title: From cell death to embryo arrest: mathematical models of human preimplantation embryo development.
abstract: Human preimplantation embryos exhibit high levels of apoptotic cells and high rates of developmental arrest during the first week in vitro. The relation between the two is unclear and difficult to determine by conventional experimental approaches, partly because of limited numbers of embryos. We apply a mixture of experiment and mathematical modeling to show that observed levels of cell death can be reconciled with the high levels of embryo arrest seen in the human only if the developmental competence of embryos is already established at the zygote stage, and environmental factors merely modulate this. This suggests that research on improving in vitro fertilization success rates should move from its current concentration on optimizing culture media to focus more on the generation of a healthy zygote and on understanding the mechanisms that cause chromosomal and other abnormalities during early cleavage stages.
authors.affiliation: Department of Reproductive Science and Medicine, Imperial College School of Medicine, Hammersmith Hospital, Du Cane Road, London W12 0NN, United Kingdom. k.hardy@ic.ac.uk
authors.forename: K
authors.initials: K
authors.lastname: Hardy
authors.forename: S
authors.initials: S
authors.lastname: Spanos
authors.forename: D
authors.initials: D
authors.lastname: Becker
authors.forename: P
authors.initials: P
authors.lastname: Iannelli
authors.forename: R M
authors.initials: RM
authors.lastname: Winston
authors.forename: J
authors.initials: J
authors.lastname: Stark
mesh_terms: D017209:Apoptosis; D053938:DNA Fragmentation; D020964:Embryo Loss; D047108:Embryonic Development; D005314:Embryonic and Fetal Development; D005260:Female; D006801:Humans; D008432:Mathematical Computing; D008954:Models, Biological; D011247:Pregnancy; D011336:Probability; D012189:Retrospective Studies