Successful implantation after reducing matrix metalloproteinase activity in the uterine cavity

BACKGROUND: Recently, the concept of recurrent implantation failure (RIF) in assisted reproductive technology has been enlarged. Chronic uterine inflammation is a known cause of implantation failure and is associated with high matrix metalloproteinase (MMP) activity in uterine cavity flushing. MMP activity of women with RIF has been reported to be higher than that of fertile women. In the present retrospective study we evaluated the efficacy of treatment for high MMP activity in the uterine cavity of patients with RIF. METHODS: Of the 597 patients recruited to the study, 360 patients underwent MMP measurements and 237 patients did not (control group). All patients had failed to become pregnant, despite at least two transfers of good-quality embryos. Gelatinase MMP-2 and MMP-9 activity in uterine flushing fluid was detected by enzymology (MMP test). All samples were classified into two groups (positive or negative) based on the intensity of the bands on the enzyme zymogram, which represents the degree of MMP activity. Patients who tested positive on the initial test were treated for 2 weeks with a quinolone antibiotic and a corticosteroid, and subsequently underwent a second MMP test. Negative results on the second MMP tests after treatment and subsequent rates of pregnancy and miscarriage were used to evaluate the efficacy of treatment. Data were analyzed by the Mann–Whitney U-test and the chi-square test. RESULTS: Of the patients who underwent the MMP test, 15.6% had positive results (high MMP activity). After treatment, 89.3% of patients had negative results on the second MMP test. These patients had a significantly better pregnancy rate (42.0%) than the control group (26.6%), as well as a lower miscarriage rate (28.5% vs 36.5%, respectively). CONCLUSIONS: A 2-week course of antibiotics and corticosteroids effectively improves the uterine environment underlying RIF by reducing MMP activity

Preparation of SiO 2

The effect of SiO2 capping on the optical properties of nanoparticles was investigated. The photoluminescence (PL) intensity was successfully improved by SiO2-capping. Sr2MgSi2O7:Eu,Dy nanoparticles were prepared by laser ablation in liquid. The SiO2 capping was performed using the Stöber method with ultrasonication. The TEM images indicated that the Sr2MgSi2O7:Eu,Dy nanocrystal was capped with amorphous SiO2, and the shape of the completely capped nanoparticle was an elliptical nanorod, which aggregated after a long SiO2 capping reaction time. The peak wavelength and the shape of the PL spectra were not changed by the pelletization and the laser ablation in liquid. The PL intensity of SiO2 capped nanoparticles was significantly increased. Nonradiative relaxation via surface defects and energy transfer to water molecules decrease the PL intensity. These phenomena accelerate in the case of nanoparticles. SiO2 capping would prevent these phenomena and improve the optical properties of nanoparticles. The combination of laser ablation in liquid and the chemical reaction is important to expand the applications of this method in various research fields