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1.
Reprod Biomed Online ; 48(5): 103769, 2024 05.
Artículo en Inglés | MEDLINE | ID: mdl-38492415

RESUMEN

RESEARCH QUESTION: What is the efficiency and efficacy of the novel Biorocks semi-automated vitrification system, which is based on a hydrogel? DESIGN: This comparative experimental laboratory study used mouse model and human day 6 blastocysts. Mouse oocytes and embryos were quality assessed post-vitrification. RESULTS: The Biorocks system successfully automated the solution exchanges during the vitrification process, achieving a significantly improved throughput of up to 36 embryos/oocytes per hour. Using hydrogel for cryoprotective agent delivery, 12 vessels could be processed simultaneously, fitting comfortably within an assisted reproductive technology (ART) workstation. In tests involving the cryopreservation of oocytes and embryos, the system yielded outcomes equivalent to the manual Cryotop method. For example, the survival rate for mouse oocytes was 98% with the Biorocks vitrification system (n = 46) and 95% for the manual Cryotop method (n = 39), of which 46% and 41%, respectively, progressed to blastocysts on day 5 after IVF. CC-grade day 6 human blastocysts processed with the Biorocks system (n = 39) were associated with a 92% 2 h re-expansion rate, equivalent to the 90% with Cryotop (n = 30). The cooling/warming rates achieved by the Biorocks system were 31,900°C/minute and 24,700°C/minute, respectively. Oocyte quality was comparable or better post-vitrification for Biorocks than Cryotop. CONCLUSIONS: The Biorocks semi-automated vitrification system offers enhanced throughput without compromising the survival and developmental potential of oocytes and embryos. This innovative system may help to increase the efficiency and standardization of vitrification in ART clinics. Further investigations are needed to confirm its efficacy in a broader clinical context.


Asunto(s)
Criopreservación , Vitrificación , Animales , Ratones , Criopreservación/métodos , Criopreservación/instrumentación , Humanos , Femenino , Blastocisto/fisiología , Hidrogeles , Oocitos , Embrión de Mamíferos , Técnicas de Cultivo de Embriones/instrumentación , Técnicas de Cultivo de Embriones/métodos
2.
Reprod Fertil Dev ; 32(9): 879-884, 2020 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-32448404

RESUMEN

This study investigated the possibility of a sealed culture system in polymerase chain reaction (PCR) tubes to maintain embryo development. The embryo density that could support the development of 2-cell stage mouse embryos to the hatching stage was determined. At an embryo density of 1:2 (100 embryos cultured in 200µL CZB medium that had been pretreated with a reference gas containing 5% O2), the developmental rate was higher and fewer embryos exhibited reactive oxygen species- or hypoxia-induced injury compared with other sealed culture groups. Expression of growth factors (insulin-like growth factor (IGF) 1, IGF2, epidermal growth factor and transforming growth factor-α) and their receptors was evaluated, with similar expression patterns seen for embryos in sealed culture (5% O2, embryo density of 1:2) compared with the control group (embryos cultured in microdrops and placed in a 37°C, 5% CO2 water-jacketed incubator; P>0.05). After transfer of blastocysts generated by the sealed culture into recipients, there were no obvious differences in the rate of normal live pups births between the sealed culture and control groups (P>0.05). Thus, the sealed embryo culture system in PCR tubes is feasible for use in situations which cannot use a traditional incubator, such as in space and during the transport of embryos.


Asunto(s)
Blastocisto/metabolismo , Técnicas de Cultivo de Embriones/instrumentación , Oxígeno/metabolismo , Animales , Apoptosis , Blastocisto/patología , Transferencia de Embrión , Diseño de Equipo , Femenino , Fertilización In Vitro , Regulación del Desarrollo de la Expresión Génica , Subunidad alfa del Factor 1 Inducible por Hipoxia/metabolismo , Péptidos y Proteínas de Señalización Intercelular/metabolismo , Nacimiento Vivo , Masculino , Ratones , Embarazo , Índice de Embarazo , Especies Reactivas de Oxígeno/metabolismo
3.
BJOG ; 126(2): 280-286, 2019 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-29443441

RESUMEN

OBJECTIVE: Comparison of live birth rates and the perinatal outcomes after fresh and frozen embryo transfer between time-lapse imaging (TLI) and standard culture (SC) incubators. DESIGN: Retrospective cohort study. SETTING: A single tertiary level IVF unit. POPULATION: Women undergoing IVF between January 2014 and October 2015. METHODS: Comparison was done between 1064 IVF cycles using TLI (TLI cycles) and 818 IVF cycles using SC (SC cycles). MAIN OUTCOME MEASURES: Cumulative live birth rate per oocyte retrieval and perinatal outcomes including birthweight, gestational age, preterm birth (PTB) (<37 weeks), early preterm birth (PTB; <32 weeks), low birthweight (LBW; <2500 g), very LBW (<1500 g) and macrosomia (>4500 g). RESULTS: The fresh embryo transfer live birth rate was noted to be higher for TLI cycles [TLI 36.8 versus SC 33.9%, adjusted odds ratio (aOR) 1.28, 95% CI 1.05-1.57], but the frozen embryo transfer live birth rates were not significantly different. The mean birthweight was higher in the TLI group after both fresh [adjusted mean difference (aMD) 174.78 g, 95% CI 64.80-284.77] and frozen embryo transfers (aMD 175.91 g, 95% CI 16.98-334.84). After a fresh embryo transfer, there was a lower risk of early PTB and very LBW in the TLI group. Among frozen embryo transfers, there was a lower risk of early PTB and LBW in the TLI group. CONCLUSIONS: TLI incubators are associated with improved perinatal outcomes and higher mean birthweight after fresh and frozen embryo transfer. TWEETABLE ABSTRACT: Time-lapse imaging incubators in IVF improve perinatal outcomes after both fresh and frozen embryo transfers.


