of Biomedical and Biotechnological Sciences, Section of Biology and Genetics "G. Sichel", University of Catania, 95123, Catania, Italy. dipietro@unict.it.ORCID http://orcid.org/0000-0002-6036-4469

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe paper aims to investigate the biological role of microRNAs secreted by preimplantation embryo into the blastocoel fluid and to detect a distinctive molecular signature for identifying embryos with the highest implantation potential.

methodsWe carried on a multicenter retrospective study involving five European IVF centers. We collected 112 blastocoel fluid samples from embryos on day 5 post-fertilization, cultured individually, along with data on blastocyst grade and embryo transfer outcomes. Using a custom TLDA Array, we compared the expression levels of 89 miRNAs between 33 fluids from high-quality implanted embryos and 30 fluids from high-quality not-implanted embryos. Expression differences were assessed using SAM and t-test. Additionally, correlation and function enrichment analysis and network construction were conducted to identify the biological roles of deregulated microRNAs.

resultsWe identified six up-regulated microRNAs in the blastocoel fluid from implanted embryos, significantly and positively correlated across all samples (r ≥ 0.7; P ≤ 0.05). They could take part in pluripotency circuits, regulating and being regulated by transcription factors associated with stemness, cell growth, and embryo development. The ROC curve analysis confirmed the potential of these miRNAs as implantation classifiers.

conclusionThe six miRNAs up-regulated in blastocoel fluid from implanted embryos may represent a functional molecular signature for evaluating blastocyst quality and identifying the most competent embryos. Their evaluation associated with non-invasive preimplantation genetic testing, integrating epigenetic and genomic analyses, could enhance implantation grade and allow for identification of the euploid embryo not able to implant.

Indexed as

BlastocystEmbryo ImplantationEmbryonic DevelopmentMicroRNAsPluripotent Stem CellsAdultEmbryo TransferFemaleFertilization in VitroGene Expression Regulation, DevelopmentalHumansPregnancyRetrospective StudiesUp-RegulationMicroRNAsBlastocoel fluidEmbryo developmentEmbryo implantationHuman blastocystMicroRNAs

Identifiers

PMID40140178
PMCPMC12167203

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Registered trials

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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.