SARS-CoV-2 RNA in Follicular Fluid, Granulosa Cells, and Oocytes of COVID-19 Infected Women Applying for Assisted Reproductive Technology
Abstract
Background: The Coronavirus disease 2019 (COVID-19) pandemic has raised concerns regarding the application of assisted reproductive technology (ART) in the world. Many ART programs have been delayed or continued with new precautions due to the ambiguity about vertical transmission and pregnancy safety. Regarding the possible risks of SARS-CoV-2 infection on ART and the resultant embryos, this study aimed to investigate the presence of SARS-CoV-2 in follicular fluid, granulosa cells, and oocytes of COVID-19-infected women undergoing ART. Materials and Methods: COVID-19-positive polymerase chain reaction tests were reported for five women undergoing ART cycles on the day of oocyte retrieval. SARS-CoV-2 tests were performed on oocytes, granulosa cells, and follicular fluid obtained from these COVID-19-infected women. Results: SARS-CoV-2 RNA was detected only in one follicular fluid sample; however, other follicular fluid samples, granulosa cells, and oocytes were negative regarding viral RNA. Conclusion: Given the unknown effects of COVID-19 on human reproduction and ART, strict precautions should be taken during the COVID-19 pandemic.References
Akbari H, Tabrizi R, Lankarani KB, Aria H, Vakili S, Asadian F, et al. The role of cytokine profile and lymphocyte subsets in the severity of coronavirus disease 2019 (COVID-19): A systematic review and meta-analysis. Life Sci. 2020;258:118167.
https://doi.org/10.1016/j.lfs.2020.118167
PMid:32735885
Mohammadia S, Doustkhahc E, Chaleshtorid ARS, Esmailpourb M, Zamanie F, Esmailpoura A. A computational study at blocking probability of the SARS-CoV-2 spike protein through the binding of cellular receptors. Eurasian Chem Commun. 2021;3(6):368-82.
Jaan S, Waheed S, Bashir S, Javed M, Amjad A, Nishan U, et al. Virtual screening and molecular docking of FDA approved antiviral drugs for the identification of potential inhibitors of SARS-CoV-2 RNA-MTase protein. Int J Adv Biol Biomed Res. 2021;9:105-18.
Weaver RH, Jackson A, Lanigan J, Power TG, Anderson A, Cox AE, et al. Health Behaviors at the Onset of the COVID-19 Pandemic. Am J Health Behav. 2021;45(1):44-61.
https://doi.org/10.5993/AJHB.45.1.4
PMid:33402237
Serpa A, Miranda D, Costa D, Paula J, Pinheiro MIC, Diaz AP, et al. Brief Symptom Inventory: Reporting Brazilian populational Parameters During COVID-19 Pandemics. Rev Psiquiatr Clin. 2021:12-5.
Cooper JA, VanDellen M, Bhutani S. Self-weighing Practices and Associated Health Behaviors during COVID-19. Am J Health Behav. 2021;45(1):17-30.
https://doi.org/10.5993/AJHB.45.1.2
PMid:33402235
Javadi M. Numerical calculation of necessary distancing regarding SARS-CoV-2 (COVID-19) vs. spherical viruses, based on environmental features. Eurasian Chem Commun. 2021:406-17.
Souza MDCB, Nakagawa H, Taitson PF, Cordts EB, Antunes RA. Management of ART and COVID-19: Infertility in times of pan- demic. What now? JBRA Assist Reprod. 2020;24(3):231-2.
https://doi.org/10.5935/1518-0557.20200031
De Jong FC, GeurtsvanKessel CH, Molenkamp R, Bangma CH, Zuiverloon TC. Sewage surveillance system using urological wastewater: Key to COVID-19 monitoring? In Urologic Oncology: Seminars and Original Investigations; Elsevier; 2020. Available from: https://wwwasrmorg/news-and-publications/covid-19/.
https://doi.org/10.1016/j.urolonc.2020.10.008
PMid:33127302 PMCid:PMC7553066
Li D, Jin M, Bao P, Zhao W, Zhang S. Clinical Characteristics and Results of Semen Tests Among Men With Coronavirus Disease 2019. JAMA Netw Open. 2020;3(5):e208292.
https://doi.org/10.1001/jamanetworkopen.2020.8292
PMid:32379329
Kumar N, Singh AK. Semen Quality Parameters in Male Partners of Infertile Couples and Their Correlation with Socio-demographic Features in Rural Tertiary Care Center of Southern India: An Observational Study. J Infertil Reprod Biol. 2022;10(1):1-6.
Nie R, Jin L, Zhang H, Xu B, Chen W, Zhu G. Presence of hepatitis B virus in oocytes and embryos: a risk of hepatitis B virus transmission during in vitro fertilization. Fertil Steril. 2011;95(5):1667-71.
https://doi.org/10.1016/j.fertnstert.2010.12.043
PMid:21269614
Pradhan MR, Patel SK, Patel S. Risk Factors and spatial clustering of primary infertility in India. J Infertil Reprod Biol. 2021;9(1):27-34.