Asunto(s)
Tasa de Natalidad , Técnicas de Cultivo de Embriones/instrumentación , Transferencia de Embrión/métodos , Incubadoras , Imagen de Lapso de Tiempo , Adulto , Peso al Nacer , Criopreservación/estadística & datos numéricos , Transferencia de Embrión/estadística & datos numéricos , Femenino , Humanos , Embarazo , Resultado del Embarazo/epidemiología , Estudios Retrospectivos
4.
J Assist Reprod Genet ; 36(8): 1571-1577, 2019 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-31267335

RESUMEN

PURPOSE: To investigate the stability of osmolality in non-humidified and humidified incubators for assisted reproductive technologies (ART). METHODS: Drops of three single-step culture media (media A, B, and C) were incubated for 5 or 6 days covered with four different mineral oils (oils A, B, C, and D) in non-humidified incubator A, non-humidified incubator B, or humidified incubator C to investigate the effects of incubator environment (humidification), drop volume, culture media, and mineral oil on the stability of osmolality in microdrops. RESULTS: A significant and linear increase was shown in the osmolality of 50-µL and 200-µL microdrops covered with mineral oil during 5 days incubation in non-humidified benchtop incubators. The maximum increase was 20 mOsm/kg, and the extent of the increase was affected by microdrop volume and possibly by the type of mineral oil used to cover the drops. In contrast, the osmolality of 50-µL and 200-µL microdrops did not change during 5 days incubation in a humidified benchtop incubator. CONCLUSIONS: Mineral oil alone may not adequately prevent gradual changes in the osmolality of low-volume microdrops during extended in vitro culture of human embryos in non-humidified incubators. As a result, the osmolality may increase to high enough levels to stress some human embryos and adversely affect clinical outcomes. We therefore recommend that the stability of osmolality should be given more consideration to ensure optimal culture conditions for ART.


Asunto(s)
Técnicas de Cultivo de Embriones/instrumentación , Embrión de Mamíferos/citología , Fertilización In Vitro/normas , Humedad/normas , Incubadoras/normas , Medios de Cultivo , Técnicas de Cultivo de Embriones/métodos , Técnicas de Cultivo de Embriones/normas , Desarrollo Embrionario , Femenino , Humanos , Aceite Mineral , Concentración Osmolar
5.
Adv Exp Med Biol ; 1029: 5-13, 2018.
Artículo en Inglés | MEDLINE | ID: mdl-29542076

RESUMEN

Microinjection is a common technique used to deliver nucleic acids into eggs and embryos in Ciona species. There are three Ciona species that are commonly used for research-Ciona intestinalis type A (C. robusta), C. intestinalis type B (C. intestinalis), and C. savignyi. Here, we present the microinjection methods using eggs and embryos of C. intestinalis type A and C. savignyi; however, our methods would also be applicable to eggs and embryos of C. intestinalis type B. Microinjection is a classical and widely used delivery method, which involves the use of a glass micropipette, a hollow glass needle with a microscopic tip, to inject nucleic acids into eggs and embryos under a stereo microscope. The required amount of nucleic acids is much smaller for microinjection than for electroporation, another delivery method. Proteins, and other chemicals, such as fluorescent dye, can be introduced with nucleic acids using a microinjection.


Asunto(s)
Animales Modificados Genéticamente , Ciona intestinalis/genética , Técnicas de Transferencia de Gen , Microinyecciones/métodos , Ácidos Nucleicos/administración & dosificación , Animales , Animales Modificados Genéticamente/embriología , Animales Modificados Genéticamente/genética , Animales Modificados Genéticamente/crecimiento & desarrollo , Ciona intestinalis/clasificación , Ciona intestinalis/embriología , Técnicas de Cultivo de Embriones/instrumentación , Técnicas de Cultivo de Embriones/métodos , Femenino , Fertilización In Vitro/instrumentación , Fertilización In Vitro/métodos , Técnicas de Sustitución del Gen , Técnicas de Silenciamiento del Gen , Técnicas de Transferencia de Gen/instrumentación , Masculino , Ácidos Nucleicos/genética , Óvulo , Transgenes
6.
Adv Exp Med Biol ; 1029: 15-24, 2018.
Artículo en Inglés | MEDLINE | ID: mdl-29542077

