RT Journal Article T1 GPX3 Overexpression in Cumulus Cells Entails a Poor Prognosis for Uterine Implantation of Morphotype A Embryos. A1 Bejarano, Ignacio A1 Dorado-Silva, Mónica A1 Sarmiento-Soto, Helia A1 Álvarez-Sánchez, Nuria A1 Lardone, Patricia Judith A1 Guerrero, Juan Miguel A1 Sánchez-Martín, Pascual A1 Carrillo-Vico, Antonio K1 GPX3 K1 cumulus cells K1 implantation K1 infertility K1 oocyte competence K1 transcriptome AB Morphological embryo quality is an accurate prognostic tool for the success of assisted reproduction implantation, although complete certainty cannot be guaranteed. The transcriptome of the cumulus cells could be monitored as a faithful reflex of the physiological state of the oocytes, given the molecular crosstalk between both types of cells. Here, we compare the expression of specific genes related to oocyte competence, such as hyaluronic acid synthase 2 (HAS2), cell division control protein 42 (CDC42), connexin 43 (CX43), and glutathione peroxidase 3 (GPX3), in cumulus cells from implanted versus non-implanted embryos in 25 women, using RT-qPCR. After embryo transfer, two cohorts were differentiated: the pregnant group (women with the implantation of 100% of embryos transferred) versus the non-pregnant group (with an absence of embryo implantation), aiming to compare the possible differential expression of the selected genes in the cumulus cells of embryos from each group. HAS2, CDC42 and CX43 did not reveal differential expression between the two cohorts. However, GPX3 showed significantly reduced expression in the cumulus belonging to the pregnant group. Interestingly, even cumulus cells belonging only to morphotype A embryos showed a significantly lower expression of GPX3 in the pregnancy group. GPX3 overexpression in cumulus cells could be a poor prognostic indicator of implantation, discriminating beyond the capacity of the morphokinetic score. Unveiling the cumulus transcriptome could improve successful implantation in assisted reproduction treatments. SN 2079-7737 YR 2022 FD 2022-09-16 LK http://hdl.handle.net/10668/20803 UL http://hdl.handle.net/10668/20803 LA en DS RISalud RD Apr 8, 2025