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 <!DOCTYPE article PUBLIC "-//NLM//DTD JATS (Z39.96) Journal Publishing DTD v1.0 20120330//EN" "http://jats.nlm.nih.gov/publishing/1.0/JATS-journalpublishing1.dtd"> <article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" article-type="editorial" dtd-version="1.0" xml:lang="en">
  <front>
    <journal-meta>
      <journal-id journal-id-type="publisher-id">JVHC</journal-id>
      <journal-title-group>
        <journal-title>Journal of Veterinary Healthcare</journal-title>
      </journal-title-group>
      <issn pub-type="epub">2575-1212</issn>
      <publisher>
        <publisher-name>Open Access Pub</publisher-name>
        <publisher-loc>United States</publisher-loc>
      </publisher>
    </journal-meta>
    <article-meta>
      <article-id pub-id-type="publisher-id">JVHC-24-4889</article-id>
      <article-id pub-id-type="doi">10.14302/issn.2575-1212.jvhc-24-4889</article-id>
      <article-categories>
        <subj-group>
          <subject>editorial</subject>
        </subj-group>
      </article-categories>
      <title-group>
        <article-title>The Effects of L Carnitine on in Vitro Maturation of Immature Bovine Oocytes </article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="author">
          <name>
            <surname>Nada</surname>
            <given-names>Mohsen</given-names>
          </name>
          <xref ref-type="aff" rid="idm1841905668">1</xref>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Aya</surname>
            <given-names>Megahed</given-names>
          </name>
          <xref ref-type="aff" rid="idm1841904660">2</xref>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>AbdelRouf</surname>
            <given-names>Hegab</given-names>
          </name>
          <xref ref-type="aff" rid="idm1841905668">1</xref>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Wael</surname>
            <given-names>Eldomany</given-names>
          </name>
          <xref ref-type="aff" rid="idm1841905668">1</xref>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Ahmed</surname>
            <given-names>Monir</given-names>
          </name>
          <xref ref-type="aff" rid="idm1841904156">3</xref>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Mohammed</surname>
            <given-names>A Elmetwally</given-names>
          </name>
          <xref ref-type="aff" rid="idm1841905668">1</xref>
          <xref ref-type="aff" rid="idm1841998276">4</xref>
          <xref ref-type="aff" rid="idm1841999428">5</xref>
          <xref ref-type="aff" rid="idm1841997052">*</xref>
        </contrib>
      </contrib-group>
      <aff id="idm1841905668">
        <label>1</label>
        <addr-line>Department of Theriogenology, Veterinary Medicine Faculty, Mansoura University, Mansoura 36615, Egypt. </addr-line>
      </aff>
      <aff id="idm1841904660">
        <label>2</label>
        <addr-line>Department of Clinical Pathology, Faculty of Veterinary Medicine, Mansoura University, Mansour 35516, Egypt. </addr-line>
      </aff>
      <aff id="idm1841904156">
        <label>3</label>
        <addr-line>Artificial insemination and embryo transfer department. Animal reproduction research institute. Agricultural Research Center (ARC). </addr-line>
      </aff>
      <aff id="idm1841998276">
        <label>4</label>
        <addr-line>Center for Reproductive Biotechnology Faculty of Veterinary Medicine; Mansoura University; 35516 </addr-line>
      </aff>
      <aff id="idm1841999428">
        <label>5</label>
        <addr-line>Mansoura Veterinary Teaching Hospital, Mansoura University, Mansoura, Egypt, </addr-line>
      </aff>
      <aff id="idm1841997052">
        <label>*</label>
        <addr-line>Corresponding Author </addr-line>
      </aff>
      <contrib-group>
        <contrib contrib-type="editor">
          <name>
            <surname>John</surname>
            <given-names>Okyere</given-names>
          </name>
          <xref ref-type="aff" rid="idm1841752940">1</xref>
        </contrib>
      </contrib-group>
      <aff id="idm1841752940">
        <label>1</label>
        <addr-line>CrossGen Limited.</addr-line>
      </aff>
      <author-notes>
        <corresp>
    
    Mohammed A Elmetwally, <addr-line>Department of Theriogenology, Mansoura University, Mansoura, 35516, Egypt</addr-line>, <email>mmetwally@mans.edu.eg</email></corresp>
        <fn fn-type="conflict" id="idm1842082996">
          <p>The authors have declared that no competing interests exist.</p>
        </fn>
      </author-notes>
      <pub-date pub-type="epub" iso-8601-date="2025-12-25">
        <day>25</day>
        <month>12</month>
        <year>2025</year>
      </pub-date>
      <volume>3</volume>
      <issue>2</issue>
      <fpage>49</fpage>
      <lpage>63</lpage>
      <history>
        <date date-type="received">
          <day>31</day>
          <month>12</month>
          <year>2023</year>
        </date>
        <date date-type="accepted">
          <day>28</day>
          <month>05</month>
          <year>2024</year>
        </date>
        <date date-type="online">
          <day>25</day>
          <month>12</month>
          <year>2025</year>
        </date>
      </history>
      <permissions>
        <copyright-statement>© </copyright-statement>