RESUMEN

Phallusia mammillata has recently emerged as a new ascidian model. Its unique characteristics, including the optical transparency of eggs and embryos and efficient translation of exogenously introduced mRNA in eggs, make the Phallusia system suitable for fluorescent protein (FP)-based imaging approaches. In addition, genomic and transcriptomic resources are readily available for this ascidian species, facilitating functional gene studies. Microinjection is probably the most versatile technique for introducing exogenous molecules such as plasmids, mRNAs, and proteins into ascidian eggs/embryos. However, it is not practiced widely within the community; presumably, because the system is rather laborious to set up and it requires practice. Here, we describe in as much detail as possible two microinjection methods that we use daily in the laboratory: one based on an inverted microscope and the other on a stereomicroscope. Along the stepwise description of system setup and injection procedure, we provide practical tips in the hope that this chapter might be a useful guide for introducing or improving a microinjection setup.


Asunto(s)
Animales Modificados Genéticamente , Técnicas de Transferencia de Gen , Microinyecciones/métodos , ARN Mensajero/administración & dosificación , Urocordados/genética , Animales , Animales Modificados Genéticamente/embriología , Animales Modificados Genéticamente/genética , Animales Modificados Genéticamente/crecimiento & desarrollo , Técnicas de Cultivo de Embriones/instrumentación , Técnicas de Cultivo de Embriones/métodos , Embrión no Mamífero/ultraestructura , Femenino , Fertilización In Vitro/instrumentación , Fertilización In Vitro/métodos , Técnicas de Transferencia de Gen/instrumentación , Larva , Masculino , Microinyecciones/instrumentación , Microscopía/instrumentación , Óvulo , ARN Mensajero/genética , Transgenes , Urocordados/embriología , Urocordados/crecimiento & desarrollo
7.
Adv Exp Med Biol ; 1029: 25-35, 2018.
Artículo en Inglés | MEDLINE | ID: mdl-29542078

RESUMEN

Exogenous gene expression assays during development, including reporters under the control of 5' upstream enhancer regions of genes, constitute a powerful technique for understanding the mechanisms of tissue-specific gene expression regulation and determining the characteristics, behaviors, and functions of cells that express these genes. The simple marine chordate Halocynthia roretzi has been used for these transgenic analyses for a long time and is an excellent model system for such studies, especially in comparative analyses with other ascidians. In this study, I describe simple methods for microinjecting H. roretzi eggs with exogenous DNA, such as a promoter construct consisting of a 5' upstream region and a reporter gene, which are prerequisites for transgenic analyses. I also describe basic knowledge regarding this ascidian species, providing reasons why it is an ideal subject for developmental biology studies.


Asunto(s)
Animales Modificados Genéticamente , ADN/administración & dosificación , Técnicas de Transferencia de Gen , Microinyecciones/métodos , Urocordados/genética , Animales , Animales Modificados Genéticamente/embriología , Animales Modificados Genéticamente/genética , Animales Modificados Genéticamente/crecimiento & desarrollo , ADN/genética , Técnicas de Cultivo de Embriones/instrumentación , Técnicas de Cultivo de Embriones/métodos , Embrión no Mamífero/citología , Embrión no Mamífero/metabolismo , Elementos de Facilitación Genéticos , Femenino , Fertilización In Vitro/instrumentación , Fertilización In Vitro/métodos , Técnicas de Transferencia de Gen/instrumentación , Genes Reporteros , Masculino , Óvulo , Espermatozoides , Transgenes , Urocordados/embriología , Urocordados/crecimiento & desarrollo
8.
J Assist Reprod Genet ; 35(3): 515-522, 2018 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-29243141

RESUMEN

PURPOSE: In this current study, our main goal was to establish that EmbryoScope incubation environment is comparable to standard incubation. METHODS: The development of sibling human zygotes was compared after culture in either a benchtop incubator (SI) or an EmbryoScope time-lapse incubator (ES). Between May 2015 to April 2016, a total of 581 normally fertilized 2PN, pronuclear-stage embryos, from 47 patients were allocated to culture in either a benchtop incubator (SI) or an EmbryoScope incubator (ES). RESULTS: The development of embryos to cleavage (up to day 3) and blastocyst stages (day 5/6) was compared between the two different incubators. The proportion of good quality embryos was higher in the ES group compared to the SI on day 2 (66.8 vs. 50.5%, P = 0.014) and on day 3 (75.1 vs. 56.0%, P = 0.006). Those differences were statistically significant. A higher proportion of embryos developed to good quality blastocysts when cultured in the EmbryoScope compared to the benchtop (49.4 vs. 42.0%, P = 0.24), but this was not significant. Finally, no significant differences were noted with the proportion of blastocysts chosen for cryopreservation on day 5/6 in the two incubators. CONCLUSIONS: The findings support the view that the EmbryoScope incubator supports at least equivalent in vitro development of human embryos compared to other standard incubation methods and may promote improved development during early cleavage stages.


