Kim Hye Jin, Park Sung Baek, Yang Jung Bo, Choi Young Bae, Lee Ki Hwan
Department of Obstetrics and Gynecology, Chungnam National University Hospital, Daejeon, Korea.
Mirae i Infertility Clinic, Mirae Ladies Hospital, Daejeon, Korea.
Clin Exp Reprod Med. 2017 Dec;44(4):193-200. doi: 10.5653/cerm.2017.44.4.193. Epub 2017 Dec 31.
This study was conducted to investigate the efficacy of laser-assisted hatching (LAH) and various vitrification times for embryonic development and blastocyst cell numbers.
First, 2-cell and 8-cell embryos were collected by flushing out the oviducts. In the control groups, they were vitrified for 8 or 10 minutes without LAH. The LAH groups underwent quarter laser zona thinning-assisted hatching before vitrification (4, 6, and 8 minutes or 4, 7, and 10 minutes, respectively). After incubation, double-immunofluorescence staining was performed.
The hatched blastocyst rate 72 hours after the 2-cell embryos were thawed was significantly higher in the 2LAH-ES8 group (33.3%) than in the other groups (<0.05). In the control-8 group (22.1±4.6), the cell number of the inner cell mass was higher than in the LAH groups (<0.05). The number of trophectoderm cells was higher in the 2LAH-ES6 group (92.8±8.9) than in the others (<0.05). The hatched blastocyst rate 48 hours after the 8-cell embryos were thawed was higher in the 8LAH-ES4 group (45.5%) than in the other groups, but not significantly. The inner cell mass cell number was highest in the 8LAH-ES7 group (19.5±5.1, <0.05). The number of trophectoderm cells was higher in the 8LAH-ES10 group (73.2±12.1) than in the other groups, but without statistical significance.
When LAH was performed, 2-cell embryos with large blastomeres had a lower hatched blastocyst rate when the exposure to vitrification solution was shorter. Conversely, 8-cell embryos with small blastomere had a higher hatched blastocyst rate when the exposure to vitrification solution was shorter.
本研究旨在探讨激光辅助孵化(LAH)及不同玻璃化时间对胚胎发育和囊胚细胞数量的影响。
首先,通过冲洗输卵管收集2细胞和8细胞胚胎。对照组在不进行LAH的情况下玻璃化8或10分钟。LAH组在玻璃化前进行四分之一激光透明带变薄辅助孵化(分别为4、6和8分钟或4、7和10分钟)。孵育后,进行双重免疫荧光染色。
2细胞胚胎解冻72小时后的囊胚孵化率在2LAH-ES8组(33.3%)显著高于其他组(<0.05)。在对照-8组(22.1±4.6)中,内细胞团的细胞数量高于LAH组(<0.05)。滋养外胚层细胞数量在2LAH-ES6组(92.8±8.9)高于其他组(<0.05)。8细胞胚胎解冻48小时后的囊胚孵化率在8LAH-ES4组(45.5%)高于其他组,但差异不显著。内细胞团细胞数量在8LAH-ES7组最高(19.5±5.1,<0.05)。滋养外胚层细胞数量在8LAH-ES10组(73.2±12.1)高于其他组,但无统计学意义。
进行LAH时,卵裂球较大的2细胞胚胎在玻璃化溶液中暴露时间较短时囊胚孵化率较低。相反,卵裂球较小的8细胞胚胎在玻璃化溶液中暴露时间较短时囊胚孵化率较高。