Higher SOD1 Gene Expression in Cumulus Cells From Infertile Women With Moderate and Severe Endometriosis

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Women with moderate/severe endometriosis showed increased SOD1 expression in cumulus cells compared to controls, and increased SOD1 correlated positively with clinical pregnancy.

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This case–control study measured expression of antioxidant genes SOD1, SOD2, and GPX4 by real-time PCR in cumulus cells from mature oocytes in infertile women undergoing controlled ovarian stimulation for ICSI, comparing minimal/mild endometriosis (n=26), moderate/severe endometriosis (n=14), and controls (n=41). The main finding was that only the moderate/severe endometriosis group showed higher SOD1 expression in cumulus cells relative to minimal/mild and controls, and increased SOD1 expression positively interacted with clinical pregnancy occurrence. A limitation is that gene expression was assessed in cumulus cells from participants at a single time point, with no direct functional mechanism shown. This paper is centrally about endometriosis — it links oxidative-stress–related antioxidant gene expression in cumulus cells (SOD1) to ICSI pregnancy outcomes specifically in moderate/severe endometriosis versus minimal/mild disease.

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Abstract

It is questioned whether worsening of oocyte quality and oxidative stress (OS) are involved in the pathogenesis of infertility related to endometriosis and in compromised intracytoplasmic sperm injection (ICSI) outcomes. Cumulus cells (CCs) protect oocytes from entering apoptosis induced by OS. Thus, we carried out a case-control study comparing expression of superoxide dismutase 1 (SOD1), superoxide dismutase 2 (SOD2), and glutathione peroxidase 4 (GPX4; genes encoding for the main antioxidant enzymes) in CCs from mature oocytes of 26 infertile patients with minimal/mild endometriosis, 14 patients with moderate/severe endometriosis, and 41 controls undergoing controlled ovarian stimulation for ICSI, using real-time polymerase chain reaction. As a secondary objective, we investigated the interaction between the expression of these genes and clinical pregnancy (CP) by a statistical model. Only infertile women with moderate/severe endometriosis showed increased expression of the SOD1 in CCs compared to women with minimal/mild endometriosis and controls, with a positive interaction between increased expression and the occurrence of CP, suggesting that SOD1 might be a potential biomarker of CP following ICSI.
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Abstract

It is questioned whether worsening of oocyte quality and oxidative stress (OS) are involved in the pathogenesis of infertility related to endometriosis and in compromised intracytoplasmic sperm injection (ICSI) outcomes. Cumulus cells (CCs) protect oocytes from entering apoptosis induced by OS. Thus, we carried out a case–control study comparing expression of superoxide dismutase 1 (SOD1), superoxide dismutase 2 (SOD2), and glutathione peroxidase 4 (GPX4; genes encoding for the main antioxidant enzymes) in CCs from mature oocytes of 26 infertile patients with minimal/mild endometriosis, 14 patients with moderate/severe endometriosis, and 41 controls undergoing controlled ovarian stimulation for ICSI, using real-time polymerase chain reaction. As a secondary objective, we investigated the interaction between the expression of these genes and clinical pregnancy (CP) by a statistical model. Only infertile women with moderate/severe endometriosis showed increased expression of the SOD1 in CCs compared to women with minimal/mild endometriosis and controls, with a positive interaction between increased expression and the occurrence of CP, suggesting that SOD1 might be a potential biomarker of CP following ICSI. Similar content being viewed by others

References

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Association of increased total anti-oxidant capacity and anovulation in nonobese infertile patients with clomiphene citrate–resistant polycystic ovary syndrome. Fertil Steril. 2007;88(2):418–424. Author information Authors and Affiliations Corresponding author Rights and permissions About this article Cite this article Donabela, F.C., Meola, J., Padovan, C.C. et al. Higher SOD1 Gene Expression in Cumulus Cells From Infertile Women With Moderate and Severe Endometriosis. Reprod. Sci. 22, 1452–1460 (2015). https://doi.org/10.1177/1933719115585146 Published: Issue date: DOI: https://doi.org/10.1177/1933719115585146

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endometriosis

MeSH descriptors

Cumulus Cells Endometriosis Infertility, Female Superoxide Dismutase Adult Case-Control Studies Cumulus Cells Endometriosis Endometriosis Female Humans Infertility, Female Infertility, Female Infertility, Female Infertility, Female Infertility, Female Prospective Studies Real-Time Polymerase Chain Reaction Reproductive Techniques, Assisted Severity of Illness Index

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