Wednesday, February 17, 2016

Is the Secret to a Healthy Pregnancy in Mom’s Egg?

When you make a baby, half of the genetic information comes from the mom and half from the dad, right? Turns out, not exactly. Research from the emerging field of epigenetics, or outside factors that influence genes, shows that info in the mother's egg plays a crucial role in the development of the placenta—and, therefore, in the health of the pregnancy. The findings, published in the journal Developmental Cell, could have implications for the importance of mom's age and health even before conception.

More than just DNA

Using mice, researchers explored how the epigenetic process of turning genes "on" or "off" in the egg affects the development of the placenta's cells after an embryo is formed. "We wanted to understand how epigenetic 'marks' inherited from the egg contributed to placental development," lead author Miguel Branco, Ph.D., a senior lecturer at Queen Mary University of London, tells Fit Pregnancy. "We used mice where we could 'erase' this epigenetic information from the egg and then analyze the placenta during pregnancy." Scientists already knew that the egg's epigenetic info controlled a small number of specific genes, but this study proved that the scope of the egg's influence is much greater than that.
Because of the egg's ability to mark genes to be turned on or off, it has a lot of control over early pregnancy. "One of the ways by which epigenetics works is through small 'tags' or marks that are placed on the DNA to signal the cell to shut down a gene," Branco says. "If epigenetic marks are not in the right places during the development of the placenta, this could affect its growth and the establishment of the different cell types that perform essential functions, such as attachment to the uterus or the exchange of nutrients between mother and fetus." So, he says, "defects in the egg can have consequences for the development of the placenta and fetus."

The eggs have it

Is there anything you can do to improve how your eggs mark your genes? Scientists don't quite know yet, but it is possible that factors like your diet and age could have an effect. "Environmental factors certainly have the potential to alter a cell's epigenetic information," Branco says. "But more research is needed in this area. I don't think we can yet pinpoint very well specific factors or nutrients that affect egg quality through epigenetics. However, folate [folic acid] is a good candidate, which, if proven, would further strengthen the case for folate supplementation even before pregnancy." Folic acid helps with cell growth, so remember to take prenatal vitamins that contain folic acid if you're trying to get pregnant.

As for age, this study could lead to ways to actually slow down mom's biological clock. "It is still not quite clear how egg quality deteriorates with aging, but we do know that epigenetic information within our cells changes as we age," Branco says. So, he says, it's possible that such changes reduce fertility. But, "the great thing about epigenetic alterations is that they are reversible, so there is a real possibility of an 'epigenetic treatment' being developed in the future," Branco says. More research is needed, but this study holds promise for understanding how healthy pregnancies develop, and how we might be able to improve a woman's chances of becoming a mom at a later age.

5 comments:

  1. Here's some statistics on the frequency of conception and successful pregnancy: Probability of success using donor egg – 65% (it slightly change with recipient age). If you are from 29 to 59 your probability of successful conception, bear and give a birth is 55-65%. Using your own egg reduces the this probability on 5% every year. By the age of 42 your chances to get pregnant and bear your child with your own egg is about 7%. I don't think we can pinpoint very well specific factors or nutrients that might affect egg quality. However, folate is a good candidate. It helps with cell growth, so it would be nice to take prenatal vitamins that contain folic acid.

