| In
Vitro Maturation:
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A
laboratory process whereby
a primary oocyte obtained from an
immature tertiary follicle is allowed
to mature until it becomes a secondary
oocyte and capable of being fertilized
by a sperm cell.
|
In
Vitro Maturation
A
laboratory process whereby a primary oocyte
obtained from an immature tertiary follicle
is allowed to mature until it becomes a
secondary oocyte and capable of being fertilized
by a sperm cell. Fertilization is then performed
in the laboratory by use of using in vitro
fertilization. This process is often used
to increase the number of egg cells available
for IVF so as to increase the chances of
successful fertilization, implantation,
and pregnancy.
The
oocytes are then placed in a culture-medium-filled
dish and allowed a period of about 24 hours
to reach maturity. During this time, the
cumulus cells remain in contact with the
oocyte in what is called a cumulus oocyte
complex (COC). The dish is incubated at
about 38.5 degrees Celsius. (normal cow
body temperature)
In
Vitro Maturation of Immature Oocytes
The
fertilization rates of oocytes matured in
vitro are much lower than those in in-vivo
stimulation cycles. Although a proportion
of immature oocytes are able to mature in
special culture media, the use of cocultures
to improve maturation is novel. We are examining
the effects of in vitro maturation of oocytes
using various culture conditions and examining
the oxidative stress generated in the conditioned
media. Optimizing the culture conditions
may help improve the maturation, morphological
quality, and reduce apoptosis of immature
oocytes. The goal is to develop optimal
culture conditions that may subsequently
help preserve the fertility potential in
these patients.
In
addition, ongoing studies are also aimed
at examining the hypothesis that the pro-antioxidant
profile of the various compartments of the
bovine follicle is dynamically regulated
during progressive stages of antral development.
Markers examining the alterations in oxidative
stress and antioxidant levels in bovine
follicular fluid and conditioned media from
antral follicles during different stages
of development are being studied. Also identifying
changes associated with the follicle size,
presence of dominant follicle and the stage
of the ovarian cycle are being examined.
Only
about 400 of the one million oocytes present
at birth will be ovulated, while the rest
will die by atresia. The ability to rescue
oocytes destined to die and mature them
in vitro would provide invaluable information
about folliculogenesis and oocyte maturation,
and could provide oocytes for infertile
women. In vitro maturation (IVM) is challenging
in the human because folliculogenesis is
a lengthy process encompassing many complex
cellular changes in the oocyte and its surrounding
follicle cells. A few live births have resulted
from the maturation and fertilization of
immature human oocytes aspirated from small
antral follicles. Furthermore, it is possible
to grow primordial follicles to pre-antral
stages in slices of ovarian tissue, and
support antrum formation in isolated pre-antral
follicles. However, we are still a considerable
way from growing and maturing pre-antral
follicles to pre-ovulatory stages in vitro.
The importance of the follicular environment
for producing a healthy and developmentally
competent oocyte is illustrated by the oocyte's
susceptibility to errors during meiosis.
This counsels considerable caution in the
development of IVM for clinical application.
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