Daddangadi Akshatha, Saruparia Siyona, Predheepan Dhakshanya, Uppangala Shubhashree, Kabekkodu Shama Prasada, Nadeem Khan G, Kalthur Guruprasad, Talevi Riccardo, Adiga Satish Kumar
Centre of Excellence in Clinical Embryology, Department of Reproductive Science, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal 576 104, India.
Division of Reproductive Genetics, Department of Reproductive Science, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal 576 104, India.
Reprod Biol. 2025 Jun;25(2):101022. doi: 10.1016/j.repbio.2025.101022. Epub 2025 Apr 24.
Oocyte in vitro maturation (IVM) and vitrification are being considered as fertility preservation strategies for prepubertal cancer patients. Since prepubertal oocytes have differential sensitivity and response to vitrification compared to adult oocytes, there is a need to optimize the technique to improve the outcome. This study specifically looked into the effect of varying equilibration time and temperatures on the survival and functional competence of prepubertal mouse oocytes. Germinal vesicle (GV) stage and in vitro matured, metaphase II stage sibling oocytes retrieved from 2-week-old Swiss albino mice were equilibrated at 24 °C and 37 °C for 10 and 15 min during vitrification. GV vitrified-IVM (GVV) and GV IVM-vitrified (MIIV) oocytes that survived post-warming were assessed for mitochondrial potential, spindle integrity, spindle checkpoint transcripts, and DNA integrity. The GVV oocytes equilibrated at 37 °C for 15 min had a significantly lower maturation rate (P < 0.01). Survival was reduced when MIIV oocytes were equilibrated at 37 °C, regardless of equilibration duration (P < 0.05). The meiotic spindle and DNA integrity were affected at 37 °C/15 min equilibration (P < 0.01). IVM prepubertal mouse oocytes are at higher risk of experiencing cryo-damage with 37 °C equilibration. Hence, fertility preservation protocols must be refined and individualized for prepubertal age to safeguard the genetic and functional integrity of such oocytes.
卵母细胞体外成熟(IVM)和玻璃化冷冻被视为青春期前癌症患者的生育力保存策略。由于青春期前卵母细胞与成年卵母细胞相比,对玻璃化冷冻的敏感性和反应不同,因此需要优化该技术以改善结果。本研究具体探讨了不同平衡时间和温度对青春期前小鼠卵母细胞存活和功能能力的影响。在玻璃化冷冻过程中,从2周龄瑞士白化小鼠获取的生发泡(GV)期和体外成熟的中期II期同胞卵母细胞在24°C和37°C下平衡10分钟和15分钟。对解冻后存活的GV玻璃化冷冻-IVM(GVV)和GV体外成熟-玻璃化冷冻(MIIV)卵母细胞进行线粒体电位、纺锤体完整性、纺锤体检查点转录本和DNA完整性评估。在37°C下平衡15分钟的GVV卵母细胞成熟率显著降低(P<0.01)。无论平衡持续时间如何,当MIIV卵母细胞在37°C下平衡时,存活率都会降低(P<0.05)。在37°C/15分钟平衡时,减数分裂纺锤体和DNA完整性受到影响(P<0.01)。体外成熟的青春期前小鼠卵母细胞在37°C平衡时遭受冷冻损伤的风险更高。因此,必须针对青春期前年龄完善和个性化生育力保存方案,以保护此类卵母细胞的遗传和功能完整性。