        <copyright-year>2025</copyright-year>
        <copyright-holder>Nada Mohsen, et al.</copyright-holder>
        <license xlink:href="http://creativecommons.org/licenses/by/4.0/" xlink:type="simple">
          <license-p>This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.</license-p>
        </license>
      </permissions>
      <self-uri xlink:href="http://openaccesspub.org/jvhc/article/2301">This article is available from http://openaccesspub.org/jvhc/article/2301</self-uri>
      <abstract>
        <p>L-Carnitine (Lc) acts as an antioxidant that neutralizes free radicals, especially superoxide anions and protects cells against oxidative damage-induced apoptosis, as following ovulation, intracellular reactive oxygen species (ROS) accumulation increases in oocytes, Oocytes exhibit an intracellular defense mechanism against an oxidative attack. This outcome adversely affects fertilization and subsequent embryonic development, thereby increasing the risk of an early miscarriage and abnormal development of offspring. The purpose of this study was to see how adding LC to either maturation or fertilization medium affected the developmental competence of immature bovine oocytes. In this study, Ovaries from apparently normal reproductive organs of cattle were collected within 30 minutes from slaughter and evisceration of animals. Cumulus oocyte complexes (COCs) were collected by aspiration of medium sized ovarian follicles (4-8 mm). COCs of acceptable quality were selected, washed and incubated in tissue culture media 199 (TCM199) supplemented with 10% heat inactivated fetal calf serum, 5 μg/ml luteinizing hormone (LH), 0.5 μg/ml follicle stimulating hormone (FSH) and 1 μg/ml estradiol-17β for 20:22 hour at 38.5 C◦ under 5% CO<sub>2</sub> in air with 90% humidity. different concentrations of LC (1.25,2.5 and 5mM) were used. The results were consistent for both maturation and fertilization and there is a significant increase in maturation, fertilization., cleavage and blastocyst rate. In conclusion, LC has important role in IVEP through addition of LC to maturation media or culture media it improved nuclear maturation and blastocyst formation rates in bovine oocytes.</p>
      </abstract>
      <kwd-group>
        <kwd>Bovine</kwd>
        <kwd>L-carnitine (LC)</kwd>
        <kwd>Maturation</kwd>
        <kwd>Fertilization</kwd>
        <kwd>Cleavage</kwd>
        <kwd>Blastocyst</kwd>
      </kwd-group>
      <counts>
        <fig-count count="4"/>
        <table-count count="0"/>
        <page-count count="15"/>
      </counts>
    </article-meta>
  </front>
  <body>
    <sec id="idm1841749916" sec-type="intro">
      <title>Introduction</title>
      <p>Egypt is known as one of the oldest agricultural civilizations; the River Nile                allowed a sedentary agricultural society to develop thousands of years ago Livestock form an important component of the agricultural sector for milk, meat <xref ref-type="bibr" rid="ridm1842184492">1</xref><xref ref-type="bibr" rid="ridm1842250300">2</xref><xref ref-type="bibr" rid="ridm1842286516">3</xref><xref ref-type="bibr" rid="ridm1842033892">4</xref>. The in vitro produced embryo could play a central role in dairy and beef production systems. Genetic selection and crossbreeding schemes can be optimized through strategies involving use of in vitro-produced embryos. In addition, prospects exist for using in vitro produced embryos to improve pregnancy rates in herds with low fertility <xref ref-type="bibr" rid="ridm1842038428">5</xref><xref ref-type="bibr" rid="ridm1842023780">6</xref>. </p>
      <p>For effective fertilization and embryo production in mammals, both the nuclear maturation as well as cytoplasmic maturation of oocytes are important. The activation of pathways involved in protein                     synthesis and phosphorylation is indispensable for oocyte cytoplasmic maturation and subsequent                 embryo development <xref ref-type="bibr" rid="ridm1842022844">7</xref><xref ref-type="bibr" rid="ridm1842013820">8</xref>.</p>
      <p>In vitro maturation (IVM) of oocytes is a promising technology for both the treatment of human                     infertility and in animal production as a means of improving genetic gain <xref ref-type="bibr" rid="ridm1842038428">5</xref><xref ref-type="bibr" rid="ridm1842008636">9</xref>. LC is a molecule which boosts fatty acids movement to the mitochondria through for ATP production. Thus, LC possesses a vital action in lipid metabolism. Furthermore, LC protects the live cells through free-radical-scavenger, and different antiapoptotic mechanism <xref ref-type="bibr" rid="ridm1841997388">10</xref><xref ref-type="bibr" rid="ridm1841994076">11</xref>. Adding LC in maturation or culture media improves oocyte’ maturation of oocytes<xref ref-type="bibr" rid="ridm1842038428">5</xref><xref ref-type="bibr" rid="ridm1842023780">6</xref>. L-carnitine is a required co-factor for long-chain fatty acid                     oxidation because it generates long-chain acylcarnitines, which help move these molecules into the mitochondrial matrix. L-carnitine also controls pyruvate oxidation by serving as a substrate for the  enzyme carnitine acetyltransferase (CrAT), which raises pyruvate dehydrogenase (PDH) activity <xref ref-type="bibr" rid="ridm1841989468">12</xref>.</p>
