Molecular markers for EGMS genes.
\\n\\n
More than half of the publishers listed alongside IntechOpen (18 out of 30) are Social Science and Humanities publishers. IntechOpen is an exception to this as a leader in not only Open Access content but Open Access content across all scientific disciplines, including Physical Sciences, Engineering and Technology, Health Sciences, Life Science, and Social Sciences and Humanities.
\\n\\nOur breakdown of titles published demonstrates this with 47% PET, 31% HS, 18% LS, and 4% SSH books published.
\\n\\n“Even though ItechOpen has shown the potential of sci-tech books using an OA approach,” other publishers “have shown little interest in OA books.”
\\n\\nAdditionally, each book published by IntechOpen contains original content and research findings.
\\n\\nWe are honored to be among such prestigious publishers and we hope to continue to spearhead that growth in our quest to promote Open Access as a true pioneer in OA book publishing.
\\n\\n\\n\\n
\\n"}]',published:!0,mainMedia:{caption:"IntechOpen Maintains",originalUrl:"/media/original/113"}},components:[{type:"htmlEditorComponent",content:'
Simba Information has released its Open Access Book Publishing 2020 - 2024 report and has again identified IntechOpen as the world’s largest Open Access book publisher by title count.
\n\nSimba Information is a leading provider for market intelligence and forecasts in the media and publishing industry. The report, published every year, provides an overview and financial outlook for the global professional e-book publishing market.
\n\nIntechOpen, De Gruyter, and Frontiers are the largest OA book publishers by title count, with IntechOpen coming in at first place with 5,101 OA books published, a good 1,782 titles ahead of the nearest competitor.
\n\nSince the first Open Access Book Publishing report published in 2016, IntechOpen has held the top stop each year.
\n\n\n\nMore than half of the publishers listed alongside IntechOpen (18 out of 30) are Social Science and Humanities publishers. IntechOpen is an exception to this as a leader in not only Open Access content but Open Access content across all scientific disciplines, including Physical Sciences, Engineering and Technology, Health Sciences, Life Science, and Social Sciences and Humanities.
\n\nOur breakdown of titles published demonstrates this with 47% PET, 31% HS, 18% LS, and 4% SSH books published.
\n\n“Even though ItechOpen has shown the potential of sci-tech books using an OA approach,” other publishers “have shown little interest in OA books.”
\n\nAdditionally, each book published by IntechOpen contains original content and research findings.
\n\nWe are honored to be among such prestigious publishers and we hope to continue to spearhead that growth in our quest to promote Open Access as a true pioneer in OA book publishing.
\n\n\n\n
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Rice is the staple food for about half of the world’s population. The global population is expected to reach 9 billion people by 2050 [1]. This demands for significant efforts to increase grain production, and it is expected to add 44 million tons staple crops per year for ensuring sufficient food production for such huge population [2]. Although rice production has significantly increased from 34.5 million tonnes in 1960–1961 to 117.5 million tonnes in 2020–2021, this significant increase over years was achieved by introduction of semi dwarf varieties, through improved crop management, adoption of hybrid varieties and improved plant protection practices. Rice production needed to be increased 42% by 2050 to feed the demands of an ever-increasing human population globally. Due to the potential of hybrid rice in increasing both rice production and productivity, many countries are focusing on exploiting the benefits of this technology. Success of hybrid rice technology and commercial exploitation was proved in China by the late 1970s marked the second major landmark in the history of rice breeding. It showed commendable breakthroughs in rice production and productivity, made other countries to revive its interest in hybrid rice breeding.
The use of hybrid rice has proved to be an effective and economical way to increase rice production. In rice, the phenomenon of heterosis was reported earlier by Jones [3] and Ramaiah [4]. However, several problems experienced in the production of hybrid seeds discouraged the commercial exploitation of heterosis in India. Later in the year 1976, it was accepted that large scale production of hybrid rice could be achieved through utilization of male sterility (MS) systems [5]. China initiated hybrid rice production in the year 1964 followed by India in the year 1989. Presently around 40 countries are actively involved in commercial hybrid rice production [6].
The over dependence on a single source of cytoplasmic male sterility (CMS) via WA (Wild abortive) and the difficulties in seed production and parental line development warrant the identification of alternate approaches to exploit hybrid vigor in rice. Two line breeding is one such possibility that emerged following the chance discovery of a photoperiod-sensitive genic male sterile plant called Nongken 58S, in the japonica variety Nongken 58 by Prof. Shi Ming Song of China [7, 8, 9] which was found to be sterile under longer photoperiods (> 14 hr) and fertile under shorter photo periods (13 hr) subsequently. Temperature sensitive genic male sterility (TGMS) line was identified by Chinese and Japanese scientists which was completely sterile under high temperature (> 32°C) and under low temperature (24°C) it was fertile [10, 11]. Using the PGMS system Yuan [12] put forth a new strategy of hybrid rice breeding which did not involve a maintainer, as the maintenance is taken care off by the shorter photoperiod (13 hr), hence it was called as two line method. During the sterile phase, EGMS plants can be used as a female parent to produce hybrid seed through self-fertilization without the use of a maintainer line as required in the CMS system. Since only two lines are required for the maintenance and multiplication of male sterile lines and production of hybrid seed, the system using this type of male sterility is known as the two-line system of hybrid breeding.
More number of heterotic hybrids can be developed because of wide choice of parental lines.
Simpler and more efficient seed Production system.
Large scale use of single source of cytoplasm and the risk of outbreak of epidemics as well as the negative effects of sterility inducing cytoplasm are avoided.
In Rice, two-line system is specifically useful for developing aromatic and inter racial hybrids.
Two-line hybrids are having magnitude of heterosis 5 to 10% higher than in three line hybrids.
Comprises mainly of four types namely:
This type of male sterility was discovered in rice by Professor Shi Ming Song in Hubei Province of China in 1973. Several male sterile plants were noticed in a late japonica cultivar Nongken 58, when exposed to photoperiod of more than 14 hours. The same sterile plants when grown in photoperiod of less than 13 hours and 45 minutes, turned to fertility. Subsequently detailed investigations were carried out and the findings have been reported by Shi [7, 8]. The male sterile mutant was originally designated as Hubie Photoperiod-Sensitive Genic Male Sterile Rice (HPGMSR). Subsequently the mutant was named as Nongken 58 S. Pioneering and extensive work has been done on this mutant at Wuhan in Hubei Province and at other centers in China. PGMS trait from Nongken 58 S has been transferred to several elite japonica and indica cultivars through backcrossing in China.
PGMS system is useful and can be deployed in temperate countries where the day length differs considerably during different seasons.
This type of male sterility which is controlled by the temperature prevailing at sensitive stage of the crop, was discovered in China [13, 14].
In most of the TGMS mutants reported so far, such as Annong – 1S from China, Norin PL-12 from Japan, IR 32364 TGMS from IRRI, Philippines and several mutants reported from India and Vietnam, the sterility is caused by higher temperatures (generally above 30°C) at the sensitive stage whereas at lower temperatures (generally below 24°C) fertility is observed. However, in few cases, sterility is observed at lower temperatures and fertility is observed at higher temperatures. Such type of male sterility is referred to as ‘Reverse TGMS type’. Examples of reverse TGMS type reported are mutant Diaxin 1A and IV A and a mutant in variety 26 Zhaizao from China [15, 16, 17], JP-38S from India.
In tropical and sub-tropical countries, where there are large temperature differences across locations, regions, seasons and at different attitudes TGMS system can be utilized. India is one of the country with various regions and seasons and with attitude ranging from sea level to several thousand meters in hilly areas, is highly suitable for exploiting TGMS system for deployment and development of two-line hybrids.
Several japonica and indica male sterile lines have been developed, utilizing the Nongken 58S mutant. All such lines developed utilizing the PTGM mutant, were found to interact both with photoperiod as well as temperature. Such type of male sterility is called photo thermosensitive genic male sterility (PTGMS). In such a system, photoperiod is effective between critical fertility point (CFT) and critical sterility point (CSP). This range of temperature is called as Temperature Range of Photo sensitivity.
Deficiencies of copper, Boron and some other micronutrients are reported to cause male sterility in wheat and some other crops. High genetic variability has been reported in sensitivity to deficiency of these micronutrients. Very sensitive types are completely male sterile under micronutrient deficient conditions. It has been suggested that these sensitive genotypes can be used under deficient conditions as females and tolerant genotypes as males for producing F1 hybrid seed. The sensitive types can be multiplied by growing them under micro nutrient sufficient conditions.
The PGMS, TGMS and PTGMS lines are governed by 2–3 recessive genes, hence they can be easily transferred through backcrossing to known elite, good combining varieties. TGMS system can be utilized for tropical countries like India where low and high temperature prevails in high altitudes and in plains respectively, whereas PGMS system for the temperate countries like China and Japan where the daylength variation is significant. PTGMS can be utilized in both the tropical and temperate conditions. The sensitive stage to temperature, photoperiod or both is generally stage IV (stamen and pistil primordia), to stage VI (Meiosis) of the developmental stages of the rice plant.
On the basis of the critical sterility point (CSP) the temperature at which complete sterility is induced and critical fertility point (CFP) the temperature at which maximum fertility is achieved, it can be classified into four types.
This type is recognized by Chinese as ideal, as it is safe for both hybrid seed production and multiplication of PTGMS. According to Yuan [18] such an ideal type still, remains to be identified. Although no one is certain as to where to draw the lines for high CSP and Low CFP, based on the prevalent temperature and photoperiod regimes in a region, a narrow range can be determined. Spontaneous Mutant lines SM3 and SM5 fall under this category. SM5 with a CSP of 32.3°C is just on the border line [19].
Chinese have reported several of the EGMS lines identified by them to fall under this category. Zhang
By virtue of its stable sterility duration over a large region in China, it can be used in hybrid seed production without any problem. However in this type of EGMS lines, their seed multiplication becomes difficult and hence limits their wide utilization in China [20]. Nevertheless this type (Pei ai 64S type) was preferred until ideal lines were bred [18, 20]. In subtropical countries like India however this type would be most suited, as only sterile phase is required to be more stable in such situation. Most of the TGMS Lines viz., TNAU 45S, TNAU 60S, TNAU 95S etc., developed from Department of Rice, TNAU, India fall under this category.
Some of the lines
A detailed procedure for identifying Thermo-sensitive genic male sterile (TGMS) lines under field conditions, from germplasm and mutagenised populations in rice, has been given by Virmani
Characterization of EGMS lines, essentially involves precise determination of sensitive stage and in case of TGMS lines, determination of critical sterility point (CSP) and critical fertility point (CFP). In case of PGMS lines, critical light length is determined.
Meteorological Data of 10–15 years can be collected on minimum and maximum temperature, day length, humidity, etc., of the location where the lines are to be characterized.
During the year, Identify 3–4 distinct periods of high and low temperatures.
Select the sowing season with the period of 15–25 days before heading (5–15 after PI) coincides with the high temperature. Such plants which remain sterile at high temperature will be selected.
Note the temperature data pertaining to 15–25 days before heading, this is the critical sterility point of a given line.
Allow and multiply the plants (selected in #3) by ratooning and subject them to lower temperature regimes at the same growth stage. Plants showing partial fertility or become fully fertile will be identified.
Record the temperatures which prevailed during the period 15–25 days prior to heading. This is the critical fertility point of a TGMS line.
In most of the studies inheritance of EGMS has been reported as monogenic recessive. However, there are few studies, where it has been reported as digenic and in one case as dominant, depending upon the crosses in which inheritance has been studied. In PGMS mutant Nongken 58S, Shi [8] reported the inheritance of the character as monogenic recessive, whereas reported it as digenic. Oard and Hu [22] in PGMS mutant M-201S, reported this trait to be controlled by one to three recessive genes. Huang and Zhang [17] in the mutant CIS-25-10 S, reported a single dominant gene. However, Xue and Deng [23] reported that the PGMS trait was quantitatively inherited.
TGMS trait is reported to be monogenic recessive in 5460 S [14], R 59 TS [24]H89–1 [25, 26] and IR 32364 TGMS [25]. However, this trait was reported to be controlled by two recessive genes in Annong S-1 [27] and UPRI 95–140.
TGMS genes in 5460S and H 89–1 (later renamed as Norin PL-12) were designaed as tms1, and tms2 respectively Virmani and Borkakati [25] found TGMS gene in IR 32364 TGMS to best non-allelic with the gene in Norin PL-12 and tentatively designated it as tms3. For lack of accessibility to Chinese TGMS mutant 5460S, allelic test with tms1, could not be carried out. Subsequently, Reddy
Ashraf et al., [32] reported that pollen-mother-cell (PMC) formation, as well as meiosis stages, are induction detection sites for TGMS because at high-temperature wrinkled or abortive pollen grains were produced due to abnormal meiosis in microspore-mother-cells (MMC). Zhou et al. [33] quoted that, other TGMS-lines were also reported from Japan, The Philippines, India, and Vietnam [26, 34, 35, 36]. Mostly, reported TGMS-lines or mutants induce male sterility at high temperatures and male fertility at low temperatures [37, 38, 39]. The stated TGMS genes/lines are tms1, tms2, tms3, tms4, tms5, tms6, tms7(t), tms8, tms9, tms9–1, and tms10 [30, 31, 40, 41, 42, 43, 44, 45, 46, 47] and Zao25S, Lu18S, N28S, 95,850 ms, XianS, Zhu1S, Meixiang851S, and HD9802S [48, 49, 50, 51, 52, 53], that provide useful material for two-line HR production. Intriguingly, the reverse phenomena were also observed such as male sterility induced at low temperature and fertility restored at high temperature. Such kinds of TGMS rice-lines are termed as reverse TGMS (rTGMS) lines. Herein, the reported rTGMS genes/lines are rtms1, Diaxin-1A, and IVA and the mutant of Indica-rice variety 26-Zhaizao from China and JP-38S from India [16, 54, 55, 56, 57]. The tms5 is an important factor that regulates thermosensitive sterility among many tgms lines.
