Metabolism, Aging and Disease

Female Infertility and Fertility Preservation

Reproductive Health, Female Reproductive Aging, Fertility Preservation, Infertility Awareness.


Research lines

· Female infertility . Female reproductive aging · Fertility preservation · Lifestyle effects and psychological health on female fertility · Therapeutic strategies to improve female fertility

Overview

We are a multidisciplinary team composed of researchers that cooperate with embryologists, clinicians, and clinical psychologists from the Reproductive Medicine Unit of Centro Hospitalar e Universitário de Coimbra to provide the best and up to date options in all research fields. One of our aims is to study the aging effects on women fertility, with special focus on the female gamete and its microenvironment (i.e. follicular fluid, cumulus-oophurus and granulosa cells). Understanding the mechanisms implicated in the loss of oocyte quality will allow the investigation of emerging biomarkers and the exploration of potential therapeutic strategies. Our team has also been working on the female fertility preservation field, specially focussed in the evaluation (histological, immunohistochemistry and functional) of the ovarian tissue after cryopreservation as well as the improvement of ovarian tissue transplantation. Moreover, we intend to develop and test the efficacy of strategies to prevent, better diagnose and treat patients with Diminished Ovarian Reserve (DOR). This project is a multifocal approach that includes an intervention program on the knowledge about diminished ovarian reserve; a genomic screening of DOR patients and the investigation of strategies to modulate follicle activation. Our research approaches include techniques such as microscopic analysis, immunohistochemistry/immunocytochemistry and cytology, fluorescence microscopy, flow cytometry, cellular and molecular biology and ELISA. We have established collaborations with external partners and we are also highly involved in outreach activities with a mission of increasing the awareness about fertility and reproductive health.

Publications

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Information about journal articles, updated at 29-12-2024, from platform CIÊNCIAVITAE.

Optimization of Platelet-Rich Plasma Preparation for Regenerative Medicine: Comparison of Different Anticoagulants and Resuspension Media

Alexandra Carvalho; Ana Filipa Ferreira; Maria Soares; Susana Santos; Patrícia Tomé; Juliana Machado-Simões; Ana Sofia Pais; et al, 2024. Bioengineering. 2024. http://dx.doi.org/10.3390/bioengineering11030209 . 10.3390/bioengineering11030209 . Bioengineering

Low responders may benefit from undergoing ovarian stimulation with a long GnRH agonist protocol with corifollitropin alfa followed by hMG.

Ferreira AF; Pais AS; Sousa AP; Cortesão P; Almeida-Santos T, 2023. JBRA assisted reproduction. 2023. http://europepmc.org/abstract/med/37257074 . 10.5935/1518-0557.20230001 . JBRA assisted reproduction

New Insights on Sperm Function in Male Infertility of Unknown Origin: A Multimodal Approach

Rita I. Pacheco; Maria I. Cristo; Sandra Anjo; Silva, Andreia F; Maria Inês Sousa; Renata S. Tavares; Ana Paula Sousa; et al, 2023. Biomolecules. 2023. https://www.mdpi.com/2218-273X/13/10/1462 . 10.3390/biom13101462 . Biomolecules

Association Between Follicle-Stimulating Hormone Receptor (FSHR) rs6166 and Estrogen Receptor 1 (ESR1) rs2234693 Polymorphisms and Polycystic Ovary Syndrome Risk, Phenotype, and Reproductive Outcomes in an Infertile Portuguese Population

Inês H Vieira; Alexandra F Carvalho; Sandra Almeida Reis; Ana L Carreira; Conceição Dias; Silvana Fernandes; Ana Filipa Ferreira; et al, 2023. Cureus. 2023. http://dx.doi.org/10.7759/cureus.35690 . 10.7759/cureus.35690 . Cureus

Aging and oocyte competence: A molecular cell perspective

Ana Filipa Ferreira; Maria Soares; Teresa Almeida-Santos; João Ramalho-Santos; Ana Paula Sousa, 2023. WIREs Mechanisms of Disease. 2023. https://doi.org/10.1002/wsbm.1613 . 10.1002/wsbm.1613 . WIREs Mechanisms of Disease

Isolation of Extracellular Vesicles from Human Follicular Fluid: Size-Exclusion Chromatography versus Ultracentrifugation

