• 제목/요약/키워드: pregnancy rates

검색결과 425건 처리시간 0.024초

체외수정 및 배아이식술 관련 재료 및 소모품의 국산화 필요성에 대한 고찰 (Consideration on Domestic Production of Materials and Consumables for Human IVF-ET Program)

  • 차병헌;전진현
    • 한국발생생물학회지:발생과생식
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    • 제15권4호
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    • pp.385-391
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    • 2011
  • 인간의 불임을 극복하고 치료하기 위한 체외수정 및 배아이식술(in vitro fertilization and embryo transfer: IVF-ET)의 성공적인 임신과 출산은 1978년 영국에서 세계 최초로 성공 사례를 보고하였으며, 국내에서는 1986년에 처음으로 보고되었다. 최근에 발표된 보건복지부 통계자료에 의하면 2010년에는 130여 개의 배아생성의료기관에서 연간 42,000 건 이상의 IVF-ET가 시행되었다고 한다. 이러한 시술에 사용되는 재료 및 소모품으로는 난자 채취에 사용되는 난자채취용 주사침(ovum pick-up needle), 채취된 정자를 수세하고 분리하는데 사용되는 원심분리관(centrifuge tube), 난포액에서 난자를 확인하고 이를 분리할 때 사용하는 페트리 접시(Petri dish), 난자와 배아를 배양하는 배양접시(culture dish), 세포질내 정자주입술에 사용되는 미세 피펫(ICSI pipette), 배아의 체외배양에 사용되는 배양액(culture medium)과 미네랄 오일(mineral oil), 정자를 자궁에 넣어주는 인공수정에 사용되는 이식관(intrauterine insemination catheter), 배아의 이식에 사용되는 이식관(embryo transfer catheter), 잉여의 배아를 동결하기 위한 동결액(cryopreservation solution) 그리고 체외배양공간을 제공하는 배양기(incubator) 등이 있다. 그러나 대부분의 시술 재료와 소모품들이 수입에 의존하고 있어, 수입의존도를 낮추고 국산화를 도모하기 위해 시술기관의 임상의와 연구원들을 대상으로 체외수정 및 배아이식술 관련 시술 재료와 소모품 국산화에 대한 설문 조사를 실시한 결과를 분석하였다. 관련 분야의 임상의와 연구원들도 국산화에 대한 공감대를 가지고 있음을 확인할 수 있었다. 실제적으로 국산화가 성공되기 위해서는 품질보증과 품질관리와 같은 체계적인 시스템의 도입이 필요하며, 이를 통해 관련 산업의 발전과 국제적인 경쟁력을 강화할 수 있을 것으로 기대된다.

Study on the Reproductive Function in Transgenic Pig Harboring Human Erythropoietin (hEPO) Gene

  • Lee, Hyun-Gi;Lee, Hwi-Cheul;Chung, Hak-Jae;Hwang, In-Sul;Choi, Myoung-Seob;Byun, Sung-June;Lee, Seung-Hoon;Kim, Min-Ji;Woo, Jae-Seok;Chang, Won-Kyong;Lee, Poong-Yeon;Lee, Hoon-Taek;Park, Jin-Ki
    • Reproductive and Developmental Biology
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    • 제32권2호
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    • pp.117-121
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    • 2008
  • Our previous study showed that transgenic (TG) pigs harboring human EPO (hEPO) gene have been shown to have reproductive disorders, including low pregnancy rates, irregular estrus cycle and low little size. To investigate these reasons, we assessed estrus behavior (standing response) and plasma $17{\beta}$-estradiol ($E_2$) level, which partly reflect reproductive function, during the estrus cycles after synchronization and superovulation by hormone treatments. Then, we analysed blood composition and expression of hEPO gene in TG pigs. Pigs were injected with PG600. After 10 days, pigs were fed with Regumate porcine for 6 days. Blood samples were collected from jugular vein. Analysis of blood composition and $E_2$ level were measured by Hemavet 950 and $E_2$ ELISA kit, respectively. And, the expression of hEPO gene in reproductive organs was quantitated by real-time RT-PCR. The percentage of estrus behavior in TG was significantly decreased. Hematocrit (HCT), hemoglobin (Hb) concentration and red blood cell (RBC) number were significantly higher in TG than wild type (WT). On the other hand, high expression of hEPO gene in TG was observed in the mammary gland as well as in the uterus. Moreover, plasma $E_2$ level was significantly higher in TG than WT. These results suggest that nonspecific expression of hEPO gene in the other organs of TG may affect blood composition and plasma $E_2$ level, thereby causing reproductive disorders.

