• Clinical and Experimental Reproductive Medicine
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• 제24권3호
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• pp.301-309
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• 1997

본 연구에서는 체외수정, 난자내 정자 직접주입, 난자내 정자 두부 미두 주입 후의 핵과 미세소관의 변화를 관찰하였다. 핵과 미세소관의 움직임은 형광염색을 실시한 후 공초점주사현미경을 이용하여 관찰하였다. 체외수정에서 관찰된 바와 동일하게 정자를 난자에 직접주입 한 직후 정자 중편부에서 성상체가 형성되었고, 이 성상체에 의해 자성 웅성 전핵이 융합되는 것으로 관찰되었다. 그러나 난자내 정자를 직접주입하였을 경우 웅성전핵으로 발달하는 비율이 낮았다. 이는 주입된 정자가 원형질막과 perinuclear theca에 싸인 체 난자내로 들어가 난자내의 sperm nucleus decondensing factor와 정자 핵과의 반응이 억제되기 때문으로 생각된다. 정자 두부 만을 주입하였을 경우 성상체가 형성되지 않았지만 자성 웅성 전핵 사이 또는 그 주위에서 두터운 미세소관층이 관찰이 되었다. 따라서 소에 있어서는 정자의 중편부에 위치하여 microtubule organizing center (MTOC)의 역할을 하는 중심립 또는 중심체 없이도 모계에서 유래된 미세소관이 형성되어 이것이 전핵의 융합과 세포분열에 관여하는 것으로 생각된다. 정자의 미부 만을 주입하였을 경우 성상체가 형성이 되지 않았으며, 자성핵 사이에 형성된 미세소관과 떨어져서 관찰되었다. 따라서 주입된 정자의 꼬리는 미세소관형성과 관련이 없는 것으로 생각된다. 이러한 결과는 소에 있어서, 수정 시 정자로부터 유래되는 중심립 또는 중심체가 없이도 미세소관을 형성하여 미세소관에 의해 이후의 배발달이 정상적으로 일어남을 보여주고 있다.

• 동의생리병리학회지
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• 제33권2호
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• pp.141-150
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• 2019

Despite the development of assisted reproduction technologies (ART) including in vitro fertilization (IVF), the poor ovarian response and endometrial receptivity remains clinically a major unmet need. Although these problems are difficulties to solve in infertility treatment, there are no good therapeutic option yet. Traditional herbal remedies and acupuncture, therefore are being proposed as alternative treatment. Our group found that traditional herbal medicines such as Paeonia lactiflora L.(PL, 芍藥), Cyperus rotundus L.(CR, 香附子), and Perilla frutescens (PF, 紫蘇葉) could improve endometrial receptivity. In this study, we found out Yeosin-san (如神散) as an optimal herbal formula via combination of the previously established herbal medicines. Yeosin-san is a traditional Korean medical formula which was established by Ziming Jin (陳自明) and recorded in Furendaiquanliangfang (婦人大全良方) at first. The formula traditionally used for treating abnormal uterine bleeding and leukorrhea. It showed a highest effect on leukemia inhibitory factor (LIF) expression and on the adhesion between trophoblastic cells and endometrial cells. In addition, it has been shown that the Yeosin-san not only increases the endometrial receptivity to improve the embryo implantation but also enhances the ovary function by expressing the angiogenesis-related genes. Here we suggest that Yeosin-san could be a novel and effective candidate for treating female infertility.

• 한국수정란이식학회지
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• 제29권1호
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• pp.13-19
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• 2014

