• 대한생식의학회:학술대회논문집
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• 대한불임학회 2002년도 제42차 춘계학술대회
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• pp.62-63
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• 2002

• Proceedings of the KSAR Conference
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• 한국동물번식학회 2001년도 발생공학 국제심포지움 및 학술대회 발표자료집
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• pp.65-65
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• 2001

수정란이식 기술은 소의 능력을 개량할 목적으로 1970년 이후에 꾸준히 발달되어 오고 있다. 우수한 수정란을 연속적으로 생산하기 위한 여러 가지 기술을 개발하여 가축의 개량에 이용하고 있는 데 그중 생체로부터 미성숙난자를 연속적으로 채란하여 체외에서 우수한 수정란을 만드는 기술은 매우 급속하게 발달하고 있다. 최근에는 초음파기기를 이용하여 생체 내 소의 난소를 보면서 미성숙난자를 채취하여 수정란을 생산하는 연구를 많이 하고 있다 (Kruip 등, 1991). 본 연구에서는 연속적인 생체내 난자 채취시 보다 많은 수를 채취하기 위 해 적정량의 난포자극호르몬(FSH) 의 이용효과를 연구하였다. (중략)

• Clinical and Experimental Reproductive Medicine
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• 제36권1호
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• pp.63-70
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• 2009

Objective: This study was performed to investigate the effectiveness of minimal stimulation using rhFSH and GnRH antagonist compared with GnRH antagonist multidose protocol (MDP) in IVF treated patients with aged 40 and above. Methods: Seventy-five patients with aged 40 and above were equally randomized to minimal stimulation group (n=37) or GnRH antagonist MDP group (n=38). For minimal stimulation group, ultrasound monitoring was started on cycle day 7 or 8. Daily injections of 0.25 mg cetrorelix together with 150 IU rhFSH were started from the day at 13${\sim}$14 mm of a leading follicle diameter. For GnRH antagonist MDP group, daily injections of 225 IU rhFSH were initiated from cycle day 2 and GnRH antagonist was started at a dose of 0.25 mg/day on rhFSH stimulation day 6 or the day at 13${\sim}$14 mm of leading follicle diameter. In both groups, transvaginal ultrasound-guided oocyte retrieval was performed. According to cleavage and morphologic characteristics of embryos, embryos were transferred 3 to 5 days after oocyte retrieval. Results: There were no differences in patients' characteristics and cycle cancellation rate between the two groups. Total dose and duration of rhFSH used were significantly fewer and shorter in minimal stimulation group than those in GnRH antagonist MDP group. The numbers of oocytes retrieved, mature oocytes and transferred embryos were also lower in minimal stimulation group. However, there were no significant differences in the clinical pregnancy rate and miscarriage rate between the two groups. Conclusions: This study demonstrates that minimal stimulation protocol provides comparable pregnancy rates to GnRH antagonist MDP with fewer dose and days of rhFSH used, and thus can be a cost-effective alternative in women aged 40 and above.

• Proceedings of the Korean Society of Developmental Biology Conference
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• 한국발생생물학회 2003년도 제3회 국제심포지움 및 학술대회
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• pp.127-127
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• 2003