Linkage with morphological or molecular markers facilitates transfer of EGMS genes to desirable agronomical backgrounds, since mutants are rarely suitable for direct utilization in plant breeding programs. Linkage with morphological markers are rare. Secondly, this character of sensitivity to environmental factors is expressed only under certain specific ranges or conditions of these factors. Under such situation molecular markers are very handy and useful.
A summary of the molecular markers linked to the EGMS genes and the chromosomes on which they are located is given in Table 1.
EGMS gene | Linked molecular markers | Chromosomal location | Reference |
---|---|---|---|
PGMS Pms1 | RG 477 and RG 511 | Chro-7 | Zhang et al. [58] |
PGMS Pms2 | RG 191 and RG 348 | Chro-3 | Zhang |
TGMS tms1 | RAP marker 1.2 TGMS | Chro-8 | Wang |
TGMS tms2 | RFLP Marker R 643 A and R 1440 | Chro-7 | Yamaguchi |
TGMS tms3 | RAPD Markers OPF 182600 OPAC3640 OPAA7550 OPM19750 | Chro-6 | Subudhi |
TGMS tms4 | RM-27 RM-257 | Chro-2 and Chro-9 | Dong Reddy |
TGMS tms5 | STS Marker C 365–1 | Chro-2 | Wang |
TGMS tms6 | RM 3476 | Chro-5 | Robin |
Molecular markers for EGMS genes.
The molecular mechanism underlying the TGMS Lines are studied by Pan
Procedures for breeding TGMS lines are similar to conventional breeding procedures, with one major difference. The trait to be selected is male sterility, which requires a particular set of conditions for it’s expression and another set of conditions for multiplication of selected segregants. Sterile plants are selected under appropriate conditions in F2 generation. Such plants are ratooned and grown under fertility inducing conditions to obtain seed of the selected segregants. Since TGMS is a recessive character, and if it is controlled by a single gene in selected segregants, there will be no further segregation for sterility/fertility in F3 and subsequent generations, though there may be segregation for other plant characters. Thus F3 generation onwards, the selected segregants can be grown in fertility inducing conditions for selection and forwarding the generations. By F6 generation, stabilized elite TMGS lines can be developed.
Make a detailed and systematic study on germplasm or any stabilized breeding material and look out for spontaneous sterile mutants which may revert to fertility under low temperature. Robin
Agronomically adopted line or variety will be crossed with TGMS donor and F1 will be studied under normal Environments and selfed seeds of F1 will be raised under sterility inducing Environment. From this F2 population Sterile plants will be are selected under high temperature
Promising TGMS lines in comparison with its parents.
One of the line were characterized by [64]. TNAU 135S (TS 29/CO 49) with a long duration line showed 100% sterility during January month sowing at Department of Rice, Coimbatore and its complete sterility is under maximum temperature of 31.2°C, and minimum temperature of 21. 0C and critical stage for expression of pollen sterility is 85–104 days. Other lines TNAU 137S developed from TNAU TNAU4S-1-2 /CB 06–564 with CSP of 20.3 also showed complete sterility whereas another line with same female parent TNAU 4S with BPT 5204 showed partial sterility indicated that it requires different month of sowing.
The TGMS parental line, TS 29 has a stable sterile and fertile phases with substantially low critical temperature. Inheritance studies of the F2 population revealed that the thermo-sensitive genic male sterility in TS 29 was under the control of single recessive gene. Molecular tagging of TGMS genes in the F2 mapping population was done by using SSR markers. Out of 50 primer pairs (putatively linked to the six reported TGMS genes in rice) assayed for studying polymorphism, 19 primer pairs produced polymorphic alleles between the parents. The SSR markers revealed 38 percentage of polymorphism between TS 29 and CO(R) 49, the recipient fine grain parent. The identified 19 primer pairs were used for bulked segregant analysis A total of 400 F3 progenies were raised during summer (fertility limiting season). The DNA of F2 plant which contributed the sterile/ fertile F3 plants were identified and bulked. The study identified one SSR marker, RM 3476 which co-segregated with the phenotypic observations recorded under the field condition. The marker, RM 3476 has already been identified as located adjoining
Any breeding materials can be mutated and the progenies will be screened for the presence of TGMS gene. Strict observations are to be made in M2 generation planted under high temperature region, as the trait is governed by a recessive gene. To improve the floral traits favoring out crossing two stable TGMS lines
Mutation studies were further followed with released rice varieties by [66]. Two rice varieties viz., ADT 39 and CR 1009 were utilized to generate genetic variability by exposing them to gamma rays at 50, 100, 150, 200, 250 and 300 Gy. The main focus of this study is to identify TGMS mutants which could help in hybrid breeding programme. Chlorophyll mutants were observed in both the varieties in M2 generation. The male sterile plants were identified in M2 generation under high temperature condition (Coimbatore) and the reverted lines in the low temperature region (Gudalur) were planted again in the high temperature condition to confirm their TGMS nature. All the plants expressed complete sterility. Seven plants (comprising five plants from ADT 39 and two plants from CR 1009) isolated from M3 generation recorded 100 percent pollen and spikelet sterility under high temperature condition and more than 60 percent spikelet fertility under low temperature condition. These lines were further advanced for attaining homozygosity and out of seven lines one of the promising line TNAU 100S was Isolated from the ADT 39 100 Gy. The line was characterized and found that 72–91 days were critical stages for expression of pollen sterility and CSP was 20.5°C [64]. This line also showed complete sterility with wider sterility period. This line is having good grain quality
Transferring the genes from already available sources to elite genotypes or lines with high combining ability. Tanee et al., [67] utilized this metod for developing new TGMS lines. To transfer
To study the critical fertility (CFT) and critical sterility (CST) point for TS 29, staggered sowing of seeds in weekly interval was taken up in large cement pots. Pollen fertility was observed. Fertility variation in comparison with maximum temperature prevailed during that month was compared. Complete sterility was observed at a temperature of more than 32/19°C and it was fertile below this temperature. But occasionally sterility was observed above and below this temperature that may be due to combined influence of the other weather parameters. The results of correlation analysis between pollen sterility and weather factors revealed that maximum and mean temperature were the primary factors influencing fertility transition. In this result the negative association was observed between pollen sterility and relative humidity. During the sterile phase relative humidity was low (< 85 per cent) and during fertile phase relative humidity was high (> 90 per cent). Minimum temperature was also observed a significant association with pollen sterility in the latter phase of panicle developments. Sunshine hours had lower level of influence over pollen sterility. Negative significant association was observed between relative humidity and pollen sterility percentage (Figures 2–4) [60].
Fertility behavior of TS 29 for maximum temperature.
Fertility behavior of TS 29 for minimum temperature.
Fertility behavior of TS 29 for mean temperature.
A study was carried out an experiment at the Paddy Breeding Station, TNAU, Coimbatore. The materials comprised, 60 suspected TGMS lines from different populations viz., for screening the sterility /fertility expression. All the population of TGMS lines initiated panicle development during April when the maximum/minimum temperature (day/night) was 30.5–37.8 0 C/22.0–26.4°C. The suspected TGMS lines were evaluated for pollen fertility by using 1% Iodine Potassium Iodide (I-KI) solution. Pollen grains from three randomly chosen fields were evaluated and pollen fertility was expressed in percentage. Five panicles per plant were evaluated for spikelet fertility. Sterile plants identified from promising TGMS lines were ratooned for self multiplication of seeds to confirming fertility transformation during kharif. Pollen fertility/spikelet fertility observation were recorded for ratooned plants. Seeds were collected from each ratooned promising TGMS lines and raised for evaluation during rabi. Pollen/spikelet fertility was assessed for all TGMS lines. Promising TGMS lines identified during summer. Out of 60 population evaluated for TGMS expression, 175 sterile plants were identified based on pollen/spikelet sterility. The sterile plants consisted of 27 F4’S, 40 Fs’s, 20 DH’s and 88 GD No′s. The results showed that 25 lines found promising for stable TGMS expression along with good floral traits. Among the TGMS lines CBTS 0280, CBTS 0283, CBDHTS 025, GD 98014, GD 98028 had early flowering. All the twenty five promising TGMS lines exhibited 100 per cent pollen/spikelet sterility during summer season when the maximum, minimum temperature was 30.5–37.8/22.0–26.4 (day/night). The TGMS lines viz., CBTS 0268 and CBTS 0272 are found to be possessing long slender grain, purple tip, well exerted purple stigma. The TGMS line viz., CBTS 0252 and CBTS 0254 were developed from Indica/Japonica crosses which showed 100% pollen sterility, medium slander grain with purple stigma. The results revealed that the TGMS line viz., CBTS 0252 and CBTS 0254 could be useful to produce two line hybrids with high heterosis for yield with good plant type [68].
Newly developed 66 tgms lines were screened under sterility favoring environment for tgms gene expression during summer and sterility limiting environment during winter at Paddy Breeding Station, Coimbatore for the past five years. Out of 66 TGMS lines, 15 lines showed stable performance and seven TGMS lines
A total of 21 TGMS lines which showed complete sterility were raised during kharif for seed multiplication in the fertile phase [70]. Among the 21 TGMS lines, 12 TGMS lines viz., TNAU 9S, TNAU 14S, TNAU 15S, TNAU 28S, TNAU 30S, TNAU 32S, TNAU 63S, TNAU 64S, TNAU 67S, TNAU 69S, CBTS 0282-27-1 and TS 6–182-1 were found to be highly fertile and uniform in plant and grain type. Utilizing these lines Crossing block with 7 TGMS lines and 120 male parents were raised for developing new two line hybrid combinations and 23 hybrids were synthesized. All these hybrids were evaluated with already existing hybrids and promising hybrids were forwarded. A total of 9 two line rice hybrids were raised in the advanced yield trial to assess the yield performance along with the check varieties / hybrids viz., CO 48, CORH 3, CORH 2 and ADTRH 1. Six hybrids viz., TNTRH 1, TNTRH 2, TNTRH 5, TNTRH 8, TNTRH 10 and TNTRH 12 performed well over the checks for which mini seed production has been taken up for further evaluation. First time in India these two line hybrids were developed and evaluated under yield trial. The hybrid combination viz., TNTRH 5 has been nominated for Initial hybrid rice trial (IHRT- Medium) during Kharif 2007. This hybrid recorded 6893 kg/ha of grain yield. The promising medium duration hybrid TNTRH 19 recorded the grain yield of 8210 kg/ha which is 28.12% increased yield over CO (R) 49 and was tested under MLT 2010 hybrid Rice – Medium Trial.
Salgotra et al. [71] characterized eight TGMS lines, DDR 1S, DDR 18S, DDR 19S, DDR 20S, DDR 23S, DDR 27S, DRR 28S and DDR 29, showed complete sterility at low altitude and satisfactory seed-set percentage at high altitude. Characterization of floral traits and sterility-sensitive stage were determined by the tracking method. At low altitude, with an average air temperature of 35.4°C, TGMS lines DRR 19S, DRR 20S and DRR 29S displayed a sterility-sensitive stage at 21 days prior to normal heading. For complete sterility the TGMS line DRR 1S requires a temperature of 36.6°C at 17 days prior to normal heading. The temperature for complete sterility ranged from 33.9°C to 35.8°C at low altitude in the remaining seven lines. A significant positive correlation with opening duration of lemma and palea and with size of stigma and angle of opened lemma and palea.
The newly developed TGMS Lines are to be assessed for its outcrossing potential then only it can be successfully exploited for hybrid breeding programme. [72] studied the outcrossing potential of TGMS lines. In this study average style length of the TGMS lines was 1.87 mm. Maximum style length was recorded in TNAU 18 S with 2.01 mm while TS-29–150 GY and TNAU 60 S had the styles with 1.85 mm and 1.75 mm, respectively. TNAU 18 S had the maximum spikelet opening angle of 23.010 and the TS-29–150 GY and TNAU 60 S had the angles of 20.230 and 18.540, respectively. TNAU 60 S involved in five cross combination and the minimum of 60.8 cm and the maximum of 74.4 cm plant height was obtained. Similarly TS-29–150 GY had the minimum height of 62.2 cm and the maximum plant height of 66.80 cm involving in two cross combinations. It was noted that the tillering and flowering of TGMS lines were prolonged even after the completion of flowering in male parents. TNAU 18 S showed the 92.8 per cent with highest panicle exertion rate, TS 29 150 GY had the medium value of 66.6 per cent while TNAU 60 S had the lowest of 51.8 per cent. This parameter did not show significant difference among the lines tested. The degree of spikelet opening angle and the duration of panicle opening usually bear significant influence on seed setting percentage. The height difference also played a major role in seed setting percentage. The height difference between the male and the female plants was the maximum of 54 cm in TNAU 18 S x IET 27044. The medium height difference was observed with the cross involved in the crosses of TNAU 18 S as female and the minimum height difference of 22.0 cm was observed in the hybrid generated form TNAU 60 S and CB-09–106. The height differences between the parents of ten hybrids during the flowering period showed notable influence in out-crossing percentage. The medium differences between two parents (22.8 cm to 51.20 cm) had great influences in the seed productions. This is in accordance with the statement elaborated by Virmani
The seeding interval was determined by the growth duration between the two parental lines. The one with longer duration was sown earlier according to the number of days of difference between the two parents in terms of days to 50 percent flowering [73]. Synchronizing period, though it did not have much variation in this study, had a little effect on the out-crossing potentials of these TGMS by exhibiting varying seed yield in different cross combinations. Three of four cross combination involving TNAU 18 S had the highest out-crossing. Cross combinations with TS-29–150 GY revealed the second highest out-crossing rate.