      <p>Supplementation LC during IVM lead to increase maturation rate of oocytes. Furthermore, LC                     improved both cleavage and blastocysts rates, and greatly affected total number of blastocysts <xref ref-type="bibr" rid="ridm1841985868">13</xref>.</p>
    </sec>
    <sec id="idm1841722572" sec-type="materials">
      <title>Material and Methods</title>
      <p>The study was carried out at Animal Reproduction Research Institute - Giza, 12556 Al Ahram -Giza, 12111 Cairo – Egypt during the period from December 2022 to April 2023. The chemicals in this study will be purchased from Sigma Chemical Co (St. Louis, MO, USA). All experimental protocols have been approved (M/86) by the Committee for Research Ethics at the Faculty of Veterinary Medicine Mansoura University, Egypt.</p>
      <sec id="idm1841722788">
        <title>Recovery of immature oocytes</title>
        <p>Ovaries from apparently normal reproductive organs of heifers and cattle of unknown age and breeding history were collected within 30 minutes after slaughter and evisceration of animals at the private                 EL-Bagor abattoir. The ovaries were kept in a thermos flask containing warm normal saline and                   gentamycin. Then transported to the lab within 1-2 h after slaughtering according to the previous                  literatures <xref ref-type="bibr" rid="ridm1842038428">5</xref><xref ref-type="bibr" rid="ridm1842023780">6</xref><xref ref-type="bibr" rid="ridm1841998756">14</xref>.The ovaries were further washed as soon as we arrived to the lab in warm normal saline to remove the blood, debris and then kept in water bath at 37°C during oocyte collection. Before COCs selection by at least 1h, the maturation dish(s) is prepared by putting 100µl maturation media drops in sterile disposable petri dish then covered with mineral oil and incubated at 38.5 C<sup>◦</sup> under 5% CO<sub>2</sub> and 90% humidity <xref ref-type="bibr" rid="ridm1842038428">5</xref><xref ref-type="bibr" rid="ridm1841967316">15</xref>.</p>
        <p>Using of 18-gauge needle attached to 10 ml syringe, medium sized follicles (3: 8 mm in diameter) were aspirated and pooled in a 15-ml conical tube<xref ref-type="bibr" rid="ridm1841963428">16</xref>. After the end of aspiration, the tubes were left 10:15 minutes to allow follicular cells settlement. After sedimentation, about 5ml of sediment was recovered by dropper pipette and placed in 80 mm diameter sterile petri dish. COCs were selected using a                   stereomicroscope and transferred into another dish containing fresh pre-warmed TCM199 <xref ref-type="bibr" rid="ridm1842023780">6</xref><xref ref-type="bibr" rid="ridm1841998756">14</xref>.</p>
      </sec>
      <sec id="idm1841722068">
        <title>Classification of recovered cumulus oocytes complexes</title>
        <p>The retrieved COCs were classified according to<xref ref-type="bibr" rid="ridm1842013820">8</xref><xref ref-type="bibr" rid="ridm1841960548">17</xref> into 4 grades based on their morphological appearance.</p>
        <p>Grade A (good), COCs with six layers of dense compact cumulus cells investment and evenly granular homogenous ooplasm. Grade B (fair), similar to grade A, but with 2-4 layers cumulus cells. Grade C (poor), partially or completely denuded oocytes. Grade D (very poor), characterized by highly                     scattered cumulus cells and dark irregular ooplasm.</p>
        <p>Grade A and Grade B COCs were washed three times in TCM199, followed by incubation under                  mineral oil in the same medium (10:15 oocytes/100 µl) for 22 h at 38.5 C<sup>◦</sup> under 5% of CO<sub>2</sub> in air with 90% humidity<xref ref-type="bibr" rid="ridm1841955004">18</xref>.</p>
      </sec>
      <sec id="idm1841720412">
        <title>Semen</title>
        <p>Bovine frozen semen was obtained from Animal Reproduction Research Institute and prepared                          according to previous literatures <xref ref-type="bibr" rid="ridm1842038428">5</xref><xref ref-type="bibr" rid="ridm1842013820">8</xref>.</p>
      </sec>
      <sec id="idm1841718612">
        <title>Preparation of basic media and staining</title>
        <p>Preparation of media and stock solution requests a sterile technique with exact and careful weighting of components. The use of a laminar flow cabinet is indispensable to evade any contamination that may alter and spoil the prepared media. An analytical balance with readability of at least 10 μg and accuracy of ± 0.1μg was used. All media were filtered using 0.2 μm (Millipore, USA) syringe filter and                        incubated for at least 2 h in a humidified atmosphere, 5% CO2 at 38.5°C before culturing the oocytes and spermatozoa<xref ref-type="bibr" rid="ridm1842038428">5</xref><xref ref-type="bibr" rid="ridm1842013820">8</xref>. The medium used for oocyte IVM was tissue culture media 199 (TCM-199) supplemented with 10% heat inactivated Fetal Calf Serum (FCS), 5 μg/ml Luteinizing hormone (LH) <xref ref-type="bibr" rid="ridm1841942836">19</xref>, 0.5 μg/ml Follicle-stimulating hormone (FSH)<xref ref-type="bibr" rid="ridm1841941540">20</xref><xref ref-type="bibr" rid="ridm1841937580">21</xref> and 1 μg/ml estradiol-17β <xref