2010, Number 4
<< Back Next >>
Rev Mex Med Repro 2010; 2.3 (4)
Results of three-year-experience on vitrification to oocyte bank
Cuneo PS, Sánchez GS, Cubillos GS
Language: Spanish
References: 23
Page: 96-100
PDF size: 69.38 Kb.
ABSTRACT
Objective: To show that oocyte vitrification and the sequential culture are a safe combination to have a viable success in an oocyte donation bank program.
Material and method: Thirty cycles of oocytes donors (310 oocytes) were frozen by vitrification. We studied 16 patient’s cycles of thawed oocytes receptors, from May 2006 to December 2009. As a control group we included 48 patient’s cycles of fresh oocyte receptors (600 oocytes). Oocytes were vitrified with the Cryotop method. One hundred fifty-four oocytes were thawed, and a mean of 9.6 metaphase II oocytes were assigned for each recipient. The survived oocytes were fertilized by ICSI and cultured until day 5 or 6 according to embryo development. Mann-Whitney U-tests were carried out. Significance was defined as
p ‹ 0.05.
Results: In the vitrified oocytes group, pregnancy, implantation and miscarriage rates were: 66.6%, 316% and 22.2%, respectively. In the fresh oocyte group, the same rates were: 70.5%, 36.1% and 13%, respectively. No statistical differences were found between both groups.
Conclusions: Our excellent clinical outcome indicates the safety to use the vitrification to create oocyte donation bank programs for human reproductive purposes. Sequential culture is a viable strategy to consider selecting embryos with a high potential implantation to transfer. More studies should be done to confirm these results.
REFERENCES
Pickering SJ, Braude PR, Johnson MH, Cant A, et al. Transient cooling to room temperature can cause irreversible disruption of the meiotic spindle in the human oocyte. Fertil Steril 1990;54:102-108.
Ghetler Y, Yavin S, Shalgi R, Arav A. The effect of chilling on membrane lipid phase transition in human oocytes and zygotes. Hum Reprod 2005;20:3385-3389.
Chian RC, Huang JY, Tan SL, Lucena E, et al. Obstetric and perinatal outcome in 200 infants conceived from vitrified oocytes. Reprod Biomed Online 2008;16(5):608-610.
Latham KE, Schultz RM. Embryonic genome activation. Front Biosci 2001;6:D748-D759.
Artley JK, Braude PR, Johnson MH. Gene activity and cleavage arrest in human pre-embryos. Hum Reprod 1992;7(7):1014-1021.
Blake DA, Farquhar CM, Johnson N, Proctor M. Cleavage stage versus blastocyst stage embryo transfer in assisted conception. Cochrane Database Syst Rev 2007;17(4):CD002118. Cochrane Database Syst Rev 2005;(4):CD002118.
Quea G, Romero K, Garcia-Velasco JA. Extended embryo culture to increase implantation rate. Reprod Biomed Online 2007;14(3):375-383.
Karaki RZ, Samarraie SS, Younis NA, Lahloub TM, et al. Blastocyst culture and transfer: a step toward improved in vitro fertilization outcome. Fertil Steril 2002;77(1):114-118.
Hentemann M, Bertheussen K. New media for culture to blastocyst. Fertil Steril 2009;91(3):878-883.
Kuwayama M, Vajta G, Kato O, Leibo SP. Highly efficient vitrification method for cryopreservation of human oocytes. Reprod Biomed Online 2005;11:300-308.
Gardner DK, Schoolcraft WB. In vitro culture of human blastocysts. In: Jansen R, Mortimer D, editors. Towards reproductive certainty: infertility and genetics beyond 1999. Carnforth: Parthenon Press,1999;p:167-179.
Katayama KP, Stehlik J, Kuwayama M, Kato O, et al. High survival rate of vitrified human oocytes results in clinical pregnancy. Fertil Steril 2003;80:223-224.
Kuwayama M, Vajta G, Ieda S, Kato O. Comparison of open and closed methods for vitrification of human embryos and the elimination of potential contamination. Reprod Biomed Online 2005;11:608-614.
Cobo A, Kuwayama M, Pérez S, Ruiz A, et al. Comparison of concomitant outcome achieved with fresh and cryopreserved donor oocytes vitrified by the Cryotop method. Fertil Steril 2008;89(6):1657-1664.
Chang CC, Shapiro DB, Bernal DP, Wright G, et al. Human oocyte vitrification: in-vivo and in-vitro maturation outcomes. Reprod Biomed Online 2008;17(5):684-688.
Homburg R, Van der Veen F, Silber SJ. Oocyte vitrificationwomen's emancipation set in stone. Fertil Steril 2009;91(4 Suppl):1319-1320.
Cobo A, Domingo J, Pérez S, Crespo J, et al. Vitrification: an effective new approach to oocyte banking and preserving fertility in cancer patients. Clin Transl Oncol 2008;10(5):268-273.
Tedder RS, Zuckerman MA, Goldstone AH, Hawkins AE, et al. Hepatitis B transmission from contaminated cryopreservation tank. Lancet 1995;346:137-140.
Bielanski A, Nadin-Davis S, Sapp T, Lutze-Wallace C. Viral contamination of embryos cryopreserved in liquid nitrogen. Cryobiology 2000;40:110-116.
Vajta G, Lewis IM, Kuwayama M, Greve T, et al. Sterile application of the open pulled straw (OPS) vitrification method. Cryo Letters 1998;19:389-392.
Bielanski A, Hanniman A. Non-cross-contamination of bovine embryos with microbes using the PPS vitrification system (Abstract). Reprod Fertil Dev 2007;19:232.
Cubillos S, Cuneo S. Fertil Steril 2008;(Suppl.).
Cubillos S, Cuneo S. Desarrollo embrionario y tasas de embarazo con el uso del banco de óvulos (Cryodon®). Rev Mex Reprod 2009;2(1):30.