• 제목/요약/키워드: In vitro fertilization (IVF)

검색결과 464건 처리시간 0.031초

사람 다수정난자의 체외배양시 Fragmented Embryo와 Non-fragmented Embryo에서의 Methionine 유입량 및 미토콘드리아 분포양상의 비교 (Mitochondrial Distribution and Methionine Uptake in Fragmented and Non-fragmented Embryos Derived from Multi-pronuclei Zygotes in Human In Vitro Fertilization (IVF) Program)

  • 도병록;정미경;장미경;이경아;고정재;윤태기;차광열
    • Clinical and Experimental Reproductive Medicine
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    • 제22권3호
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    • pp.279-285
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    • 1995
  • Despite the frequent incidence of embryo fragmentation in early human embryos, the reason of the embryo fragmentation has not been known yet. This study was conducted to investigate the histological difference(s) between fragmented (FR) and non-fragmented (NFR) human embryos focusing on comparison of mitochondrial distribution and protein synthesis. Multi-pronuclei zygotes (MPZ) such as three or more pronuclei containing in human in vitro fertilization and embryo transfer (IVF-ET) program were used for this study. MPZ were cultured in TCM-199 supplemented with 10% of human fetal cord serum (hFCS) in 5% $CO_2$ incubator at $37^{\circ}C$ for 24 hours. The cleaved embryos to 2-4 cells after 24 hours were grouped by their grade of fragmentation. Embryos were stained with Rhodamine123 (Rh123) and fluorescence was evaluated under the fluorescence microscope through PB 450-490 filter (Leitz). Regarding to protein synthesis during early human embryogenesis, there is no significant difference in the amount of synthetic proteins between FR and NFR embryos. Distribution of cytoplasmic organelles in embryos was evaluated by transmission electron microscope (TEM). The cytoplasmic distribution of mitochondria was different between FR and NFR embryos. The mitochondrial distribution was even in NFR, whereas severely aggregated in FR. It is not able to clarify in the present study whether this uneven mitochondrial distribution in FR embryo is the reason for embryo fragmentation or is the result from fragmentation. Physiological disparity related to the mitochondrial distribution may be one of the reasons for embryo fragmentation. Further studies should be addressed to investigate the physiological differences between FR and NFR embryos.

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인간난자의 체외수정 및 배아의 자궁내이식 후 황체기 혈청 난포호르몬 및 황체호르몬의 변동에 관한 연구 (Luteal Phase Serum Estradiol and Progesterone in In Vitro Fertilization and Embryo Transfer)

  • 이진용;김학순;김정구;문신용;장윤석
    • Clinical and Experimental Reproductive Medicine
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    • 제14권2호
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    • pp.127-137
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    • 1987
  • Steroid hormone profiles during luteal phases after in vitro fertilization(IVF) and embryo transfer(ET) have been evaluated in 83 cycles stimulated by pure follicle-stimulating hormone/human menopausal gonadotropin/human chorionic gonadotropin, in which 13 patients became pregnant. Serum estradiol($E_2$) and progesterone($P_4$) levels were determined on days 2, 5, 7 and 9 after laparoscopic follicle aspiration. The follicular $E_2$ peak was slightly higher in pregnancies than in failures. Positive correlations were observed between the follicular $E_2$ peaks and the $P_4$ levels on days 5 and 7 of the luteal phase in pregnancies, but no correlation was found in failures. The $E_2$ and $P_4$ levels on days 5 and 7 of the luteal phase were significantly higher in pregnancies than in failures, but not different on days 2 and 9. Values of the $P_4/E_2$ ratio were similar between the two groups. The luteal phase durations were 12 to 19 days and no correlation was observed between the lengths of luteal phase and the luteal $E_2$ or $P_4$ concentrations. These data suggest that high $P_4$ levels in the mid-luteal phase, which have positive correlations with the follicular $E_2$ peaks, might have a favorable influence on the pregnancy success in human IVF.

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Effect of Oviductal Cell Co-Culture on Cleavage and Development of Buffalo IVF Embryos

  • Yadav, P.S.;Khanna, S.;Hooda, O.K.;Sethi, R.K.
    • Asian-Australasian Journal of Animal Sciences
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    • 제13권7호
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    • pp.894-896
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    • 2000
  • In vitro fertilization can be used for salvaging superior buffalo germplasm which otherwise goes waste after the slaughter of animals. This technology has also increased our basic understanding of growth of germ cells and embryos. The requirement of growing embryos is peculiar and stage specific. In the present study the cleavage and development of buffalo embryos were studied with homologous (buffalo) and heterologous (goat) oviductal cell co-culture systems. The cleavage rate improved significantly (p<0.01) in both homologous and heterologous co-culture as compared to control (55.3, 46.8 and 11.4%). The morula formation using homologous and heterologous oviductal cells also increased significantly as compared to control group (43.6, 21.9 & 1.9%). There was no blastula formation in control group, but addition of oviductal cells either from homologous or heterologous species significantly increased the blastula formation (9.5, 12.5%). The cleavage rate and embryo development was slightly better (non significant) in homologous as compared to heterologous oviductal cell culture. It was concluded that the use of oviductal cell co-culture (homologous and heterologous species) have significantly improved cleavage and development of buffalo embryos in vitro.

