체외수정술에서 난자의 공배양 시점에 따른 배아 발생능력의 비교

Comparison of Embryonic Developmental Capacity by different Co-culture Time of Oocytes in IVF-ET Cycles

  • 이현정 (경북대학교 산부인과학교실) ;
  • 박기상 (경북대학교 산부인과학교실) ;
  • 송해범 (대구대학교 축산학과) ;
  • 이택후 (경북대학교 산부인과학교실) ;
  • 조영래 (경북대학교 산부인과학교실) ;
  • 전상식 (경북대학교 산부인과학교실)
  • Lee, Hyun-Jung (Department of Obstetrics/Gynecology, Kyungpook National University Hospital) ;
  • Park, Kee-Sang (Department of Obstetrics/Gynecology, Kyungpook National University Hospital) ;
  • Song, Hai-Bum (Department of Animal Science, Taegu University) ;
  • Lee, Taek-Hoo (Department of Obstetrics/Gynecology, Kyungpook National University Hospital) ;
  • Cho, Young-Lae (Department of Obstetrics/Gynecology, Kyungpook National University Hospital) ;
  • Chun, Sang-Sik (Department of Obstetrics/Gynecology, Kyungpook National University Hospital)
  • 발행 : 2002.03.30

초록

Objective: To evaluate whether co-culture of oocytes on vero cell monolayers from Day 0 (Day 0 group) after egg retrieval results in an increase in developmental capacity such as fertilization rate, embryo quality, blastulation and clinical pregnancy rate compared with co-culture of oocytes from Day 1 (Day 1 group). Methods: Sperms were treated with Hams F-10 supplemented with 10% human follicular fluid (hFF). Vero cells for co-culture were prepared in TCM-199 with 10% FBS. Oocytes were co-cultured from Day 0 and fertilized oocytes were co-cultured from Day 1 on vero cell monolayers in DMEM with 10% and 20% hFF, respectively after egg retrieval. On day 1, 2 and 5, fertilization rate and grade of embryos and blastocysts were evaluated. Results (fertilization rate, cleavage rate, grade of embryos and blastocysts and pregnancy rate) were considered statistically significant when p value was less than 0.05 using t-test and $x^2$. Results: In sibling oocytes of same cycles, no differences were found in fertilization rate (94.6 vs. 91.4%), cleavage rates (94.6 vs. 91.4%), embryo grade (on day 2 and 3) and blastulation (65.6 vs. 57.0%) and their grade. In different oocytes of different cycles (patients), no differences were found in fertilization (79.8 vs. 78.3%), cleavage rates (77.7 vs. 76.4%) and blastulation (56.0 vs. 45.3%), but pregnancy rate was higher in the Day 0 group than in the Day 1 group (60.0 vs. 42.9%). Conclusions: This study revealed that the embryonic development capacities were not affected by the different co-culture time in the sibling oocytes of same cycles. Although no statistical significance, because of small size of study, there was a trend for higher pregnancy rates in Day 0 group compared to Day 1 group in different oocytes of different cycles.