Manonmani [74] studied Tgms gene introgressed 200 lines forpollen fertility in plains (lowaltitude300 MSL) at Coimbatore during the summer. During the critical period of the crop growth the average temperature was 25–29°C. Then the selected lines were stubbleplanted in high altitude (1500MSL) at Hybrid Rice Evaluation Centre, Gudalur during Khariff. Average temperature of less than 20°C was recorded. During flowering stage, on microscopic observation with potassium iodide stain, some of the sterile lines recorded pollen free anthers (GDR 33S, TNAU 84S & TNAU 86S) and also differences in size of the pollens (GDR 29S). Pollen sterility level observed was 0–98%.All the seventy sterile stubbles from coimbatore were planted at Gudalur, fertility reversion rate was studied and selfed seeds were collected. Based on the pollen fertility observation the70 lines were grouped into four categories. Thirty eight lines showed >90% reversion, 13 lines showed 50–90% and < 11 lines showed <50% reversion and 8 lines showed no reversion. The Selfed seeds from the revesed lines were collected. These lines will be further exploited for their stability and will be used for the development of the two line hybrid in Tamil Nadu.
TGMS lines were also characterized with molecular markers. [75] investigated to study the genetic relationship of thermosensitive genic male sterile lines developed at Tamil Nadu Agricultural University, Coimbatore using morphological traits and SSR markers. Wide genetic variation among TGMS lines were observed for morphological and floral traits. SSR markers survey using 100 SSR markers revealed that 27 were polymorphic, amplifying a total of 71 alleles with an average of 2.67 alleles. TNAU 18S exhibited better performance based on the morphological characters, for a number of tillers per plant, angle of glume opening and panicle length and TNAU 45S expressed good floral characters. Cluster analysis differentiated six TGMS lines into four clusters.
Two TGMS lines (TNAU 60S and TNAU 95S) showed 100 per cent pollen and spikelet sterility and the remaining lines are in the range of 97–98 per cent pollen and spikelet sterility. The stable pollen sterility showed by TNAU 95S was also reported by Srimathi et al. [76] and Kanimozhi et al. [77]. There is a narrow variation in the angle of glume opening which ranged from 20 to 23° among the lines. Panicle length was observed to be more in TNAU 18S (20.25 cm) and while less in TNAU 39S (11 cm). There is a narrow variation in 100 seed weight ranged from 1.97 to 2.44 g. TNAU 45S had the highest stigma length (0.27 mm), stigma breadth (0.08 mm), anther length (0.31 mm) and anther breadth (0.06 mm) among all TGMS lines and TNAU 95S (0.13) had the highest pollen volume compared to all TGMS lines. Euclidean distance values ranged from 4.464 to 6.558 indicating the presence of a wide range of genetic diversity among the six TGMS lines. The ED value was maximum (6.558) between the genotypes TNAU 39S and TNAU 95S, indicating that these genotypes are diversely related to each other. Meanwhile, the minimum ED value was observed between genotypes TNAU 95S and TNAU 60S (4.464) and followed by genotypes TNAU 14S and TNAU 39S (4.507) indicating that these genotypes were closely related to each other.
Identification of the new polyploid rice photoperiod - and thermo-sensitive genic male sterile lines will provide material for further research into polyploidy and hybrid vigor in rice and promote the exploitation of polyploid hybrid rice [78].
Pardeep et al., [79] investigated the eighteen TGMS lines and being used for molecular characterization by sixteen SSR markers and correlated with critical sterility temperature. Based on the data generated on 18 TGMS lines, the UPGMA dendrogram was constructed using Jaccard’s similarity coefficients. A total of 47 alleles were amplified using 16 SSR primer pairs. All the lines except for marker RM499 were found to be polymorphic. The range of alleles was 2–5, while the average number of alleles per primer was 2.93. All the three clusters contained one or two fertile lines in each namely, cluster I (TGMS-6), cluster II (TGMS-9) and (TGMS-18) and cluster III (TGMS-1). These fertile lines separated to other sterile lines by three markers with unique bands. TGMS-6 and TGMS-9 showed 200 bp specific band by RM 324 marker, TGMS-1 and TGMS-18 showed 180 bp and 200 bp specific bands and in TGMS-1 also showed 180 bp specific band with RM 254 marker, it means that the specific bands 180 bp and 200 bp generated by different markers in different lines responsible for fertility.
Grouping of TGMA lines based on molecular markers were studied by Mengchen
TGMS Lines also introgressed with broad spectrum resistance for many diseases. Wang et al., [81] successfully bred the broad-spectrum resistance gene Xa23 through marker-assisted selection (MAS) combined with phenotypic selection in two novel inbred rice varieties and two photoperiod - and thermosensitive genic male sterility (P/TGMS) lines. All of the developed lines and derived hybrids exhibited enhanced resistance to BB with excellent yield performance.
In Tamil Nadu, there is an exclusive centre for two line hybrid rice research under Tamil Nadu Agricultural university, Coimbatore. The centre was established during 1996 at Gudalur, Nilgiris District. The seed production procedure mentioned above is followed for evaluating tgms line at Gudalur and Coimbatore. For exploiting the two line breeding system a stable TGMS Lines are needed and seed production to be standartised based on the line to be used and prevailing weather parameters in the particular location.
Manonmani
Mean Weather data at Coimbatore Location.
Mean Weather data at Gudalur Location.
TGMS lines | Rabi 2013 | Rabi 2014 | Kharif 2013 | Khariff 2014 | ||
---|---|---|---|---|---|---|
Coimbatore | Sathy | CBE | Sathy | Gudalur | Gudalur | |
TNAU 45S | 100 | 100 | 100 | 100 | 5 | 4 |
TNAU60S | 100 | 100 | 100 | 100 | 3 | 5 |
TNAU95S | 100 | 100 | 100 | 100 | 6 | 5 |
TNAU 19S | 100 | 100 | 100 | 100 | 7 | 9 |
TNAU39S | 100 | 100 | 100 | 100 | 4 | 6 |
Pollen sterility of different TGMS lines in Rice.
At sterility inducing Environments the lines showed 100% pollen sterility. These lines were seeded during December at Coimbatore and Sathiyamangalam to expose them to a sterility inducing temperature (>29°C /< 23°C day night) during panicle initiation to flowering stage to test their sterility behavior so that their critical stage of flowering coincides with more than 29°C. Mean weather data for both locations was provided in the Figures 6 and 7 and it showed that the temperature recorded in both the places exceeded >25°C during the month of March, April and May. During the flowering stage all these lines showed 100% pollen sterility at both the locations for more than 60 days and was test verified for next year also.
Mean Weather data at Coimbatore and Sathyamangalam.
The daily mean temperature of 24 to 26°C was found to be the critical temperature for fertility alteration. The sterile stubbles of these lines were planted at HREC, Gudalur during May to induce fertility for their seed multiplication and were exposed at critical stages to fertility inducing temperature (24°C / 18°C day / night). Maximum, minimum, and mean temperature significantly influenced the pollen and spikelet fertility in all five TGMS lines at high altitude. At Gudalur the temperature range during the month of July and August was less than 20°C. The appropriate sowing date of TGMS lines was fixed during June–July in such a way that the critical stages of panicle development would be exposed to the required temperature. The individual lines were maintained under isolation and genetically pure seeds were produced at Gudalur.
The above TGMS lines with wider pollen sterility period under plains can be very well exploited for developing two line rice hybrids during the period of December to April at Coimbatore. The same lines can be easily seed multiplied at Gudalur during July to November.
The TGMS seed produced from high altitude can be brought to locations like Coimbatore as proved above, where stable high temperature prevails during its sensitive stage for nearly 30 days. TGMS plants are planted in 6 rows and sandwiched with two rows of non TGMS good combiner lines on either sides. TGMS line must be randomly checked for complete pollen sterility during its sterile phase at high temperature. Supplementary pollination techniques as applied to three line system must be adopted such as GA3 spray, rope pulling, flag leaf clipping etc. to increase hybrid seed production. At the time of harvest care must be taken to harvest separately the non TGMS lines first. Seeds harvested from the TGMS line must be cleaned, packed, labeled, and sold to farmers as two line hybrid seed.
Hence Coimbatore and Gudalur locations were identified for the TGMS Seed multiplication and hybrid seed production in Tamil Nadu.
Based on the studied conducted at Department of Rice, Coimbatore and Hybrid Rice Evaluation Centre, Gudalur with Stability of TGMS lines compared with weather parameters over the ten years study resulted in the identification of season for seed multiplication and hybrid seed production as follows in the Table 3.
S. No. | Location | Sowing season | Suitable for |
---|---|---|---|
1. | Gudalur | June–July | Seed increase of TGMS lines |
2. | Coimbatore | December–January | Hybrid seed production |
3. | Coimbatore | September–October | Seed increase of TGMS lines |
4. | Sathyamangalam | December–January | Hybrid seed production |
Standardization of sowing season for the TGMS lines.
EGMS lines, if multiplied continuously for several generations without any selection, may segregate for Critical Sterility Point, thereby causing major problems in maintaining purity of the hybrid seeds. Therefore, nucleus and breeder seed production must be taken up on a continual basis.
Seeding of TGMS or PGMS lines is arranged in such a way that the sensitive stage occurs when the temperature or photoperiod is favorable for a higher seed set. Nucleus seed production of an EGMS (TGMS or PGMS) line begins in the fertility inducing environment.
About 100 plants will be selected at the time of flowering, from the population of an EGMS (TGMS or PGMS) line and their panicles are bagged. Within a week selection process should be completed.
After the harvest, 50 plants with higher spikelet fertility (above 30%) are selected.
About 30 seeds are taken from each of the selected plants to grow single-row progenies and the remaining seeds are stored carefully. Progenies of the selected plants are grown in the sterility-inducing environment. The balance of the seeds of the progenies that are uniform and completely male sterile must be marked and bulked to form the nucleus seed.
Nucleus seed of the EGMS line is used for producing breeder seed under strict isolation. Breeder seed for the EGMS line is produced in the fertility-inducing environment.
The breeder seed produced under the direct supervision of the plant breeder has high genetic purity and is used for producing foundation seed of parental lines, which in turn will be used for producing hybrid seed.
Under a sterility-inducing environment select a completely male sterile plant with typical characteristics of the original EGMS line.
Ratoon the selected plant. Multiply the ratooned stubbles under a fertility-inducing environment. The nucleus seed will be harvested from the ratooned stubbles.
The nucleus seed is used for producing breeder seed and the latter for producing foundation seed.
Preserve the selected stubbles under favorable temperature conditions with good management. The new nucleus seed will be produced continuously.
Seed production potential in the TGMS lines were studied at Tamil Nadu. During fertility reversion phase can be enhanced by growing them under medium hill regions of Gudalur (1500 m MSL) in Nilgiris district, vTamil Nadu [83]. At Gudalur, the temperature range during the month of July and August was less than 20°C. The appropriate sowing date of TGMS lines was fixed during June–July in such a way that the critical stages of panicle development would be exposed to the required temperature. The individual lines were maintained under isolation and genetically pure seeds were produced at Gudalur. The TGMS line TNAU 60S was evaluated at different locations for their stability in sterility and it was proved that under high temperature (Coimbatore) it expressed 100% sterility and at low temperature it produced more than 90% seed set at Gudalur [74]. This line with wider pollen sterility period under plains can be very well exploited for developing two line rice hybrids during the period of December to April. The same lines can be easily seed multiplied at Gudalur during July to November.
Alternate to hilly areas fertility reversion was studied at plains also in the cooler months by [84]. They evaluated 255 TGMS derivatives generated at IARI-RBGRC, Aduthurai, for fertility phase changes during kharif season. The lines were grown during Apr – Aug at Aduthurai (elevation 19.5 m) conditions when ambient temperature was above 27°c (Season 1). Fully sterile plants identified were stubble planted during Aug – Dec at Gudalur (elevation 416 m) for testing the reversion phase (Season 2). Concurrently, a subset of 43 random fully sterile stubbles were retained at Aduthurai during the same period (Aug-Dec) and their fertility behavior was also observed. There was 69% of the lines showing SF of >45%, since 45% seed set or more is desirable for commercial seed production. In Season 2, the lines stubble planted at Aduthurai also showed fertility reversion between 12 and 65% with 35.6% of the population showing >45% seed set. Temperature of Gudalur ranged between 19 and 33°c during flowering (Nov), while at Aduthurai, it was between 21 and 34°c in the same season. Results indicate that minimum temperature is more crucial than the maximum temperature in fertility reversion behavior.
The magnitude of heterosis in two line hybrid is also 5–10% higher than in three line hybrids as it does not have a cytoplasmic penalty. Reported that for most of the characters, the mean heterosis percent was in the order of indica/japonica F1 > Tropica japonica/indica F1 > indica/indica F1 > Tropical japonica/japonica F1.