ref-type="bibr" rid="ridm1841933260">22</xref>.The pH was adjusted to 7.4<xref ref-type="bibr" rid="ridm1842038428">5</xref><xref ref-type="bibr" rid="ridm1842013820">8</xref>. The basic media used for IVF was sperm Tyrode’s Albumin medium with Lactate and Pyruvate (sperm -TALP)<xref ref-type="bibr" rid="ridm1841944204">23</xref>, and 20 µg/ml heparin sulfate is added to the media before filtration. The pH of the media is adjusted to 7.4. The medium used for culture is Modified synthetic oviductal fluid (MSOF) supplemented with 1 mM glutamine, 1% MEM (Eagle′s Minimum Essential Medium) essential amino acids, 0.5% MEM essential amino acids and 10% FCS  was the In vitro culture                    medium (24). The pH was adjusted to 7.4. The selected COCs were randomly allocated to 4 maturation medium groups with different l carnitine concentration (0, 1.25mM, 2.5mM and 5mM). All COCs groups were matured, fixed and stained. Cumulus expansion rate was assessed.</p>
        <p>Fixative, stain and stain removing agents are prepared according to<xref ref-type="bibr" rid="ridm1841913028">25</xref>. Acetic acid- ethanol fixative (1:3 v/v)., Aceto-orcein stain: 1% (w/v) orcein stain in 45% acetic acid. Stain differentiation solution is acetic acid, distal water and glycerol (1:3:1 v/v/v).</p>
      </sec>
      <sec id="idm1841725668">
        <title>Semen preparation and Oocyte insemination</title>
        <p>Three straws of frozen semen were thawed for 30 sec. in 37C<sup>◦</sup> water bath, evacuated in test tube.                  Swim-up technique, in modified-sperm TALP medium, was used for separation of motile sperm(26). Dilution of the final pellet of spermatozoa is made to obtain a sperm concentration of 2 million/ml as a final sperm cell concentration <xref ref-type="bibr" rid="ridm1841921236">27</xref>. 100 µl drops of sperm-TALP media containing spermatozoa is                 deposited in sterile disposable petri dish, and then covered with mineral oil incubated at 38.5 C<sup>◦</sup> under 5% CO<sub>2</sub> and 90% humidity.</p>
        <p>Mature oocytes were washed three times in sperm-TALP then added to the fertilization drops, 10                   oocytes in each drop. Gametes were co-incubated at 38.5 C◦ under 5% of CO2 and 90% humidity for 21 hrs. <xref ref-type="bibr" rid="ridm1841921236">27</xref>.</p>
      </sec>
      <sec id="idm1841709884">
        <title>Inseminated oocyte culture</title>
        <p>The culture dish is prepared by putting 50µl culture media drops in sterile disposable petri dish then covered with mineral oil and incubated at 38.5 C◦ under 5% of CO<sub>2</sub> and 90% humidity. After 21hrs of gametes co-incubation, presumptive zygotes were removed from fertilization droplets. These zygotes washed three times in the culture medium. The presumptive zygotes (10 zygote/50 μl droplets) were cultured at 38.5 C<sup>◦</sup> under 5% of CO<sub>2</sub> and 90% humidity<xref ref-type="bibr" rid="ridm1841955004">18</xref>. Semi replacement of the culture medium by fresh medium is done every 48 hrs. <xref ref-type="bibr" rid="ridm1841915260">24</xref>.</p>
      </sec>
      <sec id="idm1841707940">
        <title>Maturation rate assessment</title>
        <p>Matured oocytes were fixed and stained with aceto-orcein stain 1%. Maturation was indicated by                germinal vesicle break down<xref ref-type="bibr" rid="ridm1841967316">15</xref><xref ref-type="bibr" rid="ridm1841913028">25</xref>.</p>
      </sec>
      <sec id="idm1841707868">
        <title>Fertilization rate assessment</title>
        <p>Presumptive zygotes were fixed and stained with aceto-orcein stain 1%. Normal fertilization was                   indicated by presence of two pronuclei <xref ref-type="bibr" rid="ridm1841913028">25</xref>.</p>
      </sec>
      <sec id="idm1841706284">
        <title>Cleavage and Blastocyst formation rate assessment</title>
        <p>Embryos were assessed for cleavage 48 hours from the beginning of culture and further stages (morula and blastocyst) were checked approximately every 48 hours for up to 7 days. The embryo development rates were calculated according to <xref ref-type="bibr" rid="ridm1841917492">28</xref> as follows:</p>
        <p>Cleavage rate = no. of cleaved zygotes ×100/total no. of zygotes.</p>
        <p>Morula rate = no. of morula ×100/total no. of zygotes.</p>
        <p>Blastocyst rate = no. of blastocysts ×100/total no. of zygotes.</p>
      </sec>
      <sec id="idm1841705996">
        <title>Fixation and staining method</title>
        <p>Mature oocyte and fertilized oocytes were fixed and stained                        according to Mehmood et al. 2011<xref ref-type="bibr" rid="ridm1841913028">25</xref>.</p>
      </sec>
      <sec id="idm1841704124">
        <title>Statistical analysis</title>
        <p>Each experiment was at least three times replicated. According to Elmetwally et al.2018 and 2019 (29,30), the normality of quantitative parameters was tested using normal probability plots and the                 Kolmogorov-Smirnov test created with SAS's UNIVARIATE technique. All experimental results are shown as mean SEM. The recovery rate, cleavage and maturation rate, and blastocyst rate are all                    represented as percentages. SAS® (version 9.2, SAS Institute, Cary, NC, USA) will be used for                  statistical analyses. Differences will be judged significant when they reach (P ≤ 0.05).</p>
