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在卵胞浆内单精子注射程序中使用减数第一次分裂中期卵母细胞进行受精和妊娠。

Fertilization and pregnancy using metaphase I oocytes in an intracytoplasmic sperm injection program.

作者信息

Coetzee K, Windt M L

机构信息

Obstetrics and Gynecology Department, Tygerberg Hospital, South Africa.

出版信息

J Assist Reprod Genet. 1996 Nov;13(10):768-71. doi: 10.1007/BF02066495.

DOI:10.1007/BF02066495
PMID:8986586
Abstract

PURPOSE

In this study we investigated whether metaphase I oocytes collected in an intracytoplasmic sperm injection program could successfully be matured and fertilized by injecting aged (> 20-hr) spermatozoa.

MATERIALS AND METHODS

Metaphase I oocytes aspirated were preincubated for 20 hr to allow the oocytes to reach meiotic maturity. Only metaphase II oocytes were injected. The original sperm sample processed on the day of aspiration was used in the microinjection process.

RESULTS

One hundred eighty-three oocytes were collected, of which 42 (23%) were metaphase I oocytes. These were incubated for 20 hr and microinjected with the original sperm sample. Thirty-one (74%) of the metaphase I oocytes reached meiotic maturity (extruded polar body): 67.7% showed two pronuclei 18 hr after injection and 61.3% embryo development 40 hr postinjection. No difference in fertilization and embryo development rate was found in metaphase II oocytes injected 6 hr postaspiration versus 20 hr postaspiration. An ongoing pregnancy was also achieved using only embryos obtained from matured metaphase I oocytes.

CONCLUSIONS

Metaphase I oocytes can be successfully matured in vitro and injected using aged (> 20-hr) sperm samples. Matured metaphase I oocytes, if successfully injected, produce embryos able to induce pregnancy.

摘要

目的

在本研究中,我们调查了在卵胞浆内单精子注射程序中收集的中期I卵母细胞,通过注射老化(>20小时)精子是否能够成功成熟并受精。

材料与方法

吸出的中期I卵母细胞预孵育20小时,以使卵母细胞达到减数分裂成熟。仅注射中期II卵母细胞。在抽吸当天处理的原始精子样本用于显微注射过程。

结果

共收集了183个卵母细胞,其中42个(23%)为中期I卵母细胞。将这些卵母细胞孵育20小时,并用原始精子样本进行显微注射。31个(74%)中期I卵母细胞达到减数分裂成熟(排出极体):67.7%在注射后18小时显示出两个原核,61.3%在注射后40小时胚胎发育。抽吸后6小时注射的中期II卵母细胞与抽吸后20小时注射的中期II卵母细胞在受精率和胚胎发育率方面未发现差异。仅使用从中期I成熟卵母细胞获得的胚胎也实现了持续妊娠。

结论

中期I卵母细胞可在体外成功成熟,并使用老化(>20小时)的精子样本进行注射。如果成功注射,中期I成熟卵母细胞可产生能够诱导妊娠的胚胎。

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Fertilization and pregnancy using metaphase I oocytes in an intracytoplasmic sperm injection program.在卵胞浆内单精子注射程序中使用减数第一次分裂中期卵母细胞进行受精和妊娠。
J Assist Reprod Genet. 1996 Nov;13(10):768-71. doi: 10.1007/BF02066495.
2
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[Apparently matured oocytes injected in telophase I have worse outcomes from assisted reproduction].[在减数第一次分裂末期注射明显成熟的卵母细胞,辅助生殖的结局较差]
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引用本文的文献

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本文引用的文献

1
The stages at which human fertilization arrests: microtubule and chromosome configurations in inseminated oocytes which failed to complete fertilization and development in humans.人类受精停滞的阶段:在人类中未能完成受精和发育的受精后卵母细胞中的微管和染色体构型
Hum Reprod. 1995 Jul;10(7):1897-906. doi: 10.1093/oxfordjournals.humrep.a136204.
2
High fertilization and implantation rates after intracytoplasmic sperm injection.卵胞浆内单精子注射后具有较高的受精和着床率。
Hum Reprod. 1993 Jul;8(7):1061-6. doi: 10.1093/oxfordjournals.humrep.a138192.
3
Higher success rate by intracytoplasmic sperm injection than by subzonal insemination. Report of a second series of 300 consecutive treatment cycles.
卵胞浆内单精子注射的成功率高于透明带下授精。连续300个治疗周期的第二批报告。
Hum Reprod. 1993 Jul;8(7):1055-60. doi: 10.1093/oxfordjournals.humrep.a138191.
4
The role of oocyte maturity in the treatment of infertility because of teratozoospermia and normozoospermia with gamete intrafallopian transfer.卵母细胞成熟度在通过配子输卵管内移植治疗因畸形精子症和正常精子症导致的不孕症中的作用。
Fertil Steril. 1992 Sep;58(3):581-6. doi: 10.1016/s0015-0282(16)55267-4.