A comparative studies on two - line, three - line and conventional hybrids of rice ( l.) was made at TNAU by [85]. To compare the efficiency of the available systems in hybrid rice technology, a study was conducted to evaluate 120 hybrids belonging to four different group of combinations using cytoplasmic genic male sterile lines (CMS), temperature sensitive genic male sterile lines (TGMS), temperature sensitive genic male fertile lines and well adapted varieties as female parents for their genetic potential related to yield and yield components. The two line hybrids, TNAU (TGMS)4 x BPT5204, TNAU (TGMS)4 x JGL1798 and TNAU (TGMS)4 x Karnataka Deluxe Ponni were the high yielders and in CMS based hybrids, the hybrid IR 79156 A x Karnataka Deluxe Ponni possessed high yield and good restoration capacity. Of the conventional hybrids, IR 79156B x BPT5204, IR80151B x PSBRC82, IR80151B x WGL32100 and IR80151B x Karnataka Deluxe Ponni have exhibited significant
Highly heteotic two line hybrids were identified by [87]. They studied three TGMS lines and 20 testers were used to generate 60 two line rice hybrids in a LxT mating design. All the three TGMS lines
SN | Hybrid combination | Single plant Yield (Kg/plant) | ||
---|---|---|---|---|
di | dii | diii | ||
1 | TNAU18SX CB 55 | 122.36** | 113.3** | 108.88 ** |
2 | TNAU18S X CB 508 | 124.81** | 122.5** | 122.49 ** |
3 | TNAU18SX CB 044 | 203.18** | 202.7** | 196.45 ** |
4 | TNAU18SX CB 921 | 118.54** | 77.26** | 178.99 ** |
5 | TNAU 60SXCB-09–106 | 80.48** | 70.39* | 66.86 ** |
6 | TNAU60SX CB 493 | 70.34** | 27.76 | 98.82 ** |
7 | TNAU60SX CB 55 | 141.98** | 125.7** | 102.96 ** |
8 | TNAU60SX CB 513 | 224.32** | 151.00** | 95.27 ** |
9 | TS-29–150GYX CB 306 | 118.2** | 100.5** | 151.48 ** |
Heterotic potential of Two line rice hybrids.
*,**Significant at 5% and 1%, respectively.
Considering both physical and cooking quality traits primarily with head rice recovery, the four hybrids namely TNAU 60 S X CB 009, TNAU 60 S X CB-09–106, TNAU 18 S X CB 921 and TNAU 18 S X CB 044 had acceptable grain quality traits with maximum phenotypic scores. These hybrids were studued for their adoptability under three environments. Comparing both Eberhart and Russell and AMMI models to all hybrids and checks, four two - line hybrid
The hybrid combination was given with name TNTRH 55. The new two line rice hybrid TNTRH 55 with a duration of 125 days was synthesized using tgms line TNAU 60S with CB 55. The hybrid seeds were produced with minimum staggering between the parental lines. The hybrid was tested with station trials at Coimbatore and also at HREC, Gudalur the exclusive station for tgms line multiplication situated at 1500 MSL in Tamil Nadu for three seasons (Khariff 2014, 2015 & 20 (Tables 5 and 6) [88]. All the biometrical traits along with blast reaction were also studied with check varieties. Per day productivity of this hybrid was 39.7 kg/day.
Entries | DFF | Plant Ht (Cm) | Panicle length | Spikelet fertility | Duration | Grain yield (kg/ha) | Per day productivity (kg/day) |
---|---|---|---|---|---|---|---|
CO R 51 | 95 | 82.33 | 20.8 | 70.32 | 115 | 4373 | |
CORH 3 | 95 | 70.66 | 17.46 | 76.28 | 115 | 4276 | 37.178 |
TNTRH 58 | 105 | 72.66 | 21.66 | 46.38 | 130 | 2478 | 19.063 |
CORH4 | 109 | 96.00 | 25 | 66.95 | 139 | 3644 | 26.218 |
CO (R) 50 | 112 | 90.16 | 22.13 | 64.32 | 142 | 5102 | 35.930 |
Evaluation of two line rice hybrids at HREC, Gudalur.
Genotypes | Yield (kg/ha) | |||
---|---|---|---|---|
Kharif 2014 | Kharif 2015 | Kharif 2016 | Average | |
TNTRH 55 | 4956 | 4194 | 6410 | 5186 |
ADT 39 | 3644 | 3065 | 5128 | 3945 |
Performance of two line rice hybrid over seasons.
This hybrid showed 13–25% yield increase over the check variety. It showed resistance to blast with the score of 1. The hybrid produces medium slender grain type with Intermediate amylose content and Gel consistency. In Multilocation Evaluation Trial it recorded a grain yield of 6562 kg/ha which was 17.4% over ADT 39 and on par with medium duration check TNAU rice hybrid CO 4 (6578 kg/ha). At present the hybrid is under advanced stage of evaluation in Tamil Nadu. If this hybrid qualifies the criteria for release it will be the first two line rice hybrid ever released for cultivation in India. By the release of two line rice hybrid we can reduce the hybrid cost drastically as it involves only two parental lines for seed production [82].
Chandrasekhar [89] studied 1000 hybrids by crossing 500 germplasm lines (male) with one CGMS female line (IR79156A) and one TGMS female line (IR75589) and were evaluated in test cross nursery. Among the lines tested in test cross nursery on CGMS female, 60% lines are either partial restorers or partial maintainers. The maintainers proportion was 9% and restorer was 33%. TGMS female on an average across 161 combinations yielded 6.25 F1 seed yield per plant in comparison to 4.95 g F1 seed in CMS female. It was observed that TGMS females in general have higher seed production potential than the CMS female and TGMS female yielded 26% higher seed yield that CGMS female on an average across male lines in the study. For grain yield 187 hybrids recordedsignificant positive heterosis over better parent and 128 hybrids over standard check. The top two line hybrids H137 (34.4%), H203 (31.9%) and H323 (26.7%) recorded the highest significant positive heterosis for grain yield (Table 7). TGMS hybrids exhibited higher average grain yield heterosis than the CGMS hybrids.
Hybrid code | Combination | Days to 50% flowering | Grain Yield (t/a) | Standard heterosis |
---|---|---|---|---|
H137 | IR75589TGMS x PLASD20 | 82 | 9.80 | 34.4** |
H203 | IR75589TGMS x PLIR547452231983 | 86 | 9.62 | 31.9** |
H323 | IR75589TGMS x PLSANTOSH | 88 | 9.24 | 26.7** |
Heterotic potential of the hybrids.
*,** Significant at 5% and 1%, respectively.
TGMS or two line system based rice hybrids are predominantly cultivated in Northern India (Punjab, Haryana) and some parts of Chhattisgarh. Commercially in India, Savannah Seeds Private Limited is the major player which supplies their TGMS hybrids in the brand name of “SMART Rice”. Currently based on estimates the two line hybrids occupy area of around 400000–450000 acres in India. Some of the prominent hybrids in the market are Sava smart rice −127, Sava smart rice −134, Sava smart rice −200, Sava smart rice −300 etc. The two line system hybrid seed production requires stable weather parameters and currently in India major hybrid seed production in the northern states of Haryana, parts of Rajasthan and Punjab during Kharif season. This is quite opposite to 3 line system in which the major seed production area in southern states and in rabi season. Some of the other companies actively involved in the parental line and hybrids development in 2 line system are Syngenta, Corteva Agriscience, Monsanto-Bayer etc.
Long lasting research in TNAU resulted in the development of short duration, medium duration and long duration TGMS lines with better out crossing percentage, good grain quality with better agronomic traits can be exploited for developing good grain quality two line rice hybrids. It can be achieved through the selection of good grain quality similar duration tgms lines subsequently by heterosis breeding approach.
Development of TGMS lines with herbicide tolerance for making the seed production ease and maintaining the genetic purity enables to reduce the seed production cost. Markers are developed for this herbicide tolerant line. By adopting marker assisted back cross breeding method one can convert tgms line with herbicide tolerant trait.
Application of Marker Assisted Breeding for introgression of biotic and abiotic stress tolerant gene in to the TGMS line and male parents. Promising donors are available with multiple stress tolerance that can be utilized.
Exploitation of
Using the conventional and molecular approach it can be achieved.
Developing seed production packages for enhancing the row ratio and seed produce ability of two line hybrids by formulating the experiments with more number of female rows it can be standardized.
Exploiting the ideal locations already identified places for seed production and seed multiplication. As it was indicated in the text one can exploit their own locality for seed production utilizing the past ten to fifteen years weather data.
Employing Genome editing techniques for quick development of TGMS lines with proven or mega varieties. The success report was already published by employing the Crisper CAS 9 technique they developed the tgms line. Similar approach can be adopted.
Molecular characterization of available TGMS lines and identification of mechanism involved in regulation of genes through omic technologies.
Development and testing of large number of two line rice hybrids across the locations. The hybrids developed will be tested across the locations and stability models can be exploited for identifying the adoptable hybrids with higher yield potential.
Recurrent implantation failure (RIF) is one of the biggest challenges of the current reproductive medicine. Firstly, it is difficult to find its clinical standardized definition, despite the various articles on the topic. There is no agreement on issues, such as the number of embryo transfer failures, the embryo development stage, its morphology and aneuploidy, in order to define RIF [1]. There are also inconsistencies on the definition of implantation. Some authors consider it a failure when the gestational sac is not seen after the embryo transfer. Others claim that it happens when the β-hCG test is negative [1]. In 2014, some researchers proposed the following definition: it is the transfer of at least four good morphologic quality embryos, with at least three fresh or frozen transfers to women below 40 years old. This is the most accepted definition up to date [2]. However, an international common understanding is necessary to standardize the definition in order to create more consistent scientific studies.
The embryo implantation is a key stage during
The anatomic causes constitute an important factor for RIF, although they are usually manageable. Fibroids and polyps can cause endometrial cavity distortion. Adhesions that form after surgery or infection can hinder the process of embryo implantation. Besides that, mullerian abnormalities such as septate or bicornuate uterus should be considered in patients with RIF.
According to the American Society of Reproductive Medicine (ASRM), the presence of hydrosalpinx can negatively affect implantation rates, either by alteration on the fluid nutrients or even by mechanically affecting embryo implantation.
In this chapter, we will address the main anatomic causes that can affect the implantation rates in patients undergoing to IVF as well as recommendations on the management and treatment.
Submucosal fibroids can affect embryo implantation due to different mechanisms, resulting in subsequent increased uterine contractility, abnormal endometrial vascularity, chronic endometrial inflammatory response and changes in local cytokines profile.
Fibroids which distort the endometrial cavity are associated with lower implantation and pregnancy rates among women who tried a natural pregnancy as well as among those who are undergoing IVF treatment [2].
Uterine fibroids investigation among women with RIF can be done through the following methods:
Transvaginal ultrasound scan: non-invasive method performed routinely in women undergoing IVF treatment [2, 3].
Hysteroscopy procedure: it is considered a gold standard method in the diagnosis and treatment of intrauterine pathologies which cannot be seen during a transvaginal ultrasound scan, such as for example submucosal fibroids. A guideline published recently shows that the incidence of abnormal hysteroscopic findings in women with RIF ranges from 14–51%, including the submucosal fibroids. The author mentions a large and well conducted multicenter randomized clinical trial (RCT) - the TROPHY study - which discusses the role of hysteroscopy in RIF investigation among women with normal basal transvaginal ultrasound scan results. He found uterine alterations in 24% of women in the hysteroscopy group. However, only 4% showed an incidence of surgically treated alterations. Besides that, there was no statistical difference in live births rate among the two groups after surgical correction. Therefore, the above-mentioned guideline states that the routine hysteroscopy among RIF patients with normal basal transvaginal ultrasound scan is not recommended (recommendation strength: strong; evidence level: high) [1, 4]. Hysteroscopy must be considered before a new treatment cycle if the basal transvaginal ultrasound scan shows uterine pathology.
Hysterosonography: although studies about cavity evaluation in RIF patients refer mainly to hysteroscopy, hysterosonography is a recommended and acceptable choice [1].
Hysterosalpingography: it has a limited value for detection of intrauterine pathology and should not be used routinely for this purpose [2].
Regarding the management of submucosal fibroids in women with RIF, one advocates their surgical removal, regardless the size, since evidence shows that their removal can improve clinical pregnancy rates [2, 3].
Prior to the surgery, the size and number of fibroids and the depth of intramural extension should be carefully assessed. Resection of a solitary submucous fibroid less than 5 cm in diameter and with little intramural extension should not pose significant difficulties. However, a submucous fibroid more than 5 cm in diameter or more than 50% embedded in the intramural part of the uterus may require removal in two stages. In the case of multiple submucosal fibroids, there is an increased risk of intrauterine adhesion formation after the procedure. Some surgeons advocate the removal of the anterior wall and posterior wall fibroids on separate occasions to reduce the risk of intrauterine adhesions [2, 3].
Unlike what happens to fibroids that distort the uterine cavity, there is no consensus regarding the removal of intramural fibroids in women with RIF. Some authors suggest adverse effects of intramural fibroids on implantation and pregnancy rates in women undergoing to IVF, particularly those larger than 4 cm, while other authors could not demonstrate such association [2].
The meta-analysis papers on the topic agree that women with intramural fibroids seem to have decreased implantation rates compared to those without intramural fibroids. However, the myomectomy did not seem to significantly increase clinical pregnancy and live births rates [3]. Therefore, the pros and cons of the myomectomy must be individually assessed. The patients must be aware of the possible complications caused by the procedure such as bladder and bowel injury, hemorrhage, risk of blood transfusion and hysterectomy that occurs in 1% of cases. Other consequences would be the formation of pelvic adhesions leading to infertility due to peritoneal tube factor, and the risk of uterine rupture in subsequent pregnancies. However, one must acknowledge that intramural fibroids can cause not only implantation failure but also some obstetric complications, such as increased risk of premature delivery, premature placental abruption, intrauterine growth restriction, abnormal fetal presentation and intrapartum hemorrhage. The decision-making must be individualized, and it is strongly recommended that an experienced surgeon takes part in the definition of the treatment [2].
