, Volume 10, Issue 2, pp 161–166 | Cite as

Effects of granulosa cells, cumulus cells, and oocyte density on in vitro fertilization in women

  • Firouz Khamsi
  • Sylvie Roberge
  • Iara C. Lacanna
  • Jeremy Wong
  • Yalcin Yavas


The objective of this study was to determine if in vitro fertilization (IVF) rate is affected by the diameter of oocyte’cumulus complex (OCC), by coculturing oocytes with autologous granulosa cells, or by increasing Ihe oocyte density in culture medium. Women with previous fertility problems underwent the IVF program. In study 1, the diameter of OCC was graded on retrieval on a scale of 0–3: grade 0=no cumulus at all; grade 1=diameter of 75–100 μm; grade 2=diameter of 125–150 μm; and grade 3=diameter of 200–225 μm. In study 2, oocytes were cocultured with autologous granulosa cells. In study 3, oocytes were cocultured in groups of one, two, or four. OCCs with a grade>1.5/3 resulted in a greater (P=0.04) proportion of embryo/oocyte than did OCCs with a grade<1.5/3 (0.91±0.05 vs 0.68±0.10; mean±SEM). Coculturing oocytes with autologous granulosa cells did not affect (P=0.42) the proportion of embryo/oocyte (0.63±0.11 vs 0.74±0.07 in controls). Coculturing oocytes in groups of two or four in culture drop did not affect (P=0.37 and P=0.38, respectively) the proportion of embryo/oocyte (0.63±0.07 vs 0.73±0.08 in controls, and 0.73±0.08 vs 0.63±0.08 in controls, respectively). In conclusion, coculturing oocytes with autologous granulosa cells or increasing the oocyte density from 1 to 2 or 4 oocytes/culture drop, in the context of our study, did not affect rate of IVF and embryo formation. The diameter of OCC at retrieval may give some indication regarding its future fertilization and development. This diameter varies with the type of ovarian stimulation and the patient’s age. This variation in diameter does not correlate with oocyte maturity.

Key Words

Granulosa cumulus coculture oocyte in vitro fertilization 


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Einspanier, R., Lauer B., Gabler, C., Kambuber, M., and Scharns, D. (1997) Ad. Exp. Med. Biol. 424, 279–289.Google Scholar
  2. 2.
    Eppig, J. J., Chesnel, F., Hirao, Y., O'Brien M. J., Pendola, F. L., Watanabe, S., and Wigglesworth, K. (1997) Hum. Reprod. 12(11 Suppl.), 127–132.PubMedGoogle Scholar
  3. 3.
    Van Blerkom, J. (1996) J. Soc. Gynecol. Invest. 3, 3–11.CrossRefGoogle Scholar
  4. 4.
    Saito, H., Hirayama, T., Koike, K., Saito, T., Nohara, M., and Hiroi, M. (1994) Fertil. Steril. 62, 555–558.PubMedGoogle Scholar
  5. 5.
    Veeck, I. L. (1988) Ann. NY Acad. Sci. 541, 259–262.PubMedCrossRefGoogle Scholar
  6. 6.
    Harurnitt, D. G., Syrop, C. H., Van Voorhis, B. J., Walker, D. L., Miller, T. M., barud, K. M., and Hood, C. C. (1992) J. Assist. Reprod. Genet. 9, 439–446.CrossRefGoogle Scholar
  7. 7.
    Marrs, R. P., Saito, H., Yee, B., Sato, F., and Brown, J. (1984) Fert. Steril. 41, 519–523.Google Scholar
  8. 8.
    Mansour, R. T., Aboulghar, M. A., Serour, G. I., and Abbass, A. M. (1994) Hum. Reprod. 9, 1727–1729.PubMedGoogle Scholar
  9. 9.
    Dirnfeld, M., Goldman, S., Gonen, Y., Koifman, M., Calderon, I., and Abramovici, H. (1997) Fertil. Steril. 67, 120–122.PubMedCrossRefGoogle Scholar
  10. 10.
    Plachot, M., Mandelbaum, J., Junca, A. M., Antoine, J. M., Salat-Baroux, J., and Cohen, J. (1993) Hum. Reprod. 8, 1455–1458.PubMedGoogle Scholar
  11. 11.
    Lane, M. and Gardner, D. K. (1992) Hum. Reprod. 7, 558–562.PubMedGoogle Scholar
  12. 12.
    Salahuddin, S., Ookutsu, S., Goto, K., Nakanishi, Y., and Nagata, Y. (1995) Hum. Reprod. 10, 2382–2385.PubMedGoogle Scholar
  13. 13.
    Damewood, M. D. (ed.) (1990) The Johns Hopkins Handbook of In Vitro Fertilization and Assisted Reproductive Technologies. Little, Brown and Company, Boston, pp. 69–111.Google Scholar
  14. 14.
    Khamsi, F., Lacanna, I., Endman, M., and Wong, J. (1998) Endocrine 9, 15–25.PubMedCrossRefGoogle Scholar
  15. 15.
    SAS. (1988) Statistical analysis system. SAS/STAT User's Guide, Release 6.03 edition, Statistics Institute, Cary, NC.Google Scholar

Copyright information

© Humana Press Inc 1999

Authors and Affiliations

  • Firouz Khamsi
    • 1
    • 2
    • 4
  • Sylvie Roberge
    • 1
  • Iara C. Lacanna
    • 1
  • Jeremy Wong
    • 1
    • 3
  • Yalcin Yavas
    • 1
  1. 1.Toronto Fertility Sterility InstituteUniversity of TorontoTorontoCanada
  2. 2.Department of MedicineUniversity of TorontoTorontoCanada
  3. 3.Department of Obstetrics and GynecologyUniversity of TorontoTorontoCanada
  4. 4.Division of Endocrinology and MetabolismThe Toronto HospitalTorontoCanada

Personalised recommendations