Maria Soares; Maria M. Pinto; Rui Jorge Nobre; Luís Pereira de Almeida; Maria da Graça Rasteiro; Teresa Almeida-Santos; João Ramalho-Santos; Ana Paula Sousa, 2023. Biomolecules. 2023. https://doi.org/10.3390/biom13020278 . 10.3390/biom13020278 . Biomolecules

PROTEOMIC APPROACH TO THE CHARACTERIZATION OF UNKNOWN ORIGIN MALE INFERTILITY

Pacheco; Ana Paula Sousa; Moura-Ramos, 2022. European Journal of Clinical Investigation. 61 - 61. S1. 52. 2022. http://dx.doi.org/10.1111/eci.13796 . 10.1111/eci.13796 . published European Journal of Clinical Investigation

It Takes Two to Tango: the Involvement of Certain Environmental Endocrine-Disrupting Chemicals in MaleInfertility Aetiology

Tavares RS; Ana Paula Sousa; Almeida-Santos T, Ramalho-Santos J, 2022. European Journal of Clinical Investigation. 176 - 176. S1. 52. 2022. http://dx.doi.org/10.1111/eci.13796 . 10.1111/eci.13796 . published European Journal of Clinical Investigation

Spatiotemporal dynamics of SIRT 1, 2 and 3 during in vitro maturation of bovine oocytes

Ana Filipa Ferreira; Juliana Machado-Simões; Maria Soares; Ana Paula Sousa; João Ramalho-Santos; Teresa Almeida-Santos, 2022. Theriogenology. 60 - 69. 186. 2022. http://dx.doi.org/10.1016/j.theriogenology.2022.04.004 . 10.1016/j.theriogenology.2022.04.004 . Theriogenology

Fertility preservation in women with haematological malignancies

Rafael Ferro; Ana Sofia Pais; Ana Paula Sousa; Teresa Almeida Santos, 2022. Human Fertility. 2022. https://doi.org/10.1080/14647273.2022.2042605 . 10.1080/14647273.2022.2042605 . Human Fertility

Using Data Mining to Assist in Predicting Reproductive Outcomes Following Varicocele Embolization.

Sousa AP; Santos-Pereira J; Freire MJ; Parada B; Almeida-Santos T; Bernardino J; Ramalho-Santos J, 2021. Journal of clinical medicine. 2021. http://europepmc.org/abstract/med/34441799 . 10.3390/jcm10163503 . Journal of clinical medicine

Comparative <i>in vitro</i> study on the local tolerance and efficacy of benzalkonium chloride, myristalkonium chloride and nonoxynol-9 as active principles in vaginal contraceptives

Alfaiate, Maria Inês; António Santos, Rita; Silva, Andreia Filipa; Sousa, Ana Paula; Almeida-Santos, Teresa; Gendron, Célia; Jabbour, Violaine; et al, 2021. The European Journal of Contraception &amp; Reproductive Health Care. 334 - 342. 4. 26. 2021. http://dx.doi.org/10.1080/13625187.2021.1900563 . 10.1080/13625187.2021.1900563 . The European Journal of Contraception &amp; Reproductive Health Care

Does supplementation with mitochondria improve oocyte competence? A systematic review.

Filipa Ferreira; Maria Soares; Sandra Almeida Reis; Joao Ramalho-Santos; Ana Paula Sousa; Teresa Almeida-Santos, 2021. Reproduction. 269 - 287. 161. 2021. https://doi.org/10.1530/REP -20-0351 . 10.1530/rep-20-0351 . published Reproduction

Fluorescent probes for the detection of reactive oxygen species in human spermatozoa.