자궁강내인공수정시 황체기 보강으로서 경구 미분화 프로게스테론과 디드로게스테론의 비교 (Comparison of Oral Micronized Progesterone and Dydrogesterone as a Luteal Support in Intrauterine Insemination Cycle)

  • 장은정;지병철;김상돈;이정렬;서창석
    • Clinical and Experimental Reproductive Medicine
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    • 제37권2호
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    • pp.153-158
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    • 2010
  • 목 적: 과배란유도 후 자궁강내 인공수정 시술시 황체기 보강으로서 경구 미분화 프로게스테론 투여법과 경구 디드로게스테론 투여법의 임상적 효용성을 비교하고자 하였다. 연구방법: 2007년 1월부터 2009년 8월까지 시행된 과배란유도 후 자궁강내 인공수정 시술 183주기를 후향적으로 분석하였다. 과배란유도는 성선자극호르몬 단독 또는 클로미펜과 성선자극호르몬의 병합요법을 사용하였다. 136주기에서는 황체기 보강으로서 경구 미분화 프로게스테론을 하루 300 mg으로 투여하였고 47주기에서는 디드로게스테론을 일일 20 mg으로 투여하였다. 결 과: 여성의 연령, 불임 인자, 성숙난포수 ($\geq$16 mm), 총운동성정자수, triggering 날의 자궁내막 두께는 두 군간 유의한 차이가 없었다. 자궁내 태낭이 확인되는 임상적 임신율은 미분화 프로게스테론 투여군에서 21.3%, 디드로게 스테론 투여군에서 19.1%로 차이가 없었다 (p=0.92). 유산율은 미분화 프로게스테론 투여군에서 다소 높은 경향을 보였으나 통계학적인 차이는 없었다 (34.5% vs. 11.1%, p=0.36). 결 론: 황체기 보강으로서 경구 디드로게스테론 투여법은 경구 미분화 프로게스테론 투여에 비하여 비슷한 임신율과 유산율을 보였다. 그러나 상대적으로 디드로게스테론 투여군의 수가 적어 좀더 많은 환자를 대상으로 한 전향적 연구가 필요하다.

Observed frequency of fetal trisomy between 16 and 24 gestational weeks in pregnant women older than 34 years at delivery

  • Jeong, Shin Ok;Han, You Jung;Lee, Si Won;Kwak, Dong Wook;Chung, Jin Hoon;Ahn, Hyun Kyong;Choi, June Seek;Han, Jung Yeol;Kim, Moon Young;Park, So Yeon;Ryu, Hyun Mee;Kim, Min Hyoung
    • Journal of Genetic Medicine
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    • 제12권2호
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    • pp.92-95
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    • 2015
  • Purpose: Increased maternal age is a major risk factor for chromosomal abnormalities. The maternal age-specific risk of fetal trisomy was theoretically calculated. We investigated the actual frequency of fetal trisomy between 16 and 24 gestational weeks in pregnant women over the age of 34 at delivery. Materials and Methods: We retrospectively, over a four-year period, reviewed the medical records of women with singleton pregnancies that started their antenatal care before the 10th week of pregnancy. Pregnant women aged 34 to 45 years at the time of delivery were enrolled and divided into groups of one-year intervals. We investigated the frequency of Down syndrome and all trisomies as a function of the maternal age and compared with the theoretical maternal-age-specific risk. Results: Of the 5,858 pregnant women enrolled in the study, the rate of trisomy 21 was 0.29% (17 cases). The observed frequencies of trisomy 21 in women with maternal ages of 35 years and 40 years were 1:1,116 and 1:141, respectively. The rate of all trisomies was 0.39% (23 cases). The observed frequencies of all trisomies in women with maternal ages of 35 years and 40 years were 1:372 and 1:56, respectively. Conclusion: The frequencies of Down syndrome and all trisomies were proportional to the maternal age. However, the observed frequencies of Down syndrome and all trisomies between the 16 and 24 gestational weeks were lower than the theoretical rates.

