Polar bodies

极地物体
  • 文章类型: Journal Article
    中心粒是中心体的核心组成部分,涉及指导动物细胞有丝分裂纺锤体组装和染色体分离的微管组织中心。在有性繁殖的物种中,在卵子发生和雌性减数分裂过程中,中心粒退化通常是中心体。在男性减数分裂期间保留中心粒,在大多数物种中,在受精过程中重新引入精子,恢复胚胎中的中心粒数。相比之下,存在,origin,和中心粒在孤雌生殖物种中的功能是未知的。我们发现中心粒在两种无性孤雌生殖线虫中母系遗传,并确定了两种不同的母系遗传策略。在杜蒂诺斯,中心粒组织减数分裂纺锤体的两极,并由极体和胚胎遗传。在Disploscapterpachys中,两对中心粒保持在一起,只由胚胎遗传。我们的结果表明,母本遗传的中心粒组织了胚胎纺锤体的两极,并充当对称破坏线索以诱导胚胎极化。因此,在这些孤雌生殖线虫中,中心粒是母系遗传的,在有性繁殖物种中在功能上取代了精子遗传的对应物。
    Centrioles are the core constituent of centrosomes, microtubule-organizing centers involved in directing mitotic spindle assembly and chromosome segregation in animal cells. In sexually reproducing species, centrioles degenerate during oogenesis and female meiosis is usually acentrosomal. Centrioles are retained during male meiosis and, in most species, are reintroduced with the sperm during fertilization, restoring centriole numbers in embryos. In contrast, the presence, origin, and function of centrioles in parthenogenetic species is unknown. We found that centrioles are maternally inherited in two species of asexual parthenogenetic nematodes and identified two different strategies for maternal inheritance evolved in the two species. In Rhabditophanes diutinus, centrioles organize the poles of the meiotic spindle and are inherited by both the polar body and embryo. In Disploscapter pachys, the two pairs of centrioles remain close together and are inherited by the embryo only. Our results suggest that maternally-inherited centrioles organize the embryonic spindle poles and act as a symmetry-breaking cue to induce embryo polarization. Thus, in these parthenogenetic nematodes, centrioles are maternally-inherited and functionally replace their sperm-inherited counterparts in sexually reproducing species.
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  • 文章类型: Journal Article
    背景:对POSEIDON患者未成熟卵母细胞进行ICSI以获得更好的早期胚胎发育结果的最佳时机仍然未知。这项研究的目的是为POSEIDON患者的体外成熟GV和MI卵母细胞提供最合适的ICSI时间。
    方法:对163例POSEIDON患者的两百三十九个未成熟卵母细胞进行了不同时间的前瞻性ICSI:P-ICSI(ICSI是在第一次极体挤压后4-6小时对体外成熟卵母细胞进行的,N=81),R-ICSI(在第一次极体挤压后不到4小时,对体外成熟的卵母细胞进行ICSI,N=80),和E-ICSI(在取卵后的第二天对体外成熟的卵母细胞进行ICSI,N=78)。收集受精和胚胎发育结果并进行统计学分析。第一极体(PB1)挤压后不同时间培养的体外成熟卵母细胞细胞质的线粒体分布被染色。
    结果:与E-ICSI组相比,P-ICSI第3天的胚胎在序贯培养后更多成为囊胚,但无统计学意义(OR=3.71,95%CI:0.94-14.63,P=0.061)。与E-ICSI组相比,P-ICSI组和R-ICSI组的更多胚胎在临床上使用,差异有统计学意义(P-ICSI胚胎OR=5.67,95%CI:2.24~14.35,P=0.000;R-ICSI胚胎OR=3.23,95%CI:1.23~8.45,P=0.017).与E-ICSI组相比,来自P-ICSI和R-ICSI的移植胚胎具有较高的植入率,尽管没有统计学意义(P-ICSI胚胎为35.3%;R-ICSI胚胎为9.1%,E-ICSI胚胎为0%,P=0.050)。在三组中,从P-ICSI组分娩的大多数健康婴儿(P-ICSI为5、1和0,R-ICSI和E-ICSI)。PB1挤压后,体外成熟卵母细胞的细胞质中的线粒体少于4h和4-6h培养,呈现半外周和扩散的分布模式,分别。
    结论:我们的结果表明,P-ICSI(ICSI在第一次极体挤压后4-6小时对体外成熟的卵母细胞进行)提供了最有效的利用未成熟卵母细胞的方法。来自P-ICSI的体外成熟卵母细胞细胞质的线粒体分布与R-ICSI不同。
    BACKGROUND: The optimal timing of performing ICSI on immature oocytes for POSEIDON patients is still unknown to get better early embryonic development outcomes. The purpose of this study was to implore the most appropriate time to carry out ICSI on in vitro maturation GV and MI oocytes for POSEIDON patients.
