Insulin during in vitro oocyte maturation has an impact on development, mitochondria, and cytoskeleton in bovine day 8 blastocysts

Insulin during in vitro oocyte maturation has an impact on development, mitochondria, and cytoskeleton in bovine day 8 blastocysts

Accepted Manuscript Insulin during in vitro oocyte maturation has an impact on development, mitochondria, and cytoskeleton in bovine day 8 blastocysts...

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Accepted Manuscript Insulin during in vitro oocyte maturation has an impact on development, mitochondria, and cytoskeleton in bovine day 8 blastocysts Denise Laskowski, Renée Båge, Patrice Humblot, Göran Andersson, Marc-André Sirard, Ylva Sjunnesson PII:

S0093-691X(17)30276-5

DOI:

10.1016/j.theriogenology.2017.06.002

Reference:

THE 14138

To appear in:

Theriogenology

Received Date: 18 February 2017 Revised Date:

30 May 2017

Accepted Date: 4 June 2017

Please cite this article as: Laskowski D, Båge René, Humblot P, Andersson Gö, Sirard MarcAndré, Sjunnesson Y, Insulin during in vitro oocyte maturation has an impact on development, mitochondria, and cytoskeleton in bovine day 8 blastocysts, Theriogenology (2017), doi: 10.1016/ j.theriogenology.2017.06.002. This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.

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TITLE

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Insulin during in vitro oocyte maturation has an impact on development, mitochondria, and

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cytoskeleton in bovine Day 8 blastocysts

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4 AUTHOR NAMES AND AFFILIATIONS

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Denise Laskowski1, 3,*, Renée Båge1,3, Patrice Humblot1,3, Göran Andersson2,3, Marc-André Sirard4,

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Ylva Sjunnesson1,3

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Departments of 1Clinical Sciences and 2 Animal Breeding and Genetics, Swedish University of

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Agricultural Sciences, 1 P.O. Box 7054; 2 P.O. Box 7023; SE-750 07 Uppsala, Sweden

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3Centre

for Reproductive Biology in Uppsala (CRU), Uppsala, Sweden

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4Departement

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Intergénérationnelle (CRDSI) Pavillon Des Services, local 2732 University Laval Québec G1V 0A6,

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Canada

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des Sciences Animales, Centre de Recherche en Développement Reproduction et Santé

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*CORRESPONDING AUTHOR

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Denise Laskowski

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Correspondence should be addressed to: Department of Clinical Sciences, Swedish University of

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Agricultural Sciences, P.O. Box 7054, SE-750 07 Uppsala, Sweden.

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[email protected]

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ABSTRACT

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ACCEPTED MANUSCRIPT Insulin is a key metabolic hormone that controls energy homeostasis in the body, including playing a

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specific role in regulating reproductive functions. Conditions associated with hyperinsulinemia can

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lower developmental rates in bovine in vitro embryo production and are linked to decreased fertility in

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humans, as in cases of obesity or type 2 diabetes. Embryo quality is important for fertility outcome

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and it can be assessed by choosing scoring standards for various characteristics, such as

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developmental stage, quality grade, cell number, mitochondrial pattern or actin cytoskeleton structure.

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Changes in the embryo’s gene expression can reflect environmental impacts during maturation and

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may explain morphological differences. Together with morphological evaluation, this could enable

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better assessment and possibly prediction of the developmental potential of the embryo. The aim of

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this study was to use a bovine model to identify potential gene signatures of insulin-induced changes

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in the embryo by combining gene expression data and confocal microscopy evaluation. Bovine

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embryos were derived from oocytes matured in two different insulin concentrations (10 µg/ml and

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0.1µg/ml), then stained to distinguish f-Actin, DNA and active mitochondria. The total cell number of

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the embryo, quality of the actin cytoskeleton and mitochondrial distribution were assessed and

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compared to an insulin-free control group. A microarray-based transcriptome analysis was used to

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investigate key genes involved in cell structure, mitochondrial function and cell division. Our results

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indicate that insulin supplementation during oocyte maturation leads to lower blastocyst rates and a

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different phenotype, characterised by an increased cell number and different actin and mitochondrial

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distribution patterns. These changes were reflected by an up-regulation of genes involved in cell

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division (MAP2K2; DHCR7), cell structure (LMNA; VIM; TUBB2B; TUBB3; TUBB4B) and

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mitochondrial activation (ATP5D; CYP11A1; NDUFB7; NDUFB10; NDUFS8). Taken together, we

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hypothesise that the increased proliferation in the insulin-treated groups might impair the

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developmental potential of the embryos by inducing metabolic stress on the molecular level, which

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could be detrimental for the survival of the embryo.

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ACCEPTED MANUSCRIPT 1. INTRODUCTION

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1.1 Insulin and fertility

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Insulin has important functions in regulating lipid and glucose metabolism in mammals [1] and

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insulin-dependent signaling is mitogenic [2]. In the dairy cow, elevated insulin levels during oocyte

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maturation have detrimental effects on oocyte quality [3] and early embryo development [4]. The

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dairy cow can experience periods of metabolic imbalance, such as negative energy balance (NEB)

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postpartum or increased body condition score (BCS) during the dry period or in repeat-breeding

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heifers [5–7]. Both conditions have negative impacts on reproductive functions in the cow [3,8,9].

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Decreased reproductive performance may lead to economic losses for farmers and also negatively

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impacts animal health and welfare [10,11]. Human patients with hypo- or hyperinsulinemia are known

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to be affected by decreased fertility, as in anorectic or obese women [12,13]. The prevalence of

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obesity and metabolic syndrome complex is increasing rapidly in our modern society [14] and often,

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women suffering from obesity or type 2 diabetes are sub- or infertile, with secondary diseases such as

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polycystic ovary syndrome (PCOS) [15]. However, while euglycemia and insulin levels are well

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monitored during pregnancy [16], less focus on these parameters is given in the periconceptional

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period. Moreover, insulin or insulin-like growth factors can be added in high concentrations as a

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growth factor during different steps of in vitro production (IVP) of both human and bovine embryos

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[17,18]. Since early embryonic development is a very sensitive period, during which metabolic

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programming is orchestrated, high insulin levels during oocyte maturation could have harmful effects

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on embryo developmental competence and even have consequences for the offspring later in life [19].