      </sec>
    </sec>
    <sec id="idm1841704196" sec-type="results">
      <title>Results</title>
      <p>Data presented in (<xref ref-type="fig" rid="idm1849230204">Figure 1</xref>) showed insignificant change in 1.25mM than control but a significant                 elevation in both 2.5mM and 5mM and the best one is 2.5mM due to LC supplementation on the                   Cumulus expansion rate. Data presented in (<xref ref-type="fig" rid="idm1849231428">Figure 2</xref>) showed insignificant change in 1.25mM than control but a significant elevation in both 2.5mM and 5mM due to LC supplementation on the                    Cleavage rate. Data presented in (<xref ref-type="fig" rid="idm1849228188">Figure 3</xref>) showed insignificant change in 1.25mM than control but a significant elevation in both 2.5 mM and 5mM due to LC supplementation on the Cleavage rate. Data presented in (<xref ref-type="fig" rid="idm1849229340">Figure 4</xref>), <italic>in vitro</italic> maturation media supplementation with LC led to no significant change in 1.25mM than control but a significant elevation in both 2.5mM and 5mM when compared to control.</p>
      <fig id="idm1849230204">
        <label>Figure 1.</label>
        <caption>
          <title> Effect of in vitro maturation media supplementation with l carnitine on the Cumulus expansion rate. Values with different superscript letters are significantly different (P&lt;0.05).</title>
        </caption>
        <graphic xlink:href="images/image1.jpg" mime-subtype="jpg"/>
      </fig>
      <fig id="idm1849231428">
        <label>Figure 2.</label>
        <caption>
          <title> Effect of in vitro maturation media supplementation with l carnitine on the Cleavage rate. Values with different superscript letters are significantly different (P&lt;0.05).</title>
        </caption>
        <graphic xlink:href="images/image2.jpg" mime-subtype="jpg"/>
      </fig>
      <fig id="idm1849228188">
        <label>Figure 3.</label>
        <caption>
          <title> Effect of in vitro maturation media supplementation with l carnitine on the Blastocyte formation. Values with various superscript letters are significantly different (P&lt;0.05).</title>
        </caption>
        <graphic xlink:href="images/image3.jpg" mime-subtype="jpg"/>
      </fig>
      <fig id="idm1849229340">
        <label>Figure 4.</label>
        <caption>
          <title> Effect of in vitro maturation media supplementation with l carnitine on the nuclear formation. Values with various superscript letters are significantly different (P&lt;0.05).</title>
        </caption>
        <graphic xlink:href="images/image4.jpg" mime-subtype="jpg"/>
      </fig>
    </sec>
    <sec id="idm1841687596" sec-type="discussion">
      <title>Discussion</title>
      <p>The culture conditions for oocyte maturation and embryonic development are critical determinants for the successful development of in vitro-produced embryos in a wide variety of mammalian species. In this study, the effects of an antioxidant (LC) treatment on oocyte maturation during IVM, embryonic development after PA and SCNT, and intracellular levels of GSH and ROS in oocytes were examined through a series of experiments. In addition, expression levels of several transcription factors and      apoptosis-related genes were analyzed in SCNT embryos that were derived from LC-treated oocytes. Our findings demonstrated that treatment of bovine oocytes with LC during IVM effectively increased the intracellular level of GSH, scavenged ROS in oocytes, and stimulated embryonic development after PA and SCNT. In addition, LC increased the expression of <italic>POU5F1</italic> and transcription factors, such as <italic>DNMT1, PCNA</italic>, and <italic>FGFR2</italic> in SCNT pig embryos but showed no effect on the inhibition of apoptosis at the gene expression level <xref ref-type="bibr" rid="ridm1841868508">31</xref>.</p>
      <sec id="idm1841687020">
        <title>Effect of in vitro maturation media supplementation with LC on the Cumulus expansion rate</title>
        <p>The data of the present study the supplementation of the maturation media with 2.5 and 5 mM of LC induced a higher rate of cumulus expansion than the lower LC concentration as well as the control  oocytes.</p>
        <p>In previous studies indicating the beneficial effects of LC on maintenance of intracellular lipid droplets and the different microtubular structure. Accordingly, LC was proven to improve the process of                   cryopreservation of certain mammalian embryos and so far used as a repetitive procedure, the                            substantial differences of efficiency of this method depend on stage, species and origin of cells either produced in vivo or in vitro <xref ref-type="bibr" rid="ridm1842038428">5</xref><xref ref-type="bibr" rid="ridm1841868508">31</xref>. Factors that are supposed to cause most of these differences are the amount of intracellular lipid droplets and the different microtubular structure which leads to chilling injury in addition to the volume/surface ratio plays a crucial role for the cryoprotectant penetration<xref