Escada-Rebelo S; Mora FG; Ana Paula Sousa; Almeida-Santos T; Paiva A; Ramalho-Santos J, 2020. Asian journal of andrology. 2020. http://europepmc.org/abstract/med/31939350 . 10.4103/aja.aja_132_19 . published Asian journal of andrology

Adverse effect of higher waist circumference in assisted reproductive technology outcomes

Ana Filipa Rodrigues Ferreira; Ana Paula Sousa; Mariana Moura-Ramos; Paulo Cortesao; Ana Luisa Costa; Teresa Almeida-Santos, 2020. European Gynecology & Obstetrics. 2020. https://doi.org/10.53260/ego.202017 . 10.53260/ego.202017 . European Gynecology & Obstetrics

Aging-related bioenergetic alterations in bovine oocytes

Maria M Soares; Ana Paula Sousa; Raquel D Fernandes; Ana Filipa Ferreira; Teresa Almeida-Santos; João Ramalho-Santos, 2020. Theriogenology. 2020. 10.1016/j.theriogenology.2020.07.036 . published Theriogenology

In vitro safety and efficacy of Pharmatex® formulations and Nonoxinol 9 as local contraceptives: a comparative study

2020. Toxicology and Applied Pharmacology. 2020. Toxicology and Applied Pharmacology

Fertility preservation with successful pregnancy outcome in a patient with transplanted heart and non-Hodgkin's lymphoma-a case report

Pais, A.S.; Guerra, N.; Couto, D.; Sousa, A.P.; Almeida-Santos, T., 2019. BMC Pregnancy and Childbirth. 1. 19. 2019. http://www.scopus.com/inward/record.url?eid=2-s2.0-85075294431&partnerID=MN8TOARS . 10.1186/s12884-019-2587-x . BMC Pregnancy and Childbirth

Medically assisted reproduction in natural cycle: Outcome evaluation of a reproductive medicine department,Procriação medicamente assistida em ciclo natural: Avaliação dos resultados de um departamento de medicina da reprodução

Alves, M.C.; Marques, A.L.; Leite, H.B.; Sousa, A.P.; Almeida-Santos, T., 2019. Acta Medica Portuguesa. 25 - 29. 1. 32. 2019. http://www.scopus.com/inward/record.url?eid=2-s2.0-85061491840&partnerID=MN8TOARS . 10.20344/amp.10195 . Acta Medica Portuguesa

Alzheimer’s disease-related amyloid-ß<inf>1–42</inf> peptide induces the loss of human sperm function

Tavares, R.S.; Martins, S.; Almeida-Santos, T.; Sousa, A.P.; Ramalho-Santos, J.; da Cruz e Silva, O.A., 2017. Cell and Tissue Research. 647 - 651. 3. 369. 2017. http://www.scopus.com/inward/record.url?eid=2-s2.0-85026841709&partnerID=MN8TOARS . 10.1007/s00441-017-2665-1 . Cell and Tissue Research

Embolization of clinical varicocele: Long term effects on semen quality, complication rates and satisfaction

M.J. Freire; A.P. Sousa; L. Sousa; J. Ramalho-Santos; B. Parada; T. Almeida-Santos; A. Figueiredo, 2017. European Urology Supplements. e781 - e781. 3. 16. 2017. https://doi.org/10.1016%2Fs1569-9056%2817%2930511-0 . 10.1016/s1569-9056(17)30511-0 . European Urology Supplements

Eficácia da vibroestimulação peniana após lesão vertebromedular

Sandra de Oliveira; António Azenha; Ana Paula Sousa; João Páscoa Pinheiro; Ana Teresa Almeida Santos, 2016. Acta Urológica Portuguesa. 16 - 21. 1. 33. 2016. https://doi.org/10.1016%2Fj.acup.2016.01.002 . 10.1016/j.acup.2016.01.002 . Acta Urológica Portuguesa

Relation of cumulus cell status with single oocyte maturity, fertilization capability and patient age.

Lourenço B; Sousa AP; Almeida-Santos T; Ramalho-Santos J; Lourenço, B.; Sousa, A.P.; Almeida-Santos, T.; Ramalho-Santos, J., 2014. Journal of Reproduction and Infertility. 15 - 21. 1. 15. 2014. http://europepmc.org/abstract/med/24696155 . Journal of Reproduction and Infertility

Low amounts of mitochondrial reactive oxygen species define human sperm quality.

