Cohen J, Feldberg D
Gamete and Embryo Research Laboratory, Center for Reproductive Medicine and Infertility, New York, NY 10021.
Mol Reprod Dev. 1991 Sep;30(1):70-8. doi: 10.1002/mrd.1080300110.
The present studies were performed to establish the effects of the size and number of artificial holes produced in the zona pellucida (ZP) on hatching and trophoblast outgrowth in vitro. Limited partial zona dissection (PZD) produced small, narrow incisions, and zona drilling with acidic Tyrode's (AT) across a larger area in the ZP was used to produce bigger round holes. Some embryos were micromanipulated once; others were micromanipulated several times. Blastocysts hatched preferentially through the artificial gaps, but completion of hatching was dependent on the size of the hole. Only 16% (26/167) of PZD embryos migrating through narrow holes hatched completely; the remainder were trapped in a typical figure-eight shape. Seventy-two percent (43/60) of those migrating through larger PZD holes hatched, but trophoblast outgrowth was not observed. Significantly (P less than 0.001) more AT-blastocysts hatched (248/270; 92%) and showed trophoblast outgrowth (176/248; 70%). Simultaneous hatching through several openings was rarely observed in AT-embryos (14/167; 8%), but this did occur in 36% (73/201) of the PZD embryos. Trapping of PZD-embryos could be almost entirely avoided by drilling with AT elsewhere on the ZP. Embryos with multiple holes in their zonae preferentially hatched through the largest opening. The results suggest that the ability of microsurgically treated human embryos to fully hatch in vitro, should be carefully (re)assessed prior to application of clinical micromanipulation systems. Micromanipulated embryos with small holes in their zonae may be rescued by performing an additional more aggressive opening procedure elsewhere on the ZP.
本研究旨在确定透明带(ZP)上人工孔的大小和数量对体外孵化及滋养层细胞生长的影响。有限的部分透明带切除术(PZD)产生小而窄的切口,而用酸性台氏液(AT)在ZP上较大区域进行钻孔以产生更大的圆孔。一些胚胎进行一次显微操作;另一些则进行多次显微操作。囊胚优先通过人工间隙孵化,但孵化的完成取决于孔的大小。仅有16%(26/167)通过窄孔迁移的PZD胚胎完全孵化;其余的被困成典型的8字形。通过较大PZD孔迁移的胚胎中有72%(43/60)孵化,但未观察到滋养层细胞生长。显著地(P<0.001),更多的AT处理囊胚孵化(248/270;92%)并显示出滋养层细胞生长(176/248;70%)。在AT处理的胚胎中很少观察到通过多个开口同时孵化(14/167;8%),但在36%(73/201)的PZD胚胎中确实发生了这种情况。通过在ZP上的其他部位用AT钻孔,几乎可以完全避免PZD胚胎被困。在其透明带上有多个孔的胚胎优先通过最大的开口孵化。结果表明,在应用临床显微操作系统之前,应仔细(重新)评估经显微手术处理的人类胚胎在体外完全孵化的能力。在其透明带上有小孔的显微操作胚胎可通过在ZP上的其他部位进行额外的更积极的开口程序来挽救。