抄録
Morphological evaluation has been widely used to evaluate embryo quality because it is non-invasive and useful in predicting pregnancy rate. However, morphological evaluations are subjective and categorization standards often vary between investigators. The respiration rate of embryos is a useful parameter for evaluating embryo quality. The scanning electrochemical microscopy (SECM) measuring system provides a non-invasive, simple, accurate, and consistent measurement of the respiration activity of human embryos. After morphological evaluation by Veeck's method, oxygen consumption by individual human embryos was quantified by SECM. Fundamentally, the maturation of mitochondria correlated with an increase in oxygen consumption during the development of embryos. The development of mitochondria may be an important factor in embryo quality, because mitochondria provide ATP for embryonic development by metabolism of nutrients in the cytoplasm. The respiration rates on the day 3 after in vitro fertilization (IVF) were measured and significant differences in oxygen consumption were registered even among embryos with the same morphological classification. There were no significant differences between the mean rates of oxygen consumption at each cleavage stage, however, there was considerable variation in respiration rate within embryos of the same morphological grade. The safety of SECM is assured as the embryos which were examined by SECM for oxygen consumption showed the same development levels as the control group. These results support the hypothesis that measuring embryonic respiration provides additional and valuable information about embryo quality.