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The objective of this study was to obtain further insights into insulin-induced changes in bovine

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embryos deriving from oocytes matured under elevated insulin conditions. This model could also be

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suitable for studying potential embryo-related factors underlying impaired fertility in obese women.

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1.2. Embryo morphology and gene expression

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The morphological evaluation of embryos has been performed for many years in both human and

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bovine IVP in order to choose the best quality embryos for embryo transfer [20–24]. For scientific

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questions, different types of staining methods can be used to further investigate embryo structure,

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ACCEPTED MANUSCRIPT including cell number, as well as cellular organelles and structures, e.g. mitochondria and actin

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filaments [25]. This additional information enables the assessment of differences among individual

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embryos. The total cell number of the Day 8 blastocyst (BC8) can be counted and used as an indicator

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for embryo quality [26], as in vivo embryos show a different average cell number compared to in

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vitro-derived embryos [27–30]. Actin filaments are important constituents of the cytoskeleton and are

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involved in important steps during early development [31,32]. The actin structure’s quality in

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blastocysts has been shown to be a valuable indicator for embryo quality in the porcine species [25].

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Mitochondria are maternally-inherited organelles that convert energy in cells by oxidative

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phosphorylation [33]. They provide the energy for many processes including mitosis, molecular

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transports and key events during embryo development [34]. Changes in mitochondrial distribution in

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the oocyte’s cytoplasm during maturation is important for further developmental steps and viability

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during early cleavage [35]. Previous studies have investigated the mitochondrial distribution in bovine

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blastocysts [36] and identified seemingly favorable mitochondrial patterns in embryos [37]. Their

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important regulatory role in early embryo development [38] may explain why mitochondrial

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distribution is a good predictor for embryo quality. A disproportional distribution in the blastomeres

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leads to arrested development [39], as a marked aggregation can be seen in arrested embryos [40–42].

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Many studies have been performed to investigate the effects of certain factors or substances on

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embryonic gene expression [43,44] and they have proved that transcriptional activity of certain genes

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can also be used as a predictor for embryo quality. Gene expression analysis can possibly explain why

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oxidative stress or other induced metabolic pathways are observed after specific treatments, and can

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therefore help to obtain a broad picture of ongoing processes in the early embryo.

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In this study, we aimed to combine both morphological evaluations and transcriptome analysis to

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investigate the insulin-induced changes in bovine blastocysts.

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2. MATERIALS AND METHODS

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2.1. Experimental design

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(INS10=10 µg/ml; INS0.1=0.1 µg/ml) and a parallel insulin-free control group (INS0) was run as a

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control in each production series. Concentrations were chosen based on a literature review with

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respect to insulin concentrations in serum, follicular fluid and in vitro embryo production (IVP)

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systems [45]. Since insulin is considered to be unstable in in vitro culture [46], the aim was to cover

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both a typical dose used for IVP and a dose closer to what can be measured in vivo. On Day 8 after

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fertilisation (Day 0), bovine blastocysts (BC8) were morphologically assessed and either stained for

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detailed morphological analysis (n=168) or frozen at -80 ºC for gene expression studies (n=193).

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2.2. In vitro production of embryos (IVP)

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IVP was performed according to standard procedures [47] as previously described in our related

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studies [47,48]. Media components were purchased from Sigma-Aldrich (Stockholm, Sweden) unless

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stated otherwise, and media were freshly produced in the laboratory (order numbers are given below).

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Embryos were produced in vitro from slaughterhouse-derived oocytes (n=1144, producing BC8 for

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detailed morphological evaluation; n=1102, producing embryos for gene expression studies) in serum-

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free conditions.

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2.2.1. Oocyte collection and washing

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Ovaries were collected at a local abattoir and were kept in 0.9% sodium chloride at a temperature of

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approximately 35 ºC until arrival at our lab within 4 hours after collection. After arrival, ovaries were

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briefly washed twice with sterile 0.9% sodium chloride solution at 35 ºC. Follicles with diameters of

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3–8 mm were aspirated by using a 5-mL syringe with an 18-gauge hypodermic needle. Aspirates were

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collected into TCM 199 (M7528)-based search medium, consisting of HEPES-buffered TCM 199

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supplemented with 0.2% w/v bovine serum albumin (BSA), fraction V (A3311) and 50 µg mL-1

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gentamicin (gentamicin sulfate; G1264). The COCs were washed and only COCs of excellent or good

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quality (Grade 1 or 2; [47]) were selected and put into maturation.

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ACCEPTED MANUSCRIPT 2.2.2. Oocyte maturation

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Oocytes were randomly divided into three groups. Groups of 30–45 cumulus-oocyte complexes

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(COCs) were matured in separate wells containing 500 mL basic in vitro maturation (IVM) medium,

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consisting of bicarbonate-buffered TCM199 (M2154) supplemented with 0.68 mM L-glutamine

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(G8540), 0.5 µg mL-1 FSH and 0.1 µg mL-1 LH (Stimufol; PARTNAR Animal Health, Port Huron,

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Canada), 50 µg mL-1 gentamicin and 0.4% w/v BSA. Bovine insulin (I5500) was added to the

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medium during the IVM period, at either 0.1 µg mL-1 (INS0.1) or 10 µg mL -1 (INS10). As a control,

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medium without insulin supplementation (INS0) was used. All COCs were incubated for 22 h (24 h

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after the end of aspiration) at 38.5 ºC under a 5% O2, 5% CO2 atmosphere.

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2.2.3. In vitro fertilisation

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After maturation, COCs were washed twice with washing media consisting of modified Tyrode's

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albumin lactate pyruvate (mTALP), supplemented with 0.3% w/v fraction V BSA and 50 µg mL-1

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gentamicin. Cumulus cells were removed by pipetting until 3-5 layers of cumulus cells remained. The

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COCs were transferred to four-well dishes containing 460 mL fertilisation medium, mTALP

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containing 0.6% w/v fatty acid-free BSA, 50 µg mL-1 gentamicin, 3 µg mL-1 heparin (H3149) and

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penicillamine, hypotaurine and adrenaline (PHE), giving a final concentration of 1.7 mM sodium

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chloride (S5886), 10 mM hypotaurine (H1384), 20 mM penicillamine (P4875), 1.5 mM adrenaline

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(E1635), 42 mM and sodium metabisulphite (S9000). Two sperm straws were thawed and prepared

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using the swim-up procedure [49]. In brief, spermatozoa were put into four tubes, each containing

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1mL capacitation medium, consisting of mTALP without CaCl2, containing 1.25 mg mL-1 glucose and

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50 µg mL-1 gentamicin and 0.6% w/v BSA, and incubated for 45 min at 38.5 ºC in a 5% CO2

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incubator. After swim-up, the spermatozoa were removed and pooled in a centrifugation tube.