체외배양에서 인간 난포액이 생쥐의 배 발달에 미치는 영향 (The Effects of Human Follicular Fluid on Embryonal Development of Mouse in In Vitro Culture)

  • 민부기;최기욱;김기석;이희섭;홍기연;이봉주;이선영;박승택
    • Clinical and Experimental Reproductive Medicine
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    • 제26권2호
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    • pp.171-178
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    • 1999
  • The follicular fluid (FF) of ovary contains various biological active products which affected on the growth of follicles and the fertilization of oocyte in physiological reproductive process of mammals. This study was designed to determine the effects of human FF on fertilization of oocyte and embryonal development in vitro culture. The FF was prepared as clear without blood contamination by needle aspiration from mature follicles of human at the time of oocytes retrieval for in vitro fertilization (IVF). As the medium for culture in vitro of embryonal cells, human tubal fluid (HTF) supplemented with follicular fluids at concentrations of 10%, 40% and pure FF were used. These effects were compared to control group of cultured embryos in HTF supplemented with 0.4% BSA (bovine serum albumin). For IVF, 64 eggs in control group, 67 eggs in 10% FF, 57 eggs in 40% FF and 64 eggs in pure FF were respectively allocated. And the rates of fertilization were almost similar in all groups as resulting 82.81% in control, 85.07% in 10% FF, 87.71% in 40% FF and 81.25% in pure FF. On the examination for embryonal cleavage from fertilized eggs, the rates of developing to 4 cell stage was similar in all groups, as results 98.11% in control, 98.27% in 10% FF and 98% in 40% FF but 78.84% in pure FF. And the rates of developing to 8-16 cell stage were significantly reduced as 44% in 40% FF and 44.23% in pure FF (p<0.05) compare to 71.69% in control media. As likewise, the rates of developing to morular stage were also significantly reduced to 36% (p<0.05) and 21.15% (p<0.01) respectively in 40% FF and pure FF. And the rates to blastocystic stage of embryo was lowest as 7.69% in pure FF (Table 1). The quality of embryonal cells on cleavage to the 8-16 cell stage was poorer, higher concentrations of FF. The rates of grade 1 in pure FF, as 23.07%, was lowest compare to those of other groups, in which the rates of grade 1 in control, 10% FF and 40% FF were 58.49%, 47.36% and 34% respectively. And on the contrary, the rate of grade 4 in pure FF was highest as 23.07%, while those were 5.66% in control, 8.77% in 10% FF and 20% in 40% FF (Table 2). On the viability of embryos, the rate of embryonal cell death was more rise, at the higher concentrations as well as longer exposure in the follicular fluid. At 48 hours after in vitro culture of embryos, the rate of survival embryos in pure FF was markedly lowered as 44.23%, compare to that of control (p<0.05). But there was not significant difference between the rates of survival embryos in each group beside the pure FF, which the rates were 77.35% in control, 70.17% in 10% FF and 60% in 40% FF respectively. And at 72 hours after in vitro culture, the rates of survival embryos were also significantly dropped to 21.15% in pure and 36% in 40% at concentration of FF compare to 62.26% in control (p<0.05, p<0.01). Finally, the rate of embryonal death at 96 hours after in vitro culture was highest as 82.69% in pure FF among all groups which those were 35.84 in control, 56.14% in 10% FF and 64% in 40% FF respectively (Fig. 1, 2, 3). In conclusion, this study suggests that the FF has no effects, in particular, to the in vitro fertilization of oocytes but exerted a bad effect to the cleavage, quality and viability of the embryonal cells during in vitro culture. However, the FF is harmful on embryonal development at conditions in higher concentration and especially on the embryos after $8{\sim}16$ cell stage.