키워드

참고문헌

  1. Bongso A, Ng SC, Sathananthan H, Ng PL, Rauff M, Tatnam SS. Improved quality of human embryos when co-cultured with human ampullary cell. Hum Reprod 1989; 4: 706-13 https://doi.org/10.1093/oxfordjournals.humrep.a136971
  2. Weimer KE, Cohen J, Amborski GF, et al. In vitro development and implantation of human embryos following culture on fetal bovine uterine fibroblast cells. Hum Reprod 1989; 4: 595-600 https://doi.org/10.1093/oxfordjournals.humrep.a136949
  3. Weimer KE, Cohen J, Wiker S, Malter H, Wright G, Godke RA. Coculture of human zygotes on fetal bovine uterine fibroblasts: embryonic morphology and implantation. Fertil Steri1 1989; 52: 503-8 https://doi.org/10.1016/S0015-0282(16)60926-3
  4. Schillaci R, Ciriminna R, Cefalu E. Vero cell effect on in vitro human blastocyst development: preliminary results. Hum Reprod 1994; 9: 1131-5 https://doi.org/10.1093/oxfordjournals.humrep.a138645
  5. Turner K, Lenton EA. The influence of vero cell culture on human embryo development and chorionic gonadotrophin production in vitro. Hum Reprod 1996; 11: 1966-74 https://doi.org/10.1093/oxfordjournals.humrep.a019526
  6. Park KS, Choi IK, Lee JS, Song HB. The effects of glutamine on blastulation of human embryos on vero cells in vitro. Kor J Fertil Steril 1998; 25: 65-70
  7. Park KS, Song HB, Chun SS. Late fertilization of unfertilized human oocytes in in vitro fertilization and intracytoplasmic sperm injection cycles: conventional insemination versus ICSI. J Assist Reprod Genet 2000; 17: 419-24 https://doi.org/10.1023/A:1009409100941
  8. Park KS, Lee TH, Choi IK, Song HB, Chun SS. Comparison of blastulation and pregnancy rates of fertilized human oocytes obtained after conventional in vitro fertilization and intracytoplasmic sperm injection. J Mamm Ova Res 2000; 17: 51-7 https://doi.org/10.1274/jmor.17.51
  9. Chun SS, Park KS. Birth of a healthy infant after in vitro fertilization and embryo transfer in patient of total uterine prolapse. J Assist Reprod Genet 2001; 18: 346-8 https://doi.org/10.1023/A:1016676403705
  10. Veeck LL. Preembryo grading: In Atlas of the human oocyte and early conceptus. Vol 2, Baltimore, Williams and Wilkins, 121-4
  11. World Health Organization. Laboratory manual for the examination of human semen and sperm cervical mucus interaction. 3rd ed., Cambridge, Cambridge University Press. 1992
  12. Ouhibi N, Menezo Y, Benet G, Nocollet B. Cultured of epithelial cells derived from the oviduct of different species. Hum Reprod 1989; 4: 229-35 https://doi.org/10.1093/oxfordjournals.humrep.a136877
  13. Dokras A, Sargent IL, Barlow DH. Human blastocyst grading: an indicator of developmental potential? Hum Reprod 1993; 12: 2119-27
  14. Conway-Mayers BA, Knochenhauer ES, Steinkampf MP. Coculture in assisted reproductive technology. Assist Reprod 1998; 9: 23-30
  15. Society for Assisted Reproductive Technology, The American Fertility Society: Assisted reproductive technology in the United States and Canada: 1991 results from the Society for Assisted Reproductive Technology generated from the American Fertility Society Registry. Fertil Steril 1993; 59: 956-62
  16. Rosenkrans CF, Zeng GQ, McNamara GT, Schoff PK, First NL. Development of bovine embryos in vitro as affected by energy substrates. Biol Reprod 1993; 49: 459-62 https://doi.org/10.1095/biolreprod49.3.459
  17. Gliedt DW, Rosenkrans CF, Rorie RW, et al. Effects of media, resum, oviductal cells, and hormones during maturation on bovine embryo development in vitro. J Dairy Sci 1996; 79: 536-42 https://doi.org/10.3168/jds.S0022-0302(96)76397-X
  18. Maeda J, Kotsuji F, Negami A, Kamitani N, Tominaga T. In vitro development of bovine embryos in conditioned media from bovine granulosa cells and vero cells cultured in exogeneous protein- and amino acid-free chemically defined human tubal fluid medium Biol Reprod 1996; 54: 930-6
  19. Takahashi Y, Hishinuma M, Matshui M, Tanaka H, Kanagawa H. Development of in vitro matured/fertilized bovine embryos in a chemically defined medium: influence of oxygen concentration in the gas atmosphere. J Vet Med Sci 1996; 58: 897-902 https://doi.org/10.1292/jvms.58.897
  20. Bernardi ML, Flechon JE, Delouis C. Influence of culture system and oxygen tension on the development of ovine zygotes matured and fertilized in vitro. J Reprod Fertil 1996; 106: 161-7 https://doi.org/10.1530/jrf.0.1060161
  21. Wright RW, Bondioli KR. Aspects of in vitro fertilization and embryo culture in domestic animals. J Anim Sci 1981; 53: 702-29 https://doi.org/10.2527/jas1981.533702x
  22. Bongso A, Ng SC, Fong CY, Mok H, et al. Cocultures in human assisted reproduction. Support of embryos in vitro and their specificity. Ann N Y Aca Sci 1991; 626: 434-44
  23. Bongso A, Ng SC, Fong CY, et al. Improved pregnancy rate after transfer of embryos grown in human fallopian tubal cell coculture. Fertil Steril 1992; 58: 569-74 https://doi.org/10.1016/S0015-0282(16)55265-0
  24. Biggers JD, Gwatkin RBL, Brinster RL. Development of mouse embryos in organ cultures of fallopian tubes on a chemically defined medium. Nature 1962; 194: 747-9 https://doi.org/10.1038/194747a0
  25. Kuzan FB, Wright RW Observations on the development of bovine morulae on various cellular and noncellular substrate. J Anim Sci 1982; 54: 811-6
  26. Thibodeaux JK, Godke RA. In vitro enhancement of early-stage embryos with coculture. Arch Pathol Lab Med 1992; 116: 364-7
  27. Menezo YJ, Sakkas D, Janny L. Coculture of the early human embryo: factors affecting human blastocyst formation in vitro. Microsc Res Tech 1995; 32: 50-6 https://doi.org/10.1002/jemt.1070320105
  28. Szollosi D, Desmedt V, Crozet N, Brender C. In vitro maturation of sheep ovarian oocytes. Prorod Natur Dev 1988; 28: 1047-80 https://doi.org/10.1051/rnd:19880705
  29. Dandekar PV, Martin MC, Glass RH. Maturation of immature oocytes by coculture with granulosa cells. Fertil Steril 1991; 55: 95-9 https://doi.org/10.1016/S0015-0282(16)54066-7
  30. Plachot M, Antoine JM, Alvarez S, et al. Granulosa cells improve human embryos development in vitro. Hum Reprod 1993; 8: 2133-40 https://doi.org/10.1093/oxfordjournals.humrep.a137995
  31. Feng HL, Yang QZ, Sun QY, Qin PC, Liu JM. Development of early bovine embryos in different culture systems. Vet Record 1994; 135: 304-6 https://doi.org/10.1136/vr.135.13.304
  32. Quinn P, Margalit R. Beneficial effects of coculture with cumulus cells on blastocyst formation in a prospective trial with supernumerary human embryos. J Assis Reprod Genet 1996; 13: 9-14 https://doi.org/10.1007/BF02068862
  33. Dirnfeld M, Goldman S, Gonen Y, Koifman M, et al. A simplified coculture system with luteinized granulosa cells improves embryo quality and implantation rates: a controlled study. Fertil Steril 1997; 67: 120-22 https://doi.org/10.1016/S0015-0282(97)81867-5