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Centrifugation (300 x g, 8 min, RT) produced a sperm pellet, which was washed and diluted in

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fertilisation medium. Sperm suspension giving a final concentration of 1 x 106 spermatozoa per mL

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was added to the pre-incubated COCs. Approximately 30–45 COCs per well and spermatozoa were

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co-incubated at 38.5ºC in a maximal humidified atmosphere of 5% CO2, 5% O2 and 90% N2 for 22 h.

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ACCEPTED MANUSCRIPT 2.2.4. Embryo culture

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For embryo culture, modified synthetic oviducal fluid (mSOF) was used, consisting of 0.11 M sodium

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chloride (S5886), 7 mM potassium chloride (P5405), 1.19 mM potassium phosphate monobasic

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(P5655), 25 mM sodium bicarbonate (S5761), 0.33 mM pyruvic acid sodium salt (P4562), 1 mM

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L-glutamine (G8540), 0.171 mM calcium chloride (C7902), 1.5 mM glucose (G6152), 110 mM

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sodium lactate (L7900) and 0.49 mM magnesium chloride (M2393), with addition of minimum

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essential medium (MEM) non-essential amino acids solution (100 X ; M7145), amino acids solution

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(50 X ; B6766), 0.4% w/v fatty acid-free BSA and 50 µg mL -1 gentamicin. The presumed zygotes

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were denuded 22 h after fertilisation by pipetting and incubated in a humidified atmosphere of 5%

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CO2, 5% O2 and 90% N2 at 38.5 ºC in 500 mL mSOF medium per well (covered with oil: Ovoil;

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Vitrolife AB, Gothenburg, Sweden) until Day 8.

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2.3. Morphological classification of blastocysts

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On Day 7 and 8 after fertilisation, all embryos were evaluated by means of light microscopy.

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Evaluation of developmental stage (blastocyst, expanded blastocyst, hatching or hatched blastocyst),

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quality grade (Grades 1–4 with 1=best grade) was performed according to the IETS guidelines [21].

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2.4. Embryo staining and microscopy protocol

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Unless otherwise indicated, phosphate-buffered saline and 0.1% polyvinyl alcohol (PVA, P8136,

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Thermo Fisher Scientific, USA) (PBS+0.1% PVA) was used as dilution and washing buffer.

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Blastocysts were stained according to a triple staining protocol using 200 nM Mitotracker Orange

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(MTO, Invitrogen M7510, Sweden), 4.45 mM Hoechst 33342 (B2261), and 5 µl Alexa Fluor

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Phalloidin (AFP, A12379; Thermo Fisher Scientific, USA) in 200 µl buffer [41]. Blastocysts were

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first stained with 200 nM MTO dissolved in mSOF, then incubated for at least 1 hour before staining

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in humidified air at 38.5 °C and 5% CO2. After 30 min of staining, blastocysts were washed three to

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four times in mSOF and incubated overnight in fixing solution (2% paraformaldehyde). Actin staining

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was performed the following day with AFP. After 10 min of permeabilisation using 0.1% Triton X

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(CAS 9002931), blastocysts were stained for 1 hour with AFP (2.5% solution). Following four 15-

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ACCEPTED MANUSCRIPT min washes, Hoechst staining was performed for a period of 20 min using 4.45 µM Hoechst dye.

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Mounting in black well plates (ThermoFisher Scientific) in Vectashield (Vector Laboratories, USA)

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was performed after three washes to clean the embryos of the remaining dye. Embryos were placed in

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approximately 2 µl fluid in the center of the black well plate and 1 µl Vectashield was added around

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the drop until the well was full. Images were taken immediately after staining or on the following day

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using an epifluorescence microscope (LSM 510; Carl Zeiss, Germany) and a fluorescence microscope

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camera (AxioCam MRm; Carl Zeiss). The Argon laser (488 nm) and Helium-neon (HeNe) laser (543

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nm) were used with the filters BP (bans pass) 505-530 for AFP and P 560-615 for MTO. For image

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analysis, ZEN Black Edition Software (Carl Zeiss; http://www.zeiss.com, accessed 13 January 2017)

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was used and all BC8 images were taken according to a standard setting for magnification (x20) and

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one camera epifluorescence image with the focus area in the central area of the blastocyst (CAM).

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Stage and grade was used to identify each individual embryo in the well.

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The number of nuclei was counted by two independent evaluators in a blinded study from the CAM

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picture (blue Hoechst staining). The average of both counts was calculated and the count repeated if

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sums differed by more than 10%. If the repeated counts still differed by over 10%, the count was

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excluded from analysis.

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2.5. Classification of actin staining

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Actin cytoskeleton quality was assessed for categories I to III as described by [25,41], where ACTIN1

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was the best category and indicated a sharp staining of cell borders and an abundant microfilament

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complement in the cytoplasm in at least 75% of all blastomeres. Embryos were classified as ACTIN2

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if gross maintenance of the cell outline was given but some clumped or scant microfilaments in the

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cytoplasm were present. If cell integrity was lost and actin filaments were mainly visible as clumps or

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aggregates, embryos were categorized as ACTIN3 (Figure 1 and Table 1). Twelve consecutive

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Z-stack planes were merged to produce a three-dimensional image in order to assess actin

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cytoskeleton grade in each embryo. All images were evaluated twice by the same person in a blinded

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procedure.

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ACCEPTED MANUSCRIPT 2.6. Classification of mitochondria staining

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Two categories were used for evaluation of the spatial distribution pattern of active mitochondria. The

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category MITO contained three grades as described previously [25,41]: MITO1 as the best category

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with active mitochondria in almost all cells (>90%) and an even distribution pattern (in detail, the

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embryo should neither contain outlier cells with extreme staining nor large accumulations or clusters

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of dye); MITO3 as embryos lacking active mitochondria in some cells or areas, an uneven distribution

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of staining or overstained cells, lack of distinct “points” in cells or blurry staining, and more than two

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large accumulations or unclear cell borders; and MITO2 as an intermediate class if the embryo had

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few of the characteristics of class MITO3 but still some of class MITO1.

