Preview

Translational Medicine

Advanced search

Cardiovascular risks in infants born with reproductive technologies

https://doi.org/10.18705/2311-4495-2020-7-6-29-38

Abstract

Russia is on the second place among European countries in the number of completed cycles of assisted reproductive technologies (ART). The proportion of children conceived using ART becomes annually higher. The present review summarises data on the impact of new reproductive technologies on the risk of developing cardiovascular diseases are presented. Potential health risks in the introduction of ART in babies born are discussed in numerous studies, the impact on all stages of embryo- and organogenesis is noted. The greatest problem is a possible increase in the incidence of congenital malformations (CM) in children after ART compared to the latter in the natural population. The frequency of CM is due not only to the use of APT, but also to factors such as genetic characteristics, age and state of health of the mother, aggravated obstetric-gynecological history, multiplicity, low birth weight of the fetus. In children conceived with ART, often appear early symptoms of systemic endothelial dysfunction, metabolic disorders (lipid metabolism, glucose level), congenital heart defects (interventricular septum defect, small cardiac development abnormality (false chord), open arterial duct, open oval window). There is a need to improve prenatal diagnostics of CM in early pregnancy and regular medical examinations of children conceived with ART.

About the Authors

I. A. Gorlova
Almazov National Medical Research Centre
Russian Federation

Gorlova Irina A., PhD, Researcher, Department of Preventive Cardiology

Akkuratova str. 2, Saint Petersburg, 197341



M. Ju. Omelchenko
Almazov National Medical Research Centre
Russian Federation

Omelchenko Marina Yu., PhD, Researcher, Department of Preventive Cardiology

Saint Petersburg



L. A. Sokolova
Almazov National Medical Research Centre
Russian Federation

Sokolova Lyudmila A., Dr Sci, Professor, Leading Researcher Department of Preventive Cardiology

Saint Petersburg



B. B. Bondarenko
Almazov National Medical Research Centre
Russian Federation

Bondarenko Boris B., Dr. Sci., Professor, Chief Researcher, Department of Preventive Cardiology

Saint Petersburg



References

1. Scherrer U, Rexhaj E, Allemann Y, et al. Cardiovascular dysfunction in children conceived by assisted reproductive technologies. Eur Heart J. 2015; 36 (25): 1583–1589.

2. Präg P, Mills MC. Assisted reproductive technology in Europe: usage and regulation in the context of crossborder reproductive care. In: Kreyenfeld M, Konietzka D. eds. Childlessness in Europe: contexts, causes, and consequences. Cham: Springer Open. 2017: 289–309.

3. Solovyeva EV. Developmental characteristics of children conceived by assisted reproductive technologies. Sovremennaya zarubezhnaya psihologiya=Modern foreign psychology. 2014; 3 (4): 33–48. In Russian

4. Korsak VS, Smirnova AA, Shurygina OV. Register of VRT centers in Russia: report for 2015. Problemy reprodukcii=Reproduction problems. 2017; 23 (5): 8–22. In Russian

5. Kallen B, Finnström O, Lindam A, et al. Cancer risk in children and young adults conceived by in vitro fertilization. Pediatrics. 2010; 126 (2): 270–276.

6. DeBaun MR, Niemitz EL, Feinberg AP. Association of in vitro fertilization with Beckwith-Wiedemann syndrome and epigenetic alterations of LIT1 and H19. Am J Hum Genet. 2003; 72 (1): 156–160.

7. Messerlian C, Maclagan L, Basso O. Infertility and the risk of adverse pregnancy outcomes: a systematic review and meta-analysis. Hum Reprod. 2013; 28 (1): 125–137.

8. Pinborg A. IVF/ICSI twin pregnancies: risks and prevention. Hum Reprod Update. 2005; 11 (6): 575–593.

9. Helmerhorst FM, Perquin DA, Donker D, et al. Perinatal outcome of singletons and twins after assisted conception: a systematic review of controlled studies. BMJ. 2004; 328 (7434): 261.