ref-type="bibr" rid="ridm1841863756">32</xref>. The important impact of LC results from the mitigation of the harmful effects of vitrification on                  mitochondrial function, which lowers the competence of vitrified oocytes and results in ATP loss <xref ref-type="bibr" rid="ridm1841858428">33</xref><xref ref-type="bibr" rid="ridm1841854540">34</xref>. Animal cells produced more ATP when supplemented with LC <xref ref-type="bibr" rid="ridm1841852164">35</xref><xref ref-type="bibr" rid="ridm1841879308">36</xref>. LC regarded as a                  major beta-oxidation agent, facilitates the transfer of fatty acids from the cytosol to the mitochondria, hence promoting lipid metabolism within mammalian cells <xref ref-type="bibr" rid="ridm1841878804">37</xref><xref ref-type="bibr" rid="ridm1841821028">38</xref>.</p>
        <p>So far, the metabolic activity plays a critical role in the developing embryo, preimplantation embryo development in mammals can be split into two phases: <xref ref-type="bibr" rid="ridm1842184492">1</xref> the phase that is regulated by the proteins and mRNAs that accumulate in the oocyte and is marked by low metabolic activity, and <xref ref-type="bibr" rid="ridm1842250300">2</xref> the phase that occurs after the embryonic genome is activated and is marked by a marked increase in metabolism concurrent with the formation and expansion of the blastocoel cavity. The transition of the embryo from the oviduct to the uterus is also linked to this alteration in the metabolic activity of the embryo <xref ref-type="bibr" rid="ridm1841816132">39</xref>. The success rate of in vitro embryo production (IVEP) has been significantly impacted by the study of these mechanisms, which has led to the development of culture media that take into account the metabolic needs of the embryo and the makeup of oviductal and uterine fluids <xref ref-type="bibr" rid="ridm1841814116">40</xref>.</p>
        <p>All mammalian eggs are surrounded by a relatively thick glycoprotein layer called the zona pellucida which plays an important role during oogenesis, fertilization and preimplantation development <xref ref-type="bibr" rid="ridm1841810156">41</xref>. The mouse zona pellucida consists of three glycoproteins that are synthesized solely by growing                 oocytes and assembled into long fibrils. that constitutes a matrix. Zona pellucida glycoproteins are   responsible for species-restricted binding of sperm to unfertilized eggs, inducing sperm to undergo acrosomal exocytosis, and preventing sperm from binding to fertilized eggs. Increasing maternal age and embryo culture conditions were adversely affected by the ZP elasticity and thinning which are               essential for the hatching process <xref ref-type="bibr" rid="ridm1841806844">42</xref><xref ref-type="bibr" rid="ridm1841804252">43</xref><xref ref-type="bibr" rid="ridm1841800580">44</xref>. A thick ZP may be associated with low quality embryos              <xref ref-type="bibr" rid="ridm1841830964">45</xref><xref ref-type="bibr" rid="ridm1841826500">46</xref><xref ref-type="bibr" rid="ridm1841770652">47</xref>.</p>
        <p>Basically, the rate of glucose, pyruvate, lipid, and amino acid ingestion influences the synthesis of adenosine triphosphate (ATP) in embryo metabolism <xref ref-type="bibr" rid="ridm1841768348">48</xref>. Additionally, pyruvate and glucose are the main supplements added to culture media. But bovine embryos also contain stores of fat and glycogen. Though lipids, especially fatty acids, are the most abundant energy reserve in bovine embryos, the              concentration of glycogen appears to be nearly nonexistent and is not well documented in the literature <xref ref-type="bibr" rid="ridm1842023780">6</xref>. In addition, when creating culture media for in vitro embryo formation, lipids as an energy source have not been considered. Triacylglycerol (TG) or free fatty acids are lipid chain macromolecules that are found in cells and act as energy storage. They are made up of long-chain hydrocarbons with a              terminal carboxyl group <xref ref-type="bibr" rid="ridm1842038428">5</xref><xref ref-type="bibr" rid="ridm1841814116">40</xref>.</p>
        <p>The beneficial effects of L carnitine supplementation to the IVM medium on the present study on the improvement of the oocyte expansion rate may be attributed to the ability of LC as well as the                         antioxidants, such as β-mercaptoethanol, cysteine, and cysteamine to stimulate the synthesis of                     intracellular GSH, which in turn has a crucial an antioxidative role and enhances viability of IVF                 produced embryos <xref ref-type="bibr" rid="ridm1841765180">49</xref><xref ref-type="bibr" rid="ridm1841759564">50</xref>. LC (β-hydroxy-γ-trimethylammoniumbutyric acid), an antioxidative agent, is known to have a beneficial role in cellular metabolism and embryonic development in mammalian species. LC protects cell membranes and DNA from damage induced by oxygen free radicals <xref ref-type="bibr" rid="ridm1841756036">51</xref>. In the same line, previous researches showed that the lower concentration from LC is associated with a significant improvement of immature bovine oocyte vitrification <xref ref-type="bibr" rid="ridm1841750420">52</xref>. Meanwhile, excessive LC                  concentration may result in reduction of lipid density which may be unfavorable to<italic> in vitro </italic>bovine  embryo development <xref ref-type="bibr" rid="ridm1841814116">40</xref>.</p>
