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Implantation
Promoting Effect of Hyaluronan - a scientific background
The
role of Hyaluronan in ART

Support
preimplantation embryo development in culture
Facilitate
embryo implantation
Improve
embryo cryosurvivability
Hyaluronan
supports embryo implantation in vitro and in vivo
In vitro, it has been shown that hyaluronan possesses the
ability of supporting the attachment and outgrowth of mouse
trophoblasts indicating that the trophectoderm tissue of
the embryo utilizes hyaluronan in tissue invasion (Carson
et al, 1987).
In
vivo, the addition of hyaluronan to transfer medium significantly
increases the rate of implantation and fetal development
in the mouse (Gardner et al 1999). In 2002, the Colorado
Center of Reproductive Medicine also showed that the hyaluronan-containing
transfer medium can significantly improve the human embryo
implantation rate (Schoolcraft et al, 2002).
In
addition, hyaluronan also supports the cryosurvival and
development of mouse (Gardner et al, 2001) and bovine blastocysts
(Lane et al, 2003). This indicates that embryos cultured
in hyaluronan-containing culture media have a better possibility
to maintain the inherent viability, thereby actively attend
the embryo-maternal signaling process, the dialogue between
embryo and its mother prior to implantation.
Hyaluronan-
a normal component of mammalian follicular, oviductal, and
uterine fluids.
Hyaluronan is the major glycosaminoglycan present in follicular,
oviductal and uterine fluids (Lee and Ax 1984, Suchanek
et al 1994, Rodriguez-Martinez et al 1998). Physiological
concentrations of hyaluronan in these fluids of pigs, for
instance, range from 0.04 to 1.83 mg/mL, 16-39 % of all
glycosaminoglycans (Kano et al 1998), which in turn provides
high viscosity environment in the oviduct and uterus.
Significantly
increased hyaluronan in the uterus at embryo implantation.
The
synthesis of hyaluronan increases dramatically on the
day upon which implantation is initiated and it decreases
to near basal levels by the next day. As a result, uterine
hyaluronan content may be elevated during the peri-implantation
period (Carson et al, 1987). The increase of hyaluronan
at the implantation stage is correlated to the transformation
of stromal cells of the endometrium into decidual cells
which takes place during the initial stages of pregnancy.
In contrast to hyaluronan, the synthesis of most other
types of glycoconjugates remains fairly constant during
the periimplantation stage (Zorn et al, 1995).

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