10. Pandey S, Shetty A, Hamilton M. Obstetric and perinatal outcomes in singleton pregnancies resulting from IVF/ICSI: a systematic review and meta-analysis. Hum Reprod Update. 2012; 18 (5): 485–503.

11. Middelburg KJ, Heineman MJ, Bos AF, et al. Neuromotor, cognitive, language and behavioural outcome in children born following IVF or ICSI — a systematic review. Hum Reprod Update. 2008; 14 (3): 219–231.

12. Chaika VK, Batman YuA, Zelenskaya EI. Clinical and physiological features of adaptation of newborns obtained by IVF. In. Fundamentals of reproductive medicine: a practical guide. Donetsk: Almateo LLC, 2001: 429–435. In Russian

13. Keshishian ES, Tsaregorodtsev AD, Ziborova MI. The health status of children born after in vitro fertilization. Rossijskij vestnik perinatologii i pediatrii=Russian bulletin of perinatology and pediatrics. 2014; 59 (5): 15–25. In Russian

14. Verit FF, Akyol H, Sakar MN. Low antimullerian hormone levels may be associated with cardiovascular risk markers in women with diminished ovarian reserve. Gynecol Endocrinol. 2016; 32 (4): 302–305.

15. Halland F, Morken N-H, DeRoo LA, et al. Association of women’s reproductive history with longterm mortality and effect of socioeconomic factors. Obstet Gynecol. 2015; 126 (6): 1181–1187.

16. Parikh NI, Jeppson RP, Berger JS, et al. Reproductive risk factors and coronary heart disease in the women’s health initiative observational study. Circulation. 2016; 133(22): 2149–2158.

17. Krutova VA, Dudnikova AV. Relationship between reproductive dysfunction and high cardiovascular risk. Akusherstvo i ginekologiya=Obstetrics and gynecology. 2019; 5: 19–24. In Russian

18. Plaksina AN. Predicting the health and quality of life of children born using assisted reproductive technologies: Diss. … candidate of medical sciences: 14.01.08. Yekaterinburg, 2011. In Russian

19. Rishchuk SV, Mirsky VE. The state of health of children and the features of pregnancy after the use of assisted reproductive technologies. Terra Medica. 2010; 1 (60): 34–37. In Russian

20. Rishchuk SV, Mirskij VE. Assisted reproductive technologies as an iatrogenic factor in the deterioration of the health of the child population. Byulleten’ Orenburgskogo nauchnogo centra UrO RAN=Bulletin of the Orenburg Scientific Center of the Ural Branch of the Russian Academy of Sciences. 2013; 4: 8. In Russian

21. Rishchyuk SV, Dushenkova TA, Mirsky VE. Assisted reproductive technologies and health of population. Medicinskij al’manah=Medical almanac. 2014; 4 (34): 71–74. In Russian

22. Rishchuk SV. Reproductive medicine today is a threat to Russia’s national security. Zdorov’e osnova chelovecheskogo potenciala: problemy i puti ih resheniya=Health is the foundation of human capacity: problems and ways to solve them. 2015; 10(1): 27–42. In Russian

23. Ludwig AK, Sutcliffe AG, Diedrich K, et al. Postneonatal health and development of children born after assisted reproduction: a systemic review of controlled studies. Eur J Obstet Ginecol Reporod Biol. 2006; 127 (1): 3–25.

24. Giorgione V, Parazzini F, Fesslova V, et al. Congenital heart defects in IVF/ICSI pregnancy: systematic review and meta-analysis. Ultrasound Obstet Gynecol. 2018; 51 (1): 33–42.

25. Valenzuela-Alcaraz B, Crispi F, Cruz-Lemini M, et al. Differential effect of assisted reproductive technology and small-for-gestational age on fetal cardiac remodeling. Ultrasound Obstet Gynecol. 2017; 50 (1): 63–70.

