Liberté de la recherche et modification du génome humain : le cas du transfert d'ooplasme

"Mémoire présenté à la faculté des études supérieures en vue de l'obtention du grade de maîtrise en droit (LL.M.) option droit, biotechnologies et société"

Tamizaje combinado de primer trimestre para aneuploidias en una población bogotana

El tamizaje combinado prenatal de primer trimestre para la detección de aneuploidías, ajusta la edad materna, la medida de sonolucencia nucal fetal y concentraciones séricas maternas de PAPP-A y B-hCG para calcular este riesgo. Se han observado variaciones en los MoM s de los analítos séricos maternos de acuerdo a variables como raza, peso, numero de fetos y técnicas de reproducción asistida. Objetivo: calcular los valores de PAPP-A y B-hCG y sus MoM s en la población estudiada comparándolos con población caucásica, evaluando el desempeño de la prueba. Metodología: este es un estudio retrospectivo realizado en 926 mujeres embarazadas con 10 a 13,6 semanas. Se calculan concentraciones séricas y MoM s corregidos para peso, raza y técnicas de reproducción asistida de la PAPP-A y B-hCG, el riesgo de presentar síndrome Down al nacimiento, sensibilidad y tasa de falsos positivos para la prueba. Resultados: la edad materna media fue de 33,6 años (rango entre 20 y 45 años). Los MoM s de PAPP-A fueron 11,8% inferiores respecto a la población caucásica. El 9.4% de las pacientes obtuvieron un riesgo positivo y el 3,3% presento alteraciones citogenéticas en el cariotipo fetal. La sensibilidad del tamizaje fue del 100% con una tasa de falsos positivos del 5,7% en un punto de corte de 1 en 250. Conclusión: el tamizaje combinado de primer trimestre es un método efectivo para la detección de aneuploidías. Los MoM s de la PAPP-A son un 11,8% inferiores en la población estudiada y esto debe ajustarse para disminuir la tasa de resultados falsos positivos.

Aceitabilidade da carne caprina no hábito alimentar e percepção sobre o impacto ambiental na produção de caprinos no nordeste entre estudantes universitários

The present work has an objective of investigate the acceptability of consumption of the goat meat and studies the perception of university students on the productive sector of goats in the Northeast. The habit to eat goat meat has strong regional traditions and has been suffering the demographic, cultural, economic and personal influences. Currently, a new habit in the food consumers is observed and has been configuring itself a trend that concern with the health and welfare in general, in countries mainly developed. This fact comes directly contributing for the modernization of the production models, including the ambient conscience. The methodology applied includes bibliographical research, data-collecting through questionnaires applied in the UFRN (Federal University of Rio Grande do Norte ) and analysis of the data using statistic techniques assisted for software Statistica V6. It is concluded that the rate of consumption of goat meat is low in the population studied. The frequency of consumption is higher in times of leisure or to visit relatives. The descriptive analysis of the responses of interviewees shows ignorance of the production of goat meat and its importance to the state of Rio Grande do Norte.

Incidência de malformações congênitas em crianças concebidas através de injeção intracitoplasmática de espermatozóides

Purpose: to evaluate the incidence and types of major congenital malformations (MCM) in liveborn children conceived by intracytoplasmic sperm injection (ICSI). Methods: a total of 680 liveborn children resulted from 511 couples submitted to ICSI from January, 1999 to December, 2002. Data collection of the children was performed through standardized questionnaire and clinical examination. Of the 511 couples, 366 had been contacted for a sampling of 371 gestations. Of the 680 liveborn, 520 had been evaluated, 250 of them (48.1%) through questionnaire and 270 (51.9%) through questionnaire and physical examination. Two hundred and fifty children were from singleton pregnancies and 270 from multiple pregnancies. Malformations were classified according to the 10th revision of the International Statistical Classification of Diseases and Related Health. Only MCM were analyzed in this study. The incidence of MCM was compared with that of the general population obtained by the Latin American Collaborative Study of Congenital Malformations. The statistical analysis was performed by the χ 2 test (level of significance p<0.05). Results: of the 520 children, 15 presented MCM, resulting in an incidence of 2.9%. There was no difference in relation to the control group (p>0.05), which showed 2.6% incidence of MCM. The most frequent malformations were of cardiac origin (four isolated and two associated), corresponding to 40% of the total. The other types of MCM were: renal (three), neural tube (two), skull (one), cleft lip (one), genital (one), Down syndrome (associated with cardiac malformations) (two), and musculoskeletal (one). Six MCM occurred in children from singleton pregnancies and nine in children from multiple pregnancies. Conclusion: the liveborn children conceived by ICSI presented incidence of major congenital malformations (2.9%) near to the expected for the general population (2.6%). However, to establish the risks of MCM with precision it is necessary to continue the evaluation of the children conceived by ICSI.