Spatial Analysis of Colorectal Cancer in Iran

  • Pakzad, Reza;Moudi, Asieh;Pournamdar, Zahra;Pakzad, Iraj;Mohammadian-Hafshejani, Abdollah;Momenimovahed, Zohre;Salehiniya, Hamid;Towhidi, Farhad;Makhsosi, Behnam Reza
    • Asian Pacific Journal of Cancer Prevention
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    • 제17권sup3호
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    • pp.53-57
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    • 2016
  • Colorectal cancer is one of the most common cancers. Due to demographic changes, it is predicted that the incidence of this cancer will increase. Variations of its incidence rate among geographical areas are due to various contributing factors. Since there have been a lack of studies on this topic in our country, the present assessment of spatial patterns of colorectal cancer incidence in Iran was performed. In this ecological study, the new cases of colon cancer were extracted from Cancer Registry Center report of the Health Deputy of Iran in 2009. The reported incidences of the disease were standardized on the basis of the World Health Organization population and the direct method. Then the data were inserted into the GIS software, and finally, using the analysis of hot spots (Getis-Ord Gi) high-risk areas were drawn. Provinces that are higher or lower than the national average (1.9 SD) were considered hot spots or cold spots, significant at the level of 0.05. A total of 6,210 cases of colorectal cancer were registered in Iran in 2009, of which 3,727 were in men and 2,783 in women (age-standardized rates of 11.3 and 10.9 per 100,000 population, respectively). The results showed that in central and northern Iran including Isfahan, Qom, Tehran, Qazvin and Mazandaran significant hot spots in men were present (p <0.05). In women also we have high incidence in northern and central states: Mazandaran province (p<0.01) and the province of Tehran (p<0.05) had higher incidences than the national average and were apparent as significant hot spots. Analysis of the spatial distribution of colorectal cancer showed significant differences between different areas pointing to the necessity for further epidemiological studies into the etiology and early detection.

CIDR를 이용한 재래 흑염소의 발정동기화와 인공수정 (Effect of CIDR on Estrus Synchronization and Artificial Insemination of Korean Native Goat)

  • 최창용;강다원;조상래;김현종;최선호;최순호;김영근;노규진;최상용;손동수
    • 한국수정란이식학회지
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    • 제20권3호
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    • pp.297-302
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    • 2005
  • 본 연구는 재래 흑염소의 인공수정기술을 개발하여 우수한 재래 흑염소의 이용효율을 극대화시키는데 그 목적을 두고 축산연구소 가축유전자원 시험장에서 사육하고 있는 재래 흑염소의 정액을 채취하여 이를 동결보존한 후 필요시 사용하였다. 발정동기화 처리로 인위적으로 발정을 유기한 개체에 인공수정을 실시하여 처리방법별 발정 유기율, 호르몬의 변화양상 및 분만율을 조사하였다. 발정동기화 방법 중 CIDR+$PGF_2a$ 방법에서 $55.6\%$, CIDR+PMSG 방법에서 $40.0\%$ 발정이 발현되었다. CIDR+$PGF_2a$와 CIDR+PMSG 두 처리구에서 CIDR삽입 후 progesterone 농도가 상승하여 CIDR 제거하는 당일까지 높은 수준의 progesterone의 혈중 농도를 유지하였다. 그러나 CIDR를 제기하면 다음날 바로 그 농도가 1 ng/mL 수준으로 급격히 떨어지는 것을 확인함으로써 재래 흑염소의 발정동기화를 위해 CIDR를 이용하는 것이 유용한 방법으로 확인되었다. 이들 중 CIDR+$PGF_2a$를 사용하였을 경우 신선 정액에서 $25\%$, 동결정액에서 $20\%$의 분만율을 나타내었다.