In RIF cases with no determinant factors, the surgical removal of large or multiples fibroids is a choice [5]. After all explanations, the decision about the procedure to be taken - expectant conduct or myomectomy – is shared with the patient.
Endometrial polyps are common, affecting more than 25% of women. They can be found within all ages [6, 7], and are common among infertile women with a prevalence up to 32% [8].
The potential mechanisms in which endometrial polyps can adversely affect fertility comprise mechanical interference and the release of molecules which adversely affect the spermatozoid transportation or the embryo implantation. Evidence shows increased levels of aromatase and glycodelin, a glycoprotein which inhibits the Natural Killer (NK) cells activity, resulting in a less receptive endometrium to implantation, inflammatory markers and decreased levels of HOXA-10 and 11 messenger RNA, which are known markers for endometrial receptivity [8, 9].
The investigation of polyps in women with RIF can be done through some of the following methods:
Transvaginal ultrasound scan: An endometrial polyp normally shows as a hyperechoic endometrial mass with regular borders partially or completely occupying the uterine cavity [1]. The ultrasound scan performed in the proliferative phase of the menstrual cycle generally shows more accurate results [10].
Hysterosonography: The addition of intrauterine contrast agent (saline solution or ultrasound gel) increases transvaginal ultrasound diagnostic accuracy [11].
Hysteroscopy: The hysteroscopy is gold standard for the diagnosis of endometrial polyps. They can be identified by hysteroscopy in 16–26% women with unexplained infertility. Hysteroscopy can also facilitate the assessment of several endometrial polyps features, such as size, number and vascular characteristics [11].
Endometrial polyps surgical approach is controversial. The polyp size seems not to significantly affect pregnancy rates [12, 13]. Therefore, some studies have demonstrated that the resection of recently diagnosed polyps during ovarian stimulation cycle can decrease miscarriage rates and increase clinical pregnancy and live births rates, while others do not show such benefits. Lass et al. [14] showed that polyps smaller than 20 mm emerging during IVF can be expectantly managed without compromising clinical gestation and live births rates. However, in patients with RIF there is a recommendation for polypectomy prior to embryo transfer [3].
Congenital uterine anomalies come from failures along any step of the mullerian duct development process during embryo development, either in the formation, fusion or reabsorption. While an arcuate uterus shows a mild form of anomaly, a bicornuate uterus represents total failure. The actual uterine malformation prevalence is difficult to be determined since many of them are asymptomatic although they reach approximately 5.5% of the general population; 8% among infertile women and 13.5% among women with history of recurrent fetal loss [15]. A prospective observational study evaluated the prevalence of congenital uterine anomalies, including arcuate uterus, and their effect on the reproductive outcome among sub fertile women undergoing assisted reproduction. Clinical pregnancy and live births rates were similar among those with congenital uterine anomalies and the control group. There were no differences in the type of delivery, newborn gender or birthweight between the two groups. However, women with congenital uterine anomalies had more chance of premature delivery. After analysis of the anomalies subtypes, pregnancy and live birth rates were similar between arcuate and normal uterus groups. But the group with larger uterine anomalies showed worse reproductive outcomes [16].
Among the congenital uterine anomalies, the septate uterus is the most common and comprises 35% of the malformations. Its prevalence among infertile women (3%) seems to be comparable with the general population (2.3%) [15].
Women with septate uterus show increased risk of spontaneous abortion (2.9 relative risk [RR]; 95% confidence interval [95% CI] 2.0–4.1), premature delivery (2.1 RR; 95% CI 1.5–3.1) and abnormal fetal presentation (6.24 RR; 4.05–9.96 CI). They also have the lowest clinical pregnancy rates (0.86 RR; 95% CI 0.77–0.96) [17].
Little is known about the physiopathology responsible for the negative reproductive outcomes in women with septate uterus. According to a recent systematic literature review, all the eight studies which histologically investigated the septum showed that it consists of endometrial and myometrial tissue, and that most intrauterine septa are vascularized. One explanation for jeopardized reproductive outcomes of embryos implanted in the intrauterine septum could be the different histologic composition of the endometrial septum tissue. The glandular cells and the stroma have different morphologic characteristics: a smaller number of glandular cells and cilium, and incomplete cilium genesis.
Besides that, the endometrial septum contains the lowest levels of vascular endothelial growth fator (VEGF) receptors. It is believed that they have an important role in the early embryo implantation and placentation. In two studies, the HOXA10 gene expression, which is important for the early embryo implantation, seems to be altered in women with septate uterus. These findings can explain the disruptive development of the embryo implanted in the septum. However, since the studies’ results on the issue are conflictive, a more detailed investigation is suggested [18].
The definition of septate uterus has been discussed for a long time. Nowadays, there are three classification systems which are used worldwide. It’s important to have a standardized classification system in order to prevent inappropriate or unnecessary surgical procedures and to compare reproductive results. The original classification system of the ASRM was modified and adapted. It currently uses morphometric criteria, such as the uterus internal indentation angle and internal midline cutout measurements to make a distinction between arcuated and septate uterus. It also uses the depth of uterus external surface to make a distinction between those and the bicornuate uterus. The uterus with indentation angle < 90°, length of midline internal cutout > 1.5 cm and uterine external cutout with less than 1 cm is defined as a septate uterus by the ASRM [19]. In 2012, the European Society of Human Reproduction and Embryology and the European Society for Gynecological Endoscopy (ESHRE/ESGE) published a classification system to replace the subjective criteria of the ASRM classification system by absolute morphometric criteria. Contrary to the American classification, the arcuate uterus is not mentioned and is considered a variant from normality. Septum is defined when the internal indentation is > 50% of the uterine wall thickness and the depth of the external fissure is < 50% of the wall thickness [20]. Women with previous diagnosis of arcuate uterus made by the ASRM (around 58%) would be classified as having a septate uterus when using the ESHRE/ESGE new classification. Thus, there would be an increase on the number of surgical procedures to fix uterine anomalies, with no evidence showing that this practice is beneficial to these women [21]. Recently, a simplified classification was proposed by the Congenital Uterine Malformations Experts (CUME), where the septum is defined as the depth of the internal indentation ≥ 10 mm [22]. It demonstrates the heterogeneity in the classification of mullerian malformations, making it difficult to produce scientific papers on these alterations in a homogeneous way.
The uterine septum is the only malformation that can be corrected. There are many discussions about the impact of the septum resection on the reproductive results and if it improves natural conception rates and implantation rates after embryo transfer. Nowadays, the ASRM guidelines for septate uterus management recommend the hysteroscopic resection [18]. In contrast, the ESHRE, the National Institute for Health and Care Excellence (NICE) and the Royal College of Obstetricians and Gynecologists (RCOG) guidelines for recurrent fetal loss associated to septate uterus do not support this procedure until further studies can demonstrate its effectiveness [23, 24, 25]. Lavergne et al. found a retrospective multicentric study which shows that implantation rates after IVF cycle were significantly lower in patients with malformed uterus (septate, bicornuate or unicornuate) in comparison with patients with a normal uterus (6% vs. 12%, p < 0.01). There was significant improvement when the uterine anomaly was corrected (septate uterus) [26]. One study compared gestation and abortion rates after embryo transfer on an IVF cycle in patients with septate uterus before and after septum resection. They were compared to a control group, showing that pregnancy rates before hysteroscopic resection (both in women with septate or subseptate and arcuate uterus) were significantly lower in comparison to the patients in the normal control group [OR 2.9 (P < 0.002) and 2.2 (P < 0.001)], respectively. After surgery, pregnancy rate was comparable to the women with a normal uterus (OR 1.2 and 1.1). The uterine septum size did not influence pregnancy rate. The study conclusion recommends the hysteroscopic resection in order to improve the reproductive outcome, not limited to women with recurrent early fetal loss or premature labor, but it is also recommended to infertile women in order to improve pregnancy and live birth rates, especially if IVF is a choice [27]. Ozgur et al. showed that a history of abortion and IVF failure was frequent among women with untreated incomplete septate uterus in comparison to the infertile general population. After surgical correction of the septum, pregnancy rates in IVF cycle were similar to the group with normal uterine cavity [28]. In a recent article by the SWOT infertility group in Spain, the researchers stated that a septate uterus has been associated to a high prevalence of repeated implantation failure in assisted reproduction and abortion after IVF. In these cases, septum resection seems to be useful to improve IVF pregnancy rates [29]. These studies suggest that the correction of anatomical alterations which distort the uterine cavity, especially the septate uterus, can improve reproductive results.
In other studies, we saw that the septate uterus correction may not bring benefits. In an international multicentric cohort study with women with septate uterus and showing desire for pregnancy (which opted for septum resection or expectant approach), Rikken et al. showed that the septum resection did not increase the chance of live births nor reduced the risk of abortion or premature birth [30]. The only controlled randomized trial assessing the reproductive outcome after uterine septum resection was recently published. Women in reproductive age with a septate uterus and the wish to get pregnant and a history of subfertility, fetal loss or premature birth were selected. The results of this randomized clinical trial showed that the hysteroscopic resection of the septum did not improve live birth rates or other reproductive outcomes in women with septate uterus. In this study, one patient undergoing septum resection had a perioperative uterine perforation. The authors concluded that if there is no proven efficacy, they do not recommend septum resection as a routine procedure in clinical practice. Women with septate uterus need to be informed about this study data. After counseling and according to the principles of shared decision-making, an informed consent must be provided [31].
In relation to other malformations, except septate uterus, surgical correction seems not to bring benefits. Surrey et al. demonstrated that the arcuate uterus does not have an impact on the results of IVF cycle after euploid embryos transfer. Women undergoing IVF with indentation between 4 and 10 mm experience excellent results which are similar to those of women with internal indentation < 4 mm (live birth rate; 68.7% vs. 68.7%). Besides that, there were no differences in the reproductive outcome among those with arcuate or normal uterus, according to Salim et al. Criteria [32]. Chen et al. compared the reproductive outcome between unicornuate and morphologically normal uterus. There were no significant differences in the pregnancy, clinical pregnancy or live births rates. The abortion rates were similar. In single pregnancies, there were no differences in the preterm birth, birthweight or birth size rates. However, prematurity rates, lower birthweight and lower birth size rates as well as higher very low birth rates were found in twin pregnancies with unicornuate uterus. A single embryo transfer is recommended for unicornuate uterus [33].
The difficulty of having an agreement on the scientific studies is due to the impediments to unite mullerian malformations classification, differences on the definition of recurrent embryo implantation failure and a low prevalence of these events. Thus, we suggest the individualization of the cases in which mullerian malformations and recurrent implantation failure appear. Among all the malformations, the septate uterus is the one whose correction is possible in order to improve the reproductive outcome. Nevertheless, further studies are necessary to confirm this statement.
Intrauterine synechiae, intrauterine adhesions or Asherman syndrome are names that define lesions on the endometrial tissue caused after aggressive curettage or any other intrauterine procedure that destroys the endometrium.
It is known that gestational complications such as missed or incomplete abortion and afterbirth bleeding are responsible for approximately 90% of the cases [34]. Nonetheless, infections in a non-pregnant uterus and surgeries such as myomectomies or septoplasty, for example, can lead to synechiae formation [35], causing or not secondary amenorrhea.
In terms of physiopathology, the assessment by electronic microscopy shows that the glandular cells have severe alterations in women with Asherman syndrome. It is mainly due to ribosome metabolism which culminates in ATP depletion and subsequent tissue hypoxia. There is an abnormal expression of different growth factors which leads to the activation of cytokines related to the adhesion and a pro-inflammatory cascade [36]. There are also theories that associate the occurrence, severity and recurrence of intrauterine adhesions to an alteration of the endometrial microbiome, but they lack strong scientific evidence.
The presence of adhesions in the uterine walls can interfere in the embryo implantation impeding the embryo cellular fixation on the endometrial luminal layer. Demirol and Gurgaon found a prevalence of 8.5% of intrauterine synechiae in women with embryo implantation failure, which confirms the importance of a clinical investigation [37].
For 20 years, the hysterosalpingography was the first line exam for the diagnosis of intrauterine synechiae. Today it is still used by many gynecologists for the evaluation of the uterine cavity, since it is a low-cost analysis showing 75% sensitivity [38]. It is similar to the hysterosonography whose sensitivity is of 82% [39]. The transvaginal ultrasound scan is also used to confirm a thin endometrium, but it has low accuracy for the diagnosis of synechiae [40], so that it is not considered the best method of investigation. The 3D hysterosonography has 91.1% sensitivity and 98.8% specificity, which makes it a good examination for the diagnosis of intrauterine adhesions [41]. However, despite the data forementioned, the hysteroscopy is certainly a golden standard for the diagnosis of synechiae, once it allows direct visualization of the uterine cavity [42] and enables treatment. There is concrete evidence that the synechiae lysis during hysteroscopy improves the reproductive outcomes [43].
Before hysteroscopy, cervix dilation and curettage associated with estrogenic therapy and use of IUD ensured 84% success rate in the treatment of Asherman syndrome. However, today we have the hysteroscopy as a golden standard in the diagnosis and treatment of this endometrial complication. It became necessary to define the site and severity of intrauterine adhesions. Classifying the disease process can be important once the severity imposes the prognosis after treatment [44]. The hysteroscopy enables the amplification and general observation of adhesions allowing the viewing of all structures, which decreases the risk of uterine perforation. However, there should be maximum care when using mechanic and electronic section since errors can bring undesirable repercussions [45].