    METHODS: Two hundred thirty-nine immature oocytes from 163 POSEIDON patients were prospectively performed ICSI at different timings: P-ICSI (ICSI was performed on in vitro matured oocytes 4-6 h after the first polar body extrusion, N = 81), R-ICSI (ICSI was performed on in vitro matured oocytes less than 4 h after the first polar body extrusion, N = 80), and E-ICSI (ICSI was performed on in vitro matured oocytes the next day after oocytes retrieval, N = 78). Fertilization and embryonic development outcomes were collected and statistically analyzed. Mitochondria distribution of cytoplasm of in vitro matured oocytes with different time cultures after the first polar body (PB1) extrusion was stained.
    RESULTS: Compared to the E-ICSI group, more day 3 embryos from P-ICSI became blastocysts after sequential culture though without statistical significance (OR = 3.71, 95% CI: 0.94-14.63, P = 0.061). Compared to the E-ICSI group, more embryos from both P-ICSI and R-ICSI groups were clinically used with statistical significance (OR = 5.67, 95% CI: 2.24-14.35, P = 0.000 for P-ICSI embryos; OR = 3.23, 95% CI: 1.23-8.45, P = 0.017 for R-ICSI embryos). Compared to the E-ICSI group, transferred embryos from P-ICSI and R-ICSI had a higher implantation rate though without statistical significance (35.3% for P-ICSI embryos; 9.1% or R-ICSI embryos and 0% for E-ICSI embryos, P = 0.050). Among the three group, there were most healthy babies delivered from the P-ICSI group (5, 1 and 0 for P-ICSI, R-ICSI and E-ICSI respectively). The mitochondria in the cytoplasm of in vitro matured oocytes with a less than 4 h and 4-6 h culture after PB1 extrusion presented semiperipheral and diffused distribution patterns, respectively.
    CONCLUSIONS: Our results revealed P-ICSI (ICSI was performed on in vitro matured oocytes 4-6 h after the first polar body extrusion) provided the most efficient method to utilize the immaturation oocytes basing on embryos utilization and live birth outcome for low prognosis patients under the POSEIDON classification. The mitochondria distribution of the in vitro matured oocytes\' cytoplasm from P-ICSI varied that from R-ICSI.
