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含有卵丘卵母细胞复合物配体-受体信号分子的预体外成熟培养基可维持减数分裂阻滞,支持卵丘卵母细胞复合物,并提高卵母细胞发育能力。

A pre-in vitro maturation medium containing cumulus oocyte complex ligand-receptor signaling molecules maintains meiotic arrest, supports the cumulus oocyte complex and improves oocyte developmental competence.

机构信息

Colorado Center for Reproductive Medicine, Lone Tree, CO, USA.

Desoto Biosciences, Seymour, TN, USA.

出版信息

Mol Hum Reprod. 2017 Sep 1;23(9):594-606. doi: 10.1093/molehr/gax032.


DOI:10.1093/molehr/gax032
PMID:28586460
Abstract

STUDY QUESTION: Can a pre-in vitro maturation (pre-IVM) medium containing signaling molecules rather than chemical/pharmaceutical agents, sustain meiotic arrest and improve developmental competence of in vitro matured oocytes in CF1 outbred mice? SUMMARY ANSWER: A short 2 h period of pre-IVM prevents spontaneous meiotic resumption, improves mitochondria activity in subsequently matured oocytes, and increases developmental competence, pregnancy rate and implantation of resulting embryos. WHAT IS KNOWN ALREADY: Spontaneous resumption of meiosis in vitro is detrimental for oocyte developmental competence. Pre-IVM systems that prevent spontaneous meiotic resumption with chemical/pharmaceutical agents are a promising approach to improving IVM oocyte competence; however, the success of these methods has proven to be inconsistent. STUDY DESIGN, SIZE, DURATION: This study consisted of a series of experiments using cumulus oocyte complexes (COC) derived from outbred mice following ovarian stimulation. The study was designed to examine if a novel, ligand/receptor-based pre-IVM treatment could sustain meiotic arrest in vitro and improve oocyte developmental competence, compared to control IVM. Two pre-IVM durations (2 h and 24 h) were evaluated, and the effect of the mitochondrial stimulator PQQ during 24 h pre-IVM was studied. PARTICIPANTS/MATERIALS, SETTING, METHODS: Murine (outbred CF1) immature COC were cultured in vitro in the presence of C-type natriuretic peptide (CNP) (30 nM), estradiol (100 nM), FSH (1 × 10-4 IU/ml) and bone morphogenic protein 15 (BMP15) (100 ng/ml) for 2 h or 24 h prior to IVM. Meiotic status during pre-IVM and IVM was analyzed using orcein staining, and functionality of gap junction communication was confirmed using the functional gap junction inhibitor carbenoxolone (CBX). Oocytes exposed to pre-IVM treatment were compared to control oocytes collected on the same day from the same females and undergoing standard IVM. Developmental competence and embryo viability was assessed by oocyte mitochondrial activity and ATP concentration, in vitro embryo development following IVF and in vitro culture, blastocyst cell number and allocation, embryo morphokinetics, and embryo transfer. Differences were determined to be significant when P < 0.05. MAIN RESULTS AND THE ROLE OF CHANCE: Both a short (2 h) and long (24 h) pre-IVM period successfully prevented spontaneous resumption of meiosis. Moreover, gap junctions remained open during the pre-IVM period, as shown by the resumption of meiosis (95.9 ± 2.1%) in the presence of CBX during pre-IVM. A 2 h pre-IVM treatment improved blastocyst development after 96 h of culture per cleaved embryo compared to control (71.9 ± 7.4% versus 53.3 ± 6.2%, respectively), whereas a longer 24 h pre-IVM had no effect on development. A short 2 h period of pre-IVM increased mitochondrial activity in mature oocytes. On the contrary, mitochondrial activity was reduced in mature oocytes following 24 h of arrest and IVM. Treatment of arrested COC with pyrroloquinoline quinone (PQQ) during the 24 h pre-IVM period successfully maintained mitochondrial activity equal to control. However, PQQ was not able to improve blastocyst development compared to pre-IVM 24 h without PQQ. Moreover, ATP concentration in mature oocytes following pre-IVM and/or IVM, did not differ between treatments. A 2 h pre-IVM period prior to IVM improved pregnancy rate following transfer to recipient females. Implantation was also improved after transfer of embryos derived from oocytes arrested for either 2 h or 24 h prior to IVM, compared to control IVM derived embryos (41.9 ± 9%, 37.2 ± 9.5% and 17.2 ± 8.3%, respectively), although fetal development did not differ. LIMITATIONS, REASONS FOR CAUTION: Slower meiotic resumption and enhanced mitochondrial activity likely contribute to improved developmental competence of oocytes exposed to pre-IVM for 2 h, but further experiments are required to identify specific mechanisms. Maintaining oocytes in meiotic arrest for 24 h with this approach could be a potential window to improve oocyte quality. However, an initial attempt to utilize this period of arrest to manipulate quality with PQQ, a mitochondrial stimulator, did not improve oocyte competence. WIDER IMPLICATIONS OF THE FINDINGS: IVM could be an attractive clinical alternative to conventional IVF, with reduced time, cost and reliance on high doses of exogenous hormones to stimulate follicle growth, thus eliminating ovarian hyperstimulation syndrome (OHSS). Currently IVM is not widely used as it results in reduced embryo development and lower pregnancy outcomes compared to embryos produced from in vivo matured oocytes. Our approach to IVM, incorporating a ligand/receptor pre-IVM period, could improve human oocyte quality following IVM leading to routine adoption of this patient friendly technology. In addition, our methodology of pre-IVM containing signaling molecules rather than chemical/pharmaceutical agents may prove to be more consistent at improving oocyte quality than those focusing only on cAMP modulation with pharmacological agents. Finally, a reliable method of maintaining oocytes in meiotic arrest in vitro provides a novel window of opportunity in which the oocyte may be manipulated to address specific physiological deficiencies prior to meiotic resumption. LARGE SCALE DATA: N/A. STUDY FUNDING/COMPETING INTEREST(S): This study was supported by the Colorado Center for Reproductive Medicine (CCRM, Lone Tree, Colorado USA). We declare no conflict of interest.