The surgical treatment shows success rate after adhesiolysis ranging between 75 to 100% [46]. This rate can be evaluated by the return of menstrual periods, rates and pregnancy outcome. After a hysteroscopic surgery, around 92 to 96% of women returned to their bleeding pattern prior to the syndrome showing 63% pregnancy rate and 75% live births rate [44]. The most frequent complication in pregnancies after hysteroscopic treatment for uterine adhesions is the abnormal placentation [44].
The intraoperative fluoroscopy and transabdominal ultrasound scan or the laparoscopy are also efficient alternatives [45]. The fluoroscopic guidance enables the surgeon to see endometrium islands behind the scar tissue in an obliterated uterine cavity. The radio opaque dye is injected into a dense scar area in the place where the cavity is obliterated. Some endometrial adhesions can be identified using fluoroscopy. The area can be opened through acute dissection under hysteroscopy. However, this technique is considered limited by the high cost, by technical difficulties or by the requirement for ionizing radiation [46].
The laparoscopic guidance for severe cases of intrauterine adhesiolysis has been advocated for the immediate recognition and treatment of uterine perforation, thus minimizing the extrauterine trauma. The intraoperative ultrasound scan, fluoroscopy or laparoscopy together with the hysteroscopy have been used as guidance to reduce the risk of perforation. Nevertheless, nowadays it is known that these interventions do not prevent uterine perforation or improve the outcome [46].
The stem cell therapy approach is much more efficient due to the potential for multiplication of a single cell and its transformation into undifferentiated forms (self-renovation) and into mature cells. Besides that, it can produce other types of cells, such as totipotent, pluripotent and multipotent cells [35].
In 2016, Tan et al. [47] investigated mesenchymal stem cells derived from bone marrow and stromal cells coming from the menstrual bleeding through transmiometral administration in the subendothelial area, direct installation of stromal cells in the uterine cavity and infusion of cells in spiral arteries through a catheter. Five out of six women with Asherman syndrome recovered their menstrual periods. Others reached adequate endometrial thickness and regular menstruation cycles and were able to get pregnant right after that. In this study, the authors compared some types of stem cells and could observe endometrial regeneration in most of the cases.
Thus, stem cells therapy has become a new method of treatment for the regenerative medicine, and more specifically, for the regeneration of endometrial diseases with Asherman syndrome and thin endometrium. However, stem cells transplant for Asherman syndrome is far from being common [46].
The biggest challenge for the treatment of Asherman syndrome is to prevent the recurrence of adhesions after the early treatment, which reaches 66% [46]. The treatment is defined by time. There are studies that evaluated the post-operative period comparing the use of intrauterine device (IUD) with intrauterine balloon catheter, Foley catheter, hormonal treatment and barriers such as amniotic membranes. The results are conflicting.
For instance, the copper IUD can provoke inflammation and is contraindicated [44]. Similarly, the hormone IUD have a small surface that limits its capacity to keep the endometrial cavity walls separated during healing [39]. The risk of infection after the insertion of an IUD after surgical resection of intrauterine adhesions is about 8% [44].
The placement of a Foley catheter with an IUD was assessed as a possible adjuvant treatment to prevent the formation of synechiae after hysteroscopy. The authors concluded that the Foley catheter placed one week and a half after adhesiolysis showed 81% success rate while the group which placed an IUD twelve weeks after the adhesiolysis showed 62% success rate [48]. The use of intrauterine hyaluronic gel after hysteroscopic treatment reduces adhesions recurrence [48], but further studies are needed for its incorporation into the treatment [44, 45].
Platelet-rich plasma (PRP) is a form of treatment for intrauterine adhesions after operative hysteroscopy and may be a substitute for the intrauterine balloon. However, randomized controlled trials with large sample sizes are warranted to further confirm the conclusions to compare the efficacy of intrauterine infusions of PRP with intrauterine balloons applied immediately after transcervical resection of the adhesions by hysteroscopy [49].
Clinical treatment with drugs such as aspirin, sildenafil and nitroglycerin have been done to increase endometrial blood flow in an attempt of stimulate cell regeneration. Successful pregnancies were reported after using them. However, more robust and well designed studies are required to confirm it [44].
Hormonal therapy with post-operative estrogen was not standardized in terms of dose, duration, route of administration or a combination with progesterone, Data about its efficacy are limited [44]. The American Association of Gynecologic Laparoscopists (AAGL) guidelines recommend hormonal therapy with estrogen after adhesiolysis, but there is no definition for dose or standard regimen [46]. The combination of this and adjuvant treatments is necessary for a maximum effect on patients with mild to severe adhesions.
As for the therapy with antibiotics, there is a lack of studies addressing the risks and benefits of those before, during and after surgical lysis of intrauterine adhesions. The American College of Obstetrics and Gynecology (ACOG) does not recommend the routine use of antibiotics with this objective [44, 46].
Hysteroscopic adhesiolysis cure infertility in mild, moderate and severe IUA in around 90, 70 and 30%, respectively [50]. Gestational surrogacy remains an alternative for those patients with intrauterine adhesions that stay infertile [51].
Adenomyosis is a benign uterine pathology known by the invasion of glandular endometrial tissue and myometrial stromal tissue which leads to disorders in the myometrial natural architecture [52].
There are some theories explaining the emergence of adenomyosis. The theory of tissue injury and repair (TIAR) as the main mechanism of myometrial invasion has been the most accepted hypothesis. Chronic peristaltic myometrial contractions can lead to micro lesions close to the endometrial-myometrial junction causing inflammation which in turn leads to an increase in local production of estrogen inducing a vicious cycle. Thus, the TIAR theory highlights the importance of tissue damages to the endometrial-myometrial interface supporting the common knowledge that the adenomyosis is associated with multiple births, previous cesarean section and previous uterine surgery [53]. However, it is known that there is a considerable number of macrophages in the ectopic endometrium of patients with endometriosis, fibroids and adenomyosis. Therefore, the potential for embryo implantation can be affected by adenomyosis [54]. This increase in the number of macrophages induced by adenomyosis can cause a hostile immunologic environment for embryos transferred during the implantation process. The interleukin-1 alpha tumor necrosis factor as well as reactive oxygen and nitrogen species are potentially toxic for embryos. It was demonstrated that an increased level of nitric oxygen is related to an adverse development of embryos and low pregnancy rates in the endometrial environment in patients with adenomyosis. Besides that, endometrial biopsies taken from adenomyosis showed that this tissue is composed of a high quantity of antioxidant enzymes as superoxide dismutase, catalase and glutathione peroxidase which are clear signs of oxidative stress caused by excessive ROS production [55].
Other risk factors are age over 40 years, multiple births, previous cesarean sections or other uterine surgeries. The disease is often diagnosed in young and infertile women or those with pain or abnormal uterine bleeding, or both [56].
Adenomyosis is associated with a great variety of symptoms. The common symptoms include pelvic pain (as dysmenorrhea, dyspareunia or chronic pelvic pain), abnormal uterine bleeding and impaired reproductive potential or even infertility itself. However, it is important to observe that 30% of women with adenomyosis have no symptoms [57]. In infertile women with adenomyosis, the topic endometrium shows a great variety of molecular alterations causing altered receptivity. That includes the alteration in the sexual steroid hormone via, increase of inflammatory markers and oxidative stress, decrease on the implantation markers expression, lack of adhesion molecular expression and altered gene function for the embryo development. Not only fertility outcomes are affected, but also pregnancy outcomes [58]. These include premature birth, premature rupture of membranes, postpartum hemorrhage, abnormal fetal presentation, increase on the risk of abortion in the second trimester and abnormal placental position [57].
The diagnosis can be done after case history, clinical evaluation and image assessment with 2D/3D transvaginal ultrasound or magnetic resonance [52]. The transvaginal ultrasound for its facility of access and low cost in relation to other types of screenings has become a very useful tool to the diagnosis. Several ultrasographic criteria have been used to the adenomyosis diagnosis, including uterine size increase, anterior and posterior uterine walls thickness asymmetry, presence of heterogeneous myometrial areas, presence of myometrial anechoic areas, presence of sub endometrial echogenic striations, sub endometrial echogenic nodules, irregular endometrial-myometrial interface, poor definition and thickness of the junctional zone [57].
A meta-analysis about ultrasound accuracy in the diagnosis of adenomyosis demonstrated 82.5% sensitivity (95% CI), 77.5–87.9) and 84.6% specificity (95% CI, 79.8–89.8) with 4.7 positive likelihood ratio (3.1–7.0) and 0.26 negative likelihood ratio (0.18–0.39) which is comparable to the magnetic resonance [59].
The magnetic resonance is a precise and non-invasive technique used to the diagnostic of adenomyosis [60]. Its sensitivity and specificity in this diagnostic range from 88–93% and 67–91%, respectively [57]. The diagnosis of adenomyosis by magnetic resonance is essentially related to junctional zone characteristics, but can also include direct and indirect signs of endometrial glands inside the myometrium and smooth muscle cells hypertrophy [61, 62].
Clinical pregnancy, implantation, and ongoing pregnancy rates were significantly higher in women undergoing frozen embryo transfer after long-term GnRH-analog therapy compared to those not pretreated with GnRH-analog [63].
Tremellen et al. reported that hypothalamic–pituitary- ovarian axis suppression therapy with GnRH agonist can produce a significant decrease in the number of endometrial macrophages, presumably interfering with the estradiol-mediated recruitment of macrophages to the endometrium and a subsequent normalization of embryo implantation rates [64]. Wang et al. showed that patients with normal ovarian reserve who underwent IVF/ICSI, adenomyosis seemed to negatively affect IVF/ICSI outcomes after a long GnRH agonist protocol (subcutaneous administration of short acting GnRH agonist on the dosage of 0.1 mg/day, for 10 days followed by 0.05 mg/day until the day of hCG injection which was started in the mid-luteal phase of the previous cycle), but patients with adenomyosis following an ultra-long GnRH-agonist protocol could experience stronger pituitary inhibition and lower ovarian responses but still could have a better IVF/ICSI outcomes. Ultra-long GnRH agonist protocol was considered the use of a depot injection of the long-acting GnRH agonist, triptorelin acetate (triptorelin) 3.75 mg, intramuscularly, every 28 days for at least 3 months before starting ovarian stimulation [65]. This therapy may produce a window of time with improved implantation rates [66].
The use of a levonorgestrel-releasing intrauterine device, danazol, or aromatase inhibitors may temporarily induce regression of adenomyosis and oral contraceptive pills, high-dose progestins, and selective progesterone receptor modulators can temporarily improve its symptoms, but these are not used in fertility treatments [66].
Patients with adenomyosis present a higher number of uterine contractions. Oxytocin (OT), a nonapeptide synthesized by neurons of the supraoptic nucleus and released from the posterior pituitary gland, has diverse effects on the female reproductive system. It is known to be a factor causing uterine contractions. It has also been shown in animal models that endometrial cells contain oxytocin receptors (OTRs) and that OT has the capacity to trigger the production of prostaglandin (PG) F2a from these cells. Atosiban, an OTR antagonist, treatment before ET in endometriosis is effective in the priming of the uterus, suitable for embryo implantation [67]. Since uterine contractions in IVF cycles are significantly increased following ovarian stimulation and women with frequent uterine contractions have a lower pregnancy rate, the use of atosiban around embryo transfer may resulted in higher pregnancy rates in women with RIF and adenomyosis. According to Hung Yu et al., the use of atosiban around embryo transfer did not improve the live birth rate in a general population of IVF patients [68].
Hydrosalpinx refers to a condition in which the fallopian tube is filled with fluids following infundibulum obstruction. It is a common condition among infertile women with 10–13% diagnosis rate after ultrasound scan. These numbers can be increased when other diagnostic methods such as hysterosalpingography or laparoscopy are used [69].
Perhaps the real cause for the implantation failure is not known, but studies suggest a decrease in live births rates in patients with hydrosalpinx [70].
The theories regarding hydrosalpinx and implantation failure are about a possible embryo toxicity, changes in the endometrium quality or even embryos washout mechanical effect [71].
The endometrial involvement secondary to hydrosalpinx is related to the presence of fluid inside the uterine cavity, altered endometrial flow, altered in inhibiting factors and increase in the inflammatory response. Besides the endometrial changes and a possible embryo toxicity, the implantation failure can be related to a negative effect on sperm motility and survival.
A history of ectopic pregnancy, pelvic inflammatory disease, endometriosis or previous pelvic surgery increase the suspect of infertility by tubal factors [72]. For patients without risk factors, a negative antibody test for chlamydia indicates that there is less than 15% chance of tubal pathologies [73]. For an accurate diagnosis and an effective treatment of the tubal blockage it is necessary to do exams as the hysterosalpingography (HSG) which uses water or lipids soluble contrast medium. It is a golden standard method to evaluate tubal permeability and can bring some therapeutic benefits. The HSG can document tubal blockage in proximal and distal sites, show salpingitis isthmic nodosa, reveal fimbrial phimosis or peri tubal adhesions [74]. The HSG positive and negative predictive factors are 38% and 94%, respectively [75].
The laparoscopy with chromotubation with methylene blue test (dye test) injected thorough the cervix can demonstrate tubal permeability, proximal or distal tubal occlusion. This surgical route can also identify and correct peritoneal and tubal factors such as fimbriae or peri tubal adhesions which cannot be seen with less invasive methods as the HSG [74].
The techniques used for the treatment of hydrosalpinx are many: laparoscopy or laparotomy for salpingectomy, salpingostomy or even uterine proximal occlusion.