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산소조건 및 Catalase가 돼지난포란의 체외성숙과 배발달에 미치는 영향 (Effect of Oxygen Concentrations with Catalase on In Vitro Maturation of Porcine Follicular Oocytes and In Vitro Development of Porcine IVM/IVF Embryos)

  • 한만희;이경본;천행수;박병권;이경광;이규승;서길웅
    • 한국가축번식학회지
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    • 제27권2호
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    • pp.115-123
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    • 2003
  • 본 연구는 돼지난포란의 체외배양액에 황화합물인 Catalase 첨가 및 저분압산소조건 하에서 첨가배양함으로서 돼지난포란의 체외성숙과 체외배발달에 미치는 영향을 구명하고자 실시하였다. 본 연구에서 얻어진 결과를 요약하면 다음과 같다. 1. 돼지난포란을 체외성숙배양액인 0.9mM cy-steine이 함유된 NCSU-23 배양액에 CAT를 각각 0, 100, 500 및 1000uni1s/m1 첨가하여 체외성숙 및 수정을 실시한 결과, 모든 평가요소에서 처리구가 대조구에 비하여 유의적으로 낮은 결과를 나타내어 체외수정에 좋지 않은 영향을 미치는 것으로 판단된다(P>0.05). 2. 체외수정을 실시한 후, 배발달배양액인 NCSU-23에 7일 동안 배양한 결과, 배반포형성률과 총세포수에 있어서 처리구가 대조구에 비하여 유의적으로 낮은 결과를 나타내어 체외성숙시 CAT 첨가배양은 배발달에 좋지 않은 것으로 판단된 다(P>0.05). 3. 배발달배양액인 NCSU-23에 CAT를 각각 0, 100, 500 및 1000units/m1을 첨가하고 5 및 20% 산소농도하에서 7일간 배양을 실시한 결과, 산소농도에 따른 차이는 인정되지 않았으며, CAT 첨가에 따른 배반포형성률과 총세포수에 있어서도 처리구가 대조구보다 유의적으로 낮은 결과를 나타냈다(P>0.05). 결론적으로 돼지난포란을 이용하여 체외수정란을 생산할 때, NCSU-23 배양액에 catalase의 첨가 및 산소조건은 영향을 미치지 않는 것으로 조사되었다.

흰쥐 난자의 체외수정에 미치는 Calcium Chelator의 영향 (Effects of Calcium Chelator on in vitro Fertilization of Rat Oocyte)

  • 홍순갑;김해권;김성례;이영기;이준영
    • 한국발생생물학회지:발생과생식
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    • 제3권1호
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    • pp.21-28
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    • 1999
  • 흰쥐 난자의 체외수정에 있어서 calcium chelator처리에 따른 피질반응 및 피질과립막의 형성 여부와 피질과립막의 전자현미경적 미세구조를 관찰하고, 수정율 및 단정자수정과 다정자수정 빈도에 미치는 영향을 조사하여 수정기간중 calcium의 역할을 조사하였다. Calcium chelator로는 BAPTA/AM을 사용하였으며, 난자의 미세구조와 피질과립막은 주사전자현미경으로 관찰하였다. 투명대가 제거된 난자의 체외수정 과정에서는 피질반응에 의해 형성된 피질과립막 (cortical granule envelope)이 관찰되었고, calcium chelator (1, 5, 10, $\mu$M BAPTA/AM) 처리후 투명대가 제거 된 난자의 체외수정 에서도 마찬가지로 피질과립막이 관찰되었다. 또한 체외 수정 후 시간의 경과에 따라 피질과립막은 좀 더 발달되는 양상을 나타내었다. 수정율은 calcium chelator 처리군 (59.8, 38.1, 37.0%)이 대조군 (60.6%)에 비해 감소했으나, 단정자수정은 calcium chelator 처리군 (45.0, 47.3, 50.9%)이 대조군 (37.5%)에 비해 증가하였다. 위의 결과들로부터 흰쥐에서 수정시 피질과립막이 형성된다는 것을 밝혔고, 피질반응에 extracellular calcium이 이용됨을 알 수 있다. 또한 난자내의 적정한 free calcium 함량이 수정에 중요한 요인으로 작용하는 것으로 사료된다.

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난관 내 병합 임신 제거술 후 정상 분만 성공 예 (A Case of Successful Normal Full Tenn Delivery after Excision of Combined Tubal Pregnancy)

  • 김은국;채현주;정병준
    • 한국수정란이식학회지
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    • 제25권3호
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    • pp.161-164
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    • 2010
  • Combined pregnancy occasionally occurs when intrauterine pregnancy is complicated with ectopic pregnancy. The incidence of combined pregnancy is normally rare, but the incidence increases when assisted reproductive technology was conducted for infertility treatment. We had a case of intrauterine pregnancy complicated with tubal pregnancy after IVF-ET cycle was conducted. The tubal pregnancy was removed via pelviscopy, which led to the delivery of healthy offspring at the $39^{th}$ week of pregnancy without additional complication.