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Mitochondria were further categorised into three quality classes (MitoC, mitochondria centered)

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depending on their spatial distribution in the cytoplasm. Embryos were denoted MitoC1 if there was a

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clear, even mitochondria distribution pattern around the nucleus in all blastomeres. Embryos with this

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pattern in approximately 50-75% of all cells were categorized as MitoC2 and all embryos with lower

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presence of this characteristic were graded as MitoC3 (Figure 1 and Table 1).

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Twelve consecutive Z-stack planes were merged to produce a three-dimensional image in order to assess MITO and MitoC grade in each embryo. All images were evaluated twice by the

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same person in a blinded procedure.

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2.7. Statistical analysis

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The effect of the insulin treatment, stage, grade and corresponding second-order interactions on

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numbers of nuclei per embryo were analysed by ANOVA (SAS Version 9.2, Proc GLM).

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Non-significant main effects or interactions were removed and adjusted estimates from the final

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model presented. The significance of individual differences among groups was tested following

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Scheffe’s adjustment. The contrast option was used to compare treated groups taken together versus

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controls. The effect of insulin treatment, stage, grade and corresponding second-order interactions on

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development rates and on categorical morphological variables were analysed by logistic regression

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ACCEPTED MANUSCRIPT models (SAS Version 9.2, Proc LOGISTIC). Morphological response variables were first analysed

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while using the 3 initial categories. In order to obtain sufficient numbers of observations in each box

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of the contingency tables data, morphological variables belonging to class 2 and 3 responses were

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gathered and the variables were analysed as a 0/1 response. Percentages of observations belonging to

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class 1 responses (best type of morphological appearance) corresponding to significant effects from

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the model are presented. The numbers of embryos on which calculations of differences are based are

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presented in the respective figure.

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2.8. Microarray-based gene expression study

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In total, 120 of the 193 BC8s were used for microarray-based transcriptome analysis at Embryogene®

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Canada. The detailed description of the method and analysis pipeline is described in [49,50] and our

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previous experiment for gene expression data [4]. Briefly, embryos were pooled in groups of ten (4

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replicates with 10 embryos for 3 different treatments) and total RNA and genomic (g) DNA were

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extracted in parallel using the AllPrepDNA/RNA micro kit (Qiagen, Germany). RNA was amplified

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and antisense RNA labeled, the hybridisation step on the microarray was followed by scanning the

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slides with a PowerScanner (Tecan, Switzerland) and feature extraction was performed using Array-

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pro6.3 (Media Cybernetics, USA). Background subtraction and data normalisation of the raw data

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was performed, after which the obtained data was analysed using Ingenuity Pathway Analysis (IPA®,

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Qiagen) for further interpretation of gene expression patterns and constructing pathways of

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significantly differentially expressed genes (DEGs) following insulin treatment. RT-qPCR validation

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of candidate genes was performed to confirm microarray accuracy.

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2.9. RT-qPCR validation of candidate genes

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Validation of microarray results was performed by RT-qPCR on the RNA from the same pools used

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for the microarray analysis as described in a previous study [4]. Candidate genes for morphological

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changes were chosen to validate the results of the current morphology study: VIM, MAP2K2,

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CYP11A1, DHCR7, NDUFA10. Detailed PCR protocol, primer sequences and annealing temperature

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and accession numbers for the experiment are summarised in Table 2. Data analysis was performed

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ACCEPTED MANUSCRIPT using LightCycler 480 Software 1.5.0 SP4 (version 1.5.0.39) with the second-derivative maximum

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analysis method. Data normalisation used GeNORM normalisation factor (Biogazelle, Ghent,

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Belgium) from expression values of three reference genes. According to GeNORM, the two most

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stable housekeeping genes (B2M and ACTB) were used to transform the data. Differences in

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expression between the INS0 and the INS0.1 groups, as well as between the INS0 and the INS10

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groups, were compared by means of unpaired t-testing (Prism 5; GraphPad Software Inc., La Jolla,

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CA, USA) following log transformation of data. Differences in expression were considered to be

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significant at one-tailed P value <0.05.

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Evaluation of blastocyst rate and embryo stage and grade revealed that the insulin-treated groups

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exhibited lower blastocyst development rates (based on immature oocytes) than the control group

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(Table 3), while there was no observable significant influence of insulin on cleavage, embryo grade or

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stage.

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Total cell number differed significantly in the INS groups compared to control (Table 3), with the

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highest cell number observed following the INS0.1 treatment.

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Actin and mitochondria categories were distributed in the different treatment groups as indicated in

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Table 4. The best assessment categories of actin and mitochondria (ACTIN1, MITO1, and MitoC1)

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were significantly more frequent in the INS0.1 and INS10 groups than in the control group.

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Evaluation of the actin cytoskeleton revealed significant higher frequency of ACTIN1 correlated to a

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more advanced stage (Figure 2). Evaluation of the total mitochondrial distribution showed that more

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advanced stages have a higher percentage of MITO1, independent of the insulin treatment (Figure 3).

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Mitochondria with the best category of spatial distribution in the cytoplasm, MitoC1, were more

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abundant in embryos deriving from insulin-treated oocytes (Table 4). Here, we observed higher

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ACCEPTED MANUSCRIPT incidences of MitoC1 in the best grade embryos: MitoC1 is more frequent in good embryo quality

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(80% of MitoC1 were assessed as grade 1 (very good/good embryos), 22.2% of MitoC1 were

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categorized as grade 2 (moderate embryos) and no MitoC1 were present if the embryo was assessed

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as grade 3 (poor). Even when sorted according to stage, a difference in MitoC1 was observed, with

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most progressed stages differing significantly from stage 1 and 2 (Figure 4). The transcriptome data

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revealed changes in genes related to some of the observed morphological changes in the blastocyst

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(Table 5). Genes related to both cell structure and proliferation pathways and mitochondrial functions

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were identified, and these indicated an increased expression in the INS0.1 and INS10 groups. Five of

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the 12 described genes were validated by RT-qPCR with good concordance (Figure 5).