Asunto(s)
Blastocisto/fisiología , Técnicas de Cultivo de Embriones/instrumentación , Blastocisto/citología , Técnicas de Cultivo de Embriones/métodos , Femenino , Fertilización In Vitro , Humanos , Incubadoras , Imagen de Lapso de Tiempo
9.
Mol Hum Reprod ; 23(4): 235-247, 2017 04 01.
Artículo en Inglés | MEDLINE | ID: mdl-27932552

RESUMEN

Measurement of oocyte and embryo biomechanical properties has recently emerged as an exciting new approach to obtain a quantitative, objective estimate of developmental potential. However, many traditional methods for probing cell mechanical properties are time consuming, labor intensive and require expensive equipment. Microfluidic technology is currently making its way into many aspects of assisted reproductive technologies (ART), and is particularly well suited to measure embryo biomechanics due to the potential for robust, automated single-cell analysis at a low cost. This review will highlight microfluidic approaches to measure oocyte and embryo mechanics along with their ability to predict developmental potential and find practical application in the clinic. Although these new devices must be extensively validated before they can be integrated into the existing clinical workflow, they could eventually be used to constantly monitor oocyte and embryo developmental progress and enable more optimal decision making in ART.


Asunto(s)
Técnicas de Cultivo de Embriones/métodos , Técnicas Analíticas Microfluídicas/métodos , Microfluídica/métodos , Oocitos/citología , Técnicas Reproductivas Asistidas/instrumentación , Animales , Fenómenos Biomecánicos , Técnicas de Cultivo de Embriones/instrumentación , Embrión de Mamíferos , Desarrollo Embrionario/fisiología , Femenino , Humanos , Microfluídica/instrumentación , Oocitos/crecimiento & desarrollo , Oocitos/metabolismo , Análisis de la Célula Individual/instrumentación , Análisis de la Célula Individual/métodos
10.
Mol Hum Reprod ; 23(4): 213-226, 2017 04 01.
Artículo en Inglés | MEDLINE | ID: mdl-27678484

RESUMEN

The optimization of in-vitro culture conditions and the selection of the embryo(s) with the highest developmental competence are essential components in an ART program. Culture conditions are manifold and they underlie not always evidence-based research but also trends entering the IVF laboratory. At the moment, the idea of using sequential media according to the embryo requirements has been given up in favor of the use of single step media in an uninterrupted manner due to practical issues such as time-lapse incubators. The selection of the best embryo is performed using morphological and, recently, also morphokinetic criteria. In this review, we aim to demonstrate how the ART field may benefit from the use of microfluidic technology, with a particular focus on specific steps, namely the embryo in-vitro culture, embryo scoring and selection, and embryo cryopreservation. We first provide an overview of microfluidic and microfabricated devices, which have been developed for embryo culture, characterization of pre-implantation embryos (or in some instances a combination of both steps) and embryo cryopreservation. Building upon these existing platforms and the various capabilities offered by microfluidics, we discuss how this technology could provide integrated and automated systems, not only for real-time and multi-parametric monitoring of embryo development, but also for performing the entire ART procedure. Although microfluidic technology has been around for a couple of decades already, it has still not made its way into the clinics and IVF laboratories, which we discuss in terms of: (i) a lack of user-friendliness and automation of the microfluidic platforms, (ii) a lack of robust and convincing validation using human embryos and (iii) some psychological threshold for embryologists and practitioners to test and use microfluidic technology. In spite of these limitations, we envision that microfluidics is likely to have a significant impact in the field of ART, for fundamental research in the near future and, in the longer term, for providing a novel generation of clinical tools.


Asunto(s)
Criopreservación/métodos , Técnicas de Cultivo de Embriones/instrumentación , Técnicas Analíticas Microfluídicas/métodos , Microfluídica/métodos , Animales , Bovinos , Criopreservación/instrumentación , Implantación del Embrión/fisiología , Transferencia de Embrión/métodos , Embrión de Mamíferos , Femenino , Fertilización In Vitro/instrumentación , Fertilización In Vitro/métodos , Humanos , Microfluídica/instrumentación , Imagen de Lapso de Tiempo/instrumentación , Imagen de Lapso de Tiempo/métodos
11.
Reprod Biol Endocrinol ; 15(1): 37, 2017 May 08.
Artículo en Inglés | MEDLINE | ID: mdl-28482910

