Hillier S G, Siddiquey A K, Winston R M
Int J Fertil. 1985;30(2):34-8.
Human chorionic gonadotropin (HCG) may be injected to time ovulation and plan oocyte retrieval for clinical in vitro fertilization (IVF). Neither clinical nor experimental data on effects of subtle alterations in timing of the HCG injection on oocyte fertilizability in vitro were available. We induced follicular development in immature hybrid mice with an injection (4 IU) of pregnant mare serum gonadotropin (PMSG). In the first series of experiments, HCG was given 42, 46 or 50 hours later. We collected cumulus-enclosed, oviducal oocytes for IVF using capacitated mouse sperm 13 hours after the last HCG injection. The fertilization incidence (mean, three experiments) fell as the PMSG-HCG interval was reduced (50 hours, 64%; 46 hours, 40%; 42 hours 24%), but this could be explained by a corresponding increase in spontaneous oocyte activation caused by prolonging the HCG-oocyte collection interval. In the second series of experiments, the latter was fixed at 13 hours; the PMSG interval was altered by staggering the initial PMSG injection. No spontaneous activation occurred, but oocytes collected after "early" HCG injection still showed significantly lower fertilization incidences (42 hours, 36%; 46 hours, 46%) compared with the 50-hour injection (66%). The possible clinical implication of this finding is discussed.
人绒毛膜促性腺激素(HCG)可用于注射以确定排卵时间,并为临床体外受精(IVF)计划卵母细胞采集。目前尚无关于HCG注射时间的细微改变对卵母细胞体外受精能力影响的临床或实验数据。我们给未成熟的杂种小鼠注射4国际单位的孕马血清促性腺激素(PMSG)以诱导卵泡发育。在第一系列实验中,分别在42、46或50小时后注射HCG。在最后一次注射HCG 13小时后,我们使用获能的小鼠精子收集卵丘包裹的输卵管卵母细胞用于IVF。随着PMSG-HCG间隔时间缩短,受精率(平均,三个实验)下降(50小时,64%;46小时,40%;42小时,24%),但这可以通过延长HCG-卵母细胞采集间隔导致的自发卵母细胞激活相应增加来解释。在第二系列实验中,后者固定为13小时;通过错开初始PMSG注射时间来改变PMSG间隔。未发生自发激活,但与50小时注射组(66%)相比,“早期”注射HCG后收集的卵母细胞受精率仍显著较低(42小时,36%;46小时,46%)。本文讨论了这一发现可能的临床意义。