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4. DISCUSSION

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4.1 Impact of insulin on developmental competence, cell number, and proliferation

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In a previous study [4], we showed that addition of insulin during oocyte maturation decreased

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blastocyst rates but did not significantly affect cleavage, embryo stage or grade. However, the cell

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number was increased and multiple changes on the gene expression level could be observed. A similar

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developmental rate pattern was observed in the embryos in this study, and the nuclei number

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following insulin treatment increased by approximately 20% compared to the controls. This increased

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cell proliferation may be explained by the mitogenic effect of insulin as an important growth hormone

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[52,53]. Often, large embryos are assessed as good quality embryos since e.g. in vivo embryos contain

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more cells than in vitro embryos, which are known to have a generally lower viability [28,30]. Our

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results indicate that the increased growth and proliferation of the insulin-treated embryos results in

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changes in morphological characteristics, but that this treatment might be stressful for the embryo, as

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fewer embryos survived after treatment with insulin during maturation. These findings are in

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agreement with the theory proposed by Leese (“quiet embryo hypothesis”) in which a moderate

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growth was observed to be beneficial for embryo quality and long-term survival [54,55]. On the gene

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expression level, we observed significant differences in the fold-change of genes related to cell

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proliferation. We cannot rule out the potential selection process resulting from insulin treatment, with

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fewer embryos surviving, but those that do being more “fit” for in vitro culture, though not

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necessarily healthier. Of all DEGs identified in this experiment, candidate genes possibly related to

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phenotype differences (actin, mitochondria and cell number) of insulin-derived embryos were

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selected. MAP2K2 is directly involved in insulin receptor-signaling and plays a critical role in

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mitogen growth factor signal transduction [56]. DHCR7 is responsible for the final step of cholesterol

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production [57]. Cholesterol has important functions as the structural component of cell membranes, a

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precursor for steroid hormone synthesis and, through involvement, in the control of early development

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[58,59]. The increased DHCR7 expression observed in the insulin-treated groups could reflect an

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increased need for cholesterol for different cellular functions and cell proliferation and, together with

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the increased MAP2K2 transcription, may explain the increased nuclei number in the insulin-treated

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groups.

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4.2 Insulin impact on actin-, cytoskeleton-, and cell structure- related genes

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The actin content of embryos and actin distribution play important function roles in cell division, and

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impaired actin microfilament distribution could negatively influence normal cell division [60–62].

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Consequently, one explanation for the better actin grades in INS0.1 and INS10 embryos could be that

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the insulin stimuli have created a more ATP-rich environment. This could result in faster mitosis and

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the embryos coping with this metabolic stress would have the advantage of progressing faster and

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showing a better actin quality than non-insulin-treated control embryos. Nevertheless, we cannot

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assess the ones that did not survive the increased growth stimuli, as they died before reaching the

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blastocyst stage. The decreased blastocyst rates of insulin-derived embryos indicate that, even if found

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to have exhibited a better actin quality, fewer embryos survived the insulin stimuli compared to

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controls. The INS0 embryos grew more slowly and might therefore have been less sensitive if the

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actin skeleton quality was poorer, since cell division frequency was lower and less susceptible to

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disturbances. Interestingly, we could observe that the probability to be assigned the best actin quality

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ACCEPTED MANUSCRIPT category increased with embryo stage, which also confirms the hypothesis that more progressed

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stages or more actively proliferating embryos are often found to have a better actin quality. Indeed,

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the ACTIN1 category was more frequent in both insulin-exposed groups. It is difficult to exclude the

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possibility that more progressed embryos may have a subjectively higher chance of receiving better

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actin grades, but it is clear that the insulin treatment seems to induce a different actin phenotype than

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observed in controls and that this phenotype might resemble embryos at more advanced stages.

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The cytoskeleton consists of intermediate filament, tubulin-based microtubules and

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actin-based microfilaments [63]. The LMNA gene codes for the structural proteins Lamin A and C,

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which belong to the family of intermediate filaments, are responsible for cell stability and strength

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[64]. Vimentin functions as a cell shape stabiliser and is responsible for cytoplasm integrity and

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stabilising cytoskeletal interactions. Interestingly, vimentin is also involved in cholesterol transport in

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the cell by controlling the transport of low-density lipoprotein (LDL) [65]. TUBB2B, TUBB3 and

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TUBB4B are genes that encode different subfamilies of tubulins. Thus, there was significant upward

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regulation of all three components of the cytoskeleton in the insulin-treated groups, which leads to the

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conclusion that observed morphological changes of these embryos compared to controls could be

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explained and confirmed by the underlying changes in gene expression and expected protein level.

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Whether these changes are beneficial or detrimental for the later development of the embryo can only

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be the subject of speculation. Further investigations of later embryonic stages would be of interest in

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order to follow the development and viability of these embryos with different phenotypes, as pertains

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to their cytoskeleton character.

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4.3 Impact of insulin on mitochondrial distribution and function

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Two classes of mitochondria quality were chosen in order to better understand if both findings are

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correlated and if any observations could be made about a stage- or insulin-dependent active

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mitochondria pattern. Since insulin is a key metabolic hormone regulating energy homeostasis in the

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body and at cell level [1], and hyperinsulinemia as in obesity or type 2 diabetes is associated with

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mitochondrial damage and oxidative stress [66–68], our results could help to better understand the

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role of insulin in mitochondrial stress. Here, we have shown that classification as MITO1 is more

ACCEPTED MANUSCRIPT likely for embryos obtained from the INS groups and for more advanced embryo stages. This

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confirms our hypothesis following the actin and cell number evaluations, which postulates that insulin

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treatment during IVM leads to a phenotype of accelerated development. With regard to the new

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classes defined as MitoC1, insulin-derived embryos were more frequently categorised as MitoC1 than

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controls. Additionally, good quality embryos or hatching/hatched embryos were more likely to be

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assessed as MitoC1. The location of the active mitochondria around the unstained region of the

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nucleus could indicate a highly active cell, metabolising more ATP for mitosis in order to proliferate

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and grow.