본 연구의 목적은 젖소에서 다배란유기법의 확립을 위해서 호르몬을 처리법을 달리한 결과이다. 난포의 발생을 자극하는 FSH 호르몬을 하루에 2번의 호르몬 주사를 하는 데, 이는 혈액내에 난포자극호르몬의 농도를 연속적으로 유지하여 난소에서 다난포 발생의 목적을 달성하고자 하는 방법이다. 하지만 빈번하게 호르몬을 주사하는 방법은 처리하는 노력이 필요하고 공란우도 스트레스로 작용한다. 이러한 단점을 극복하기 위해 한번에 많은 난포의 성숙을 유도하는 다배란처리법에 대한 보고가 많이 있어, 본 연구에서 이 다배란처리 효과를 비교하고자 젖소를 이용하였다. 방법으로는 다회주사법(8회)과 일회주사법(1회)에서 황체수와 수정란의 생산수 등을 조사하였다. 다회주사법은 생리식염수에 융해한 FSH를 1일 50mg씩 2회(12시간 간격)주사하는 법으로 CIDR 질내 주입 9일째부터 4일간 주사하였으며, 질내에 CIDR를 주입하고 11일째되는 날에 PG(25mg, 루텔라이스, 한국)를 주사하고, 12일째는 CIDR를 제거하여 일회주사법과 주기를 맞추었다. 일회주사법은 CIDR를 질내에 주입하고 나서 9일째 되는 날에 400mg의 FSH을 생리식염수에 융해하여 일회주사를 하고 다회주사법과 같이 인공수정과 채란시간을 맞추었다. 인공수정은 황체퇴행제(PG)를 주사하고 나서 48, 72시간에 2회 인공수정을 실시하여 1주일 후 수정란을 채란하였다. 인공수정시는 반드시 GnRH(2.5mg)를 동시에 주사하였다. 채란은 인공수정 후 7일째 되는 날에 비외과적으로 채란을 실시하여 우수한 수정란은 동결을 실시하였다. 다회주사법에서 14두, 일회주사법에서 14두를 공시하여 황체수, 회수수정란수, 배반포수, 동결란수를 조사하였다. 다회주사법에서는 황체수는 8.07$\pm$6.62개, 회수정란수는 6.78$\pm$5.96개, 배반포율은 58.9%, 동결란 생산율은 52.6%의 성적을 얻었으며, 일회주사법에서 황체수는 12.07$\pm$8.07개, 회수수정란수는 10.0$\pm$9.24개, 배반포율은 27.1%, 동결란 생산율은 25.0% 수준의 결과를 얻었으나 결과에 대한 통계분석시 다회주사법과 일회주사리법 간에 유의적인 차는 인정되지 않았다(student T-test, P<0.05). 본 실험의 결과에서 나타나듯이 생리식염수를 용매로 이용한 FSH 1회 주사법이 다회주사법과 비교하였을 때에 수정란 생산효율에서 유의적인 차이가 없으므로 이 방법을 이용한 다배란유기는 노동력과 공란우에 대한 스트레스를 경감할 수 있을 것으로 사료된다.

• Clinical and Experimental Pediatrics
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• 제51권6호
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• pp.634-639
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• 2008

Purpose : There has been considerable disagreement regarding the most appropriate dosage of gonadotropin-releasing hormone agonist in cases of central precocious puberty. The aim of this study was to determine the appropriate dosage for suppression of the puberty in girls with central precocious or early puberty. Methods : Twenty-two girls with early puberty were randomly subjected to 3 types of dosages of leuprolide acetate for at least 6 months. The number of cases in groups 1, 2, and 3 were 7, 7, and 8, and dosages were 70, 90, and $110{\mu}g/kg/-month$, respectively. Height, weight, bone age, Tanner stage of breast development, and serum levels of LH, FSH, estradiol, and progesterone were measured before treatment and after 6 months of treatment. The number of cases of puberty suppression was compared using a modified puberty suppression score with a nonparametric chi-square test. Results : There were no significant differences of chronologic and bone ages among the groups. There was a significant decrease in height SDS gain after 6 months in group 3 (P<0.05) compared with groups 1 and 2. Serum levels of LH, FSH, estradiol and progesterone were all significantly decreased after treatment in all 3 groups (P<0.05). The number of cases of puberty suppression in each group were 4 (57%), 5 (71%), and 8 (100%). There was a significantly increased proportion of suppression of puberty in group 3 (P<0.05). Conclusion : It was necessary to use a higher dose of gonadotropin-releasing hormone agonist to suppress early puberty in girls; however further longitudinal study will be needed for their prognosis of final adult height.

• Current Research on Agriculture and Life Sciences
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• 제8권
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• pp.45-50
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• 1990

This study was carried out ot investigate the effects of fetal calf serum (FCS) and gonadotropins supplemented to the medium on maturation and fertilization in vitro of porcine follcular oocytes. Ovaries were obtained from gilts at local slaughter-house. Oocyte-cumulus complexes were recovered by puncturing the ovarian follicles(3~5 mm in diameter). The complexes from individual ovaries were pooled in a $0.4m{\ell}$ droplet of medium covered with paraffin oil, then washed twice in fresh droplet and cultured for 36hrs in culture media according to experimental conditions. Boar epididymal spermatozoa were capacitated by preincubation for 4hrs in m-KRB medium and the preincubated spermatozoa were insemenated in the fertilization medium containing the cultured oocytes. The results obtained in this study are summarized as follows: 1. The maturation rates of oocytes cultured in m-KRB and m-KRB supplemented to 10% FCS were 82 and 37%, respectively. When PMSG, hCG. and PMSGt hcG($10Iu/m{\ell}$) were added to the media supplemented to 10% FCS, the maturation rates were 66, 58 and 68%, respectively. 2. Expansion of cumulus cells was not occured in m-KRB and m-KRB supplemented to 10% FCS. However, when PMSG, hCG and PMSG+hCG($10Iu/m{\ell}$) were added to m-KRB supplemented to 10% FCS, the expansion rates of cumulus cell layers were 92, 13 and 91%, respectively. 3. When oocytes were mltured in m-KRB, the rates of penetration and formation of male pronucle: were 93 and 7%, respectively. By adding FCS and gonadotropin to m-KRB, the penetration and formation of male pronuclei were 100 80%, respectively.