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  • 文章类型: Journal Article
    目的:已经开发了各种筛查技术用于非整倍体(PGT-A)的植入前遗传学检测,以减少接受体外受精(IVF)治疗的女性的植入失败和流产。在这些方法中,牛津纳米孔技术(ONT)已经在几种组织中进行了测试。然而,没有研究将ONT应用于极体,一种细胞材料,在一些国家对PGT-A的监管不太严格。
    方法:我们对来自接受IVF治疗的女性的102个卵母细胞的合并的第一和第二极体进行了快速短纳米孔测序,以筛选非整倍性。开发了自动分析流程,期望每个染色体有三个染色单体。将结果与通过基于阵列的比较基因组杂交(aCGH)获得的结果进行比较。
    结果:ONT和aCGH对于96%(98/102)的样品倍性分类是一致的。在这些样本中,36个被归类为整倍体,而62个被归类为非整倍体。使用aCGH将四个不一致样品评估为整倍体,但使用ONT分类为非整倍体。倍性分类的一致性(整倍体,增益,或丢失)使用aCGH和ONT的每条染色体为92.5%(分析染色体中的2346个中的2169个),并且在没有使用ONT评估为高度复杂的非整倍体的八个样品的情况下增加到97.7%(2113/2162)。
    结论:自动检测每个染色体的倍性分类以及根据测序深度的较短重复或缺失,证明了ONT方法优于标准方法,商业ACGH方法,不考虑在合并的极体中存在三个染色单体。
    OBJECTIVE: Various screening techniques have been developed for preimplantation genetic testing for aneuploidy (PGT-A) to reduce implantation failure and miscarriages in women undergoing in vitro fertilisation (IVF) treatment. Among these methods, the Oxford nanopore technology (ONT) has already been tested in several tissues. However, no studies have applied ONT to polar bodies, a cellular material that is less restrictively regulated for PGT-A in some countries.
    METHODS: We performed rapid short nanopore sequencing on pooled first and second polar bodies of 102 oocytes from women undergoing IVF treatment to screen for aneuploidy. An automated analysis pipeline was developed with the expectation of three chromatids per chromosome. The results were compared to those obtained by array-based comparative genomic hybridisation (aCGH).
    RESULTS: ONT and aCGH were consistent for 96% (98/102) of sample ploidy classification. Of those samples, 36 were classified as euploid, while 62 were classified as aneuploid. The four discordant samples were assessed as euploid using aCGH but classified as aneuploid using ONT. The concordance of the ploidy classification (euploid, gain, or loss) per chromosome was 92.5% (2169 of 2346 of analysed chromosomes) using aCGH and ONT and increased to 97.7% (2113/2162) without the eight samples assessed as highly complex aneuploid using ONT.
    CONCLUSIONS: The automated detection of the ploidy classification per chromosome and shorter duplications or deletions depending on the sequencing depth demonstrates an advantage of the ONT method over standard, commercial aCGH methods, which do not consider the presence of three chromatids in pooled polar bodies.
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  • 文章类型: Case Reports
    第一极体(PB1)过大的卵母细胞通常发生在辅助生殖程序中。很多时候,这些卵母细胞在没有授精的情况下被丢弃,因此,该部分卵母细胞的应用至今几乎没有报道。很少有研究检查不育妇女的大型PB1卵母细胞,并且几乎完全研究了大型PB1卵母细胞异常的遗传变异。这里,我们描述了在冷冻胚胎移植(FET)周期中,一个非常大的PB1卵母细胞活产的不寻常情况。这是由PB1卵母细胞产生的成功活产的第一个实例,该卵母细胞的极体大小为80μM×40μM。大的PB1卵母细胞通过早期拯救胞浆内单精子注射(r-ICSI)进行,并在第5天形成胚泡。在FET之后,在受孕后37周和5天,一个体重3100克的健康男婴最终通过剖腹产分娩。此外,足月分娩后的整个产前或围产期均未出现并发症.在这项研究中,首次揭示了巨大的PB1卵母细胞可以受精,导致胚泡的生长,随后的怀孕,和活产。这些新信息促使我们重新考虑使用大型PB1卵母细胞。应该注意更多有见地的讨论,以防止胚胎的浪费,因为并非所有形态异常的卵母细胞都不可用。
    Oocytes with excessively large first polar bodies (PB1) often occur in assisted reproductive procedures. Many times these oocytes are discarded without insemination and, as a result, the application of this portion of oocytes has scarcely been reported to date. Few studies have examined large PB1 oocytes in infertile women and have virtually entirely studied genetic variations for large PB1 oocyte abnormalities. Here, we describe an unusual case of a live birth from a remarkably large PB1 oocyte in a frozen embryo transfer (FET) cycle. This is the first instance of a successful live birth resulting from a PB1 oocyte with an extremely large polar body measuring 80 μM × 40 μM in size. The large PB1 oocyte was performed by an early rescue intracytoplasmic sperm injection (r-ICSI) and was formed into a blastocyst on day 5. Following FET, a healthy boy baby weighing 3100 g was finally delivered by caesarean section at 37 weeks and 5 days after conception. Additionally, there were no complications throughout the antenatal period or the perinatal phase of this following full-term delivery. In this study, it is revealed for the first time that a huge PB1 oocyte can be fertilized, resulting in the growth of a blastocyst, a subsequent pregnancy, and a live birth. This new information prompts us to reconsider the use of large PB1 oocytes. More insightful talks should be given attention to prevent the waste of embryos because not all oocytes with aberrant morphology are unavailable.
