Assisted Reproduction Safety and Risks

Mice generated by in vitro fertilization exhibit vascular dysfunction and shortened life span

Rexhaj E, Paoloni-Giacobino A, Rimoldi SF, Fuster DG, Anderegg M, Somm E, Bouillet E, Allemann Y, Sartori C, Scherrer U

Published December 2013 The Journal of clinical investigation
DOI 10.1172/jci68943 PMID 24270419 PMC PMC3859389

RRM Academy Synopsis

IVF-conceived mice developed vascular dysfunction and hypertension

A mouse experiment found that mice generated by IVF had impaired blood vessel function and higher blood pressure than control mice. On a high-fat diet, IVF mice had a roughly 25% shorter life span than controls. The male offspring of IVF fathers showed similar vascular dysfunction.

Study at a glance, controlled animal experiment: IVF-conceived mice had vascular dysfunction and hypertension
Study at a glance, controlled animal experiment of 80 male IVF mice and 80 controls: IVF-conceived mice had vascular dysfunction and hypertension. Source: Rexhaj E et al., 2013, PMID 24270419.

Key Findings

  • Mesenteric arteries from IVF mice dilated less in response to acetylcholine, while nitroprusside-induced dilation was normal. Carotid artery stiffness and blood pressure were higher than in control mice.
  • Among 80 male IVF mice and 80 controls, normal-chow life span was similar. On a high-fat diet, IVF mice survived significantly less (P < 0.0001), a roughly 25% shorter life span.
  • Mice from 2 cell embryos (30 hours of culture) and blastocysts (96 hours) had comparable dysfunction. Offspring of hormone-stimulated mothers dilated comparably overall, differing at one low acetylcholine dose (P = 0.04).
  • In the aorta of IVF mice, methylation of the imprinted genes H19, Gtl2 and Peg3 was altered. The eNOS promoter was more methylated, and eNOS expression and plasma nitric oxide were lower.
  • Offspring of male IVF mice had endothelial dysfunction and hypertension comparable to their fathers. Butyrate, a deacetylase inhibitor, given to male IVF mice normalized vascular function and prevented transmission to progeny.

Interpretation

The study is a controlled animal experiment in one mouse strain. The survival comparison used male mice. The mouse procedure combined hormone-stimulated ovulation, fertilization, embryo culture and transfer. The authors say the effect on human life span is unknown, because the IVF population is still young. They suggest that embryo culture is the main contributor. They also suggest that epigenetic changes contribute to the vascular findings in mice. The paper reports no human outcomes.

RRM Context

The authors cite earlier human findings. Young children conceived by ART show vascular dysfunction similar to that of children whose mothers had preeclampsia. Restorative reproductive medicine finds and treats the cause of infertility, so conception happens in the body. Conception in the body involves no embryo culture, which the authors suggest is the main contributor in mice.

Abstract

Children conceived by assisted reproductive technologies (ART) display a level of vascular dysfunction similar to that seen in children of mothers with preeclamspia. The long-term consequences of ART-associated vascular disorders are unknown and difficult to investigate in healthy children. Here, we found that vasculature from mice generated by ART display endothelial dysfunction and increased stiffness, which translated into arterial hypertension in vivo. Progeny of male ART mice also exhibited vascular dysfunction, suggesting underlying epigenetic modifications. ART mice had altered methylation at the promoter of the gene encoding eNOS in the aorta, which correlated with decreased vascular eNOS expression and NO synthesis. Administration of a deacetylase inhibitor to ART mice normalized vascular gene methylation and function and resulted in progeny without vascular dysfunction. The induction of ART-associated vascular and epigenetic alterations appeared to be related to the embryo environment; these alterations were possibly facilitated by the hormonally stimulated ovulation accompanying ART. Finally, ART mice challenged with a high-fat diet had roughly a 25% shorter life span compared with control animals. This study highlights the potential of ART to induce vascular dysfunction and shorten life span and suggests that epigenetic alterations contribute to these problems.

Topics

By this author

Related research

Assisted Reproduction › Safety and Risks › Long Term Child Outcomes
Emrush Rexhaj, Ariane Paoloni-Giacobino, Stefano F Rimoldi, Daniel G Fuster, Manuel Anderegg, Emmanuel Somm, Elisa Bouillet, Yves Allemann, Claudio Sartori, Urs Scherrer
E Rexhaj, A Paoloni-Giacobino, S Rimoldi, Dan Fuster, Danny Fuster, D Fuster, M Anderegg, E Somm, E Bouillet, Y Allemann, C Sartori, U Scherrer
PMID 24270419 24270419 DOI 10.1172/jci68943 10.1172/jci68943 Rexhaj et al. 2013, Rexhaj 2013