RESUMEN

BACKGROUND: The aim of this study was to compare pregnancy rates in patients undergoing IVF/ICSI with embryo transfer after 4 and 5 days of culture in a closed incubation system with integrated time-lapse imaging. METHODS: Out of n = 2207 in vitro fertilization (IVF)/ intracytoplasmic sperm injection (ICSI) cycles performed between January 2011 and April 2016 at a tertiary referral university hospital, a total of n = 599 IVF/ICSI cycles with prolonged embryo culture in an integrated time-lapse system (EmbryoScope© (Vitrolife)) until day 4 or 5 were retrospectively analyzed with regard to embryo morphology and pregnancy rates. RESULTS: A transfer on day 5 compared to a transfer on day 4 did not result in higher implantation and clinical pregnancy rates (IR 29.4% on day 4 versus 33.0% on day 5, p = 0.310; CPR 45.2% on day 4 versus 45.7% on day 5, p = 1.0). The percentage of ideal embryos transferred on day 4 was comparable to the rate of ideal embryos transferred on day 5 (41.6% versus 44.1%, p = 0.508). However, on day 4 a significantly higher number of embryos was transferred (1.92 on day 4 versus 1.84 on day 5, p = 0.023), which did not result in higher rates of multiple pregnancies. CONCLUSIONS: Pregnancy rates in IVF/ICSI cycles with integrated time-lapse incubation and transfer on day 4 and 5 are comparable. This finding provides the clinician, IVF laboratory and patient with more flexibility. TRIAL REGISTRATION: This study was retrospectively registered by the local ethics committee of the University of Heidelberg on December 19, 2016 (registration number S-649/2016).


Asunto(s)
Técnicas de Cultivo de Embriones , Transferencia de Embrión/métodos , Incubadoras , Infertilidad Femenina/terapia , Índice de Embarazo , Imagen de Lapso de Tiempo , Adulto , Células Cultivadas , Fase de Segmentación del Huevo/citología , Fase de Segmentación del Huevo/fisiología , Técnicas de Cultivo de Embriones/instrumentación , Técnicas de Cultivo de Embriones/métodos , Implantación del Embrión , Transferencia de Embrión/estadística & datos numéricos , Femenino , Fertilización In Vitro , Fetoscopios , Humanos , Infertilidad Femenina/epidemiología , Embarazo , Estudios Retrospectivos , Inyecciones de Esperma Intracitoplasmáticas , Factores de Tiempo , Imagen de Lapso de Tiempo/instrumentación , Imagen de Lapso de Tiempo/métodos
12.
Hum Reprod ; 31(7): 1436-44, 2016 07.
Artículo en Inglés | MEDLINE | ID: mdl-27179264

RESUMEN

STUDY QUESTION: Do the embryo culture media and plastic materials used during assisted reproductive technology (ART) laboratory procedures expose embryos to bisphenol A (BPA)? SUMMARY ANSWER: BPA was not detected in embryo culture media or protein supplements at concentrations above those encountered in normal patient serum and follicular fluids. WHAT IS KNOWN ALREADY: BPA is strongly suspected of altering the epigenome during mammalian development. Medical devices have been shown to be a source of BPA exposure in adult and neonatal intensive care units. STUDY DESIGN, SIZE, DURATION: An analytical study of ART culture media and plastic labware products was performed under conditions close to routine practice and if BPA was detected, tests were carried out under more stringent conditions. PARTICIPANTS/MATERIALS, SETTING, METHODS: Two single-step embryo culture media, two sequential media and three different protein supplements [a purified human serum albumin (HSA), a synthetic serum substitute, and a recombinant HSA] were tested for BPA. Thirty-three different plastic consumables, used from oocyte collection through to embryo transfer, were tested for their ability to leach BPA into their surrounding environment.BPA concentrations were measured according to a previously described liquid chromatography/mass spectrometry method. This method is linear over the calibration range from 0.5 to 100 ng/ml using a linear model weighted by 1/X² and validated in terms of selectivity, linearity, repeatability, reproducibility and limit of quantification (0.5 ng/ml). MAIN RESULTS AND THE ROLE OF CHANCE: Neither the culture media nor the protein supplements were shown to contain detectable levels of BPA. None of the plastic materials leached BPA into the surrounding medium at levels higher than the upper limit detected previously in serum and follicular fluids in women (about 2 ng/ml). However, the plastic of the three tested strippers used for oocyte denudation/embryo handling did contain BPA. Two of these strippers are made with polycarbonate, a plastic whose synthesis is known to require BPA. LIMITATIONS, REASONS FOR CAUTION: This study is limited to the ART media and materials tested here and using a BPA assay with a limit of quantification at 0.5 ng/ml. A minimum volume was required for testing, and one type of plastic labware could not be tested in conditions identical to those in routine use. WIDER IMPLICATIONS OF THE FINDINGS: Although we demonstrated that some plastic materials used in ART contain BPA, under routine conditions none appear capable of leaching BPA at levels higher than those from maternal internal exposure. However, BPA is strongly suspected of altering the epigenome. Since important epigenetic modifications occur in the early embryonic stage, it is questionable whether plastics that contain BPA, polycarbonate in particular, should be used in the manufacture of plastic consumables for ART procedures. STUDY FUNDING/COMPETING INTERESTS: This work was supported by a grant from the Agence de Biomédecine (AOR 2012) and by a grant from the French Ministry of Health (Clinical Research Hospital Program 2012; no.12-018-0560). The authors declared no competing interest.