A meta-analysis published in 2020 evaluated the effect of hydrosalpinx on the pregnancy rates, compared different types of treatment and the impact on the ovarian reserve after treatment for hydrosalpinx [70]. They reviewed 17 studies and observed that the hydrosalpinx was associated with a significant decrease in the implantation rate with embryo transfer with 0.41 OR [0.32–0.53]. Besides that, the clinical pregnancy rate per subject and per transference significantly decreased in women with hydrosalpinx (OR = 0.54; [0.32–0.89] and 0.44 [0.27–0.73], respectively) [70].
The hydrosalpinx removal with salpingectomy leads to an improvement of in vitro fertilization outcomes in comparison with no treatment, which turns it into a golden standard management before IVF. This evidence is replicated in other studies, such as Palagiano et al., where the pregnancy rates in patients with hydrosalpinx is lower than the control group [69]. There were negative effects either in fresh or frozen embryo transfers. An increase of two or threefold in abortions in women with hydrosalpinx was observed.
The hydrosalpinx mechanism action is still uncertain. Studies show a negative impact in IVF treatment outcomes, including a decrease in implantation rates, clinical pregnancy and in course pregnancies. Besides that, they show a risk of miscarriages (1.68 OR) and ectopic pregnancy (3.48 OR), according to Capmas et al. [70]. The salpingectomy is the treatment that increases success rate and prevents secondary aggressive factors. According to some authors, it is considered a golden standard. But it can be related to a decrease in the Anti-Mullerian Hormone average of 0.99 ng/ml, as shown the meta-analysis by Capmas et al. [70].
The recurrent implantation failure is a complex clinical condition with a wide variety of etiologies. Its criteria are not still well defined. Despite the lack of consensus, studies strongly show that anatomical factors affecting the uterine cavity contribute to implantation failure. Most of these factors are treatable, though.
Each patient approach must be individualized and offered to women with adequate RIF investigations to eliminate the possibility of all structural causes. The lack of success of an IVF can be devastating for some couples.
Uterine pathologies such as fibroids, adenomyosis, endometrial polyp, congenital abnormalities and synechiae must be considered in the diagnosis of RIF and must be excluded using image exams. Hydrosalpinx is known as a factor for implantation failure and a laparoscopy with salpingectomy or uterine proximal occlusion must be offered as a therapy option.
Even after more than 40 years of IVF procedures worldwide, the causes of RIF remain challenging and controversial. It is necessary to establish a consensus about diagnosis and therapeutic approaches to reduce expensive treatments which are not efficient and are time-consuming for infertile patients.
“The authors declare no conflict of interest.”
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",metaTitle:"Waiver Policy",metaDescription:"We feel that financial barriers should never prevent researchers from publishing their research. With the need to make scientific research more publically available and support the benefits of Open Access, more institutions and funders have dedicated funds to assist their faculty members and researchers cover the APCs associated with publishing in Open Access. Below we have outlined several options available to secure financing for your Open Access publication.",metaKeywords:null,canonicalURL:"/page/waiver-policy",contentRaw:'[{"type":"htmlEditorComponent","content":"At IntechOpen, the majority of OAPFs are paid by an Author’s institution or funding agency - Institutions (73%) vs. Authors (23%).
\\n\\nThe first step in obtaining funds for your Open Access publication begins with your institution or library. IntechOpen’s publishing standards align with most institutional funding programs. Our advice is to petition your institution for help in financing your Open Access publication.
\\n\\nHowever, as Open Access becomes a more commonly used publishing option for the dissemination of scientific and scholarly content, in addition to institutions, there are a growing number of funders who allow the use of grants for covering OA publication costs, or have established separate funds for the same purpose.
\\n\\nPlease consult our Open Access Funding page to explore some of these funding opportunities and learn more about how you could finance your IntechOpen publication. Keep in mind that this list is not definitive, and while we are constantly updating and informing our Authors of new funding opportunities, we recommend that you always check with your institution first.
\\n\\nFor Authors who are unable to obtain funding from their institution or research funding bodies and still need help in covering publication costs, IntechOpen offers the possibility of applying for a Waiver.
\\n\\nOur mission is to support Authors in publishing their research and making an impact within the scientific community. Currently, 14% of Authors receive full waivers and 6% receive partial waivers.
\\n\\nWhile providing support and advice to all our international Authors, waiver priority will be given to those Authors who reside in countries that are classified by the World Bank as low-income economies. In this way, we can help ensure that the scientific work being carried out can make an impact within the worldwide scientific community, no matter where an Author might live.
\\n\\nThe application process is open after your submitted manuscript has been accepted for publication. To apply, please fill out a Waiver Request Form and send it to your Author Service Manager. If you have an official letter from your university or institution showing that funds for your OA publication are unavailable, please attach that as well. The Waiver Request will normally be addressed within one week from the application date. All chapters that receive waivers or partial waivers will be designated as such online.
\\n\\nDownload Waiver Request Form
\\n\\nFeel free to contact us at funders@intechopen.com if you have any questions about Funding options or our Waiver program. If you have already begun the process and require further assistance, please contact your Author Service Manager, who is there to assist you!
\\n\\nNote: All data represented above was collected by IntechOpen from 2013 to 2017.
\\n"}]'},components:[{type:"htmlEditorComponent",content:'At IntechOpen, the majority of OAPFs are paid by an Author’s institution or funding agency - Institutions (73%) vs. Authors (23%).
\n\nThe first step in obtaining funds for your Open Access publication begins with your institution or library. IntechOpen’s publishing standards align with most institutional funding programs. Our advice is to petition your institution for help in financing your Open Access publication.
\n\nHowever, as Open Access becomes a more commonly used publishing option for the dissemination of scientific and scholarly content, in addition to institutions, there are a growing number of funders who allow the use of grants for covering OA publication costs, or have established separate funds for the same purpose.
\n\nPlease consult our Open Access Funding page to explore some of these funding opportunities and learn more about how you could finance your IntechOpen publication. Keep in mind that this list is not definitive, and while we are constantly updating and informing our Authors of new funding opportunities, we recommend that you always check with your institution first.
\n\nFor Authors who are unable to obtain funding from their institution or research funding bodies and still need help in covering publication costs, IntechOpen offers the possibility of applying for a Waiver.
\n\nOur mission is to support Authors in publishing their research and making an impact within the scientific community. Currently, 14% of Authors receive full waivers and 6% receive partial waivers.
\n\nWhile providing support and advice to all our international Authors, waiver priority will be given to those Authors who reside in countries that are classified by the World Bank as low-income economies. In this way, we can help ensure that the scientific work being carried out can make an impact within the worldwide scientific community, no matter where an Author might live.
\n\nThe application process is open after your submitted manuscript has been accepted for publication. To apply, please fill out a Waiver Request Form and send it to your Author Service Manager. If you have an official letter from your university or institution showing that funds for your OA publication are unavailable, please attach that as well. The Waiver Request will normally be addressed within one week from the application date. All chapters that receive waivers or partial waivers will be designated as such online.
\n\nDownload Waiver Request Form
\n\nFeel free to contact us at funders@intechopen.com if you have any questions about Funding options or our Waiver program. If you have already begun the process and require further assistance, please contact your Author Service Manager, who is there to assist you!
\n\nNote: All data represented above was collected by IntechOpen from 2013 to 2017.
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Sharma",authors:[{id:"62989",title:"Dr.",name:"Sidharth",middleName:null,surname:"Mehan",slug:"sidharth-mehan",fullName:"Sidharth Mehan"}]},{id:"49165",doi:"10.5772/61211",title:"Principles of Cancer Immunobiology and Immunotherapy of Solid Tumors",slug:"principles-of-cancer-immunobiology-and-immunotherapy-of-solid-tumors",totalDownloads:2394,totalCrossrefCites:3,totalDimensionsCites:6,abstract:"The immune system and cancer coexist in close relationship which is an indispensable part of the processes of tumorigenesis, tumor growth, and metastatic spread. The elucidation and understanding of this continuous process could provide opportunities to develop strategies to impact the prognosis, and eventually to improve the cancer treatment process. Such strategies have been already implicated and proven efficient in the treatment of several tumor localizations such as malignant melanoma, lung and renal cancer. The present publication reviews the principles of cancer-related immune response, types and mechanisms of immune response and suppression, immunotherapy of solid tumors. We also discuss the pathways and the signaling molecules, participating in those immune response/suppression processes, turning them into potential targets and their actual and potential future role in the management of solid tumors. 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Immunosuppressed patients very often are affected with nosocomial infections in hospitals, and with infections in the society. The defense from viral diseases depends mainly on the immune system. When there is immune deficiency, the illness is taking severely longer and has complicated outcome. Usually immunocompromised individuals have one or more defects in the defensive mechanisms and leading cause of death is infection.The viruses taking part in this process are Epstein Barr virus (EBV), Cytomegalovius (CMV), Herpes simplex viruses (HSV1, HSV2), Varicella zoster virus (VZV), Hepatitis B virus (HBV), Hepatitis C virus (HCV), and Human Polyomaviruses (BKV, JC). Many viruses (HIV, CMV, EBV) are depressing the immune resistance and are leading to co-infections with other microbial agents. Some viruses (HSV1/2, HPV, CMV, EBV, BKV, JC) are at latent condition in the infected persons for life. They become activated when decline in the immunity occurs, leading to serious illnesses. For this reason, accurate screening and prompt and precise diagnosis can be performed to prevent exacerbation of diseases and provide appropriate treatment.",book:{id:"4587",slug:"immunopathology-and-immunomodulation",title:"Immunopathology and Immunomodulation",fullTitle:"Immunopathology and Immunomodulation"},signatures:"Liliya Ivanova, Denitza Tsaneva, Zhivka Stoykova and Tcvetelina\nKostadinova",authors:[{id:"175570",title:"Dr.",name:"Liliya",middleName:null,surname:"Ivanova",slug:"liliya-ivanova",fullName:"Liliya Ivanova"},{id:"176475",title:"Dr.",name:"Tcvetelina",middleName:null,surname:"Kostadinova",slug:"tcvetelina-kostadinova",fullName:"Tcvetelina Kostadinova"},{id:"176752",title:"Dr.",name:"Denitza",middleName:null,surname:"Tzaneva",slug:"denitza-tzaneva",fullName:"Denitza Tzaneva"},{id:"177617",title:"Dr.",name:"Zhivka",middleName:null,surname:"Stoykova",slug:"zhivka-stoykova",fullName:"Zhivka Stoykova"}]},{id:"49169",doi:"10.5772/61326",title:"Platelet-rich Plasma (PRP) in Orthopedics and Traumatology — Review",slug:"platelet-rich-plasma-prp-in-orthopedics-and-traumatology-review",totalDownloads:2490,totalCrossrefCites:3,totalDimensionsCites:5,abstract:"In the last few years various methods are being applied in the use of platelet-rich plasma (PRP) during treatment in different orthopedic disease and sports trauma. They allow improvement of local biological condition and regeneration of different types of tissues. PRP is a modern treatment strategy with worldwide recognition. There is a high concentration of platelet growth factors in small amounts of plasma. PRP and its various forms have become one of the best methods to support the healing process of various tissues. PRP is used in regenerative medicine, because it provides two of three components (growth factors and scaffolds) necessary for complete tissue regeneration. The particular reason for the appearance of lesions is important in order to select an appropriate treatment method and technical application. Main indications are acute and chronic wounds, pseudarthrosis, ligament and muscle injuries, some tendinopathies, osteoarthritis, chondral injuries.",book:{id:"4587",slug:"immunopathology-and-immunomodulation",title:"Immunopathology and Immunomodulation",fullTitle:"Immunopathology and Immunomodulation"},signatures:"Pencho Kossev and Tsvetan Sokolov",authors:[{id:"175492",title:"Dr.",name:"Tsvetan",middleName:null,surname:"Sokolov",slug:"tsvetan-sokolov",fullName:"Tsvetan Sokolov"}]},{id:"49383",doi:"10.5772/61337",title:"Probiotics and Immunity",slug:"probiotics-and-immunity",totalDownloads:2492,totalCrossrefCites:2,totalDimensionsCites:5,abstract:"Probiotics are “living microorganisms” which exert a prophylactic and therapeutic effect by improving the internal microbial balance. Probiotics play a role in defining and maintaining the delicate balance between necessary and excessive defence mechanisms including innate and adaptive immune responses. The beneficial effects of probiotics have been demonstrated in many diseases.",book:{id:"4587",slug:"immunopathology-and-immunomodulation",title:"Immunopathology and Immunomodulation",fullTitle:"Immunopathology and Immunomodulation"},signatures:"Marieta Georgieva, Kaloyan Georgiev and Peter Dobromirov",authors:[{id:"175562",title:"Dr.",name:"Kaloyan",middleName:"D.",surname:"Georgiev",slug:"kaloyan-georgiev",fullName:"Kaloyan Georgiev"},{id:"175564",title:"Dr.",name:"Marieta",middleName:null,surname:"Georgieva",slug:"marieta-georgieva",fullName:"Marieta Georgieva"},{id:"179750",title:"Dr.",name:"Peter",middleName:null,surname:"Dobromirov",slug:"peter-dobromirov",fullName:"Peter Dobromirov"}]}],mostDownloadedChaptersLast30Days:[{id:"48875",title:"Bruton’s Disease",slug:"bruton-s-disease",totalDownloads:2265,totalCrossrefCites:0,totalDimensionsCites:0,abstract:"Bruton’s disease, in other terms X-linked agammaglobulinemia (XLA), is the first reported primary immunodeficiency in 1952, caused by a single genetic defect. The development of B cell is under control of signals transmitted by the B-cell antigen receptor (BCR) complex. Lyn, Syk, and Bruton’s tyrosine kinase (BTK) are cytoplasmic protein tyrosine kinases. XLA is caused by mutations in the Btk gene, and Btk mutations are responsible for 85% of all antibody deficiencies. Btk mutation interrupts the B-cell development at the pre-B-cell stage, resulting in the absence of B lymphocytes and plasma cells in peripheral blood and peripheral lymphoid tissues. Up till now, 380 unique mutations have been identified. Autosomal recessive forms of agammaglobulinemia also result in B-cell defects, but more severe bacterial infections are seen in XLA patients due to absolute block in early B-cell development. 