摘要

研究问题:含有信号分子而不是化学/药物制剂的预体外成熟(pre-IVM)培养基能否在 CF1 远交系小鼠中维持体外成熟卵母细胞的减数分裂阻滞并提高其发育能力?

总结答案:在 pre-IVM 中,2 小时的短暂时间可以防止自发减数分裂恢复,改善随后成熟卵母细胞中的线粒体活性,并提高发育能力、妊娠率和胚胎着床率。

已知情况:体外自发恢复减数分裂对卵母细胞的发育能力有害。使用化学/药物制剂来阻止自发减数分裂恢复的 pre-IVM 系统是提高 IVM 卵母细胞能力的一种有前途的方法;然而,这些方法的成功已被证明不一致。

研究设计、规模和持续时间:本研究使用经过卵巢刺激的远交系小鼠的卵丘-卵母细胞复合物(COC)进行了一系列实验。该研究旨在检查一种新的、基于配体/受体的 pre-IVM 处理是否可以在体外维持减数分裂阻滞并改善卵母细胞的发育能力,与对照 IVM 相比。评估了两个 pre-IVM 持续时间(2 小时和 24 小时),并研究了线粒体刺激剂 PQQ 在 24 小时 pre-IVM 期间的作用。

参与者/材料、地点、方法:在体外,将 C 型利钠肽(CNP)(30 nM)、雌二醇(100 nM)、FSH(1×10-4 IU/ml)和骨形态发生蛋白 15(BMP15)(100 ng/ml)添加到体外培养的鼠(远交系 CF1)不成熟 COC 中,在 pre-IVM 之前培养 2 小时或 24 小时。使用 Orcein 染色分析 pre-IVM 和 IVM 期间的减数分裂状态,并使用功能性间隙连接抑制剂 carbenoxolone(CBX)确认间隙连接通讯功能。与同一天从同一雌性收集并进行标准 IVM 的对照卵母细胞相比,比较暴露于 pre-IVM 处理的卵母细胞。通过 IVF 后体外胚胎发育、体外培养后的卵母细胞线粒体活性和 ATP 浓度、胚胎发育率、胚胎形态动力学和胚胎移植来评估发育能力和胚胎活力。当 P<0.05 时,差异被认为是显著的。

主要结果和机会的作用:短暂(2 小时)和长时间(24 小时)pre-IVM 期均成功地防止了自发减数分裂恢复。此外,如在 pre-IVM 期间加入 CBX 后减数分裂恢复(95.9±2.1%)所示,间隙连接在 pre-IVM 期间仍然开放。与对照组相比,2 小时 pre-IVM 处理可提高每裂胚的囊胚发育率(96 小时培养后分别为 71.9±7.4%和 53.3±6.2%),而较长的 24 小时 pre-IVM 对发育没有影响。2 小时的 pre-IVM 处理可提高成熟卵母细胞中的线粒体活性。相反,在 24 小时的阻滞和 IVM 后,成熟卵母细胞中的线粒体活性降低。在 24 小时 pre-IVM 期间用吡咯喹啉醌(PQQ)处理被阻滞的 COC 可成功维持与对照组相当的线粒体活性。然而,与 24 小时 without PQQ 的 pre-IVM 相比,PQQ 并不能改善囊胚发育。此外,在 pre-IVM 和/或 IVM 后,成熟卵母细胞中的 ATP 浓度在处理之间没有差异。在 IVM 之前进行 2 小时的 pre-IVM 期可提高向受体雌性转移后的妊娠率。与对照组 IVM 衍生胚胎相比,经 2 小时或 24 小时 pre-IVM 阻滞后转移的胚胎的植入率也得到提高(分别为 41.9±9%、37.2±9.5%和 17.2±8.3%),尽管胎儿发育没有差异。

局限性、谨慎的原因:较慢的减数分裂恢复和增强的线粒体活性可能有助于提高暴露于 2 小时 pre-IVM 的卵母细胞的发育能力,但需要进一步的实验来确定具体的机制。通过这种方法将卵母细胞维持在 24 小时的减数分裂阻滞中可能是改善卵母细胞质量的一个潜在窗口。然而,最初尝试利用这段阻滞期用一种线粒体刺激剂 PQQ 来操纵质量,但并没有改善卵母细胞的能力。

研究结果的更广泛意义:与传统的 IVF 相比,IVM 可能是一种有吸引力的临床替代方案,因为它减少了时间、成本和对外源性激素的依赖,以刺激卵泡生长,从而消除卵巢过度刺激综合征(OHSS)。目前,由于与体内成熟的卵母细胞相比,IVM 导致胚胎发育减少和妊娠结局降低,因此 IVM 并未得到广泛应用。我们的 IVM 方法,包含配体/受体 pre-IVM 期,可能会提高人类卵母细胞的质量,从而导致这种患者友好型技术的常规采用。此外,我们的 pre-IVM 方法含有信号分子而不是化学/药物制剂,与仅关注 cAMP 调制的药理学制剂相比,可能更一致地改善卵母细胞质量。最后,在体外维持卵母细胞减数分裂阻滞的可靠方法为在减数分裂恢复之前对卵母细胞进行操作提供了一个新的机会窗口,以解决特定的生理缺陷。

大规模数据:无。

研究资金/利益冲突:本研究由科罗拉多生殖医学中心(CCRM,科罗拉多州孤松市)资助。我们没有利益冲突的声明。

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