Objective To assess whether the detection of the meiotic spindle could anticipate the appearance of early cleavage. Methods Oocytes were obtained from stimulated ovaries of consenting patients undergoing oocytes retri...Objective To assess whether the detection of the meiotic spindle could anticipate the appearance of early cleavage. Methods Oocytes were obtained from stimulated ovaries of consenting patients undergoing oocytes retrieval for ICSI. Spindles were imaged with the Polscope. After ICSI, oocytes with or without spindles were cultured for examination of early cleavage and embryo development. A total of 328 oocytes from 50 cycles were examined with the Polscope and inseminated by ICSI. Results Spindles were imaged in 81.7% of oocytes. After ICSI, more oocytes with spindles (78.4%) fertilized normally than oocytes without spindles (53.3%) (P〈0. 001). At 25-27 h post ICSI, more fertilized oocytes developed from oocytes with spindles (81.9%) were detected early cleavage than those from oocytes without spindles (28.1%) (P〈0.001). Significantly more embryos with early cleavage (82.2%) developed to high quality embryos at d 3 compared with the embryos without early cleavage (48.3%) (P=0.001). The value of rs related to the relationship between spindles and early cleavage was 0.420 (P〈0.001). Conclusion The existing of the early cleavage may have a predictive value on the opportunity of high quality embryos and the existing of the spindle may have a predictive value in the appearance of early cleavage.展开更多
Objective:The meiotic spindle controls chromosome movement and mediates various functions essential for fertilization and early postfertilization events.This study aimed to examine whether vitrification causes meiotic...Objective:The meiotic spindle controls chromosome movement and mediates various functions essential for fertilization and early postfertilization events.This study aimed to examine whether vitrification causes meiotic damage in vitro-matured metaphase II(MII)human oocytes,and whether the meiotic spindle morphology influences the subsequent developmental outcomes.Methods:The spindle characteristics of MII human oocytes in vitro matured were studied before and after vitrification using PolScope imaging and immunofluorescence staining.The developmental competence of oocytes was also examined.Results:A total of 419 human MII oocytes were obtained from 593 intracytoplasmic sperm injection cycles at our hospital.Of these oocytes,54 were used for immunofluorescence staining,whereas the other oocytes were examined by PolScope imaging and classified into three groups according to the meiotic spindle morphology:(A)normal morphology,(B)weak refraction and short meiotic spindle,and(C)no detectable meiotic spindle.The three groups demonstrated statistically significant differences in terms of survival after vitrification.However,differences were not found in terms of oocyte chromosome structure and meiotic spindle morphology on immunofluorescence staining performed before and after vitrification.Oocyte survival,fertilization,and early embryonic development rates were significantly higher in Group A than in Groups B and C with or without vitrification.While vitrification had no effect on these metrics in Group A,Groups B and C demonstrated significantly lower fertilization and cleavage rates after vitrification/warming.Conclusions:Screening for normal meiotic spindle morphology and chromosome configuration before vitrification may increase the yield of healthy viable oocytes for various assisted reproductive technologies.展开更多
文摘Objective To assess whether the detection of the meiotic spindle could anticipate the appearance of early cleavage. Methods Oocytes were obtained from stimulated ovaries of consenting patients undergoing oocytes retrieval for ICSI. Spindles were imaged with the Polscope. After ICSI, oocytes with or without spindles were cultured for examination of early cleavage and embryo development. A total of 328 oocytes from 50 cycles were examined with the Polscope and inseminated by ICSI. Results Spindles were imaged in 81.7% of oocytes. After ICSI, more oocytes with spindles (78.4%) fertilized normally than oocytes without spindles (53.3%) (P〈0. 001). At 25-27 h post ICSI, more fertilized oocytes developed from oocytes with spindles (81.9%) were detected early cleavage than those from oocytes without spindles (28.1%) (P〈0.001). Significantly more embryos with early cleavage (82.2%) developed to high quality embryos at d 3 compared with the embryos without early cleavage (48.3%) (P=0.001). The value of rs related to the relationship between spindles and early cleavage was 0.420 (P〈0.001). Conclusion The existing of the early cleavage may have a predictive value on the opportunity of high quality embryos and the existing of the spindle may have a predictive value in the appearance of early cleavage.
基金Natural Science Foundation of China(No.81601342,81901558)from Dr.Yi-Juan Sun and Rui-huan GuShanghai Municipal Planning Commission of Science and Research Fund(General Program,No.201740075)Huangpu District,Shanghai Municipal Planning Commission of Science and Research Fund(No.HKW201659).
文摘Objective:The meiotic spindle controls chromosome movement and mediates various functions essential for fertilization and early postfertilization events.This study aimed to examine whether vitrification causes meiotic damage in vitro-matured metaphase II(MII)human oocytes,and whether the meiotic spindle morphology influences the subsequent developmental outcomes.Methods:The spindle characteristics of MII human oocytes in vitro matured were studied before and after vitrification using PolScope imaging and immunofluorescence staining.The developmental competence of oocytes was also examined.Results:A total of 419 human MII oocytes were obtained from 593 intracytoplasmic sperm injection cycles at our hospital.Of these oocytes,54 were used for immunofluorescence staining,whereas the other oocytes were examined by PolScope imaging and classified into three groups according to the meiotic spindle morphology:(A)normal morphology,(B)weak refraction and short meiotic spindle,and(C)no detectable meiotic spindle.The three groups demonstrated statistically significant differences in terms of survival after vitrification.However,differences were not found in terms of oocyte chromosome structure and meiotic spindle morphology on immunofluorescence staining performed before and after vitrification.Oocyte survival,fertilization,and early embryonic development rates were significantly higher in Group A than in Groups B and C with or without vitrification.While vitrification had no effect on these metrics in Group A,Groups B and C demonstrated significantly lower fertilization and cleavage rates after vitrification/warming.Conclusions:Screening for normal meiotic spindle morphology and chromosome configuration before vitrification may increase the yield of healthy viable oocytes for various assisted reproductive technologies.