• Clinical and Experimental Reproductive Medicine
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• 제36권4호
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• pp.275-281
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• 2009

Objective: This study was performed to evaluate the effect of oxytocin antagonist on the outcome of IVF/ICSI cycles in infertile patients with repeated failure of IVF/ICSI treatment. Method: Forty patients who had experienced two or more failures of IVF/ICSI treatment without low ovarian reserve, were recruited for this prospective randomized study. All patients received controlled ovarian stimulation (COS) using GnRH antagonist multidose protocol (MDP). For the intervention group, intravenous administration of atosiban (mixed vasopressin $V_{1A}$/oxytocin antagonist) started with a bolus dose 6.75 mg one hour before embryo transfer (ET) and continued at an infusion rate of 18 mg/hour. After ET, administered atosiban was reduced to 6 mg/hour and continued for 2 hours. The main efficacy endpoints were clinical pregnancy rate and implantation rate. Results: Patients' characteristics were comparable in the intervention and control groups. COS parameters and IVF results were also similar. The number of uterine contractions for 3 minutes measured just before ET was significantly lower in the intervention group than control group ($3.5{\pm}1.4$ vs $8.7{\pm}2.2$, p<0.001). While there was no statistically significant difference in the clinical pregnancy rate between control group and intervention group (20.0% and 40.0%, p=0.168), the implantation rate was significantly higher in the intervention group, with 16.9% (11/65) compared with 6.0% (4/67) in the control group (p=0.047). There were no differences in ectopic pregnancy rate and miscarriage rate between the two groups. Conclusion: This study demonstrates that administration of oxytocin antagonist during ET can improve the implantation rate probably by decreasing the frequency of uterine contractions in infertile patients undergoing IVF/ICSI treatment.

• Journal of Life Science
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• 제8권5호
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• pp.576-581
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• 1998

The present study was carried out to investigate the effect of gonadotropin administration on the timing of ovula-tion, fertlizable life of eggs and cleavage of embryos in rabbit. Mature angora rabbits were primed for superovulation with PMSG 100IU. Eighty hours later, the rabbit were induced to ovulate with HCG 100IU. Ovulation had started at 10hours after HCG injection and finished at about 16hours. Fertilizable life of eggs were lasted for 8hours after ovulation. The most frequent developmental stage observed from the embryos recovered at 24, 48, 72, 96, and 120 hours after HCG injection was 2-ceIL, 16-cell, morula, blastocyst and blastocyst, respectively.

• Clinical and Experimental Reproductive Medicine
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• 제37권4호
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• pp.293-305
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• 2010

Ovarian hyperstimulation syndrome (OHSS) is a life-threatening iatrogenic complication of ovulation induction. Before ovarian stimulation, identification of patients vulnerable to developing OHSS is necessary. And ovarian stimulation should be started with low doses of gonadotropin or GnRH antagonist protocol. During monitoring of ovarian stimulation with risk of OHSS, coasting, low doses hCG and GnRH agonist for triggering ovulation are considered. If severe OHSS is predicted, cycle cancellation and cryopreservation of all embryos should be considered to reduce late-onset OHSS and morbidity. And metformin and dopamine agonist for reducing OHSS are being proposed as a prophylactic treatment for OHSS.

• Clinical and Experimental Reproductive Medicine
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• 제37권3호
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• pp.239-244
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• 2010

Objective: The objective of this retrospective study was to compare the in vitro fertilization (IVF) outcomes of gonadotropinreleasing hormone (GnRH) agonist and GnRH antagonist protocols in poor responders. Methods: A total of 172 cycles in subjects with less than 5 oocytes retrieved treated with either GnRH agonist long protocols or antagonist protocols were included. The outcome variables such as numbers of growing follicles and retrieved oocytes, and the fertilization rate were evaluated as the main outcome measures. Results: There was no difference in regard to the numbers of growing follicles and oocytes, and fertilization rate between the two groups. $E_2$ level on Day 7/8, mean gonadotropin dose, and the days of stimulation were shown to be statistically different (p<0.01, respectively). Conclusion: Considering that similar results were observed with less time and gonadotropin dose, GnRH antagonist protocol may be considered as a preferable choice over GnRH agonist protocols in poor responders.