Sungnak W, Huang N, Bécavin C, Berg M, Queen R, Litvinukova M, et al. SARS-CoV-2 entry factors are highly expressed in nasal epithelial cells together with innate immune genes. Nat Med. 2020;26(5):681-7.
https://doi.org/10.1038/s41591-020-0868-6
PMid:32327758 PMCid:PMC8637938
Essahib W, Verheyen G, Tournaye H, Van De Velde H. SARS-CoV-2 host receptors ACE2 and CD147 (BSG) are present on human oocytes and blastocysts. J Assist Reprod Genet. 2020;37(11):2657-60.
https://doi.org/10.1007/s10815-020-01952-x
PMid:32959144
Hikmet F, Méar L, Edvinsson Å, Micke P, Uhlén M, Lindskog C. The protein expression profile of ACE2 in human tissues. Mol Syst Biol. 2020;16(7):e9610.
https://doi.org/10.15252/msb.20209610
PMid:32715618 PMCid:PMC7383091
Henarejos-Castillo I, Sebastian-Leon P, Devesa-Peiro A, Pellicer A, Diaz-Gimeno P. SARS-CoV-2 infection risk assessment in the endometrium: viral infection-related gene expression across the menstrual cycle. Fertil Steril. 2020;114(2):223-32.
https://doi.org/10.1016/j.fertnstert.2020.06.026
PMid:32641214
Weatherbee BA, Glover DM, Zernicka-Goetz M. Expression of SARS-CoV-2 receptor ACE2 and the protease TMPRSS2 suggests susceptibility of the human embryo in the first trimester. Open Biol. 2020;10(8):200162.
https://doi.org/10.1098/rsob.200162
PMid:32750256
Virant-Klun I, Strle F. Human Oocytes Express Both ACE2 and BSG Genes and Corresponding Proteins: Is SARS-CoV-2 Infection Possible? Stem Cell Rev Rep. 2021:1-7.
https://doi.org/10.1007/s12015-020-10101-x
PMid:33403489 PMCid:PMC7785127
Barragan M, Guillén JJ, Martin-Palomino N, Rodriguez A, Vassena R. Undetectable viral RNA in oocytes from SARS-CoV-2 positive women. Hum Reprod. 2021;36(2):390-4.
https://doi.org/10.1093/humrep/deaa284
PMid:32998162
Anifandis G, Messini CI, Daponte A, Messinis IE. COVID-19 and fertility: a virtual reality. Reprod Biomed Online. 2020;41(2):157-9.
https://doi.org/10.1016/j.rbmo.2020.05.001
PMid:32466995 PMCid:PMC7206439
Ghosh M, Nandi S, Dutta S, Saha MK. Detection of hepatitis B virus infection: a systematic review. World J Hepatol. 2015;7(23):2482.
https://doi.org/10.4254/wjh.v7.i23.2482
PMid:26483870
Ye F, Jin Y, Kong Y, Shi J, Qiu H, Zhang X, et al. The presence of HBV mRNA in the fertilized in vitro embryo of HBV patients confirms vertical transmission of HBV via the ovum. Epidemiol Infect. 2013;141(5):926-30.
https://doi.org/10.1017/S0950268812001690
PMid:22877604
Abdulmedzhidova A, Rog K, Zavalishina L, Kushch A. Intrafollicular infection of mammals and human oocytes by the herpes simplex virus. Vopr Virusol. 2014;59(1):42-6.
Altamiranda EAG, Kaiser GG, Ríos GL, Leunda MR, Odeón AC. Interaction of bovine viral diarrhea virus with bovine cumulus-oocyte complex during IVM: Detection in permissive cells. Theriogenology. 2016;86(8):1999-2003.
https://doi.org/10.1016/j.theriogenology.2016.06.020
PMid:27481815
Weng XG, Liu Y, Zhou SH, Zhang YT, Shao YT, Xu QQ, Liu ZH. Evaluation of porcine circovirus type 2 infection in in vitro embryo production using naturally infected oocytes. Theriogenology. 2019;126:75-80.
https://doi.org/10.1016/j.theriogenology.2018.12.009
PMid:30537656
Alberca RW, Pereira NZ, Oliveira LMDS, Gozzi-Silva SC, Sato MN. Pregnancy, Viral Infection, and COVID-19. Front Immunol. 2020;11:1672.
https://doi.org/10.3389/fimmu.2020.01672
PMid:32733490 PMCid:PMC7358375
Qiu L, Liu X, Xiao M, Xie J, Cao W, Liu Z, Morse A, Xie Y, Li T, Zhu L. SARS-CoV-2 Is Not Detectable in the Vaginal Fluid of Women With Severe COVID-19 Infection. Clin Infect Dis. 2020;71(15):813-7.
https://doi.org/10.1093/cid/ciaa375
PMid:32241022
Silvestris E, Dellino M, Depalo R. Fertility preservation in cancer patients at the time of COVID-19 pandemic. J Gynecol Obstet Hum Reprod. 2020;49(10):101910.
https://doi.org/10.1016/j.jogoh.2020.101910
PMid:32919062
Stanley KE, Thomas E, Leaver M, Wells D. Coronavirus disease-19 and fertility: viral host entry protein expression in male and female reproductive tissues. Fertil Steril. 2020;114(1):33-43.
https://doi.org/10.1016/j.fertnstert.2020.05.001
PMid:32622411

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