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It plays a pivotal role in inducing immune response against a number of pathogens, various diseases conditions including pathogenesis of cancer. Inflammation is often associated with the development and progression of most of cancer, where TLRs interplay very crucial roles. Moreover, TLRs activation can impact the initiation, progression and treatment of cancer by modulating the inflammatory microenvironment. Rapidly growing number of evidences related to TLRs function and expression in cancer cells, suggests its critical association with chemoresistance and tumourigenesis. The current chapter describes the development of various agonist and antagosist for TLRs and their application in cancer therapeutics. The aim of this book chapter is to highlights basic features of TLRs, and its role in cancer progression. It also addresses, how a defect in the TLRs signaling pathway can contributes towards carcinogenesis and recent development of cancer therapeutics that target TLR signaling pathways.",book:{id:"8564",slug:"cell-interaction-molecular-and-immunological-basis-for-disease-management",title:"Cell Interaction",fullTitle:"Cell Interaction - Molecular and Immunological Basis for Disease Management"},signatures:"Shyam Babu Prasad and Rahul Kumar",authors:[{id:"254590",title:"Dr.",name:"Shyam Babu",middleName:null,surname:"Prasad",slug:"shyam-babu-prasad",fullName:"Shyam Babu Prasad"},{id:"331384",title:"Dr.",name:"Rahul",middleName:null,surname:"Kumar",slug:"rahul-kumar",fullName:"Rahul Kumar"}]}],onlineFirstChaptersFilter:{topicId:"1039",limit:6,offset:0},onlineFirstChaptersCollection:[],onlineFirstChaptersTotal:0},preDownload:{success:null,errors:{}},subscriptionForm:{success:null,errors:{}},aboutIntechopen:{},privacyPolicy:{},peerReviewing:{},howOpenAccessPublishingWithIntechopenWorks:{},sponsorshipBooks:{sponsorshipBooks:[],offset:8,limit:8,total:0},allSeries:{pteSeriesList:[{id:"14",title:"Artificial Intelligence",numberOfPublishedBooks:9,numberOfPublishedChapters:87,numberOfOpenTopics:6,numberOfUpcomingTopics:0,issn:"2633-1403",doi:"10.5772/intechopen.79920",isOpenForSubmission:!0},{id:"7",title:"Biomedical Engineering",numberOfPublishedBooks:12,numberOfPublishedChapters:99,numberOfOpenTopics:3,numberOfUpcomingTopics:0,issn:"2631-5343",doi:"10.5772/intechopen.71985",isOpenForSubmission:!0}],lsSeriesList:[{id:"11",title:"Biochemistry",numberOfPublishedBooks:27,numberOfPublishedChapters:289,numberOfOpenTopics:4,numberOfUpcomingTopics:0,issn:"2632-0983",doi:"10.5772/intechopen.72877",isOpenForSubmission:!0},{id:"25",title:"Environmental Sciences",numberOfPublishedBooks:1,numberOfPublishedChapters:9,numberOfOpenTopics:4,numberOfUpcomingTopics:0,issn:"2754-6713",doi:"10.5772/intechopen.100362",isOpenForSubmission:!0},{id:"10",title:"Physiology",numberOfPublishedBooks:11,numberOfPublishedChapters:139,numberOfOpenTopics:4,numberOfUpcomingTopics:0,issn:"2631-8261",doi:"10.5772/intechopen.72796",isOpenForSubmission:!0}],hsSeriesList:[{id:"3",title:"Dentistry",numberOfPublishedBooks:8,numberOfPublishedChapters:129,numberOfOpenTopics:0,numberOfUpcomingTopics:2,issn:"2631-6218",doi:"10.5772/intechopen.71199",isOpenForSubmission:!1},{id:"6",title:"Infectious Diseases",numberOfPublishedBooks:13,numberOfPublishedChapters:108,numberOfOpenTopics:3,numberOfUpcomingTopics:1,issn:"2631-6188",doi:"10.5772/intechopen.71852",isOpenForSubmission:!0},{id:"13",title:"Veterinary Medicine and Science",numberOfPublishedBooks:11,numberOfPublishedChapters:104,numberOfOpenTopics:3,numberOfUpcomingTopics:0,issn:"2632-0517",doi:"10.5772/intechopen.73681",isOpenForSubmission:!0}],sshSeriesList:[{id:"22",title:"Business, Management and Economics",numberOfPublishedBooks:1,numberOfPublishedChapters:12,numberOfOpenTopics:2,numberOfUpcomingTopics:1,issn:"2753-894X",doi:"10.5772/intechopen.100359",isOpenForSubmission:!0},{id:"23",title:"Education and Human Development",numberOfPublishedBooks:0,numberOfPublishedChapters:0,numberOfOpenTopics:2,numberOfUpcomingTopics:0,issn:null,doi:"10.5772/intechopen.100360",isOpenForSubmission:!1},{id:"24",title:"Sustainable Development",numberOfPublishedBooks:0,numberOfPublishedChapters:12,numberOfOpenTopics:4,numberOfUpcomingTopics:1,issn:null,doi:"10.5772/intechopen.100361",isOpenForSubmission:!0}],testimonialsList:[{id:"6",text:"It is great to work with the IntechOpen to produce a worthwhile collection of research that also becomes a great educational resource and guide for future research endeavors.",author:{id:"259298",name:"Edward",surname:"Narayan",institutionString:null,profilePictureURL:"https://mts.intechopen.com/storage/users/259298/images/system/259298.jpeg",slug:"edward-narayan",institution:{id:"3",name:"University of Queensland",country:{id:null,name:"Australia"}}}},{id:"13",text:"The collaboration with and support of the technical staff of IntechOpen is fantastic. 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Much of biochemistry is devoted to enzymes, proteins that catalyze chemical reactions, enzyme structures, mechanisms of action and their roles within cells. Biochemistry also studies small signaling molecules, coenzymes, inhibitors, vitamins, and hormones, which play roles in life processes. Biochemical experimentation, besides coopting classical chemistry methods, e.g., chromatography, adopted new techniques, e.g., X-ray diffraction, electron microscopy, NMR, radioisotopes, and developed sophisticated microbial genetic tools, e.g., auxotroph mutants and their revertants, fermentation, etc. More recently, biochemistry embraced the ‘big data’ omics systems. Initial biochemical studies have been exclusively analytic: dissecting, purifying, and examining individual components of a biological system; in the apt words of Efraim Racker (1913 –1991), “Don’t waste clean thinking on dirty enzymes.” Today, however, biochemistry is becoming more agglomerative and comprehensive, setting out to integrate and describe entirely particular biological systems. The ‘big data’ metabolomics can define the complement of small molecules, e.g., in a soil or biofilm sample; proteomics can distinguish all the comprising proteins, e.g., serum; metagenomics can identify all the genes in a complex environment, e.g., the bovine rumen. 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Dr. Blumenberg’s research is focused on the epidermis, expression of keratin genes, transcription profiling, keratinocyte differentiation, inflammatory diseases and cancers, and most recently the effects of the microbiome on the skin. He has published more than 100 peer-reviewed research articles and graduated numerous Ph.D. and postdoctoral students.",institutionString:null,institution:{name:"New York University Langone Medical Center",institutionURL:null,country:{name:"United States of America"}}},editorTwo:null,editorThree:null},subseries:{paginationCount:4,paginationItems:[{id:"14",title:"Cell and Molecular Biology",coverUrl:"https://cdn.intechopen.com/series_topics/covers/14.jpg",isOpenForSubmission:!0,editor:{id:"165627",title:"Dr.",name:"Rosa María",middleName:null,surname:"Martínez-Espinosa",slug:"rosa-maria-martinez-espinosa",fullName:"Rosa María Martínez-Espinosa",profilePictureURL:"https://mts.intechopen.com/storage/users/165627/images/system/165627.jpeg",biography:"Dr. Rosa María Martínez-Espinosa has been a Spanish Full Professor since 2020 (Biochemistry and Molecular Biology) and is currently Vice-President of International Relations and Cooperation development and leader of the research group 'Applied Biochemistry” (University of Alicante, Spain). Other positions she has held at the university include Vice-Dean of Master Programs, Vice-Dean of the Degree in Biology and Vice-Dean for Mobility and Enterprise and Engagement at the Faculty of Science (University of Alicante). She received her Bachelor in Biology in 1998 (University of Alicante) and her PhD in 2003 (Biochemistry, University of Alicante). She undertook post-doctoral research at the University of East Anglia (Norwich, U.K. 2004-2005; 2007-2008).\nHer multidisciplinary research focuses on investigating archaea and their potential applications in biotechnology. She has an H-index of 21. She has authored one patent and has published more than 70 indexed papers and around 60 book chapters.\nShe has contributed to more than 150 national and international meetings during the last 15 years. Her research interests include archaea metabolism, enzymes purification and characterization, gene regulation, carotenoids and bioplastics production, antioxidant\ncompounds, waste water treatments, and brines bioremediation.\nRosa María’s other roles include editorial board member for several journals related\nto biochemistry, reviewer for more than 60 journals (biochemistry, molecular biology, biotechnology, chemistry and microbiology) and president of several organizing committees in international meetings related to the N-cycle or respiratory processes.",institutionString:null,institution:{name:"University of Alicante",institutionURL:null,country:{name:"Spain"}}},editorTwo:null,editorThree:null},{id:"15",title:"Chemical Biology",coverUrl:"https://cdn.intechopen.com/series_topics/covers/15.jpg",isOpenForSubmission:!0,editor:{id:"441442",title:"Dr.",name:"Şükrü",middleName:null,surname:"Beydemir",slug:"sukru-beydemir",fullName:"Şükrü Beydemir",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0033Y00003GsUoIQAV/Profile_Picture_1634557147521",biography:"Dr. Şükrü Beydemir obtained a BSc in Chemistry in 1995 from Yüzüncü Yıl University, MSc in Biochemistry in 1998, and PhD in Biochemistry in 2002 from Atatürk University, Turkey. He performed post-doctoral studies at Max-Planck Institute, Germany, and University of Florence, Italy in addition to making several scientific visits abroad. He currently works as a Full Professor of Biochemistry in the Faculty of Pharmacy, Anadolu University, Turkey. Dr. Beydemir has published over a hundred scientific papers spanning protein biochemistry, enzymology and medicinal chemistry, reviews, book chapters and presented several conferences to scientists worldwide. He has received numerous publication awards from various international scientific councils. He serves in the Editorial Board of several international journals. Dr. Beydemir is also Rector of Bilecik Şeyh Edebali University, Turkey.",institutionString:null,institution:{name:"Anadolu University",institutionURL:null,country:{name:"Turkey"}}},editorTwo:{id:"13652",title:"Prof.",name:"Deniz",middleName:null,surname:"Ekinci",slug:"deniz-ekinci",fullName:"Deniz Ekinci",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002aYLT1QAO/Profile_Picture_1634557223079",biography:"Dr. Deniz Ekinci obtained a BSc in Chemistry in 2004, MSc in Biochemistry in 2006, and PhD in Biochemistry in 2009 from Atatürk University, Turkey. He studied at Stetson University, USA, in 2007-2008 and at the Max Planck Institute of Molecular Cell Biology and Genetics, Germany, in 2009-2010. Dr. Ekinci currently works as a Full Professor of Biochemistry in the Faculty of Agriculture and is the Head of the Enzyme and Microbial Biotechnology Division, Ondokuz Mayıs University, Turkey. He is a member of the Turkish Biochemical Society, American Chemical Society, and German Genetics society. Dr. Ekinci published around ninety scientific papers, reviews and book chapters, and presented several conferences to scientists. He has received numerous publication awards from several scientific councils. 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He worked on the structure-function relationships of glycoconjugates and his main project was the investigations on the biological roles of the de-N-glycosylation enzymes (Endo-N-acetyl-β-D-glucosaminidase and peptide-N4-(N-acetyl-β-glucosaminyl) asparagine amidase). From 2002 he contributes to the understanding of the Blood-brain barrier functioning using proteomics approaches. He has published more than 70 papers. 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Thus proteomics, an area of research that detects all protein forms expressed in an organism, including splice isoforms and post-translational modifications, is more suitable than genomics for a comprehensive understanding of the biochemical processes that govern life. The most common proteomics applications are currently in the clinical field for the identification, in a variety of biological matrices, of biomarkers for diagnosis and therapeutic intervention of disorders. From the comparison of proteomic profiles of control and disease or different physiological states, which may emerge, changes in protein expression can provide new insights into the roles played by some proteins in human pathologies. Understanding how proteins function and interact with each other is another goal of proteomics that makes this approach even more intriguing. Specialized technology and expertise are required to assess the proteome of any biological sample. Currently, proteomics relies mainly on mass spectrometry (MS) combined with electrophoretic (1 or 2-DE-MS) and/or chromatographic techniques (LC-MS/MS). MS is an excellent tool that has gained popularity in proteomics because of its ability to gather a complex body of information such as cataloging protein expression, identifying protein modification sites, and defining protein interactions. 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