This study was carried out to study the survival rate of thawed Hanwoo embryos frozen by the slow-rate freezing or the cryotop vitrification method. Hanwoo cumulus-oocyte complexes were recovered from ovaries at a slaughter house, matured for 20~22 hours, fertilized with Hanwoo semen for 5~6 hours, and cultured for 7~9 days in $38.5^{\circ}C$, 5% $CO_2$ incubator. For freezing, Day 7~9 blastocysts were collected. Embryos for the slow-rate freezing were equilibrated in 1.8 M ethylene glycol (EG) with Dulbecco's phosphate-buffered saline (D-PBS). Programmable cell freezer was precooled down to $-7^{\circ}C$, and the straw was seeded during 8 minutes-holding time, and was cooled to $-35^{\circ}C$ at the cooling rate of $0.3^{\circ}C/min$, and then was plunged and stored in liquid nitrogen. Embryos for the cryotop vitrification were treated in TCM199 with 0.5 M sucrose, 16% EG, 16% dimethylsulfoxide (DMSO). Embryos were then loaded individually onto cryotop and plunged directly into liquid nitrogen. The survival rates of embryos frozen by these two freezing methods were evaluated at 12 to 24h post-thawing. The survival rates of frozen/thawed Hanwoo embryos by the cryotop vitrification method ($56.86{\pm}26.53%$) were slightly higher than those by the slow-rate freezing method ($55.07{\pm}26.43%$) with no significant difference. Using the cryotop vitrification and the slow-rate freezing of Hanwoo blastocysts on Day 7 following in-vitro fertilization (IVF) treatment, the survival rates of frozen/thawed Hanwoo embryos were $72.65{\pm}18.3%$ and $79.06{\pm}17.8%$, respectively. The survival rates by the cryotop vitrification were higher than those by the slow-rate freezing on both Day 8 and 9 with significantly higher survival rate on Day 9 (p<0.05). Using the cryotop vitrification and the slow-rate freezing of Hanwoo embryos to compare between three different blastocyst stages, the survival rates of the blastocyst stage embryos were $66.22{\pm}18.8%$ and $45.76{\pm}12.8%$, respectively with higher survival rate by the vitrification method (p<0.05). And the survival rate of expanded blastocysts was higher than those of early blastocysts and blastocysts in two freezing methods with significantly higher survival rate by the slow-rate freezing method (p<0.05).

• Clinical and Experimental Reproductive Medicine
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• 제30권1호
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• pp.31-37
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• 2003

연구목적: 일반적으로 IVF-ET에서 가장 높은 임신율을 얻는 방법은 5 day ET (배반포기 배아 이식)이지만 장기간 배양이 적절하지 못한 경우에는 $2{\sim}4$일째에 ET를 실시하고 나서 $5{\sim}7$일째에 배반포기에 도달한 배아를 재이식 (SET)하여, SET의 효용성에 대하여 조사하고자 실시하였다. 연구재료 및 방법: 48주기의 환자에서 회수한 난자와 수정란은 10%와 20% hFF가 첨가한 DMEM에서 이식 직전까지 각각 공배양하였다. 채란 2일 (group I, day 2 ET), 5일째 이식 (group II, day 5 ET) 또는 재이식 (group III, SET; 2-5, 2-6, 2-7, 3-5, 4-7일)을 실시하면서 수정률, 할구분할률 및 임신율을 각각 비교하였다. 결과에 대한 통계 분석을 SAS (version 6.2)를 이용한 Duncan's Multiple Range Test를 이용하여 p값이 0.05 보다 작을 때 통계적으로 유의차가 있는 것으로 하였다. 결 과: 수정률은 group II (90.5%)가 다른 군에 비하여 높게 (p<0.05) 나타났다 (group I: 80.6%; group III: 82.9%). 할구분할률은 군간에 차이가 없었다 (수정란 당 $93.3{\sim}99.1%$). 임상적 임신율은 group II와 III (각각 58.3%)가 group I (33.3%) 보다 높게 나타났다. 그러나 처리군이 적어서 통계적인 차이는 없었다. 결 론: 배반포기 배아를 단독 이식하는 것이 임신율을 높일 수 있는 최선의 방법으로 나타났지만, 채란수가 적거나 수정률이 저조한 경우에는 $2{\sim}4$일째에 ET를 실시한 후 여분의 배아를 배반포기까지 배양한 다음 $5{\sim}7$일에 재이식 (SET)하면 blastocyst ET에서 나타날 수 있는 이식 자체의 실패를 방지할 수 있으면서 임신율을 높일 수 있는 이식 기법이 될 것이다.

