2017
DOI: 10.1016/j.fertnstert.2016.11.003
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Integrating insulin into single-step culture medium regulates human embryo development in vitro

Abstract: Insulin supplementation of single-step embryo culture medium from day 0 through day 5 or 6 improved clinical pregnancy rate and human embryo development. However, these findings need further confirmation through a multicenter randomized controlled trial that may include other patient populations and different culture media.

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Cited by 5 publications
(3 citation statements)
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“…The Gardner system has resulted in a plethora of studies using the threshold 3BB as the minimal grade for blastocyst usability (Arce et al , 2014; Rubio et al , 2014; Comstock et al , 2015; Munch et al , 2015). In studies using the newer simplified grading systems, similarly grade 3/C blastocysts are often not frozen or biopsied (Restelli et al , 2014; Stone et al , 2014; Hardarson et al , 2015; Richardson et al , 2015; Fawzy et al , 2017). Since low quality blastocysts can lead to live births (Capalbo et al , 2014; Wirleitner et al , 2016; Irani et al , 2017) with normal obstetric and perinatal outcomes (Bouillon et al , 2017), this bias against freezing grade ‘C’ blastocysts has limited the establishment of a lower threshold for viability.…”
Section: Blastocyst Grades and Viabilitymentioning
confidence: 99%
“…The Gardner system has resulted in a plethora of studies using the threshold 3BB as the minimal grade for blastocyst usability (Arce et al , 2014; Rubio et al , 2014; Comstock et al , 2015; Munch et al , 2015). In studies using the newer simplified grading systems, similarly grade 3/C blastocysts are often not frozen or biopsied (Restelli et al , 2014; Stone et al , 2014; Hardarson et al , 2015; Richardson et al , 2015; Fawzy et al , 2017). Since low quality blastocysts can lead to live births (Capalbo et al , 2014; Wirleitner et al , 2016; Irani et al , 2017) with normal obstetric and perinatal outcomes (Bouillon et al , 2017), this bias against freezing grade ‘C’ blastocysts has limited the establishment of a lower threshold for viability.…”
Section: Blastocyst Grades and Viabilitymentioning
confidence: 99%
“…The concept is to place different types of cell [ 69 ] or tissue cultures within environments (culture medium) that mimic the in vivo obesity environments in terms of pH [ 70 , 71 ], inflammatory factors, insulin [ 72 , 73 ], hormonal factors [ 74 , 75 ], lipids content, glucose, etc. ( Figure 1 ).…”
Section: In Vitro Obesity-related Environmentmentioning
confidence: 99%
“…Allegation: "The first RCT (5) was registered late." This allegation refers to our comparative study, "Integrating insulin into single-step culture medium regulates human embryo development in vitro (5)." Rebuttal: We did not report this study as a randomised, controlled trial (RCT).…”
Section: Refutationmentioning
confidence: 99%