{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,18]],"date-time":"2026-07-18T00:30:04Z","timestamp":1784334604324,"version":"3.55.0"},"reference-count":49,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2017,6,13]],"date-time":"2017-06-13T00:00:00Z","timestamp":1497312000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100005851","name":"Shahid Beheshti University of Medical Sciences","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100005851","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["American J Rep Immunol"],"published-print":{"date-parts":[[2017,11]]},"abstract":"<jats:sec><jats:title>Problem<\/jats:title><jats:p>The use of in vitro maturation (<jats:styled-content style=\"fixed-case\">IVM<\/jats:styled-content>) as an alternative approach to the conventional assisted reproductive technique in clinical practice is limited due to low fertilization rate. The expression of Toll\u2010like receptors (<jats:styled-content style=\"fixed-case\">TLR<\/jats:styled-content>s) as members of an innate immune system in cumulus cells are thought to affect fertilization. This study was aimed to evaluate the effect of <jats:styled-content style=\"fixed-case\">IVM<\/jats:styled-content> on <jats:styled-content style=\"fixed-case\">TLR<\/jats:styled-content>4 gene expression and fertilization rate in oocytes derived from <jats:styled-content style=\"fixed-case\">IVM<\/jats:styled-content> in comparison with in vivo matured one.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method of study<\/jats:title><jats:p>Cumulus cells are collected from oocytes derived <jats:styled-content style=\"fixed-case\">IVM<\/jats:styled-content> and in vivo. The expression level of Tlr4 in cumulus cells of both groups was assessed by quantitative real\u2010time <jats:styled-content style=\"fixed-case\">PCR<\/jats:styled-content>. To examine the protein expression level of <jats:styled-content style=\"fixed-case\">TLR<\/jats:styled-content>4, immunocytochemistry and Western blotting techniques were carried out. <jats:styled-content style=\"fixed-case\">TLR<\/jats:styled-content>4 receptor functions were also confirmed by blockade assay and <jats:styled-content style=\"fixed-case\">TLR<\/jats:styled-content>4 receptor activation with lipopolysaccharide.<\/jats:p><\/jats:sec><jats:sec><jats:title>Result<\/jats:title><jats:p>There was a substantial decrease in fertilization and blastulation rate in the <jats:styled-content style=\"fixed-case\">IVM<\/jats:styled-content> group in comparison with the in vivo one. The <jats:styled-content style=\"fixed-case\">mRNA<\/jats:styled-content> expression and protein levels of <jats:styled-content style=\"fixed-case\">TLR<\/jats:styled-content>4 declined in cumulus cells following <jats:styled-content style=\"fixed-case\">IVM<\/jats:styled-content>. Anti\u2010<jats:styled-content style=\"fixed-case\">TLR<\/jats:styled-content>4 blocking antibody dramatically decreased the rate of fertilization and blastocyst formation compared to the in vivo group. In contrast, the fertilization rate was enhanced significantly in the presence of <jats:styled-content style=\"fixed-case\">LPS<\/jats:styled-content> as a <jats:styled-content style=\"fixed-case\">TLR<\/jats:styled-content>4 ligand compared to the control group.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Low expression level of Tlr4 following <jats:styled-content style=\"fixed-case\">IVM<\/jats:styled-content> and higher fertilization rate through <jats:styled-content style=\"fixed-case\">TLR<\/jats:styled-content>4 receptor activation with <jats:styled-content style=\"fixed-case\">LPS<\/jats:styled-content> proposed that alteration in <jats:styled-content style=\"fixed-case\">TLR<\/jats:styled-content>4 expression and subsequent cytokine section could be a possible cause of low fertilization rate in <jats:styled-content style=\"fixed-case\">IVM<\/jats:styled-content>\u2010derived 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