• Clinical and Experimental Reproductive Medicine
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• 제27권1호
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• pp.47-57
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• 2000

Objective: The effects of cryopreservation with or without coculture on the in vitro development of blastomere-biopsied 8-cell mouse embryos were investigated. This experimental study was originally designed for the setup of a preclinical mouse model for the preimplantation genetic diagnosis (PGD) in human. Methods: Eight-cell embryos were obtained after in vitro fertilization (IVF) from F1 hybrid mice (C57BL(표현불가)/CBA(표현불가)). Using micromanipulation, one to four blastomeres were aspirated through a hole made in the zona pellucida by zona drilling (ZD) with acid Tyrode's solution (ATS). A slow-freezing and rapid-thawing protocol with 1.5M dimethyl sulfoxide (DMSO) and 0.1M sucrose as cryoprotectant was used for the cryopreservation of blastomere- biopsied 8-cell mouse embryos. After thawing, embryos were cultured for 110 hours in Ham's F-10 supplemented with 0.4% bovine serum albumin (BSA). In the coculture group, embryos were cultured for 110 hours on the monolayer of Vero cells in the same medium. The blastocyst formation was recorded, and the embryos developed beyond blastocyst stage were stained with 10% Giemsa to count the total number of nuclei in each embryo. Results: The survival rate of embryos after cryopreservation was significantly lower in the blastomere-biopsied (7/8, 6/8, 5/8, and 4/8 embryos) groups than in the non-biopsied, zona intact (ZI) group. Without the coculture, the blastocyst formation rate of embryos after cryopreservation was not significantly different among ZI, the zona drilling only (ZD), and the balstomere-biopsied groups, but it was significantly lower than in the non-cryopreserved control group. The mean number of cells in embryos beyond blastocyst stage was significantly higher in the control group ($50.2{\pm}14.0$) than in 6/8 ($26.5{\pm}6.2$), 5/8 ($25.0{\pm}5.5$), and 4/8 ($17.8{\pm}7.8$) groups. With the coculture using Vero cells, the blastocyst formation rate of embryos after cryopreservation was significantly lower in 5/8 and 4/8 groups, compared with the control, 7/8, and 6/8 groups. The mean number of cells in embryos beyond blastocyst stage was also significantly lower in 4/8 group ($25.9{\pm}10.2$), compared with the control ($50.2{\pm}14.0$), 7/8 ($56.0{\pm}22.2$), and 6/8 ($55.3{\pm}25.5$) groups. Conclusion: After cryopreservation, blastomere-biopsied mouse embryos have a significantly impaired developmental competence in vitro, but this detrimental effect might be prevented by the coculture with Vero cells in 8-cell mouse embryos biopsied one or two blastomeres. Biopsy of mouse embryos after ZD with ATS is a safe and highly efficient preclinical model for PGD of human embryos.

• 한국수정란이식학회지
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• 제30권2호
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• pp.73-82
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• 2015

This study was designed to evaluate the possibility of increase through dairy female offspring's ratio by transfer of pre-selected transferrable blastocyst that was produced by pre-selected X-bearing semen with OPU derived oocytes. Elite dairy female cow is demanded strongly compared with male, the so called, farmer wants to produce only an elite female dairy offspring as a candidate female dairy cow for producing milk. In our study, we selected 2 elite dairy bull semen from National Agricultural Cooperative Federation to pre-select X-bearing semen and 5 elite dairy female cows as donor for collecting of OPU derived oocytes. OPU derived embryo production system was carried out an aspiration of immature oocytes from 5 donor cows 2 times per week, total 200 times for 2 to 7 months by an ultrasonographic guided follicular aspiration system and then produced in vitro-produced blastocysts by in vitro maturation, fertilization and culture. Dairy donor semen selected H-319, 320 bull in National Agricultural Cooperative federation was sorted X-bearing semen by flow-cytometer and frozen for using IVF with OPU derived oocytes. Donor cows were selected 5 elite dairy cows from Gyeongju Dairy Cow Community and then disease tests such as 4 kinds of disease before selecting was checked. Oocyte proportion of grade 1 to 3 from total collected oocytes was significantly lower in donor A and B than those in donor C, D and E (82.16 and 70.03% vs. 90.0, 91.78 and 93.57%), respectively (p<0.05). However, number of oocytes per session in donor A, C and E was significantly higher than those in donor B and D ($7.77{\pm}3.26$, $5.85{\pm}2.10$ and $7.03{\pm}2.14$ vs. $4.68{\pm}2.61$ and $5.21{\pm}1.97$ oocytes), but donor A was significantly higher than donor C (p<0.05). Development to blastocyst in donor B, C and E was significantly higher than those in donor A and D (31.0, 25.0 and 25.0% vs. 14.3 and 4.5%), but donor A was not different in donor C and E (p<0.05). Nine out of 10 blastocysts (90.0%) derived from OPU blastocysts were confirmed male embryos that was induced with Y-bearing semen to confirm sex ratio only. Total 96 blastocysts derived from female bearing semen were transferred into synchronized recipients and then confirmed 42 recipients (43.8%) pregnancy rate, 36 offspring (37.5%) and 91.7% female sex ratio (33 female vs. 3 male offspring). Taken together all data, elite dairy female offspring could be produced effectively by in vitro production system between pre-selected x-bearing semen and OPU derived oocytes that would be influential breeder in the breeding of dairy farm to increase effectively elite dairy offspring ratio as well as net income in the dairy farmer.