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  • 文章类型: Journal Article
    背景:使用极体(PB)活检的非整倍体(PGT-A)的植入前遗传测试通过减少胚胎移植的数量和流产率提供了临床益处,但目前并不具有成本效益。纳米孔测序技术通过提供具有成本效益和快速的测序结果以及简单的样品制备工作流程而打开了可能性。
    方法:在本比较实验研究中,使用纳米孔测序技术分析来自20名患者的102个汇集的PB样品(99个通过QC)的非整倍性,并与作为临床常规的一部分产生的阵列比较基因组杂交(aCGH)结果进行比较。在NanoporeMinION机器上对样品进行测序。通过定制生物信息学分析软件调用全染色体拷贝数。将自动调用的结果与aCGH结果进行比较。
    结果:总体而言,在两种方法中,96/99个样品始终检测为整倍体或非整倍体(一致性=97.0%,敏感性=0.957,特异性=1.0,阳性预测值=1.0,阴性预测值=0.906)。在染色体水平上,一致性达到98.7%。在这项试验中分析的染色体非整倍体覆盖了所有23个染色体和98个三体,和70个aCGH样品中的97个单体。整个纳米孔工作流程在5小时内(对于一个样品)是可行的,最大时间为16小时(对于12个样品),使新鲜的PB-整倍体胚胎移植。165美元(150欧元)/样品的材料成本可能实现成本有效的非整倍性筛选。
    结论:这是第一个系统地比较纳米孔测序与检测PB非整倍性的标准方法的研究。高一致率证实了纳米孔技术用于该应用的可行性。此外,快速且具有成本效益的工作流程揭示了该技术的临床实用性,使其对PBPGT-A具有临床吸引力
    BACKGROUND: Preimplantation genetic testing for aneuploidy (PGT-A) using polar body (PB) biopsy offers a clinical benefit by reducing the number of embryo transfers and miscarriage rates but is currently not cost-efficient. Nanopore sequencing technology opens possibilities by providing cost-efficient and fast sequencing results with uncomplicated sample preparation work flows.
    METHODS: In this comparative experimental study, 102 pooled PB samples (99 passing QC) from 20 patients were analyzed for aneuploidy using nanopore sequencing technology and compared with array comparative genomic hybridization (aCGH) results generated as part of the clinical routine. Samples were sequenced on a Nanopore MinION machine. Whole-chromosome copy-numbers were called by custom bioinformatic analysis software. Automatically called results were compared to aCGH results.
    RESULTS: Overall, 96/99 samples were consistently detected as euploid or aneuploid in both methods (concordance = 97.0%, sensitivity = 0.957, specificity = 1.0, positive predictive value = 1.0, negative predictive value = 0.906). On the chromosomal level, concordance reached 98.7%. Chromosomal aneuploidies analyzed in this trial covered all 23 chromosomes with 98 trisomies, and 97 monosomies in 70 aCGH samples.The whole nanopore work flow is feasible in under 5 h (for one sample) with a maximum time of 16 h (for 12 samples), enabling fresh PB-euploid embryo transfer. A material cost of US$ 165 (EUR 150)/sample possibly enables cost-efficient aneuploidy screening.