초자화 동결된 생쥐 완전탈출 배반포기배 이식에 관한 유용성 검토 (Study on the Usability of Vitrified Mouse Hatched Blastocysts in Embryo Transfer)

  • 이봉경;김은영;남화경;이금실;윤산현;박세필;임진호
    • 한국가축번식학회지
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    • 제22권2호
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    • pp.171-176
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    • 1998
  • 본 연구는 체외에서 배양된 생쥐 완전탈출 배반포기배를 동결보존액 EFS35를 이용하여 초자화 동결하였을 때 체내발달의 적합성 여부를 조사하기 위해 실시하였다. 공시된 완전탈출 배반포기배($\theta$ 130$\mu\textrm{m}$)는 체내에서 생산된 전핵기 수정란을 5일 동안 체외배양하여 얻었으며, 10% ethylene glycol(EG)에 5분 노출한 후 EFS35(35% EG, 18% Ficoll, 0.3 M sucrose)에 30초 동안 노출하거나, 초자화 동결하였다. 융해 후, 재팽창이 이루어진 완전탈출 배반포기배는 가임신 3일된 대리모의 한쪽 또는 양쪽 자궁각(4~6개/자궁각)에 이식하였다. 대리모의 임신율과 착상율은 임신 15일재 외과적 해부로 판정하였다. 그 결과를 요약하면 다음과 같다. 융해 30분 후, 완전탈출 배반포기배의 체외생존율은 노출군(65.5%)과 동결군(54.5%)간에 유의한 차이는 없었다. 또한, 체내발달율을 조사하였던 바, 착상율에 있어서 동결군(41.0%)과 대조군(58.5%)간에 유의한 차는 없었지만, 정상산자율에서는 동결군(24.0%)의 결과가 대조군(58.3%)보다 유의하게 낮게 나타났다(p<0.05). 이러한 결과는 EFS35를 이용한 완전탈출 배반포기배의 초자화 동결은 정상산자율은 감소하였지만, 완전탈출 배반포기배의 이용 효율성을 넓히는데 이용될 수 있다는 것을 알 수 있었다.

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항정자항체가 일반적 체외수정 방법 및 정자직접 주입법(ICSI)에 미치는 영향에 관한 연구 (The Effect of Anti-Sperm Antibodies on Conventional IVF and Intracytoplasmic Sperm Injection (ICSI))

  • 오종훈;엄기붕;최동희;정미경;한세열;차광열;정길생
    • Clinical and Experimental Reproductive Medicine
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    • 제24권3호
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    • pp.385-391
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    • 1997
  • The purpose of this study was to examine the effects of anti-sperm antibody (ASA) on the fertilization processes using conventional IVF and ICSI procedure in human and hamster oocytes. In human IVF, we have observed restricted fertilization with sperm testing positive for ASA. ($23{\sim}90%$ IgA, 60-97 % IgG). However, if ICSI was perform in the next IVF cycle with the same patients, we could successfully fertilize the oocytes (37%; p<0.001), thus achieving pregnancy and delivery. When the sperm were cocultured in medium containing ASA, there were binding of ASA to sperm surface. In addition, the mean rate of the acrosomal reaction in an in vitro acrosome reaction test was lower for Ab-bound sperm (43.5%) than for Ab-free sperm group (51.3%, p<0.05). We used human sperm and hamster oocytes to confirm the negative effects of the ASA on fertilization. The sperm and/or oocytes have been expose to medium containing ASA before IVF and ICSI. In this experiment, the ASA was bound to the oocyte and sperm surface. The following results were obtain by using various combinations of ASA free or ASA bound sperm with ASA free or ASA bound oocytes for IVF. When ASA free sperm were inseminate with ASA free and ASA bound hamster oocytes, the fertilization rates are 89.6% and 74.3% respectively. However, when ASA bound human sperm were use the results were 62.5% and 55.6% respectively. These shows the fertilization rate was significantly decreased in both ASA bound and ASA free oocytes when using ASA bound sperm. No difference found when ASA are present on the oocyte surface. When the hamster oocytes was treated by ICSI with ASA free or ASA bound human spermatozoa, no significant difference was found. These results showed that ICSI is the most promising method for couples who fertilization was not possible by conventional IVF because of ASA.

