Evidence map›Paper›PMID 40243775›Full record

ArticleReproduction & fertility2025

Relative mtDNA copy number in embryo spent culture medium is not a reliable biomarker of human embryo aneuploidy.

Sasipat Teerawongsuwan, Kodchakorn Wiangwised, Nattapavee Ngampiyakul, Nitid Wanikorn, Panida Boonnithipaisit, Panyada Khiuhok, Phanthitra Aekudompong, Amarin Narkwichean, Sirinun Pongmayteegul, Ruttachuk Rungsiwiwut

Abstract read
In one paragraph

Article in Reproduction & fertility, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Cell-Free DNA-Based Theranostics for Inflammatory Disorders.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026
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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

10 authors.

Sasipat TeerawongsuwanDepartment of Anatomy, Faculty of Medicine, Srinakharinwirot University, Bangkok, Thailand.
Kodchakorn WiangwisedFaculty of Medicine, Srinakharinwirot University, Nakhon Nayok, Thailand.
Nattapavee NgampiyakulFaculty of Medicine, Srinakharinwirot University, Nakhon Nayok, Thailand.
Nitid WanikornFaculty of Medicine, Srinakharinwirot University, Nakhon Nayok, Thailand.
Panida BoonnithipaisitFaculty of Medicine, Srinakharinwirot University, Nakhon Nayok, Thailand.
Panyada KhiuhokFaculty of Medicine, Srinakharinwirot University, Nakhon Nayok, Thailand.
Phanthitra AekudompongParagon Fertility Clinic, Bangkok, Thailand.
Amarin NarkwicheanParagon Fertility Clinic, Bangkok, Thailand.
Sirinun PongmayteegulDepartment of Anatomy, Faculty of Medicine, Srinakharinwirot University, Bangkok, Thailand.
Ruttachuk RungsiwiwutDepartment of Anatomy, Faculty of Medicine, Srinakharinwirot University, Bangkok, Thailand.ORCID 0000-0002-1448-2309

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Abstract: Mitochondrial DNA (mtDNA) from embryonic cells is released into the spent culture medium (SCM) during cellular processes, providing a potential biomarker of embryo health. Analysing mtDNA levels in SCM enables a non-invasive evaluation of embryo quality and potential developmental abnormalities. In this retrospective study, we aimed to investigate the relationship between relative mtDNA copy number in embryo SCM and key factors, including embryo fragmentation, morphological quality and chromosomal abnormalities. Fertilised embryos produced through intracytoplasmic sperm injection were cultured to the blastocyst stage in an incubator. Embryo fragmentation was assessed on day 3 using the Istanbul criteria, while morphological grading was evaluated on day 5 using the Gardner criteria. On day 5, trophectoderm (TE) biopsies were performed for preimplantation genetic testing for aneuploidy, followed by embryo cryopreservation and collection of embryo SCM. The mtDNA was quantified using quantitative PCR. Statistical analyses using the Mann-Whitney U and Kruskal-Wallis tests (significance at P < 0.05) showed that relative mtDNA copy number did not significantly differ among embryos with fragmentation levels <10%, 10-25% and >25% (P > 0.05). For blastocyst grading, which evaluates the inner cell mass (ICM) and TE, no significant difference was observed in relative mtDNA copy number between grades B and C for ICM (P = 0.190) and TE (P = 0.289). Furthermore, a trend towards higher relative mtDNA levels was observed in aneuploid than in euploid embryos, although the difference was not statistically significant. Thus, relative mtDNA copy number in SCM may not accurately reflect embryo characteristics, such as fragmentation, morphological grading or chromosomal abnormalities. Lay summary: This study examined whether the amount of mitochondrial DNA (mtDNA) in the fluid used to culture embryos in the laboratory could indicate embryo quality. We assessed various factors, including the appearance of the embryos, the presence of fragmented cells and the occurrence of chromosomal abnormalities. Fertilized eggs were cultured until they developed into blastocysts, and the amount of mtDNA in the culture fluid was measured using a machine that detects genetic material. The results revealed no clear association between mtDNA levels and embryo appearance or fragmentation. Although embryos with chromosomal abnormalities had slightly more mtDNA, the difference was not statistically significant. These findings suggest that mtDNA in the culture fluid may not be a reliable marker for assessing embryo quality or chromosomal status.

Indexed as

AneuploidyBlastocystCulture MediaDNA Copy Number VariationsDNA, MitochondrialEmbryo, MammalianAdultBiomarkersEmbryo Culture TechniquesFemaleHumansPregnancyPreimplantation DiagnosisRetrospective StudiesBiomarkersCulture MediaDNA, Mitochondrialchromosome abnormalityembryo spent culture mediumfragmentationmitochondrial DNA copy number

Identifiers

PMID40243775
PMCPMC12060771

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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.