    CONCLUSIONS: This is the first study systematically comparing nanopore sequencing with standard methods for the detection of PB aneuploidy. High concordance rates confirmed the feasibility of nanopore technology for this application. Additionally, the fast and cost-efficient work flow reveals the clinical utility of this technology, making it clinically attractive for PB PGT-A.
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  • 文章类型: Clinical Trial
    目的:确定氧气张力(20%对5%)是否对体外成熟过程中的卵母细胞成熟率和形态有影响。
    方法:前瞻性,观察,单心,兄弟姐妹卵母细胞研究。
    方法:对2016年11月至2021年4月为保存生育力而进行体外成熟的143例患者进行分析。当检索到≥2个卵丘-卵母细胞复合物时,包括患者。每位患者获得的卵丘-卵母细胞复合物队列随机分为两组:20%O2组和5%O2组。
    方法:卵丘-卵母细胞复合物在5%O2或20%O2下孵育48小时。培养24h和48h后,评估每个卵母细胞的成熟度和形态,估计卵母细胞质量。考虑6个参数(形状,尺寸,卵质,卵黄膜周围空间,透明带和极体特征),给出总卵母细胞评分范围从-6到+6。
    方法:使用配对样本分析比较20%O2组和5%O2组的成熟率和卵母细胞总评分。
    结果:患者中位年龄为31.4岁[28.1-35.2]。平均血清AMH水平和窦卵泡计数为3.2±2.3ng/mL和27.2±16.0个卵泡,分别。检索到每个周期平均10.7个卵丘-卵母细胞复合物,导致6.1±2.4中期II卵母细胞玻璃化(总成熟率=57.3%;991中期II卵母细胞/1728卵丘-卵母细胞复合物)。每组共包括864个卵丘-卵母细胞复合物。两组之间的卵母细胞成熟率没有差异(组20%O2:56.82%vs.5%O2组:57.87%,分别,P=0.27)。关于卵母细胞形态,与20%O2组相比,5%O2组的平均卵母细胞总评分明显更高(3.44±1.26vs.3.16±1.32,P=0.014)。
    结论:因为低氧张力(5%O2)下的培养改善了体外成熟过程中的卵母细胞形态,我们的结果提示低氧培养应标准化.有必要进行其他研究,以评估氧气张力对卵母细胞成熟的影响以及利用冷冻材料后在低氧张力下体外成熟对胚胎培养的益处。
    OBJECTIVE: To determine whether oxygen (O2) tension (20% vs. 5%) has an impact on oocyte maturation rates and morphology during in vitro maturation (IVM).
    METHODS: A prospective, observational, monocentric, sibling-oocyte study.
    METHODS: University Hospital.
    METHODS: A total of 143 patients who underwent IVM for fertility preservation purposes from November 2016 to April 2021 were analyzed. Patients were included when ≥2 cumulus-oocyte complexes (COCs) were retrieved. The cohort of COCs obtained for each patient was randomly split into two groups: group 20% O2 and group 5% O2.
    METHODS: Cumulus-oocyte complexes were incubated for 48 hours either under 5% O2 or 20% O2. After 24 and 48 hours of culture, every oocyte was assessed for maturity and morphology, to estimate oocyte quality. Morphology was evaluated considering six parameters (shape, size, ooplasm, perivitelline space, zona pellucida, and polar body characteristics), giving a total oocyte score ranging from -6 to +6.
    METHODS: Maturation rates and total oocyte scores were compared using paired-sample analysis between group 20% O2 and group 5% O2.