Efeito do tratamento com extrato de pituitaria equina (EPE) e hCG no índice de recuperação de oócitos e maturação folicular em equinos

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

The effects of infertility on the spouses' relationship

The present study investigated the effects of infertility on the spouses' relationship, with the objectives to describe the profile of the studied population, and analyze the effects of infertility on their emotional, sexual and marital life. To do this, a cross-sectional and prospective study was performed in a specialist institution. The sample consisted of 50 infertile couples with a mean of six years of infertility. The women manifested negative feelings in view of the infertility, while the men assumed an attitude of support. The effects on the couples' sexual life were more pronounced in women, and the infertility treatment resulted in positive changes for both spouses. No differences were found regarding the effects of infertility between the women who had undergone more than one treatment and those undergoing treatment for the first time; between the men there were differences in the emotional aspect ( frustration and relief) and in the marital relationship ( strengthening and maturing).

Entstehung und Diversifizierung der mittel- und westeuropäischen Salicornia-Arten

HintergrundrnDie hygrohalophytische Gattung Salicornia ist in Mittel- und Westeuropa durch vier nah verwandte, sympatrisch vorkommende Arten vertreten. Es handelt sich um die zwei tetraploiden Arten S. procumbens und S. stricta und die diploiden Arten S. europaea und S. ramosissima. Morphologisch lassen sich die Arten zwar nur schwer voneinander unterscheiden, die morphologische Variation ist aber wiederum so hoch, dass mehrere distinkte Arten/Morphotypen unterschieden werden können. Bezüglich ihrer Verteilung im hochdynamischen Lebensraum Salzwiese findet man die verschiedenen Arten/Morphotypen in überlappenden Bereichen des Habitats. Ihr relativ vorhersagbares Auftreten entlang eines ökologischen Gradienten innerhalb ihres Lebensraumes scheint jedoch für eine ökologische Differenzierung der verschiedenen Arten/Morphotypen zu sprechen. Aufgrund des sympatrischen Vorkommens der scheinbar ökologisch und morphologisch differenzierten Morphotypen stellt sich die Frage, durch welche Prozesse diese entstanden sein könnten (genetische und ökologische Differenzierung) aber auch welche Prozesse die dauerhafte Koexistenz der Arten (reproduktive Isolationsmechanismen) aufrechterhalten.rnZielsetzungrnZiel dieser Arbeit war es, die Entstehung und Diversifizierung der mittel- und westeuropäischen Salicornia-Arten anhand von molekulargenetischen, ökologischen und reproduktionsbiologischen Methoden zu untersuchen.rnMethodenrnAnhand einer AFLP-Fragmentanalyse mit 89 Herkünften aus Großbritannien, Frankreich und Deutschland wurden molekulare Phylogenien erstellt sowie eine Hauptkomponenten- und Clusteranalyse durchgeführt. Um die ökologische Differenzierung und phänotypische Plastizität der vier Arten/Morphotypen zu untersuchen wurde ein reziprokes Transplantationsexperiment durchgeführt. Um die reproduktiven Isolationsmechanismen der Arten/Morphotypen zu untersuchen, wurden verschiedene Beobachtungen und Experimente durchgeführt.rnErgebnissernDie molekularen Analysen konnten zwar die beiden Artengruppen (Ploidiestufen) trennen, lieferten aber innerhalb dieser weder ein taxonomisches noch ein geographisches Signal. Akzessionen mit identischer Morphologie aus der gleichen Population verteilten sich in den Analysen in verschiedene genetische Cluster. Identische Morphotypen aus verschiedenen geographischen Regionen gruppieren teilweise zusammen. Das Transplantationsexperiment zeigte für die beiden tetraploiden Arten S. procumbens und S. stricta eine deutliche ökologische Differenzierung, bei S. procumbens in Form von verminderter Fitness und einer beschleunigten Phänologie, bei S. stricta nur in Form einer veränderten Phänologie. Bezüglich der Plastizität zeigten beide tetraploiden Arten eine konstante Morphologie. Die beiden diploiden Taxa S. europaea und S. ramosissima zeigten weder eine klare ökologische Differenzierung noch eine konstante Morphologie. Bezüglich der Reproduktionsbiologie konnte bestätigt werden, dass Selbstung bei allen Taxa der hauptsächliche Reproduktionsmodus ist. Bei den tetraploiden Taxa zeigte sich zwar ein geringes Maß an Fremdbefruchtung, bei den diploiden Taxa führen dagegen morphologische Besonderheiten zu hochgradiger Selbstung.rnRésumérnDie in Mittel- und Westeuropa vorkommenden Salicornia-Arten stellen keine evolutionären Einheiten dar. Die beiden tetraploiden Taxa sollten auf Grund ihrer parallelen Entstehung und ökologischen Differenzierung als Ökotypen angesprochen werden. Beide Ökotypen weisen ein hohes Ausbreitungspotential aus und persistieren als Inzuchtlinien mit geringem Anteil an Fremdbestäubung. Die diploiden Taxa sind weder ökologisch differenziert noch morphologisch stabil und sollten deshalb als nur ein morphologisch sehr variables, aus zahlreichen weitverbreiteten Inzuchtlinien bestehendes Taxon angesehen werden.