1차 체외수정시술이 난임여성의 불안과 우울에 미치는 효과: 체계적 문헌고찰과 메타분석 (Effects of First Assisted Reproductive Technologies on Anxiety and Depression among Infertile Women: A Systematic Review and Meta-Analysis)

  • 하주영;반선화;이해정;이미순
    • 대한간호학회지
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    • 제50권3호
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    • pp.369-384
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    • 2020
  • Purpose: The purpose of this study was to analyze anxiety and depression among infertile women at different time points during the first In Vitro Fertilization (IVF) or Intracytoplasmic Sperm Injection (ICSI) treatment through a systematic review and meta-analysis. Methods: Seven out of 3,011 studies were included for meta-analysis. To estimate the effect size, a meta-analysis of the studies was performed using the RevMan 5.3 program. We compared the measurement outcomes at three time points: before the start of treatment (T0), cancellation of treatment after pregnancy detection (T2), one to six months after treatment (T3). The effect size used was the standardized mean difference (SMD). Results: In comparing the different time points of the pregnant women from their cycle, significantly lower levels of depression were found at T2 than at T0. In non-pregnant women, anxiety at T2 and depression at T2 and T3 were significantly higher than those at T0. At T2 and T3, the non-pregnant women reported higher levels of anxiety and depression compared with the pregnant women. Conclusion: Anxiety and depression in infertile women undergoing the first IVF or ICSI are associated with the time points and pregnancy status after treatment. These findings suggest that attention should be paid to helping infertile women prepare for and cope with treatment and treatment failure.

Identification of Proteins in Human Follicular Fluid by Proteomic Profiling

  • Sim, Young-Jin;Lee, Mi-Young
    • Molecular & Cellular Toxicology
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    • 제4권3호
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    • pp.253-259
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    • 2008
  • Human follicular fluid (HFF) is the in vivo microenvironment for oocyte maturation and includes a variety of proteins that could be involved in oocyte development and fertilization. We therefore used a proteomic approach to identify new HFF proteins. HFF from mature human follicles was obtained from five women following oocyte collection for in vitro fertilization (IVF). Ethanol-precipitated HFF run on two-dimensional gel electrophoresis (2DE) produced approximately 250 Coomassie brilliant blue-stained spots, 64 of which were identified using matrix-assisted laser desorption/ionization-mass spectrometry (MALDIMS). In this study, several proteins including complement factor H, inter-${\alpha}$ (globulin) inhibitor H4, inter-${\alpha}$-trypsin inhibitor heavy chain H4 precursor, human zinc-${\alpha}$-2-glycoprotein chain B, PRO2619, PRO02044, and complex-forming glycoprotein HC were new proteins that have not been previously reported in HFF using proteomic methods. Additionally, we identified alloalbumin venezia for the first time from trichloroacetic acid (TCA)-precipitated HFF. These HFF proteins could serve as new biomarkers for important human reproductive processes.

체외수정시술을 위한 성선자극호르몬 과배란유도에 Poor Response를 나타낸 환자에서 GnRH Analogue의 사용 (GnRH Analogue in Controlled Ovarian Hyperstimulation for Gonadotropin Poor Responder)

  • 김선행;이희경;구병삼
    • Clinical and Experimental Reproductive Medicine
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    • 제20권1호
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    • pp.37-43
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    • 1993
  • In 27 patients with the past history of poor response to the gonadotropin superovulation induction due to poor follicular growth or permature surge of endogenous luteinizing hormone, the effectiveness of pituitary supperssion with the gonadotropin releasing hormone agonist(GnRH-a) in in vitro fertilization(IVF) program was evaluated in 43 cycles using a combination regimen of D-Trp-6 LHRH(Decapeptyl, Ferring)and FSH/hMG from June, 1989 to August, 1990 at Korea University Hospital IVF Clinic. At midluteal phase of menstrual cycle, Decapeptyl-CR was administered by long-term protocol to minimize initial agonistic effect of endogenous gonadotropins. After the confirmation of pituitary suppression, about 2-3 weeks after GNRH-a administration, ovarian follicle growth was stimulated with FSH/hMG and followed by transvaginal ultrasonic measurement of follicle size and by monitoring of serm E2 and LH if necessary. When compared with the control group stimulated with gonadotropin regimen only, the cancellation rate and occurrence rate of premature LH surge during gonadotropin treatment were significantly lower in study group(11.6% and 2.4%, respectively). There is no significant differences in the mean number of aspirated oocytes, fertilization/cleavage rate, embryo transfer(ET) rate, and mean number of embryos transferred between the two groups. The pregnancy rate per treatment cycle, 16.3%, and per ET cycle, 23.3%, were significantly higher in the study group compared with those of control group. These data suggest that GnRH-a therapy is effective for previous poor responder In gonadotropin superovulation induction for IVF.

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