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Endometrial profilin 1: A key player in embryo-endometrial crosstalk

  • Lee, Chang-Jin;Hong, Seon-Hwa;Yoon, Min-Ji;Lee, Kyung-Ah;Ko, Jung-Jae;Koo, Hwa Seon;Kim, Jee Hyun;Choi, Dong Hee;Kwon, Hwang;Kang, Youn-Jung
    • Clinical and Experimental Reproductive Medicine
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    • 제47권2호
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    • pp.114-121
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    • 2020
  • Objective: Despite extensive research on implantation failure, little is known about the molecular mechanisms underlying the crosstalk between the embryo and the maternal endometrium, which is critical for successful pregnancy. Profilin 1 (PFN1), which is expressed both in the embryo and in the endometrial epithelium, acts as a potent regulator of actin polymerization and the cytoskeletal network. In this study, we identified the specific role of endometrial PFN1 during embryo implantation. Methods: Morphological alterations depending on the status of PFN1 expression were assessed in PFN1-depleted or control cells grown on Matrigel-coated cover glass. Day-5 mouse embryos were cocultured with Ishikawa cells. Comparisons of the rates of F-actin formation and embryo attachment were performed by measuring the stability of the attached embryo onto PFN1-depleted or control cells. Results: Depletion of PFN1 in endometrial epithelial cells induced a significant reduction in cell-cell adhesion displaying less formation of colonies and a more circular cell shape. Mouse embryos co-cultured with PFN1-depleted cells failed to form actin cytoskeletal networks, whereas more F-actin formation in the direction of surrounding PFN1-intact endometrial epithelial cells was detected. Furthermore, significantly lower embryo attachment stability was observed in PFN1-depleted cells than in control cells. This may have been due to reduced endometrial receptivity caused by impaired actin cytoskeletal networks associated with PFN1 deficiency. Conclusion: These observations definitively demonstrate an important role of PFN1 in mediating cell-cell adhesion during the initial stage of embryo implantation and suggest a potential therapeutic target or novel biomarker for patients suffering from implantation failure.

Estrus synchronization and artificial insemination in Korean black goat (Capra hircus coreanae) using frozen-thawed semen

  • Kim, Kwan-Woo;Lee, Jinwook;Kim, Keun Jung;Lee, Eun-Do;Kim, Sung Woo;Lee, Sung-Soo;Lee, Sang-Hoon
    • Journal of Animal Science and Technology
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    • 제63권1호
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    • pp.36-45
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    • 2021
  • Presently, there is an increased demand for livestock products all over the world which has led to more devotion on improving livestock population. Although goats have been bred for a long time in Korea, but there is not much research conducted on traditional Korean black goat (Capra hircus coreanae) compared to other livestock populations. Mutton consumption has been dramatically changing from medicinal use to edible meat and this trend directs the black goat populations declining and also mutton import quantities are increasing consistently. The present study introduced a new estrus synchronizing technique with subsequent artificial insemination (AI) for Korean black goats to enable crossbreeding with non-native breeds for the small or subsistent farmers. Our data highlighted that, the percentage of motile sperm from the electro-ejaculated samples declined significantly after freezing and melting. In addition, the sperm motility significantly declined with regard to sperm incubation period (0, 5, 60, and 120 min at 37℃) and was negatively correlated (64.2 ± 7.9%, 63.3 ± 5.8%, 49.9 ± 6.3%, and 35.9 ± 7.6%, respectively) in frozen-thawed sperm samples. Moreover, the E2 levels were unchanged even 24 h after controlled internal drug releas (CIDR) withdrawal. But, 48 h and 72 h after CIDR removal, E2 levels increased significantly. These data helps us to consider the two time points for AI; CIDR removal after 24 h, at which E2 decreases, and after 48 h, as the time at which progesterone increases. Additionally, the AI after 48 h of CIDR removal group exhibited significantly higher pregnancy and parturition rates (42.9%) compared to AI after 24 h after CIDR removal 28.6% group. In conclusion, these studies will propose an optimal estrus synchronisation process with subsequent timing of AI and also will promote the Korean black goat breeding industry.