26. Kobzar NN, Zhakasheva EK, Yerbulatova ST, et al. The problem of multiple pregnancy after in vitro fertilization. Reproduktivnaya medicina=Reproductive medicine. 2012; 3–4 (12–13): 31–34. In Russian

27. Maslyanyuk NA. Condition of newborn children and their further development in multiple pregnancies after in vitro fertilization. Diss. … candidate of medical sciences: 14.00.01. St. Petersburg, 2005. In Russian

28. Palermo GD, Neri QV, Hariprashad JJ, et al. ICSI and its outcome. Semin Reprod Med. 2000; 18 (2): 161–169.

29. Diedrich K., Ludwig M. Outcome of children born after in vitro fertilization (IVF) and in-tracytoplasmic sperm injection (ICSI). In: Rabe T, Diedrich K, Strowitzki T, eds. Manual on assisted reproduction. 2nd updated ed. Beerfelden: Springer, 2000: 461–472.

30. Lysenko AV, Markelova MI, Sudakova NM. Analysis of risk factors for pregnancy and the early neonatal period of newborns after assisted reproductive technologies. Sovremennye nauchnye issledovaniya i innovacii=Modern scientific research and innovation. 2013; 1: 19773. In Russian

31. Koivurova S, Hartikainen A-L, Gissler M, et al. Neonatal outcome and congenital malformations in children born after in-vitro fertilization. Hum Reprod. 2002; 17 (5): 1391–1398.

32. Chernenkov YuV, Nechaev VN, Stasova YuV. Estimation of health indicators of children born by means of application of reproductive technologies. Saratovskij nauchno-medicinskij zhurnal=Saratov Journal of Medical Scientific Research. 2014; 10 (4): 683–688. In Russian

33. Chernenkov YV, Nechaev VN, Stasova YV, et al. Premature infants’ health at multiple induced pregnancy. Saratovskij nauchno-medicinskij zhurnal=Saratov Journal of Medical Scientific Research. 2015; 11(3): 305–309. In Russian

34. Valenzuela-Alcaraz B, Serafini A, SepulvedaMartínez A, et al. Postnatal persistence of fetal cardiovascular remodelling associated with assisted reproductive technologies: a cohort study. BJOG. 2019; 126 (2): 291–298.

35. Tararbit K, Lelong N, Thieulin A-C, et al. The risk for four specific congenital heart defects associated with assisted reproductive techniques: a population-based evaluation. Hum Reprod. 2013; 28 (2): 367–374.

36. Mansimova V.O. State of health and quality of life of premature infants born after in vitro fertilization. Diss. ... candidate of medical sciences: 14.02.03. Moscow, 2011. In Russian

37. Gadzhimuradova ND. State of health and prediction of its disorders in children of the first year of life born of a single-fruit pregnancy after in vitro fertilization Diss. … candidate of medical sciences: 14.01.08. Perm, 2017. In Russian

38. Stoieva TV, Synenko VV, Strechen EA. Congenital malformations in children born using assisted reproductive technologies. Sovremennaya pediatriya=Modern pediatrics. 2016; 8 (80): 45–48. In Russian

39. Mikheeva EM, Penkina NI. Features of the neonatal period in babies born as a result of assisted reproductive technologies. Prakticheskaya medicina=Practical Medicine. 2019; 17 (5): 180–184. In Russian

40. Zyuzikova ZS, Volevodz NN, Shestakova MV, et al. Analysis of the structure and prevalence of congenital anomalies in children born following assisted reproductive technologies. Voprosy ginekologii, akusherstva i perinatologii= Questions of gynecology, obstetrics and perinatology. 2019; 18 (6): 85–91. In Russian

41. Berntsen S, Söderström-Anttila V, Wennerholm U-B, et al. The health of children conceived by ART: ‘The chicken or the egg?’. Hum Reprod Update. 2019; 25 (2): 137–158.

42. Scherrer U, Rimoldi SF, Rexhaj E, et al. Systemic and pulmonary vascular dysfunction in children conceived by assisted reproductive technologies. Circulation. 2012; 125 (15): 1890–1896.

43. Valenzuela-Alcaraz B, Crispi F, Bijnens B, et al. Assisted reproductive technologies are associated with cardiovascular remodeling in utero that persists postnatally. Circulation. 2013; 128 (13): 1442–1450.

44. Zandstra H, van Montfoort APA, Dumoulin JCM, et al. Increased blood pressure and impaired endothelial function after accelerated growth in IVF/ICSI children. Hum Reprod Open. 2020; 2020 (1): hoz037.