Asunto(s)
Compuestos de Bencidrilo/análisis , Medios de Cultivo/química , Embrión de Mamíferos/efectos de los fármacos , Fenoles/análisis , Cromatografía Liquida , Técnicas de Cultivo de Embriones/instrumentación , Exposición a Riesgos Ambientales/análisis , Espectrometría de Masas , Plásticos/química , Reproducibilidad de los Resultados , Técnicas Reproductivas Asistidas/instrumentación
13.
Hum Reprod ; 30(2): 268-75, 2015 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-25432920

RESUMEN

STUDY QUESTION: Does culture in a closed system result in an increased number of good quality embryos (GQE) on Day 2 compared with culture in a conventional system? SUMMARY ANSWER: Culture in a closed system up to 2 days after microinjection results in similar embryo development and morphological quality compared with culture in a conventional incubation system. WHAT IS KNOWN ALREADY: Time-lapse imaging (TLI) incubators are rapidly being introduced into IVF laboratories worldwide, despite the lack of large prospective randomized trials demonstrating improvement in embryo development or pregnancy rates. STUDY DESIGN, SIZE, DURATION: A randomized controlled trial including 364 patients (365 cycles) was conducted between May 2010 and February 2014. After oocyte collection, randomization was carried out and all of a patients' oocytes were allocated to culture in either a conventional incubator or a closed incubator system in proportion 1:2 until embryo transfer on Day 2. A total of 1979 oocytes were injected and cultured in the closed system, and 1000 in the standard incubator. The primary end-point was the number of GQE in the two groups. PARTICIPANTS/MATERIALS, SETTINGS, METHODS: In total, 364 patients undergoing their first IVF cycle using ICSI, where at least one oocyte was retrieved, were randomized in a university hospital setting. Two hundred and forty patients were randomized for culture in a closed system and 124 patients for culture in the conventional incubator system (control group). Embryo assessments and final morphological scoring before transfer and cryopreservation were carried out at the same time points for embryos cultured in the conventional incubator and in the closed system. MAIN RESULTS AND THE ROLE OF CHANCE: There was no significant difference in the mean ± SD number of GQEs between groups: 2.41 ± 2.27 for the closed system group and 2.19 ± 1.82 for the control group (P = 0.34, difference 0.23, 95% confidence interval 0.69; -0.24). No significant differences were found in the number of 4-cell embryos, implantation-, pregnancy- or ongoing pregnancy rates. A significantly higher miscarriage rate was found in the TLI group compared with the control group (33.3 and 10.2%, P = 0.01). LIMITATIONS, REASONS FOR CAUTION: Culture media, temperature and gas levels were similar in the open and closed incubator systems, but different culture dishes were used. Culturing embryos for longer time period (to the blastocyst stage) may give different results. Only ICSI patients were included, which may limit the generalizability of the results. Finally, the number of GQEs on Day 2 was used as a surrogate outcome for live birth. WIDER IMPLICATIONS OF THE FINDINGS: The results are consistent with other, smaller randomized trials showing no difference in embryo quality when comparing culture in a conventional incubator with that of a closed TLI incubator system.


Asunto(s)
Ectogénesis , Técnicas de Cultivo de Embriones/instrumentación , Incubadoras/efectos adversos , Infertilidad Femenina/terapia , Infertilidad Masculina , Inyecciones de Esperma Intracitoplasmáticas , Aborto Espontáneo/etiología , Aborto Espontáneo/prevención & control , Adulto , Método Doble Ciego , Transferencia de Embrión/efectos adversos , Composición Familiar , Femenino , Hospitales Universitarios , Humanos , Masculino , Embarazo , Mantenimiento del Embarazo , Índice de Embarazo , Transferencia de un Solo Embrión/efectos adversos , Inyecciones de Esperma Intracitoplasmáticas/efectos adversos , Suecia/epidemiología , Imagen de Lapso de Tiempo , Adulto Joven
14.
Reprod Biomed Online ; 31(6): 732-8, 2015 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-26602106

RESUMEN

The aim of this comparative randomized embryology trial was to determine if an intravaginal culture device (IVC) can provide acceptable embryo development compared with conventional IVF. Ten women between the ages of 27 and 37 years with an indication for IVF treatment were included in this study. After ovarian stimulation, oocytes were randomized to fertilization in the IVC device or using conventional IVF. Fertilization rates were higher in the IVF group compared with the IVC device (68.7% ± 36 % versus 40.7% ± 27%), respectively, whereas cleavage rates were similar (93% ± 1.5% versus 97% ± 6%) for both groups. A significantly lower number of embryos of suitable quality for transfer was obtained from the IVC device compared with conventional IVF (OR, 0.47; 95% CI, 0.26 to 0.87). The clinical pregnancy rate from transfer of IVC device embryos was 30%. Satisfaction questionnaires were also completed by all participants. Most women (70%) placed high importance on having had fertilization and embryo development occur while carrying the device. Overall, the IVC device produced reasonable pregnancy rates suggesting this technology may have a place under certain circumstances. Cost-benefit analysis, psychological factors and future studies must be considered.