    RESULTS: Patient median age was 31.4 [28.1-35.2] years-old. The mean serum antimüllerian hormone levels and antral follicle count were 3.2 ± 2.3 ng/mL and 27.2 ± 16.0 follicles, respectively. A mean of 10.7 COCs per cycle were retrieved, leading to 6.1 ± 2.4 metaphase II oocytes vitrified (total maturation rate = 57.3%; 991 metaphase II oocytes/1,728 COCs). A total of 864 COCs were included in each group. Oocyte maturation rates were not different between the two groups (group 20% O2: 56.82% vs. group 5% O2: 57.87%, respectively). Regarding oocyte morphology, the mean total oocyte score was significantly higher in group 5% O2 compared with group 20% O2 (3.44 ± 1.26 vs. 3.16 ± 1.32, P=.014).
    CONCLUSIONS: As culture under low O2 tension (5% O2) improves oocyte morphology IVM, our results suggest that culture under hypoxia should be standardized. Additional studies are warranted to assess the impact of O2 tension on oocyte maturation and the benefit of IVM under low O2 tension for embryo culture after utilization of frozen material.
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  • 文章类型: Journal Article
    胚胎发育取决于母体来源的材料。哺乳动物卵母细胞经历极端不对称的胞质分裂事件,产生一个大鸡蛋和两个小极体。在体细胞的胞质分裂过程中,中体和随后的中体残余的组装,含有RNA的信号细胞器,转录因子和翻译机制,被认为会影响细胞功能或命运。中体和中体残余在配子中的作用,特别是,卵母细胞,尚不清楚。这里,我们使用小鼠卵母细胞检查了减数分裂中体(mMB)和mMB残留物的形成和功能,并证明mMB具有朝向极体的特殊帽结构。我们证明了MBs是平移活跃的,并且mMB帽需要保留鸡蛋中的新生蛋白质。我们建议这种专门的mMB帽可以保持鸡蛋中的遗传因素,从而具有完整的发育能力。
    Embryo development depends upon maternally derived materials. Mammalian oocytes undergo extreme asymmetric cytokinesis events, producing one large egg and two small polar bodies. During cytokinesis in somatic cells, the midbody and subsequent assembly of the midbody remnant, a signaling organelle containing RNAs, transcription factors and translation machinery, is thought to influence cellular function or fate. The role of the midbody and midbody remnant in gametes, in particular, oocytes, remains unclear. Here, we examined the formation and function of meiotic midbodies (mMB) and mMB remnants using mouse oocytes and demonstrate that mMBs have a specialized cap structure that is orientated toward polar bodies. We show that that mMBs are translationally active, and that mMB caps are required to retain nascent proteins in eggs. We propose that this specialized mMB cap maintains genetic factors in eggs allowing for full developmental competency.
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  • 文章类型: Journal Article
    在秀丽隐杆线虫卵母细胞减数分裂和极体挤压期间,皮质肌动球蛋白被局部重塑以组装收缩环,该收缩环在内部形成并保留为更大且活跃收缩的皮质肌动球蛋白网络的一部分。该网络既介导收缩环动力学,又在极体挤压过程中在整个卵母细胞皮层中产生浅层沉积。根据我们对CLS-2的需求分析,CLASP家族中稳定微管的蛋白质,我们最近提出,肌动球蛋白介导的张力和微管介导的刚度的平衡限制了减数分裂I极体挤压过程中整个卵母细胞的膜侵入。这里,使用活细胞成像和荧光蛋白融合,我们证明CLS-2是一组动粒蛋白的一部分,包括支架KNL-1和激酶BUB-1,它们在减数分裂I期间也共同定位到称为线性元件的结构,它们存在于组装的卵母细胞纺锤体中,也分布在整个卵母细胞附近,但似乎是底层的,肌动球蛋白皮质.我们进一步表明,KNL-1和BUB-1与CLS-2一样,可促进皮质下微管的适当组织,并限制整个卵母细胞的膜侵入。此外,诺考达唑或紫杉醇治疗使卵母细胞微管不稳定或稳定,分别,整个卵母细胞的膜侵入过量或减少。此外,紫杉醇治疗,和遗传背景提高了皮质相关微管的水平,两者都能抑制cls-2突变卵母细胞的过度膜侵入。我们建议线性元件影响皮质下微管的组织,以产生刚度,从而限制减数分裂I极体挤压过程中皮质肌动球蛋白驱动的膜进入整个卵母细胞。我们讨论了在秀丽隐杆线虫卵母细胞减数分裂I细胞分裂过程中,皮质下微管动力学的这种调节促进肌动球蛋白收缩环动力学的可能性。