Cryopreservation and autotransplantation of human ovarian tissue prior to cytotoxic therapy--a technique in its infancy but already successful in fertility preservation

Increasing survival rates in young cancer patients, new reproductive techniques and the growing interest in quality of life after gonadotoxic cancer therapies have placed fertility preservation as an important issue to oncologists, fertility specialists and patients. Several techniques are now available for fertility preservation in these patients. A new promising method is cryopreservation and transplantation of ovarian cortex. Ovarian tissue can be extracted by laparoscopy without any significant delay of gonadotoxic therapy. The tissue can be cryopreserved by specialised centres of reproductive medicine and transplanted in case the women experience premature ovarian failure (POF). This review summarises the European expertise on cryopreservation and transplantation of ovarian tissue, following around 30 reported transplantations globally, resulting in six live births and several ongoing pregnancies. It emphasises that fertility preservation by the cryopreservation of ovarian tissue is a new but already a successful clinical option, which can be considered for selected cancer patients.

Una reflexión prospectiva sobre técnicas sostenibles para controlar la reproducción en mamíferos domésticos

El control de la reproducción de los animales de granja fue una de las herramientas esenciales en la domesticación. Esto es aún de gran interés para la mejora genética, el ajuste de la producción a la disponibilidad de alimentos y del mercado y finalmente, para la reducción de los períodos improductivos. La detección del comportamiento del estro, la sincronización de las concepciones y el incremento de la potencialidad de difusión de los padres de alta genética son tres objetivos comunes a la producción de todas las especies. Los variados sistemas reproductivos entre los diversos sistemas de producción difieren a causa de las propiedades intrínsecas de las especies y de los diferentes grados de intensificación de estos sistemas. Tres tendencias claras son el continuo incremento de la productividad por medio de las mejoras de la eficiencia reproductiva, el desarrollo de técnicas nuevas y sostenibles sin el uso de hormonas y el continuo desarrollo de la inseminación artificial y de las biotécnicas reproductivas. Las futuras áreas de inversión en investigación podrían ser: las bases fisiológicas y etológicas de las interrelaciones socio-sexuales entre animales, el control genético de parámetros reproductivos, el incremento en la eficiencia de biotecnologías clásicas y nuevas y la ingeniería de técnicas reproductivas nuevas e innovativas para ser utilizadas a nivel de granja. Estas técnicas reproductivas deberían ser desarrolladas respetando los tres pilares de la sostenibilidad: el ambiente, la economía y la sociedad. Por ello deberían estar incluidas dentro de los sistemas de producción en los cuales se supone que serán aplicadas y donde deberían ser evaluadas en su sostenibilidad.