Asunto(s)
Técnicas de Cultivo de Embriones/instrumentación , Técnicas de Cultivo de Embriones/métodos , Fertilización In Vitro/métodos , Vagina/citología , Adulto , Fase de Segmentación del Huevo , Análisis Costo-Beneficio , Técnicas de Cultivo de Embriones/economía , Transferencia de Embrión , Desarrollo Embrionario , Equipos y Suministros , Femenino , Fertilización In Vitro/economía , Fertilización In Vitro/instrumentación , Humanos , Satisfacción del Paciente , Proyectos Piloto , Embarazo , Índice de Embarazo , Encuestas y Cuestionarios
15.
Zygote ; 23(3): 412-5, 2015 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-24598303

RESUMEN

The aim of the present study was to clarify the efficacy of the well of the well (WOW) culture system for a small number of embryos and the effect of number of adjacent embryos in a WOW dish on blastocyst development. In conventional droplet culture, embryos in the small-number group (5-6 embryos/droplet) showed low blastocyst development compared with a control group (25-26 embryos/droplet). However, small and large numbers of embryos (5-6 and 25 embryos, respectively) in a WOW dish showed no significant differences in cleavage, blastocyst rates, and mean cell number in blastocysts compared with the control group (25-30 embryos/droplet). In addition, the number of adjacent embryos in a WOW dish did not affect the development to blastocysts and cell number in blastocysts. In conclusion, a WOW dish can provide high and stable blastocyst development in small group culture wherever embryos are placed in microwells of the WOW dish.


Asunto(s)
Blastocisto/fisiología , Técnicas de Cultivo de Embriones/métodos , Animales , Blastocisto/citología , Bovinos , Técnicas de Cultivo de Embriones/instrumentación , Femenino , Fertilización In Vitro , Masculino
16.
Dev Growth Differ ; 56(4): 305-9, 2014 May.
Artículo en Inglés | MEDLINE | ID: mdl-24720489

RESUMEN

We have developed a system for imaging whole chick embryos from embryonic day 1.5 (E1.5) to E4.5. Our system consists of a custom-made culture chamber, the top and bottom of which were heated and the inside was humidified. The system also has a fixed stage uplight fluorescent microscope, and long-working distance objective lenses were adopted. The albumen removed-yolk with the embryo in the dish was put in the chamber. It is of importance that we adopted long working distance lenses because the working distance of conventional objective lenses is too short for observation of the embryo in a humidified chamber. The objective lens we adopted has sufficient resolution to detect fluorescent protein expression at the single-cell level. Transparent glass heater set on the top of the chamber helps to reduce dew condensation; the bottom heater keeps the temperature inside the chamber, and the water bath surrounding the egg maintains humidity. This system was used to detect fluorescent protein expressing cells in embryos. We could successfully trace those cells for 17 h in vivo. In conclusion, this system is useful for time-lapse analysis of fluorescent protein expression and distribution for a longer period of time.


Asunto(s)
Técnicas de Cultivo de Embriones/instrumentación , Imagen de Lapso de Tiempo , Animales , Embrión de Pollo , Pollos , Proteínas Luminiscentes/análisis , Proteínas Luminiscentes/biosíntesis , Proteínas Luminiscentes/genética , Microscopía Fluorescente/instrumentación
17.
Reproduction ; 148(5): 519-29, 2014 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-25118302

RESUMEN

Recently, new culture devices such as Corral and Primo Vision dishes have been designed for the culture of human embryos to allow the combination of group culture plus follow-up of individual embryos. Bovine inseminated oocytes were allocated to Primo Vision dishes, Corral dishes, individual culture or classical group culture. Blastocyst development in Primo Vision dishes was similar to classical group culture (34.3 and 39.0% respectively), and better than Corral dishes or individual culture (28.9 and 28.5% respectively). In Primo Vision dishes, a higher number of 'slow' embryos developed to the blastocyst stage compared with their individually cultured counterparts, while no differences were observed for 'fast' embryos. 'Slow' embryos in a 'standard drop' had a higher chance of becoming a blastocyst compared with individual culture (OR: 2.3), whereas blastulation of 'fast' embryos was less efficient in a 'delayed drop' than in individual culture (OR: 0.3). The number of non-cleaved embryos in Primo Vision dishes did not negatively influence blastocyst development. Likewise, removing non-cleaved embryos (NC removed) and regrouping the cleaved embryos afterwards (ReGR) did not affect blastocyst development and quality compared with group culture in Primo Vision dishes (CTRL, 31.6%, NC removed, 29.3% and ReGR, 29.6%). The experiments revealed that group culture of bovine embryos in Primo Vision dishes is superior to individual culture, primarily because of the higher blastocyst rate achieved by slow embryos. Non-cleaved or arrested embryos do not hamper the ability of co-cultured bovine embryos to reach the blastocyst stage in group culture.


