Publications by authors named "Yeung William Shu Biu"

Understanding human endometrial dynamics in the establishment of endometrial receptivity remains a challenge, which limits early diagnosis and treatment of endometrial-factor infertility. Here, we decode the endometrial dynamics of fertile women across the window of implantation and characterize the endometrial deficiency in women with recurrent implantation failure. A computational model capable of both temporal prediction and pattern discovery is used to analyze single-cell transcriptomic data from over 220,000 endometrial cells.

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  • Levonorgestrel (LNG) is primarily used as an emergency contraceptive by delaying ovulation, and this study aimed to explore its effects on the human Fallopian tube's ciliary movement and muscle contractions.
  • In an experimental setup using tissue samples from women, the researchers tested LNG at various concentrations to see any changes in ciliary beat frequency and muscular contractions.
  • Results showed that while LNG did not significantly affect ciliary movement or muscle tone, the highest concentration (100 ng/ml) did reduce muscular contractions, indicating that the Fallopian tube is not likely a target for LNG's contraceptive effects at typical emergency contraception doses.
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Early trophoblast differentiation is crucial for embryo implantation, placentation and fetal development. Dynamic changes in DNA methylation occur during preimplantation development and are critical for cell fate determination. However, the underlying regulatory mechanism remains unclear.

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Background: Infection and inflammation of the genital tract are major potentially treatable factors contributing to male infertility. The profile of small non-coding RNA (sncRNAs) in spermatozoa can be altered by environmental exposures and inflammatory conditions.

Objectives: Experimental autoimmune epididymo-orchitis (EAEO) is a well-established model of autoimmune-induced chronic testicular and epididymal inflammation.

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Severe endometrium damage causes pathological conditions such as thin endometrium and intrauterine adhesion, resulting in uterine factor infertility. Mesenchymal stem cell (MSC) therapy is a promising strategy in endometrial repair; yet, exogenous MSCs still raise concerns for safety and ethical issues. Human adipose-derived mesenchymal stem cells (ADMSCs) residing in adipose tissue have high translational potentials due to their autologous origin.

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Introduction: The success rate of in vitro fertilisation (IVF) treatment for couples with infertility remains low due to lack of a reliable tool in selecting euploid embryos for transfer. This study aims to compare the efficacy in embryo selection based on morphology alone compared with non-invasive preimplantation genetic testing for aneuploidy (niPGT-A) and morphology in infertile women undergoing IVF.

Methods And Analysis: This is a randomised double-blind controlled trial conducted in two tertiary assisted reproduction centres.

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  • The ovary's functionality is crucial for female reproduction and is determined by the health of its ovarian follicles, which are formed during fetal and neonatal stages in humans and mice.
  • Recent advancements have shown that pluripotent stem cells can differentiate into primordial germ cell-like cells (PGCLCs), which could potentially form ovarian follicles or organoids when cultured with ovarian somatic cells.
  • Despite progress in creating ovarian follicles from these stem cells, efficiency is low due to limited understanding of the interactions between PGCLCs and pre-granulosa cells, highlighting the need for further research into the signaling pathways involved in folliculogenesis.
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Progesterone is essential in females to maintain a regular menstrual cycle and pregnancy. The luteinizing hormone (LH) surge induces the luteinization of granulosa cells and thecal cells to form the corpus luteum, which is responsible for progesterone synthesis. However, the specific mechanism of how hCG, the analog of LH, regulates progesterone synthesis has yet to be fully discovered.

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Epididymitis is an epididymal inflammation that may lead to male infertility. Dendritic cells (DCs) and myeloid differentiation primary response gene 88 (Myd88) were associated with epididymitis in rodents. However, the functions of Myd88 on epididymal DCs remain unclear.

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Problem: The phenotypes and functions of B and CD4 T-helper cell subsets during chronic inflammation of the endometria remain largely unexplored. This study aimed to investigate the characteristics and functions of follicular helper T (Tfh) cells to understand the pathological mechanisms of chronic endometritis (CE).

Method Of Study: Eighty patients who underwent hysteroscopic and histopathological examinations for CE were divided into three groups-those with positive results for hysteroscopy and CD138 staining (DP), negative results for hysteroscopy but positive CD138 staining (SP), and negative results for hysteroscopy and CD138 staining (DN).

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  • There is a need for better non-invasive biomarkers to select embryos with high potential in IVF, and small non-coding RNAs (sncRNAs) are being explored as a solution.
  • A systematic review identified 18 studies showing dysregulation of various sncRNAs in follicular fluid and embryo culture medium, suggesting their role in predicting embryo quality.
  • The meta-analysis indicated that sncRNAs have promising predictive performance (AUC of 0.81) as non-invasive biomarkers, but significant variability among studies calls for future multicenter research to improve methods and sample sizes.
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  • A study aimed to assess how well the attachment of human embryonic stem cell-derived trophoblastic spheroids to endometrial cells can predict live birth rates for women undergoing IVF.
  • Conducted at a university hospital, the research involved 240 infertile women and measured the attachment rate prior to their IVF cycles.
  • Results showed that the attachment rate had a modest predictive value, especially highlighting that women aged 35 and older demonstrated higher attachment rates if they achieved live births compared to those who did not.
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Human expanded potential stem cells (hEPSC) have been derived from human embryonic stem cells and induced pluripotent stem cells. Here direct derivation of hEPSC from human pre-implantation embryos is reported. Like the reported hEPSC, the embryo-derived hEPSC (hEPSC-em) exhibit a transcriptome similar to morula, comparable differentiation potency, and high genome editing efficiency.