      </sec>
      <sec id="idm1841696884">
        <title>Effect of in vitro maturation media supplementation with LC on the cleavage rate</title>
        <p>In the current study, the supplementation of the maturation media with LC has a great impact on the cleavage rate of the immature bovine oocytes. The higher cleavage rate was investigated with the                 supplementation of the maturation media by 5 mM of LC when compared to the other concentrations of LC and control group. Furthermore, the other supplementation of the maturation media with other LC concentrations showed a significant rise in the cleavage rate of the immature bovine oocytes than the control group.</p>
        <p>A possible explanation for this is that LC is a cofactor for lipid metabolism in animal cells, helping to move fatty acids from the cytosol to the mitochondria for firewood beta-oxidation. Previous studies have shown that using LC improved recovery and survival rates, as well as minimal abnormalities in the cytoplasm and zona pellucida when compared to controls <xref ref-type="bibr" rid="ridm1841878804">37</xref><xref ref-type="bibr" rid="ridm1841821028">38</xref>. Consequently, LC improved ATP production in animal cells <xref ref-type="bibr" rid="ridm1841778716">53</xref>. Similar results were investigated after adding LC to the IVM prior to vitrification on in vitro-matured calf oocytes<xref ref-type="bibr" rid="ridm1841750420">52</xref>. On the other side, we published before that the supplementation of IVM with 1.2 mg LC increased the rate of zona pellucida abnormalities and                    cytoplasmic abnormalities and this may be attributed that excessive LC concentration may result in reduction of lipid density which may be unfavorable to in vitro bovine embryo development <xref ref-type="bibr" rid="ridm1841814116">40</xref>.</p>
        <p>Further, the use of the basic media alone in vitrification of oocytes lead to decrease in maturation rate and developmental competence of vitrified oocytes as vitrification damages certain cytoplasmic                    components. Also, the vitrification of GV oocytes causes damage to the surrounding cumulus cells which consequently disrupts their communication with enclosed oocytes<xref ref-type="bibr" rid="ridm1841726348">54</xref>. This communication is very important for successful completion of invitro maturation and subsequent embryonic development <xref ref-type="bibr" rid="ridm1842023780">6</xref>, so supplementation of the basic media of vitrification with LC avoided this damage<xref ref-type="bibr" rid="ridm1841723324">55</xref>. The        oxidative activity of mitochondria was mildly decreased by vitrification and drastically increased by LC adding to vitrification media in both mouse strains <xref ref-type="bibr" rid="ridm1841719580">56</xref>.</p>
        <p>Similar to the current results, In vitro maturation (IVM) of pig oocytes causes active mitochondria to translocate from the cytoplasm's periphery to the cytoplasm's interior, or medullary area, according to previous observations <xref ref-type="bibr" rid="ridm1841750420">52</xref>. This process promotes embryonic development. Similar to this, the oocyte accelerated nuclear maturation, increased the number of active mitochondria, and lowered the levels of lipid droplets when the medium was supplemented with LC during in vitro maturation <xref ref-type="bibr" rid="ridm1841750420">52</xref><xref ref-type="bibr" rid="ridm1841716988">57</xref><xref ref-type="bibr" rid="ridm1841712668">58</xref>. Similarly, the inclusion of  LC raised the percentage of embryos that hatched; this result was ascribed to an increase in the quality of the embryos and their capacity for development as a result of the lipid content being reduced <xref ref-type="bibr" rid="ridm1841716988">57</xref><xref ref-type="bibr" rid="ridm1841712668">58</xref>.</p>
      </sec>
      <sec id="idm1841691268">
        <title>Effect of in vitro maturation media supplementation with LC on the Blastocyst formation and nuclear maturation</title>
        <p>The culture conditions for oocyte maturation and embryonic development are critical determinants for the successful development of in vitro-produced embryos in a wide variety of mammalian species. In this study, the effects of an antioxidant (LC) treatment on the blastocyst formation and nuclear                      maturation during IVM of immature bovine oocytes was investigated <xref ref-type="bibr" rid="ridm1841868508">31</xref>. Previous studies proved that the LC affects the intracellular levels of GSH and ROS in oocytes and accordingly, improve the                     developmental competence of the bovine oocytes. In addition, there are expressions of several                       transcription factors and apoptosis-related genes in embryos that were derived from LC-treated oocytes <xref ref-type="bibr" rid="ridm1841868508">31</xref>.</p>