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  2. Fulfilling the family is a sacred wish for all of us though sometimes more time when expected is needed. Unfortunately we aren't the ones to rule here. The thing we can do is seeing a qualified expert who will guide you through the fertility difficulties. Also living a healthy life, eating well, having active rests and good sleeps. On the whole I'd summarize some things to consider trying: 
    A sperm friendly lubricant. 
    A supplement with Myo-Inositol. 
    Extra vitamin B6 and Zinc. 
    Folic Acid. 
    Acupuncture. 
    Drinking more water. 
    Continue tracking your BBT & using an OPK. 
    Getting 7-8 hours sleep. 
    Getting to the right BMI. 
    Eating fertility friendly foods. Will write more about this one. 
    Think raspberries and blueberries. Packed with antioxidants, these members of the berry family protect your body from cell damage and cell aging — and this includes cells in your reproductive system.The oyster — famous for being Nature’s answer to Viagra — is the food chain’s most concentrated source of zinc, a nutrient that’s crucial for conception. Zinc deficiency can disrupt the menstrual cycle and slow the production of good-quality eggs — neither of which is good for fertility. When you can, consume carbs of the complex kind (whole grains, beans, vegetables, and fruits) as opposed to the refined varieties (white bread, white rice, refined cereal, sugary treats of all types). Complex carbs take longer to digest and don’t cause spikes in insulin levels — they may also promote regular ovulation. Salmon (choose wild if you can), sardines, herring, and other types of fatty fish are swimming in fertility-boosting benefits, thanks to the high levels of omega-3 fatty acids they boast. Loading up your diet with those fabulous fats allows for increased blood flow to reproductive organs and may help to regulate reproductive hormones. Adding dairy to your preconception diet is good not only for bone health but also — potentially — for your reproductive health. So drink that milk, spoon up that yogurt, sip that smoothie, nibble on that cheese. 
    Hope this helps.

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  3. I believe the successful outcome of every process depends on both - eggs and sperms. We had been TTC for almost 5 years. and so many of our closest friends had become pregnant effortlessly. and have birthed such beautiful babies since we began this journey. Including my best friend who wanted me to come be with her beautiful Kim as often as I could. It was so hard to stay happy for them when all we wanted was to have a baby of our own. My last 2WW was proving to be much more difficult that time around. I kept finding myself symptom watching. I was having semi-sore nipples. Most likely from the progesterone ims). Lower back pain and cramps so low they felt like they were almost in my vagina. I was nauseous before I ate breakfast. I also had on and off diarrhea since DE IVF shot. My symptoms were completely different than all the other shots which failed. It did give me hope. (Though I knew that everything I was feeling could be from the estrogen pills and progesterone shots.) We got luck finally!! After so many yrs of strugglings and being through so many shots - We did it! So probably everything in this porcess is tightly connected, not everything depends on the egg quality only.

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  4. To nourish my eggs the best my doc at Biotexcom recommended to do the following. I was taking daily: Folic acid. Liquid zinc and selenium (NZ is low in selenium. Algae based DHA. Floradix. Vit D. And I inject B12 every 3 months. I got back into my daily breath meditation during past ER. Just 20 mins in the morning. Then I did 5 mins of visualising my ovaries growing -lol.

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  5. So the quality of a woman’s eggs is important in creating a healthy embryo. The reason for this is that the egg does most of the work in accepting the DNA from sperm. and facilitating the mix of genes resulting in the creation of an embryo. As maternal age advances, the percentage of chromosomally abnormal eggs increases. reducing the chance of creating a healthy embryo naturally. The proportion of embryos that are chromosomally normal ranges from 50% for those created from an under 30 year old woman’s eggs, to as low as 5% for eggs from a woman over 44 years of age. There is also growing evidence that low ovarian reserve is associated with poor egg quality. A past history of endometriosis and ovarian surgery may also reduce egg health and quantity. The investigations for egg health include an AMH blood test which is a measure of ovarian reserve. In the setting of IVF low AMH may be related to poorer pregnancy outcomes. Egg quality may also be assessed during the IVF process by observing the capacity of an embryo to grow to the blastocyst stage. Treatments to improve the health of eggs may include:
    The increase in stimulating drugs to obtain more eggs;
    Addition of androgens and growth hormone in patients who are defined as poor responders;
    Use of PGS of embryos for selection of the healthiest embryo;
    Egg donation may be an option to consider. Or one may ask her dr about mitochondrial donation option which is currently becoming more and more popular, in BTC in particular.

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