    During C. elegans oocyte meiosis I cytokinesis and polar body extrusion, cortical actomyosin is locally remodeled to assemble a contractile ring that forms within and remains part of a much larger and actively contractile cortical actomyosin network. This network both mediates contractile ring dynamics and generates shallow ingressions throughout the oocyte cortex during polar body extrusion. Based on our analysis of requirements for CLS-2, a member of the CLASP family of proteins that stabilize microtubules, we recently proposed that a balance of actomyosin-mediated tension and microtubule-mediated stiffness limits membrane ingression throughout the oocyte during meiosis I polar body extrusion. Here, using live cell imaging and fluorescent protein fusions, we show that CLS-2 is part of a group of kinetochore proteins, including the scaffold KNL-1 and the kinase BUB-1, that also co-localize during meiosis I to structures called linear elements, which are present within the assembling oocyte spindle and also are distributed throughout the oocyte in proximity to, but appearing to underlie, the actomyosin cortex. We further show that KNL-1 and BUB-1, like CLS-2, promote the proper organization of sub-cortical microtubules and also limit membrane ingression throughout the oocyte. Moreover, nocodazole or taxol treatment to destabilize or stabilize oocyte microtubules leads to, respectively, excess or decreased membrane ingression throughout the oocyte. Furthermore, taxol treatment, and genetic backgrounds that elevate the levels of cortically associated microtubules, both suppress excess membrane ingression in cls-2 mutant oocytes. We propose that linear elements influence the organization of sub-cortical microtubules to generate a stiffness that limits cortical actomyosin-driven membrane ingression throughout the oocyte during meiosis I polar body extrusion. We discuss the possibility that this regulation of sub-cortical microtubule dynamics facilitates actomyosin contractile ring dynamics during C. elegans oocyte meiosis I cell division.
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  • 文章类型: Journal Article
    目的:本研究旨在通过预测生发囊泡破裂(GVBD)和优化ICSI的时机来实现抢救IVM的方法学改进。
    方法:回顾性分析了时差分析,以评估核仁周围AC的存在与GVBD之间的关系。为了找到ICSI的最佳时机,测量从第一极体挤出开始到ICSI的时间,计算各点的受精率。
    结果:核仁周围有AC的GV期卵母细胞的GVBD率明显高于无AC的GV期卵母细胞。GV期卵母细胞在极体挤压后需要比MI卵母细胞更多的时间进行核成熟,GV期卵母细胞从极体挤压到ICSI的最佳时机需要400-600分钟,而MI阶段卵母细胞需要200-400分钟。GV期卵母细胞在适当的ICSI时机导致健康婴儿的出生。
    结论:发现核仁周围有AC的GV期卵母细胞可以启动GVBD并达到MII期,GV期卵母细胞比MI期卵母细胞需要更多的时间才能达到ICSI的最佳时机。考虑到这些因素,ART实验室可以在常规ART程序中使用未成熟的GV阶段卵母细胞,而不是丢弃它们。
    OBJECTIVE: This study aims to achieve the methodological improvement of rescue IVM by predicting germinal vesicle breakdown (GVBD) and optimizing the timing of ICSI.
    METHODS: Time lapse analysis was performed retrospectively to evaluated the relationship between the presence of AC around the nucleoli and GVBD. To find the optimal timing of ICSI, the time from the initiation of the first polar body extrusion to ICSI were measured, and the rates of fertilization at each point were calculated.