        <p>The present results indicated that the supplementation of the maturation media with 2.5 and 5 mM of LC has a greater impact on the blastocyst formation as well as the nuclear maturation than the other LC concentrations and control treatment. In mammalian species, the antioxidant LC (β-hydroxy-γ-trimethylammoniumbutyric acid) is so far recognized to play a positive effect in cellular metabolism and embryonic development. DNA and cell membranes are shielded from oxygen free radical                        destruction by LC <xref ref-type="bibr" rid="ridm1841709644">59</xref>. The integrity of microtubule and chromosome structural integrity, as well as the amount of apoptosis, were significantly improved and lowered when mouse metaphase II (MII) oocytes and 8-cell embryos were cultured in a medium supplemented with LC (0.6 mg/mL)<xref ref-type="bibr" rid="ridm1841704172">60</xref>.Furthermore, by lowering the levels of DNA damage and the inhibiting effects of actinomycin-D, hydrogen peroxide, and tumor necrosis factor-α on embryonic development, the addition of 0.3 mg/mL LC to culture medium enhanced the formation of blastocysts in mice <xref ref-type="bibr" rid="ridm1841756036">51</xref>.</p>
        <p>In another study, it has been reported that the treatment of immature oocytes with LC during IVM                resulted in enhanced preimplantation development of PA and SCNT embryos in pigs. Furthermore, other research reveals the favorable effects of L-carnitine on embryonic development in mice, bovine, and porcine<xref ref-type="bibr" rid="ridm1841765180">49</xref><xref ref-type="bibr" rid="ridm1841759564">50</xref><xref ref-type="bibr" rid="ridm1841756036">51</xref><xref ref-type="bibr" rid="ridm1841702444">61</xref>. LC was successful in raising GSH levels in oocytes following IVM, but it had no effect on nuclear maturation <xref ref-type="bibr" rid="ridm1841702444">61</xref>. This finding suggested that LC advantageous effects were more pronounced on cytoplasmic maturation than on nuclear maturation. After PA and SCNT, this may have helped boost embryonic development even further <xref ref-type="bibr" rid="ridm1841868508">31</xref>.</p>
        <p>The beneficial effects of LC in the current study may be attributed to its effects on the expression of DNMT1, PCNA, FGFR2, and POU5F1 mRNA levels in immature oocytes cultured in the IVM media supplementation with LC. Although the exact mechanism by which LC treatment raised mRNA levels is unknown, it is possible that cytoplasmic modification, including elevated GSH and decreased ROS activity, induced by LC treatment produced favorable microenvironments for donor nuclei's nuclear reprogramming and stimulated gene expression in cloned embryos <xref ref-type="bibr" rid="ridm1841698052">62</xref><xref ref-type="bibr" rid="ridm1841679476">63</xref>.</p>
        <p>We also hypnotized the beneficial effects of LC may be attributed to its effects on the expression of the apoptotic proteins. Apoptosis is thought to be a normal mechanism that gets rid of cells that have                   chromosomal or DNA defects <xref ref-type="bibr" rid="ridm1841765180">49</xref><xref ref-type="bibr" rid="ridm1841759564">50</xref>. Nonetheless, loss of viability and failure to grow can result from an overabundance of apoptotic cells during embryonic development<xref ref-type="bibr" rid="ridm1841674580">64</xref><xref ref-type="bibr" rid="ridm1841673068">65</xref>. LC functions as an                               antioxidant in animal cells or embryos and reduces apoptosis induced by oxidative stress by increasing intracellular GSH level and affecting mitochondrial functions. It has been reported that oxidative stress derived from ROS generation can induce apoptosis when oocytes or embryos are cultured in vitro <xref ref-type="bibr" rid="ridm1841750420">52</xref><xref ref-type="bibr" rid="ridm1841674580">64</xref><xref ref-type="bibr" rid="ridm1841673068">65</xref><xref ref-type="bibr" rid="ridm1841669036">66</xref>.</p>
        <p>Previous studies have investigated that, the supplementation of IVM media with LC increased the                 expression of both pro-and anti-apoptotic genes; however, the pro-apoptotic gene (BAX) showed a greater increase in expression than the anti-apoptotic gene <xref ref-type="bibr" rid="ridm1841868508">31</xref>. Other studies showed that giving LC during IVM decreased the likelihood that parthenogenetic blastocysts in pigs would experience                    apoptotic nuclei <xref ref-type="bibr" rid="ridm1841702444">61</xref>. The cause of the proapoptotic gene's elevated expression was unknown, despite the fact that LC therapy benefited embryonic development and ROS levels were lower in IVM oocytes. Apoptosis is more common in capable oocytes from cycling gilts than in less competent oocytes from prepubertal gilts, according to a recent publication <xref ref-type="bibr" rid="ridm1841666804">67</xref>.</p>
        <p>In summary, our results suggest that IVM treatment of oocytes with LC improves the cleavage,                  expansion, blastocyst and nuclear maturation and this may be regarding to the effects of LC on                  increasing intracellular GSH levels, reducing ROS toxicity, and regulating expression of <italic>POU5F1</italic> and transcription factor(s) expression, which are necessary for the normal development of embryos.</p>
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