45. Guo X-Y, Liu X-M, Jin L, et al. Cardiovascular and metabolic profiles of offspring conceived by assisted reproductive technologies: a systematic review and metaanalysis. Fertil Steril 2017; 107 (3): 622–631.

46. von Wolff M, Haaf T. In vitro fertilization technology and child health. Dtsch Arztebl Int. 2020; 117 (3): 23–30.

47. Ceelen M, van Weissenbruch MM, Roos JC, et al. Body composition in children and adolescents born after in vitro fertilization or spontaneous conception. J Clin Endocrinol Metab. 2007; 92 (9): 3417-3423.

48. Sakka SD, Loutradis D, Kanaka-Gantenbein C, et al. Absence of insulin resistance and low-grade inflammation despite early metabolic syndrome manifestations in children born after in vitro fertilization. Fertil Steril. 2010; 94 (5): 1693–1699.

49. Belva F, Henriet S, van den Abbeel E, et al. Neonatal outcome of 937 children born after transfer of cryopreserved embryos obtained by ICSI and IVF and comparison with outcome data of fresh ICSI and IVF cycles. Hum Reprod. 2008; 23 (10): 2227–2238.

50. Meister TA, Rimoldi SF, Soria R, et al. Association of assisted reproductive technologies with arterial hypertension during adolescence. J Am Coll Cardiol. 2018; 72 (11): 1267–1274.

51. Rexhaj E, Bloch J, Jayet P-Y, et al. Fetal programming of pulmonary vascular dysfunction in mice: role of epigenetic mechanisms. Am J Physiol Heart Circ Physiol. 2011; 301 (1): H247–252.

52. De Geyter C. Assisted reproductive medicine in Switzerland. Swiss Med Wkly. 2012; 142: w13569.

53. Nyboe Andersen A, Erb K. Register data on Assisted Reproductive Technology (ART) in Europe including a detailed description of ART in Denmark. Int J Androl. 2006; 29 (1): 12–16.

54. Chen S-L, Shi X-Y, Zheng H-Y, et al. Aberrant DNA methylation of imprinted H19 gene in human preimplantation embryos. Fertil Steril. 2010; 94 (6): 23562358.

55. Scherrer U, Allemann Y, Rexhaj E, et al. Mechanisms and drug therapy of pulmonary hypertension at high altitude. High Alt Med Biol. 2013; 14 (2): 126–133.

56. Krasnopolsky VI, Dolgieva LU. Place of caesarean section in the delivery of women with a single pregnancy after IVF. ZHurnal akusherstva i zhenskih boleznej=Journal of Obstetrics and Women’s Diseases. 2010; 59 (5): 103–109. In Russian

57. Pitskhelauri EG, Strizhakov AN, Timokhina EV, et al. The health status of children born through assisted reproductive technologies: probable risks and possible complications. Akusherstvo, ginekologiya i reprodukciya=Obstetrics, gynecology and reproduction. 2018; 12 (3): 56–63. In Russian

58. Kuzmichev KA, Tyumina OV, Chertuhina OB. Tongenital malformations and chromosomal abnormalities in children born after IVF. ZHurnal nauchnyh statej zdorov’e i obrazovanie v XXI veke=Journal of scientific articles health and education in the XXI century. 2018; 20 (1): 82–86. In Russian

59. Isupova OG, Rusanova NE. Marketing characteristics of the market of assisted reproductive technologies. REK-2009. M.; 2009. In Russian.

60. Isupova OG. Assisted reproductive technologies: new opportunities. Demograficheskoe obozrenie=Demographic review. 2017; 4 (1): 35–64. In Russian


Review

For citations:


Gorlova I.A., Omelchenko M.J., Sokolova L.A., Bondarenko B.B. Cardiovascular risks in infants born with reproductive technologies. Translational Medicine. 2020;7(6):29-38. (In Russ.) https://doi.org/10.18705/2311-4495-2020-7-6-29-38

Views: 779


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 2311-4495 (Print)
ISSN 2410-5155 (Online)