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    Difference in gene expression in two culture media (70 genes) ‐ a Dutch multicentre trial
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5 0 ‐5 ‐10 ‐15 ‐20 ‐25 ‐30
Difference in gene expression between blastocysts cultured in Vitrolife G5 Plus or Human tubal fluid (HTF)
  Kleijkers et al. 2015a
  ART culture related epigenetic modifications?
• It is no surprise that different culture media give different expression profiles in human embryos
– Well established in culture of animal embryos
• BUT
• We are long way from being able to rank culture media according to their epigenetic effects in vitro
– We have almost no idea on what is a “good or bad” expression profile in a blastocyst.
  Page 25 of 151
 PRECONGRESS COURSE 02 I BARCELONA, SPAIN – 1 JULY 2018 31
   Fold difference in gene expression
ERP27 HECW2 EPB41 SMIM3 LINC00221 ACTR3C AMN1 CTD‐2173L22.4 CT49 RP11‐379F4.4 NIM1 CYB5R4 PPARG TOMM5 DIS3L CARD8 PAQR3 SNORD50A MARC1 SYT17 PRUNE2 PPP1R16B DDX4 HS3ST6 BTBD16 SSX2 CCND1 SERPINE1 SSX7 BEND4 NUAK1 CCL2 IRF8 C14orf37 CCDC3 OCA2




















































































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