Le nuove forme di genitorialità tra vincoli biologici, verita legale e legami affettivi

Le recenti novelle e l’evoluzione delle tecniche riproduttive scientifiche hanno promosso un progressivo processo di frammentazione della figura genitoriale, che sino ad allora era considerata unitaria ed intimamente connessa all’incontro tra uomo e donna. A tale concezione unitaria del legame genitoriale corrispondeva la considerazione che la coincidenza tra vincolo genetico e verità legale fosse foriera del soddisfacimento del superiore interesse del minore. La genitorialità può ad oggi essere suddivisa tra genetica, qualora tra il genitore condivida con il figlio il medesimo patrimonio genetico; biologica, nell’accezione di gestazionale e dunque caratterizzante il rapporto tra madre e figlio; e sociale, qualora l’adulto, seppur in mancanza di un titolo legale e altrettanto di un legame di sangue con il figlio, adempie ai doveri di cura e di mantenimento propri dell’esercente la responsabilità genitoriale. A fronte della pluralità dei soggetti che latu senso possono essere considerati genitoriali in forza di una pluralità e eterogeneità di legami, l’interprete deve interrogarsi circa la effettività e la cogenza delle tradizioni definizioni di madre e di padre e soprattutto la resilienza dei criteri attributivi dello stato di filiazione.

Effects of semen storage and separation techniques on sperm DNA fragmentation

Objective: To determine the effect of semen storage and separation techniques on sperm DNA fragmentation. Design: Controlled clinical study. Setting: An assisted reproductive technology laboratory. Patient(s): Thirty normoozospermic semen samples obtained from patients undergoing infertility evaluation. Intervention(s): One aliquot from each sample was immediately prepared (control) for the sperm chromatin dispersion assay (SCD). Aliquots used to assess storage techniques were treated in the following ways: snap frozen by liquid nitrogen immersion, slow frozen with Tris-yolk buffer and glycerol, kept on ice for 24 hours or maintained at room temperature for 4 and 24 hours. Aliquots used to assess separation techniques were processed by the following methods: washed and centrifuged in media, swim-up from washed sperm pellet, density gradient separation, density gradient followed by swim-up. DNA integrity was then measured by SCD. Main Outcome Measure(s): DNA fragmentation as measured by SCD. Result(s): There was no significant difference in fragmentation among the snap frozen, slow frozen, and wet-ice groups. Compared to other storage methods short-term storage at room temperature did not impact DNA fragmentation yet 24 hours storage significantly increased fragmentation. Swim-up, density gradient and density gradient/swim-up had significantly reduced DNA fragmentation levels compared with washed semen. Postincubation, density gradient/swim-up showed the lowest fragmentation levels. Conclusion(s): The effect of sperm processing methods on DNA fragmentation should be considered when selecting storage or separation techniques for clinical use. (Fertil Steril (R) 2010;94:2626-30. (C) 2010 by American Society for Reproductive Medicine.)