• Clinical and Experimental Reproductive Medicine
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• 제32권4호
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• pp.315-324
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• 2005

Objectives: To compare the efficacy of GnRH antagonist multiple dose protocol (MDP) with that of GnRH agonist long protocol (LP) in controlled ovarian hyperstimulation for in vitro fertilization in patients with high basal FSH (follicle stimulating hormone) level or old age, a retrospective analysis was done. Methods: Two hundred ninety four infertile women (328 cycles) who were older than 41 years of age or had elevated basal FSH level (> 8.5 mIU/mL) were enrolled in this study. The patients had undergone IVF-ET after controlled ovarian hyperstimulation using GnRH antagonist multiple dose protocol (n=108, 118 cycles) or GnRH agonist long protocol (n=186, 210 cycles). The main outcome measurements were cycle cancellation rate, consumption of gonadotropins, the number of follicles recruited and total oocytes retrieved. The number of fertilized oocytes and transferred embryos, the clinical pregnancy rates, and the implantation rates were also reviewed. And enrolled patients were divided into three groups according to their age and basal FSH levels; Group A - those who were older than 41 years of age, Group B - those with elevated basal FSH level (> 8.5 mIU/mL) and Group C - those who were older than 41 years of age and with elevated basal FSH level (> 8.5 mIU/mL). Poor responders were classified as patients who had less than 4 retrieved oocytes, or those with $E_2$ level <500 pg/mL on the day of hCG injection or those who required more than 45 ampules of exogenous gonadotropin for stimulation. Results: The cancellation rate was lower in the GnRH antagonist group than in GnRH agonist group, but not statistically significant (6.8% vs. 9.5%, p=NS). The amount of used gonadotropins was significantly lower in GnRH antagonist group than in agonist group ($34.8{\pm}11.3$ ampules vs. $44.1{\pm}13.4$ ampules, p<0.001). The number of follicles > 14 mm in diameter was significantly higher in agonist group than in antagonist group ($6.7{\pm}4.6$ vs. $5.0{\pm}3.4$, p<0.01). But, there were no significant differences in clinical pregnancy rate (24.5% in antagonist group vs. 27.4% in agonist group, p=NS) and implantation rate (11.4% in antagonist group vs. 12.0% in agonist group, p=NS) between two groups. Mean number of retrieved oocytes was significantly higher in GnRH agonist LP group than in GnRH antagonist MDP group ($5.4{\pm}3.5$ vs. $6.6{\pm}5.0$, p<0.0001). But, the number of mature and fertilized oocytes, and the number of good quality (grade I and II) and transferred embryos were not different between two groups. In each group A, B, and C, the rate of poor response did not differ according to stimulation protocols. Conclusions: In conclusion, for infertile women expected poor ovarian response such as who are old age or has elevated basal FSH level, a protocol including a controlled ovarian hyperstimulation using GnRH antagonist appears at least as effective as that using a GnRH agonist, and may offer the advantage of reducing gonadotropin consumption and treatment period. However, much work remains to be done in optimizing the GnRH antagonist protocols and individualizing these to different cycle characteristics.