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ATP5D, CYP11A1 and the various NDUFA subunits are genes related to mitochondrial

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functions. ATP5D encodes a subunit of mitochondrial ATP synthase which catalyses ATP synthesis in

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the inner mitochondrial membrane during oxidative phosphorylation [69]. The increased expression

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of ATP5D in the INS groups could be a signature of increased metabolic activity and thus increased

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oxidative stress for the embryos, a possible explanation for their decreased viability (past and future)

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[70,71]. In another study focusing on the influence of insulin supplementation on oocyte competence

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[72], the authors showed better blastocyst development rates if insulin is added during oocyte

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maturation at a concentration of 0.1µg mL-1. The doses used were quite low compared to other insulin

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concentrations in media for cell culture systems [18], which could explain why a negative effect on

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development may have been avoided. In this study, gene expression studies of the oocytes after

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maturation showed decreased abundance of transcripts protective against oxidative stress, which the

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authors interpret as stimulation of translation and thus less abundance of these transcripts and thus less

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abundance. Comparison of gene expression of oocytes and blastocysts is made difficult by metabolic

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programming occurring during early embryonic development, and short-term effects on oocytes might

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differ from the effect of insulin treatment during maturation on later embryo stages after major

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genomic activation[73].

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The mitochondrial enzyme cholesterol side-chain cleavage enzyme CYP11A1 catalyses

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the first step of steroidogenesis, the conversion of cholesterol to pregnenolone [74]. Because

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cholesterol is an important component of cell membranes [75] and is also present in mitochondria, the

ACCEPTED MANUSCRIPT increased expression level of CYP11A1 may affect the morphological phenotype by inducing higher

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mitochondrial activity and/or changes in steroid and cholesterol metabolism. Conditions involving

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increased levels of steroids, such as hyperandrogenism in women suffering from PCOS, are associated

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with decreased fertility with little knowledge about the underlying causes [76]. At the same time,

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steroids are discussed as a blastocyst factor inducing capillary permeability during early pregnancy

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and important for implantation [77,78]. In the porcine species, the regulation of steroidogenic enzyme

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gene expression in the peri-implantation conceptus is strongly related to IGF-1 [79], which shares

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important signaling pathways and receptor mechanisms with insulin. Therefore, more knowledge

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about the possible beneficial or detrimental effects of increased steroidogenesis in embryos could help

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to better understand the function of different steroids during early embryonic development.

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NDUFB7, NDUFB10 and NDUFS8 are subunits of the NADH dehydrogenase (ubiquinone) complex, which is located in the mitochondrial inner membrane and involved in the

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electron transport chain [80]. Activated expression of these genes in response to insulin-dependent

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signaling could be explained by an increased need for NADH dehydrogenase activity and

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oxidoreductase activity, as in situations of metabolic stress [81].

405

4.4 Conclusions

406

The combined results from morphological evaluation and gene expression data provide support for an

407

increased metabolic turnover in embryos derived from insulin-treated oocytes. Our findings showed

408

that insulin treatment during oocyte maturation leads to embryos with characteristics of a more

409

advanced phenotype. This, together with the fact that the INS embryos show signs of oxidative stress,

410

increased proliferation, and up-regulation of genes involved in mitochondrial functions, implies that

411

the increased energy turnover induced by insulin seems to change important structural and functional

412

characteristics of the embryo.

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Our study contributes new insights into how a challenge with elevated insulin levels during oocyte

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maturation has lasting effects on the phenotype and molecular pattern of the early embryo. It remains

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to be investigated if these early changes will be transient or long-lasting, and whether the embryo can

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cope with the increased metabolic activity and phenotype changes. This bovine model could be of

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comparative value for finding explanations for reduced fertility on the embryo level in

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hyperinsulinaemic obese women and also indicates the importance of surveillance of insulin levels in

419

the periconceptional period.

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420 421 ACKNOWLEDGEMENTS

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The authors acknowledge Isabelle Dufort, Dominic Gagné and Eric Fournier at EmbryoGENE for

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their support in the laboratory and bioinformatics work, as well as SCAN (Linköping, Sweden) for

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providing the ovaries for the present study. This work was funded by FORMAS, The Swedish

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Research Council for Environment, Agricultural Sciences and Spatial Planning (Grant no. 222–2010–

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1132). Collaboration with EmbryoGENE was supported by The Natural Sciences and Engineering

428

Research Council of Canada (NSERC) and travel grants by KSLA (The Royal Swedish Academy of

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Agriculture and Forestry).

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Figure 1: Actin and mitochondria staining and categories Examples for actin categories in f-Actin (Alexa Fluor 488 Phalloidin) - stained Day 8 blastocysts: A1=ACTIN1; A2=ACTIN2 and A3=ACTIN3 (arrows indicating 1)aggregated microfilaments and 2) lost cell integrity). Examples for mitochondria category in active mitochondria (MitoTracker Orange)–stained Day 8 blastocysts: M1=MITO1; M2=MITO2, M3=MITO3 (arrows indicating 3)accumulations/clusters and 4) “empty” areas); MC1=MitoC1(arrows indicating 5)clear cell borders and 6)unstained nucleus area); MC2=MitoC2 (arrows indicating 7)cells with mitochondria distributed around nucleus and 8) areas with absence of cells with clear mitochondria distribution around nucleus); MC3=MitoC3 (arrows indicating 9)large areas without distribution pattern around nucleus and 10)areas with no clear cell borders). A high-resolution version of this slide for use with the Virtual Microscope is available as eSlide: VM04069

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Figure 2: Actin quality in different developmental stages Percentage to be assessed as Actin quality 1 (ACTIN1) increases by embryo stage (a/b/c < 0.05). Numbers of embryos classified as ACTIN1 of total numbers of embryos belonging to the respective blastocyst stage are indicated above each bar.

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Figure 3: Mitochondrial pattern MITO at different developmental stages MITO1 is more present in advanced stages (BC=blastocyst, Exp. BC=expanding/expanded blastocyst, Hatch. BC= hatching/hatched blastocyst), irrespective of the insulin treatment (a/b/c p< 0.05). Numbers of embryos classified as MITO1 of total numbers of embryos belonging to the respective blastocyst stage are indicated above each bar.