Marques M; Sousa AP; Paiva A; Almeida-Santos T; Ramalho-Santos J; Marques, M.; Sousa, A.P.; et al, 2014. Reproduction. 817 - 824. 6. 147. 2014. http://europepmc.org/abstract/med/24534950 . 10.1530/rep-13-0644 . Reproduction

Evaluation of human sperm chromatin status after selection using a modified Diff-Quik stain indicates embryo quality and pregnancy outcomes following in vitro fertilization

Tavares, R.S.; Silva, A.F.; Lourenço, B.; Almeida-Santos, T.; Sousa, A.P.; Ramalho-Santos, J., 2013. Andrology. 830 - 837. 6. 1. 2013. http://www.scopus.com/inward/record.url?eid=2-s2.0-84886438897&partnerID=MN8TOARS . 10.1111/j.2047-2927.2013.00127.x . Andrology

Anterior positioning of sex chromosomes on the head of human sperm sorted using visible wavelengths

Alçada-Morais, Sofia; Sousa, Ana Paula; Paiva, Artur; Almeida-Santos, Teresa; Ramalho-Santos, João, 2013. Systems Biology in Reproductive Medicine. 223 - 226. 4. 59. 2013. http://dx.doi.org/10.3109/19396368.2013.787129 . 10.3109/19396368.2013.787129 . accepted Systems Biology in Reproductive Medicine

Female (in)fertility

Saad, H.; Khalil, E.; Bora, S. A.; Parikh, J.; Abdalla, H.; Thum, M. Y.; Bina, V.; et al, 2013. Human Reproduction. i229 - i247. suppl 1. 28. 2013. http://dx.doi.org/10.1093/humrep/det213 . 10.1093/humrep/det213 . Human Reproduction

Exogenous glucose improves long-standing human sperm motility, viability, and mitochondrial function.

Amaral A; Paiva C; Baptista M; Sousa AP; Ramalho-Santos J, 2011. 2011. http://europepmc.org/abstract/med/21839434 . 10.1016/j.fertnstert.2011.07.1091 .

Not all sperm are equal: functional mitochondria characterize a subpopulation of human sperm with better fertilization potential.

Sousa AP; Amaral A; Baptista M; Tavares R; Caballero Campo P; Caballero Peregrín P; Freitas A; et al, 2011. 2011. http://europepmc.org/abstract/med/21448461 . 10.1371/journal.pone.0018112 .

Session 04: Novel Techniques for Sperm Selection

Figueiredo, S.; Sousa, A. P.; Parada, B.; Carvalheiro, V.; Almeida Santos, T.; Obejero, E. Y.; De Caro, R.; et al, 2010. Human Reproduction. i6 - i9. Supplement. 25. 2010. http://dx.doi.org/10.1093/humrep/de.25.s1.4 . 10.1093/humrep/de.25.s1.4 . Human Reproduction

Mitochondrial functionality in reproduction: from gonads and gametes to embryos and embryonic stem cells.

Ramalho-Santos J; Varum S; Amaral S; Mota PC; Sousa AP; Amaral A, 2009. 2009. http://europepmc.org/abstract/med/19414527 . 10.1093/humupd/dmp016 .

Dual use of Diff-Quik-like stains for the simultaneous evaluation of human sperm morphology and chromatin status.

Sousa AP; Tavares RS; Velez de la Calle JF; Figueiredo H; Almeida V; Almeida-Santos T; Ramalho-Santos J, 2009. 2009. http://europepmc.org/abstract/med/18835873 . 10.1093/humrep/den365 .

Characterization of human sperm populations using conventional parameters, surface ubiquitination, and apoptotic markers.

Varum S; Bento C; Sousa AP; Gomes-Santos CS; Henriques P; Almeida-Santos T; Teodósio C; Paiva A; Ramalho-Santos J, 2007. 2007. http://europepmc.org/abstract/med/17118365 . 10.1016/j.fertnstert.2006.07.1528 .

Localization of SNAREs., NSF and Caveolin 1 in human spermatozoa: Relationship with seminal parameters

Sousa, A.P.M.; Gomes-Santos, C.S.S.; Ramalho-Santos, J., 2006. Systems Biology in Reproductive Medicine. 347 - 353. 5. 52. 2006. http://www.scopus.com/inward/record.url?eid=2-s2.0-79961202390&partnerID=MN8TOARS . 10.1080/01485010600667050 . Systems Biology in Reproductive Medicine

Teaching about citric acid cycle using plant mitochondrial preparations: Some assays for use in laboratory courses*.

Vicente JA; Gomes-Santos CS; Sousa AP; Madeira VM, 2005. 2005. http://europepmc.org/abstract/med/21638559 . 10.1002/bmb.2005.494033022444 .

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