Abnormal methylation at the KvDMR1 imprinting control region in clinically normal children conceived by assisted reproductive technologies

Genomic imprinting alterations have been shown to be associated with assisted reproductive technologies (ARTs) in animals. At present, data obtained in humans are inconclusive; however, some epidemiological studies have demonstrated an increased incidence of imprinting disorders in children conceived by ARTs. In the present study, we focused on the effect of ARTs [IVF and intracytoplasmic sperm injection (ICSI)] on the epigenetic reprogramming of the maternally methylated imprinting control region KvDMR1 in clinically normal children. Qualitative and quantitative methylation at KvDMR1 were assessed by the methylation-specific PCR approach and by the methylation-sensitive enzymatic digestion associated with real-time PCR method, respectively. DNA was obtained from peripheral blood of 12/18 and umbilical cord blood and placenta of 6/18 children conceived by IVF or ICSI. The methylation patterns observed in this group were compared with the patterns observed in 30 clinically normal naturally conceived children (negative controls) and in 3 naturally conceived Beckwith-Wiedemann syndrome patients (positive controls). Hypomethylation at KvDMR1 was observed in 3/18 clinically normal children conceived by ARTs (2 conceived by IVF and 1 by ICSI). A discordant methylation pattern was observed in the three corresponding dizygotic twins. Our findings corroborate the hypothesis of vulnerability of maternal imprinting to ARTs. Furthermore, the discordant methylation at KvDMR1 observed between dizygotic twins could be consequent to one of the following possibilities: (i) a differential vulnerability of maternal imprints among different embryos; or (ii) epimutations that occurred during gametogenesis resulting in the production of oocytes without the correct primary imprint at KvDMR1.

Computer-assisted cup placement techniques in total hip arthroplasty improve accuracy of placement.

Malposition of the acetabular component during hip arthroplasty increases the occurrence of impingement, reduces range of motion, and increases the risk of dislocation and long-term wear. To prevent malpositioned hip implants, an increasing number of computer-assisted orthopaedic systems have been described, but their accuracy is not well established. The purpose of this study was to determine the reproducibility and accuracy of conventional versus computer-assisted techniques for positioning the acetabular component in total hip arthroplasty. Using a lateral approach, 150 cups were placed by 10 surgeons in 10 identical plastic pelvis models (freehand, with a mechanical guide, using computer assistance). Conditions for cup implantations were made to mimic the operating room situation. Preoperative planning was done from a computed tomography scan. The accuracy of cup abduction and anteversion was assessed with an electromagnetic system. Freehand placement revealed a mean accuracy of cup anteversion and abduction of 10 degrees and 3.5 degrees, respectively (maximum error, 35 degrees). With the cup positioner, these angles measured 8 degrees and 4 degrees (maximum error, 29.8 degrees), respectively, and using computer assistance, 1.5 degrees and 2.5 degrees degrees (maximum error, 8 degrees), respectively. Computer-assisted cup placement was an accurate and reproducible technique for total hip arthroplasty. It was more accurate than traditional methods of cup positioning.

Vascular dysfunction in children conceived by assisted reproductive technologies: underlying mechanisms and future implications.

Epidemiological studies in humans have demonstrated a relationship between pathological events during fetal development and increased cardiovascular risk later in life and have led to the so called "Fetal programming of cardiovascular disease hypothesis". The recent observation of generalised vascular dysfunction in young apparently healthy children conceived by assisted reproductive technologies (ART) provides a novel and potentially very important example of this hypothesis. This review summarises recent data in ART children demonstrating premature subclinical atherosclerosis in the systemic circulation and pulmonary vascular dysfunction predisposing to exaggerated hypoxia-induced pulmonary hypertension. These problems appear to be related to the ART procedure per se. Studies in ART mice demonstrating premature vascular aging and arterial hypertension further demonstrate the potential of ART to increase cardiovascular risk and have allowed to unravel epigenetic alterations of the eNOS gene as an underpinning mechanism. The roughly 25% shortening of the life span in ART mice challenged with a western style high-fat-diet demonstrates the potential importance of these alterations for the long-term outcome. Given the young age of the ART population, data on cardiovascular endpoints will not be available before 20 to 30 years from now. However, already now cohort studies of the ART population are needed to early detect cardiovascular alterations with the aim to prevent or at least optimally treat cardiovascular complications. Finally, a debate needs to be engaged on the future of ART and the consequences of its exponential growth for public health.