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Figure 4: MitoC1 percentage at different developmental stages. MitoC1 is more frequent in advanced stage embryos (BC=blastocyst, Exp. BC=expanding/expanded blastocyst, Hatch. BC= hatching/hatched blastocyst) irrespective of insulin treatment (a/b p< 0.05). Numbers of embryos classified as MitoC1 of total numbers of embryos belonging to the respective blastocyst stage are indicated above each bar.

Figure 5: 5 of the 12 genes related to morphological changes with significant fold-change validated by RT-qPCR (significant*) Expression levels from RT-qPCR of 5 selected genes, corrected with 2 housekeeping genes (relative quantities of expression after normalization of data). Significant differences in expression from RT-qPCR between INS0.1 and INS0 group or INS10 and INS0 group are indicated with *p < 0.05; **p < 0.01; ***p < 0.001. ¤ Set of genes for which a strong relationship is observed between results of the microarray and validation by RT-qPCR (DHCR7, CYP11A1, NDUFA10). ºSet of genes for which the same tendency is observed in microarray and RTqPCR.

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Category Definition

ACTIN

1

Sharp cell borders, abundant microfilament in cytoplasm

2

Gross maintenance of cell outline but some aggregated/clumped microfilaments

3

Aggregated clumps and lost cell integrity in main part of embryo

1

Evenly distributed, distinctly present in almost all cells, distinct points of staining, no or few small accumulations, no extreme stained cells (“cluster/blobs”)

2

1 or 2 parameters of MITO1 wrong but some fulfilled

Actin structure

MITO

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Abbreviation

SC

Parameter

3 MitoC

1

Mitochondria distribution

2 3

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Mitochondria

More than 3 serious deviations from class 1

Centred around nucleus in all cells Centred around nucleus in 50-75% of cells No centred pattern visible or in <25% of all cells

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Table 1: Summary of the different morphological categories and characteristics used to assess actin and mitochondria (1= best category for all parameters)

ACCEPTED MANUSCRIPT Experimental design Definition of experimental and control groups

Control group INS0: Blastocysts obtained in regular maturation IVF media. Insulin groups, INS0.1 and INS10: Blastocysts obtained in maturation IVF media containing 0.1 µg/ml and 10 µg/ml of insulin, respectively.

Number within each group

n=4 (pool of 10)

Description

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Samples

For each experiment, RNA extractions were performed with 4 independent experimental groups. Each RNA sample was obtained from an experimental group including 10 different Blastocysts. Real time RT-PCR was performed once for each examined gene, using 4 replicates for each cDNA.

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Nucleic acid extraction

RNA was extracted using an AllPrepDNA/RNA micro kit (Qiagen). The DNA was eluted in 30 µl of water and the RNA was eluted in 15 µl of elution buffer and both were kept at -80 °C

DNase treatment

No DNase treatment was performed, as recommended in the kit.

Contamination

Absence of genomic DNA contamination in the RNA samples was tested using the Bioanalyzer (Agilent)

Quantification

Bioanalyzer (Agilent)

Integrity

RNA integrity number : 8.5-9.3

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Procedure/kit

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Reverse transcription

qScript™ Flex cDNA Kit (Quanta Biosciences) with oligo-dT (10uM)

Amount of RNA

Equivalent of 5 blastocysts of total RNA

Reaction volume

20 µl

65 °C for 5 minutes 42 °C for 1 hour 70 °C for 15 minutes

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Temperature and time

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Procedure/kit

Storage condition of cDNA

-20 °C

RT-qPCR target information and oligonucleotide Gene symbol

Gene Name

Genebank

CYP11A1

cytochrome P450, family 11, subfamily A, polypeptide 1

NM_176644.2

DHCR7

7dehydrocholestero l reductase

NM_00101492 7.1

NDUFA10

NADH dehydrogenase (ubiquinone) 1 alpha subcomplex, 10, 42kDa

Primer sequence (5’-3’)

Fwr Rev Fwr Rev Fwr NM_176655.2

Rev

TAGCATCAAGGAGAC GCTGAGA TAGCTGGATTGGTGG AAAGGG CCCACAGGTATTCTT GACTTT CCTGCACTAACTCTG TTAGAC AGGTGGTCGAGGATA TTGAG CTCTGTGAACTCCTG GAAGA

Annealing Temperature

Length

Efficiency

57

469

1.86

57

208

1.89

57

198

1.90

ACCEPTED MANUSCRIPT MAP2K2

NM_00103807 1.2

Fwr Rev Fwr

vimentin

NM_173969.3

Real time RT-PCR instrument Data Analysis Statistical methods for results significance

Analysis of expression stability of endogenous reference genes

221

1.97

57

256

1.89

LightCycler® 480 SYBR Green I Master (Roche) Reaction volume: 20 µl Amount of cDNA: equivalent of 5 blastocysts Primer: 0.5 µM (final of each primer) Polymerase, nucleotides, MgCl2 and buffer are included in the LightCycler® 480 SYBR Green I Master (Roche) Hold: 95 °C for 10 minutes 50 cycles: 95 °C for 5 seconds Specific for each set of primers °C for 5seconds 72 °C for 20 seconds Light Cycler 480 (Roche)

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Complete thermocycling parameters

57

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RT-qPCR protocol Complete reaction conditions Reaction volume amount of cDNA/primers/polymerase/ buffer

Rev

CGAGGTGGAAGAAGT GGATTT GAAGCAGGATCTGAG AAGACAG GTCCAAGTTTGCTGA CCTCT GAGCCATCTCTTCCT TCATGTT

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VIM

mitogen-activated protein kinase kinase 2

Differences in expression between the INS0 group and the INS0.1 group and between INS0 group and the INS10 group were compared by means of unpaired t test (GraphPad Software ©, Prism 5) following log transformation of data. Differences in expression with p values <0.05 were considered significant To analyse gene expression stability, Ct values of 3 reference genes (ACTB, PPIA and B2M ) were evaluated using Genorm software (Biogazelle). Under our experimental conditions, the 2 most stable reference genes were ACTB and B2M and the constant of their geometrical mean was use to normalise the genes.

SE 0.01 0.01 0.01

BC8 15.97 a 16.29 a 20.29 b

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CLEAV 79.82 a 76.92 a 78.64 a

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Treatment INS10 INS0.1 INS0

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Table 2: PCR protocol, primer sequence and annealing temperature for the experiment.

