| Original Article | |
| Effect of 5% Allogeneic Platelet-Rich Plasma Supplementation on GDF-9 and BMP-15 Secretion During the IVM of GV Oocytes From Women With PCOS: A Pilot Quasi-Experimental Study | |
| Tiara Kusumaningtyas1, Ita Fauzia Hanoum2, Rr Vicki Nuri Prijayanti2, Diany Ayu Suryaningtyas2, Naila Nabila Rahmani3, Annisa Nur Islahi3, Nabila Ramiza Puteri4, Anto Sawarno5, Intan Kusumaningtyas5, Berli Kusuma5, Dewi Kartikawati Paramita4, Djaswadi Dasuki6 | |
| 1Doctoral Program in Medicine and Health Science, Faculty of Medicine, Universitas Gadjah Mada, Indonesia 2Permata Hati Infertility Clinic, Reproductive Health Installation; Dr. Sardjito General Hospital; Yogyakarta, Indonesia 3Department of Biology, Faculty of Biology, Universitas Gadjah Mada, Indonesia 4Department of Histology and Cell Biology, Faculty of Medicine, Universitas Gadjah Mada, Indonesia 5Permata Hati Hospital; Lampung, Indonesia 6Department of Obstetrics and Gynecology, Faculty of Medicine, Universitas Gadjah Mada, Indonesia |
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IJWHR 2026; 14: 071-077 DOI: 10.15296/ijwhr.2026.9166 Viewed : 141 times Downloaded : 335 times. Keywords : Platelet-rich plasma, Growth differentiation factor 9, Bone morphogenetic protein 15, Polycystic ovary syndrome |
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| Abstract | |
Objectives: Polycystic ovary syndrome (PCOS) is associated with insulin resistance and impaired oocyte competence. In vitro maturation (IVM) is a viable alternative, and supplementation with platelet-rich plasma (PRP) may improve outcomes. However, previous studies have primarily focused on autologous PRP. This study aimed to evaluate the effect of 5% allogeneic PRP supplementation in IVM medium on oocyte maturation in women with PCOS, using growth differentiation factor-9 (GDF-9) and bone morphogenetic protein-15 (BMP-15) as surrogate biomolecular markers of oocyte maturation. Materials and Methods: This quasi-experimental study was conducted between 2024 and 2025. Immature germinal vesicle (GV)-stage oocytes (n=24) from patients with PCOS were allocated to either a non-PRP group (n=12 oocytes) cultured in standard G-IVF™ medium or a PRP group (n=12 oocytes) cultured in G-IVF™ supplemented with 5% allogeneic PRP. After 24 hours, GDF-9 and BMP-15 concentrations in the culture media were quantified using ELISA. Results: Post-IVM, GDF-9 and BMP-15 levels were significantly higher in the PRP group (1.036 ± 0.004 pg/mL and 0.888 ± 0.008 pg/mL, respectively) than in the non-PRP group (1.032 ± 0.003 pg/mL and 0.878 ± 0.004 pg/mL) (P = 0.020 and P = 0.001, respectively). Multivariate analysis confirmed that PRP supplementation was the only significant variable associated with increased GDF-9 (B=0.004, P = 0.047, R²=33.7%) and BMP-15 (B=0.012, P = 0.002, R²=50.7%) levels. Although the absolute changes were small (ΔGDF-9 = 0.004 pg/mL; ΔBMP-15 = 0.012 pg/mL), large effect sizes were observed (Cohen’s d = 1.13 and 1.58). Conclusions: Supplementing IVM medium with 5% allogeneic PRP was associated with increased GDF-9 and BMP-15 levels, which are considered surrogate biomarkers of oocyte maturation. |
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