Ludwig M, Muschalla H, Al-Hasani S, Diedrich K
Department of Obstetrics and Gynecology, Medical University of Lübeck, Germany.
Hum Reprod. 1998 Nov;13(11):3165-8. doi: 10.1093/humrep/13.11.3165.
Preimplantation genetic diagnosis is currently used in clinical practice. In experienced hands the biopsy procedure alone does not affect the further in-vitro and in-vivo developmental potential of animal and human embryos. No data exist on the combination of cryopreservation of embryos at the pronuclear and/or 8-cell stage and/or biopsy at the 8-cell stage. Pronuclear stages of mouse F1 hybrids (C57Bl/jxCBA) were harvested and divided into several experimental groups. The developmental rates of zygotes, which were neither biopsied nor cryopreserved were used as data control. Others were only cryopreserved at the pronuclear stage (C-PN), or at the cleavage stage (C-CS), or both. Each of these groups was also combined with or without a biopsy. Only the hatched blastocyst rate (HBR), but not the 'simple' blastocyst rate, showed significant differences between groups. Neither C-PN (HBR = 60.42%), nor C-CS (63.16%), nor a combination of both (59.46%) had an impact on the hatched blastocyst rate when compared with that of the control group (67.46%). The biopsy procedure (55.93%) also proved not to be harmful for the embryos. The embryos, which were C-PN and C-CS, and subsequently biopsied, showed a significantly lower hatched blastocyst rate (39.62%) than that of the control, C-PN, C-CS, and C-PN/C-CS groups (P < 0.05). The combination of C-PN and cleavage-stage biopsy also lead to a lower hatched blastocyst rate (42.22%), compared with that of the control group (P < 0.05). It was concluded that couples must be advised that an effect on embryos which have undergone a combined cryopreservation and micromanipulation procedure cannot be ruled out. However, cryopreservation at the pronuclear or at the 8-cell stage alone, or in combination with a biopsy procedure, does not influence the further development of the embryo.
目前,胚胎植入前遗传学诊断已应用于临床实践。在经验丰富的操作人员手中,仅活检操作本身不会影响动物和人类胚胎进一步的体外及体内发育潜能。关于原核期和/或8细胞期胚胎冷冻保存与8细胞期活检联合应用的数据尚不存在。采集小鼠F1代杂种(C57Bl/jxCBA)的原核期胚胎,并将其分为几个实验组。未进行活检和冷冻保存的合子发育率用作数据对照。其他组仅在原核期(C-PN)、或卵裂期(C-CS)、或两个时期都进行冷冻保存。这些组中的每一组又分为有活检和无活检两种情况。仅孵化囊胚率(HBR),而非“单纯”囊胚率,在各组之间显示出显著差异。与对照组(67.46%)相比,C-PN组(HBR = 60.42%)、C-CS组(63.16%)以及两者联合组(59.46%)对孵化囊胚率均无影响。活检操作(55.93%)也被证明对胚胎无害。先进行C-PN和C-CS处理,随后进行活检的胚胎,其孵化囊胚率(39.62%)显著低于对照组、C-PN组、C-CS组以及C-PN/C-CS组(P < 0.05)。与对照组相比,C-PN与卵裂期活检联合应用也导致较低的孵化囊胚率(42.22%)(P < 0.05)。研究得出结论,必须告知夫妇,不能排除对经过冷冻保存和显微操作联合程序的胚胎产生影响。然而,单独在原核期或8细胞期进行冷冻保存,或与活检程序联合应用,均不会影响胚胎的进一步发育。