    RESULTS: The GVBD rate of GV stage oocytes with AC around the nucleoli was significantly higher than that of GV stage oocytes without AC. The GV stage oocytes required more time for nuclear maturation after polar body extrusion than MI oocytes, with GV stage oocytes taking 400-600 min from polar body extrusion to the optimal timing of ICSI, while the MI stage oocytes took 200-400 min. The GV stage oocytes resulted in the birth of healthy babies with the appropriate timing of ICSI.
    CONCLUSIONS: It was found that GV stage oocytes with AC around nucleoli can initiate GVBD and reach the MII stage with a high rate, and that GV stage oocytes required more time than MI stage oocytes to reach the optimal timing of ICSI. Considering these factors, ART laboratories may employ immature GV stage oocytes in routine ART procedures rather than discarding them.
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  • 文章类型: Journal Article
    目的:极体基因组转移后的卵母细胞重建是有胚胎碎片史和高龄患者的潜在治疗选择。然而,通过引入供体细胞质从第一极体(PB1)中拯救遗传物质尚未准备好临床应用。
    方法:体外成熟(IVM)后获得85个卵母细胞,分为两组:PB1核移植(PB1NT;n=54)和对照组(n=31)。摘除和PB1基因组转移后,评估PB1融合。随后,所有融合的卵母细胞均接受胞浆内单精子注射(ICSI),并在延时监测系统下在培养箱中培养以评估受精,胚胎形态动力学参数,和乳沟模式。
    结果:摘除和融合后,77.14%的卵母细胞存活,和92.59%的极体(PBs)融合。然而,PB1NT组的正常受精率低于对照组(56.41%vs.92%,p=0.002)。两组之间的胚胎动力学没有显着差异,但是在四细胞阶段后的胚胎发育停滞中发现了显着差异,伴随着PB1NT组的异常卵裂分裂。随后是植入电位率和整倍体状态的显着组间差异。PB1NT组中的大多数胚胎至少有一次异常卵裂分裂(93.3%,p=0.001)。
    结论:新鲜的PB1NT卵母细胞在IVM卵母细胞中成功地在PB融合和ICSI后产生正常受精卵。然而,这伴随着发育成卵裂胚胎的效率低下,随着异常卵裂模式的增加。
    OBJECTIVE: Reconstructed oocytes after polar body genome transfer constitute a potential therapeutic option for patients with a history of embryo fragmentation and advanced maternal age. However, the rescue of genetic material from the first polar body (PB1) through introduction into the donor cytoplasm is not yet ready for clinical application.
    METHODS: Eighty-five oocytes were obtained following in vitro maturation (IVM) and divided into two groups: PB1 nuclear transfer (PB1NT; n=54) and control (n=31). Following enucleation and PB1 genomic transfer, PB1 fusion was assessed. Subsequently, all fused oocytes underwent intracytoplasmic sperm injection (ICSI) and were cultured in an incubator under a time-lapse monitoring system to evaluate fertilization, embryonic morphokinetic parameters, and cleavage patterns.
    RESULTS: Following enucleation and fusion, 77.14% of oocytes survived, and 92.59% of polar bodies (PBs) fused. However, the normal fertilization rate was lower in the PB1NT group than in the control group (56.41% vs. 92%, p=0.002). No significant differences were observed in embryo kinetics between the groups, but a significant difference was detected in embryo developmental arrest after the four-cell stage, along with abnormal cleavage division in the PB1NT group. This was followed by significant between-group differences in the implantation potential rate and euploidy status. Most embryos in the PB1NT group had at least one abnormal cleavage division (93.3%, p=0.001).
    CONCLUSIONS: Fresh PB1NT oocytes successfully produced normal zygotes following PB fusion and ICSI in IVM oocytes. However, this was accompanied by low efficiency in developing into cleavage embryos, along with an increase in abnormal cleavage patterns.
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