• Clinical and Experimental Reproductive Medicine
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• 제37권4호
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• pp.349-359
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• 2010

목적: 시험관아기 시술에서 3일째의 배아들 가운데 우수한 배아를 선발하여 1개의 배아를 이식 (elective single embryo transfer, eSET)한 주기와 2개의 배아를 이식 (elective double embryo transfer, eDET)한 주기의 임상적 결과들을 비교, 분석하고자 하였다. 연구방법: 본 연구는 2008년 1월부터 2009년 4월까지 대구마리아에서 첫 번째나 두 번째 In vitro fertilization-embryo transfer (IVF-ET)를 시행한 36세 미만인 환자들 가운데 hCG를 투여한 당일 자궁내막의 두께가 8 mm 이상이고 정상적인 수정란이 3개 이상이면서 적어도 1개의 우수한 배아를 지닌 환자들을 대상으로 실시하였다. eSET는 167주기에서 실시하였고 eDET는 163주기에서 실시하였다. 결과: eSET군의 임상적 임신율, 진행 임신율 및 출산율 (각각 53.3%, 47.3% 및 44.9%)은 eDET군의 것들 (각각 60.7%, 54.6% 및 50.9%)보다 통계적으로 유의한 차이가 없었다. 그러나 착상률은 eSET군이 eDET군보다 통계적으로 유의하게 높았고 (각각 53.9%와 40.2%, p<0.001), 쌍태아의 임신율은 eSET군이 eDET군보다 유의하게 낮게 나타났다 (각각 1.1%와 32.3%, p<0.001). 또한, 잉여배아들을 유리화하여 보관하게 된 환자의 비율은 eDET군보다 eSET군에서 유의하게 높았을 뿐만 아니라 (각각 68.7%와 89.2%, p<0.001), 환자당 보관된 잉여배아의 수도 eSET군에서 eDET군에 비하여 유의하게 높게 나타났다 (각각 $3.2{\pm}2.6$과 $2.1{\pm}2.4$,p<0.001).결론: 채취당 임신율을 높이고 다태아의 임신에서 기인한 합병증 등을 줄이기 위해서는 내원한 첫 번째나 두 번째 IVF-ET 환자들 가운데 36세 미만이고 HCG를 투여한 당일 자궁내막의 두께가 8 mm이상이며 3일째에 우수한 배아가 하나만 있더라도 eDET보다 eSET를 실시함이 바람직하다고 생각된다.

• 한국수정란이식학회지
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• 제14권1호
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• pp.17-22
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• 1999

도축장에서 채취한 돼지난자를 직경별로 $5\mu\textrm{m}$ 간격으로 나누어, 난자의 크기에 따른 체외성숙과 발육능을 구명코자 체외성숙과 체외수정 후의 배 발달율을 조사하였다. 채취한 난자의 투명대를 제외한 평균직경은 $114.4\pm5.45\;\mu\textrm{m}$ 이었으며, 직경별 분포는 < 105, 105~110, 110~115,115~120, 120~125, $125\;\mu\textrm{m}$<이 각각 3.0, 11.0, 31.2, 41.5, 13.0 및 0.4%로 72.7%가 110부터 $120\;\mu\textrm{m}$ 사이였다. 체외성숙율에 있어서 직경 $105\;\mu\textrm{m}$ 미만난자는 66.7%인 반면 $105\;\mu\textrm{m}$ 이상의 난자는 91.8~100%로 유의적(P<0.05)으로 높았다. 체외수정율도 직경 $105\;\mu\textrm{m}$ 미만인 난자는 50% 이었던 반면, $105\;\mu\textrm{m}$이상은 8106~85.5%로 유의적(P<0.05)으로 높았다.다정자침입율에 있어서 $110\;\mu\textrm{m}$이상의 난자는 17.8~27.7%로 $105~110\mu\textrm{m}$ 의 37.5% 보다 낮았다. 난자의 직경별 배반포기까지의 발달율은 $105\;\mu\textrm{m}$ 이하는 전혀 발달하지 않았고(0%), $105~110\mu\textrm{m}$는 701%, $110~11\;5\mu\textrm{m}$ 12.5%, $115~120\; \mu\textrm{m}$ 24.0%, $120~125\; \mu\textrm{m}$ 18.3%, $120\; \mu\textrm{m}$<0%로, $115~120\; \mu\textrm{m}$ 직경난자의 체외발달율이 유의적(P<0.05)으로 높았다.이상의 결과를 종합할 때, 돼지의 체외수정용 나자는 직경 $110\; \mu\textrm{m}$ 이상을 이용하는 것이 생산성을 높일 수 있는 방법으로 사료된다.