SE 0.02 0.02 0.02

NUCLEI 101 a 104 a 86 b

SE 3.7 5.38 3.088

Table 3: Developmental rates (cleaved embryos/immature oocytes=CLEAV, blastocyst day 8/immature oocytes=BC8) and nuclei number in day 8 blastocysts (NUCLEI) in the different groups. a/b p < 0.05 for NUCLEI, a/b < 0.07 for BC8.

ACCEPTED MANUSCRIPT

Group

MITO 2 28.00

MITO 3 20.00

TN

INS10

MITO 1 52.00 a

50

MitoC 1 50.00 a

MitoC 2 26.00

MitoC 3 24.00

INS0.1

47.37 a

43.86

8.77

56

55.36 a

26.79

INS0

23.73 b

50.85

25.42

60

30.51 b

37.29

TN

ACTIN 2 44.90

ACTIN 3 22.45 a

TN

50

ACTIN 1 32.65 a

17.86

56

38.60 a

43.86

17.54 a

57

32.20

60

20.00 b

38.46

41.54 b

65

49

Gene symbol MAP2K2*

Fold change INS0.1 1.996

Fold change INS10 2.218

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Gene name Mitogen-Activated Kinase Kinase 2 DHCR7* 7-Dehydrocholesterol Reductase LMNA Lamin A/C VIM* Vimentin TUBB2B Tubulin Beta 2B Class IIb TUBB3 Tubulin Beta 3 TUBB4B Tubulin Beta 4B Class IVb ATP5D ATP Synthase, H+ Transporting, Mitochondrial F1 Complex CYP11A1* Cholesterol side-chain cleavage enzyme NDUFB7(*) NADH dehydrogenase [ubiquinone] 1 beta subcomplex subunit 7 NDUFB10(*) NADH dehydrogenase [ubiquinone] 1 beta subcomplex subunit 10 NDUFS8(*) NADH dehydrogenase [ubiquinone] 1 beta subcomplex subunit 8

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Table 4: Actin and mitochondria category percentages in insulin (INS0.1 and INS10) and control group (INS0), a/b p<0.05. TN=Total number of embryos used for evaluation of the respective categories.

Associated with Cell proliferation

1.933 2.196 1.920 2.000 1.880 1.840 2.163

2.325 2.578 1.924 1.800 2.200 2.100 2.457

Cell proliferation Cell structure Cell structure Cell structure Cell structure Cell structure Mitochondrial function Mitochondrial function Mitochondrial function

1.338

2.325

1.970

1.790

1.662

1.800

Mitochondrial function

1.720

1.700

Mitochondrial function

Table 5: Gene expression data related to the observed morphological changes in the blastocyst; Fold change differences are for the insulin groups INS0.1 and INS10 compared to the control group INS0. *Genes validated with significant concordance by RT-qPCR, (*) related gene NDUFA10 validated by RT-qPCR (see Figure 5)

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c 60

25/46

b

30

25/93

20

a

10 1/33 0 Exp. BC

Hatch. BC

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BC

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40

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% ACTIN1

50

Blastocyst Stage

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Figure 2: Actin quality in different developmental stages Percentage to be assessed as Actin quality 1 (ACTIN1) is increasing for embryo stage (a/b/c < 0.05). Numbers of embryos classified as ACTIN1 of total numbers of embryos belonging to the respective blastocyst stage are indicated above each bar.

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70.00

29/44

b

40.00

33/90

30.00

a

20.00

5/32

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50.00

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% of MITO1

60.00

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c

10.00 0.00 BC

Exp. BC

Hatch. BC

Blastocyst stage

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Figure 3: Mitochondrial pattern MITO at different developmental stages MITO1 is more present in advanced stages (BC=blastocyst, Exp. BC=expanding/expanded blastocyst, Hatch. BC= hatching/hatched blastocyst), irrespective of the insulin treatment (a/b/c p< 0.05). Numbers of embryos classified as MITO1 of total numbers of embryos belonging to the respective blastocyst stage are indicated above each bar.

b

80

33/43

60 50

a

a

32/90

40 30

9/32

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% of MitoC1

70

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90

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20 10 0 BC

Exp.BC

Hatch.BC

Blastocyst stage

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Figure 4: MitoC1 percentage at different developmental stages. MitoC1 is more frequent in advanced stage embryos (BC=blastocyst, Exp. BC=expanding/expanded blastocyst, Hatch. BC= hatching/hatched blastocyst) irrespective of insulin treatment (a/b p< 0.05). Numbers of embryos classified as MitoC1 of total numbers of embryos belonging to the respective blastocyst stage are indicated above each bar.

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ACCEPTED MANUSCRIPT

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7,00E-07 6,00E-07

4,00E-07 3,00E-07 2,00E-07

0,00E+00 INS0

INS0.1

INS10

1,6E-08 1,4E-08 1,2E-08 1E-08 8E-09

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6E-09 4E-09 2E-09 0

INS0.1

INS10

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INS0

MAP2K2

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1,40E-06

VIMº 1.00 1.92 1.92

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VIM

Microarray INS0 INS0.1 INS10

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1,00E-07

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5,00E-07

1,20E-06

**

Microarray INS0 INS0.1 INS10

MAP2K2º 1.00 2.00 2.22

Microarray INS0 INS0.1 INS10

CYP11A1¤ 1.00 1.34 2.33

**

1,00E-06 8,00E-07 6,00E-07 4,00E-07 2,00E-07 0,00E+00

INS0

INS0.1 CYP11A1

INS10

ACCEPTED MANUSCRIPT 3,00E-06

***

**

2,50E-06 2,00E-06 1,50E-06

0,00E+00 INS0

INS0.1

INS10

DHCR7

3,00E-07

DHCR7¤ 1.00 1.93 2.33

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***

Microarray INS0 INS0.1 INS10

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5,00E-07

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1,00E-06

2,50E-07 2,00E-07 1,50E-07

5,00E-08 0,00E+00 INS0

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1,00E-07

INS0.1

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EP

NDUFA10

INS10

Microarray INS0 INS0.1 INS10

NDUFA10¤ 1.00 1.66 1.89

ACCEPTED MANUSCRIPT

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Insulin during oocyte maturation changes the phenotype of bovine day 8 blastocysts These changes include cell number, actin cytoskeleton and mitochondria distribution Gene expression studies confirm the observed morphological changes

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