Kader Amr, Agarwal Ashok, Abdelrazik Hussein, Sharma Rakesh K, Ahmady Ali, Falcone Tommaso
Center for Reproductive Medicine, Glickman Urological & Kidney Institute, Cleveland Clinic, Cleveland, OH 44195, USA.
Fertil Steril. 2009 May;91(5 Suppl):2087-94. doi: 10.1016/j.fertnstert.2008.04.049. Epub 2008 Sep 6.
To evaluate the effect of vitrification and two other methods of slow cryopreservation on DNA integrity in expanded and nonexpanded blastocysts.
Prospective in vitro study.
Tertiary care academic hospital.
INTERVENTION(S): 1) Twenty-two expanded blastocysts (EB) and 17 nonexpanded blastocysts (NEB) vitrified in cryotips; 2) 15 EB and 16 NEB by slow freezing using propanediol; 3) 11 EB and 16 NEB by slow cryopreservation using glycerol; and 4) 14 EB and 13 NEB as fresh control samples.
MAIN OUTCOME MEASURE(S): DNA fragmentation by TUNEL and confocal imaging.
RESULT(S): Blastocysts slowly cryopreserved with glycerol showed DNA integrity of 94.76 +/- 4.70% and 90.87 +/- 6.16% for NEB and EB, respectively. Propanediol cryopreservation showed values of 72.63 +/- 13.44% and 56.19 +/- 25.49% and vitrification 84.36 +/- 8.7%6 and 77.61 +/- 16.65%, respectively, for the same groups. The NEB showed less DNA fragmentation than EB in all cryopreservation techniques, but this was significant only with slow freezing using propanediol.
CONCLUSION(S): All cryopreservation techniques induce DNA damage to blastocysts. Damage is maximal with propanediol and minimal with slow freezing using glycerol. The more expanded the blastocyst, the greater is the susceptibility to DNA damage during cryopreservation.
评估玻璃化冷冻及其他两种慢速冷冻方法对扩张期和未扩张期囊胚DNA完整性的影响。
前瞻性体外研究。
三级医疗学术医院。
1)22个扩张期囊胚(EB)和17个未扩张期囊胚(NEB)采用冷冻管进行玻璃化冷冻;2)15个EB和16个NEB采用丙二醇进行慢速冷冻;3)11个EB和16个NEB采用甘油进行慢速冷冻保存;4)14个EB和13个NEB作为新鲜对照样本。
通过TUNEL和共聚焦成像检测DNA片段化情况。
采用甘油慢速冷冻保存的囊胚,未扩张期囊胚和扩张期囊胚的DNA完整性分别为94.76±4.70%和90.87±6.16%。相同组别的囊胚采用丙二醇冷冻保存时,DNA完整性分别为72.63±13.44%和56.19±25.49%,采用玻璃化冷冻时分别为84.36±8.76%和77.61±16.65%。在所有冷冻保存技术中,未扩张期囊胚的DNA片段化均少于扩张期囊胚,但仅在采用丙二醇慢速冷冻时差异具有统计学意义。
所有冷冻保存技术均会对囊胚造成DNA损伤。丙二醇造成的损伤最大,甘油慢速冷冻造成的损伤最小。囊胚扩张程度越高,冷冻保存过程中对DNA损伤的敏感性越高。