• 한국가축번식학회지
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• 제24권1호
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• pp.97-108
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• 2000

본 실험을 통하여 얻어진 결과를 요약하여 보면, 1. 소난포(＜2 mm), 중난포 (2~6 mm) 및 대난포 (＞6 mm)에서 각각 184개, 157개 및 101개의 난포란을 회수하여 442개의 난포란을 채취하였으며, 난포의 크기별로 볼 때 Grade I인 난포란의 회수는 소난포에서 64개 (34.8%), 중난포에서 31개 (19.7%) 및 대난포에서 5개 (5.0%)를 회수하였으며, 등급별 총 회수율은 Grade I, II 및 III 에서 각각 100개, 170개 및 172개를 회수하였다. Grade I, II, 및 III의 난소당 채란된 수는 각각 2.4개 및 4.2개로 평균 난소당 10.7개의 난포란을 회수하였다. Grade I, II, 및 III 의 미성숙 난포란, 각각 200개, 196개 및 203개를 체외성숙 배양액에서 22~24 시간동안 배양한 결과, 188개(94.0%), 155개 (79.1%) 및 147개 (72.4%)의 난포란이 성숙되었으며, 수정율은 각각 88.3%, 76.6% 및 72.5% 였다. Grade I의 난포란의 성숙율 및 수정율이 Grade II와 III에 비하여 유의적 (P＜0.05)으로 높게 나타났다. TCM-199 배양액, 난관 상피세포가 첨가된 배양액 또는 난관 상피세포의 단순배양액 (CM) 에서 상실배의 발달율은 각각 24.1%, 31.2% 및 21.9%로서 CM 배양액보다 난관 상피세포에서 유의적 (P＜0.05)으로 높은 발달율을 얻었으며, 배반포 수정란의 경우, 발달율이 각각 12.4%, 24.7% 및 18.2%로서 TCM-199 배양액보다 난관 상피세포를 첨가한 배양액에서 배양한 것이 유의적 (P＜0.05)으로 높은 발달율을 보였다. 2. 동결보호제에 대한 평형시간이 l분, 2분 및 3분일 때, 체외수정란의 생존율은 각각 82.9%, 73.3% 및 32.1%로서, 평형시간이 1분과 2분일 때의 생존율이 3분 동안 평형한 수정란보다 생존율이 유의적 (P＜0.05)으로 높았으며, 3분 동안 평형시에는 수정란의 생존율에는 치명적이었다. 배반포 수정란을 동결보존한 후의 생존율은 72.7%였으며, 상실배는 33.3% 가 생존하여 상실배보다는 배반포 수정란의 생존율이 유의적 (P＜0.05)으로 높게 나타났다. 3. 배반포 수정란을 105두의 수란우에 이식한 결과, 임신우 49두(46.7%)가 임신되었으며, 그 중에서 12.2% (6/49) 의 유산율과 6.1%(3/49)의 사산율을 보였고, 최종 40두(81. 7%)가 분만하였다. 이러한 결과로 보아 난포란의 체외배양 시 이식가능한 체외수정란의 생산율은 25%로서, 이는 난소 한개당 2.7개의 체외수정란 생산을 나타낸다. 생산된 수정란을 수란우에 이식한 결과 46.7% 의 임신율을 보여 향후 안정적인 쌍자 분만을 위해서 한우 수정란을 젖소의 대리모를 이용하는 방안에 대해 더욱 연구해 보아야 할 것으로 사료된다.