Asunto(s)
Blastocisto/fisiología , Técnicas de Cocultivo/veterinaria , Técnicas de Cultivo de Embriones/veterinaria , Animales , Bovinos , Técnicas de Cocultivo/instrumentación , Técnicas de Cultivo de Embriones/instrumentación , Desarrollo Embrionario , Diseño de Equipo , Femenino , Fertilización In Vitro/veterinaria , Masculino , Oportunidad Relativa , Factores de Tiempo
18.
Reprod Biomed Online ; 28(5): 535-47, 2014 May.
Artículo en Inglés | MEDLINE | ID: mdl-24656561

RESUMEN

Incubators in the IVF laboratory play a pivotal role in providing a stable and appropriate culture environment required for optimizing embryo development and clinical outcomes. With technological advances, several types of incubators are now available and careful consideration is required for selection. Examination of variables, such as recovery/stabilization of temperature, gas atmosphere and humidity, as well as understanding various approaches utilized by each device to regulate these variables, is critical. Additionally, a comprehensive examination of clinical studies that compare various incubators may provide insight into their efficacy. Other factors, both technical and practical, must also be considered when selecting an incubator. Importantly, proper management, including patient volume and workflow, is paramount in optimizing function of any incubator, regardless of the technology incorporated. This review highlights incubator function and reviews key environmental variables controlled and the technology utilized in various units. Additionally, existing comparative studies focused on incubator recovery and clinical outcomes are critically analysed. Finally, strategies employed for incubator management, as well as future potential incubator improvements are discussed. While existing reports indicate that smaller benchtop/topload incubators provide faster recovery of environmental variables, there is no clear advantage of any particular incubator based on clinical outcomes.


Asunto(s)
Técnicas de Cultivo de Embriones/instrumentación , Fertilización In Vitro/métodos , Fertilización In Vitro/normas , Incubadoras/normas , Laboratorios , Contaminación del Aire Interior/análisis , Toma de Decisiones , Técnicas de Cultivo de Embriones/métodos , Técnicas de Cultivo de Embriones/normas , Diseño de Equipo , Gases/análisis , Humanos , Laboratorios/organización & administración , Laboratorios/normas , Temperatura
19.
Reprod Fertil Dev ; 26(3): 375-84, 2014 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-23497913

RESUMEN

The objective of this study was to evaluate the efficacy of a novel polydimethylsiloxane (PDMS) well-insert system for oocyte in vitro maturation (IVM) and in vitro embryo culture (IVC) in pigs. The PDMS well inserts, consisting of multiple microwells with connecting microchannels, resulted in equivalent blastocyst development compared with standard microdrop culture for IVC. These PDMS well inserts were then evaluated for IVM or IVC in a rocking versus static environment. The rocking environment during both oocyte IVM and embryo culture had detrimental effects on oocyte and embryo development compared with a static environment. Importantly, blastocyst development of oocytes and embryos cultured in the PDMS well inserts in the static environment was equivalent to that of standard microdrops. Further analysis of transcript abundance in blastocysts produced from these different environments revealed that the PDMS well-insert system may produce more viable embryos. In conclusion, this PDMS well-insert system can successfully mature oocytes and culture embryos in an individually-identifiable manner without compromising, and perhaps enhancing, developmental potential.


Asunto(s)
Dimetilpolisiloxanos , Técnicas de Cultivo de Embriones/instrumentación , Embrión de Mamíferos/embriología , Oocitos/crecimiento & desarrollo , Técnicas Reproductivas Asistidas/instrumentación , Sus scrofa , Técnicas de Cultivo de Tejidos/instrumentación , Análisis de Varianza , Animales , Blastocisto/citología , Cartilla de ADN/genética , Reacción en Cadena de la Polimerasa/métodos
20.
Technol Health Care ; 32(S1): 169-181, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-38759047

RESUMEN

BACKGROUND: High-quality control of the gas environment in incubators is crucial for in vitro embryo development, which requires high accuracy, fast recovery, and low gas consumption. OBJECTIVE: In this study, we propose a novel gas mixing and distribution system and method as an alternative solution for multi-chamber embryo incubators. METHODS: The system-based embryo incubator enables a controllable gas circulation process and a quantitative supply of CO2 and N2. To determine the optimal parameters for the mixing time and flow rate of the circulated gases, we conducted contrast experiments on the system-based incubator. To evaluate the performance of the gas system in the incubator, we conducted tests under four different initial conditions, simulating various practical application scenarios. Furthermore, we performed a mouse embryo assay to assess the system's effectiveness. RESULTS: The results show that the system achieved a gas concentration accuracy of ± 0.2% (volume fraction) after stabilization, a minimum recovery time of 5 minutes, an average consumption of 8.9 L/d for N2 and 0.83 L/d for CO2 during routine operation, and a blastocyst rate exceeding 90% observed after 96 hours of culture in the incubator. CONCLUSION: The system and method demonstrate a significant advantage in terms of low gas consumption compared to existing incubators, while still maintaining high accuracy and fast recovery.


Asunto(s)
Dióxido de Carbono , Técnicas de Cultivo de Embriones , Incubadoras , Animales , Ratones , Dióxido de Carbono/análisis , Técnicas de Cultivo de Embriones/métodos , Técnicas de Cultivo de Embriones/instrumentación , Nitrógeno , Desarrollo Embrionario/fisiología , Embrión de Mamíferos , Gases , Diseño de Equipo
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