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In Brief: Implantation failure can occur even after the transfer of good-quality embryos. This study showed that the migration of human endometrial stromal cells towards embryonic trophoblasts is higher in women with live births in the first in vitro fertilization cycle than those with repeated implantation failure, suggesting that the chemotactic response of stroma cells is associated with successful pregnancy.

Abstract: The success rate of in vitro fertilization (IVF) remains limited in some women despite transfers of good-quality embryos in repeated attempts.

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Background: RNA harbored by mammalian sperm is increasingly considered to be an additional source of paternal hereditary information, beyond DNA. Recent studies have demonstrated the role of sperm small noncoding RNAs (sncRNAs) in modulating early embryonic development and offspring phenotype. The biogenesis of the sperm sRNA payload of mammalian sperm has been explored in many studies.

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After fertilization, the zygote undergoes cell division. Up to the 8-cell stage, the blastomeres of mouse preimplantation embryos are morphologically identical. The first cell differentiation starts in the morula leading to the formation of trophectoderm cells and inner cell mass cells of the blastocyst.

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Background: Polycystic ovary syndrome (PCOS) is a complex class of endocrine disorders with insulin resistance, compensatory hyperinsulinemia, and obesity. However, the pathogenesis and therapies of PCOS have not been fully elucidated. Exosomal miRNAs have the potential to serve as biomarkers and therapies for a wide range of medical conditions.

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  • Current contraceptive methods primarily work by interfering with egg development, fertilization, and embryo implantation using hormonal or physical means, but hormonal pills are less effective at preventing implantation.
  • Researchers developed a high-throughput assay to screen for non-hormonal compounds that could suppress embryo implantation, identifying 174 effective compounds, with Nemadipine-A (P11B5) being the most promising due to its low toxicity.
  • In mouse studies, treatment with Nemadipine-A significantly reduced embryo implantation by downregulating endometrial receptivity markers, suggesting it could be a novel option for non-hormonal contraception.
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The use of human embryos for studying the early implantation processes and trophoblast is restricted by ethical concerns. The development of models mimicking the peri-implantation embryos is critical for understanding the physiology of human embryos and many pathophysiological disorders including recurrent implantation failure and miscarriage. Three-dimensional (3D) models of trophoblastic spheroids have been successfully derived from human embryonic stem cells (hESC).

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Pluripotent stem cells (PSCs) hold great promise in cell-based therapy because of their pluripotent property and the ability to proliferate indefinitely. Embryonic stem cells (ESCs) derived from inner cell mass (ICM) possess unique cell cycle control with shortened G1 phase. In addition, ESCs have high expression of homologous recombination (HR)-related proteins, which repair double-strand breaks (DSBs) through HR or the non-homologous end joining (NHEJ) pathway.

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The prevalence of type 2 diabetes (T2D) is rapidly increasing across the globe. Fetal exposure to maternal diabetes was correlated with higher prevalence of impaired glucose tolerance and T2D later in life. Previous studies showed aberrant DNA methylation patterns in pancreas of T2D patients.

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  • Nonobstructive azoospermia (NOA) and diminished ovarian reserve (DOR) are infertility disorders in males and females, respectively, and are influenced by genetic factors.
  • A study involving whole-exome sequencing identified a pathogenic variant in the DMC1 gene, which is linked to both NOA in a son and DOR in two daughters of a non-consanguineous family.
  • The research revealed differences in how DMC1 functions between mice and humans, indicating it is essential for sperm production but not for egg development, marking the first discovery of a specific mutation causing both conditions.
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Objective: To compare the effects of hyaluronic acid (HA)-enriched transfer medium versus standard medium on live birth rate after frozen embryo transfer (FET).

Design: Randomized, double-blind, controlled trial.

Setting: Two tertiary fertility centers.

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Estrogen and progesterone regulate the expression of endometrial proteins that determine endometrial receptivity for embryo implantation. The protein disulfide isomerase (PDI) family of proteins play a diverse role in regulating protein modification and redox function. Although the role of PDIs in cancer progression has been widely studied, their role in endometrial receptivity is largely unknown.

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The developmental origins of health and diseases (DOHaD) is a concept stating that adverse intrauterine environments contribute to the health risks of offspring. Since the theory emerged more than 30 years ago, many epidemiological and animal studies have confirmed that exposure to environmental insults, including hyperglycemia and chemicals, increased the risk of developing noncommunicable diseases (NCDs). These NCDs include metabolic syndrome, type 2 diabetes, and complications such as diabetic cardiomyopathy.

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