Abstract
Purpose
To evaluate the effect of different exposure temperatures during the dilution process on the survival rate of vitrified oocytes and following development.
Methods
Patients were divided at random into two groups for different dilution temperature (20–22 °C, RT group; 37 °C,37 °C group) according to computer-generated random numbers on the day of oocyte warming. The survival and fertilization rates of vitrified oocytes as well as the implantation and clinical pregnancy rates of the resulting embryos were recorded.
Results
A total of 662 and 676 oocytes were warmed in the 37 °C group and RT group, respectively, and significant difference was observed in the survival rate between 37 °C group (88.37 %) and RT group (79.88 %) (P = 0.0000). There was significant difference between the survival rate of 37 °Cgroup (87.27 %) and RT group (75.64 %) in nondonor patients (P = 0.0001). Multiple linear regression analysis showed that dilution temperature (β = 0.079, P = 0.017) and clinical outcomes of fresh cycles (β = 0.063, P = 0.001) were significantly and independently associated with survival rate. No significant difference was found between the 37 °C group and RT group in: fertilization rate (66.67 versus 65.37 %), implantation rate (20.0 versus19.46 %), clinical pregnancy rate (37.5 versus 35.0 %).
Conclusions
In conclusion, the results of this study give supportive evidence of the application of 37 °C in the dilution process, especially for oocytes of poor quality. Further studies with well-controlled experimental groups are needed to optimize protocols for human oocyte vitrification.
Similar content being viewed by others
References
Cobo A, Diaz C. Clinical application of oocyte vitrification: a systematic review and meta-analysis of randomized controlled trials. Fertil Steril. 2011;96:277–85.
Practice Committees of American Society for Reproductive Medicine; Society for Assisted Reproductive Technology. Mature oocyte cryopreservation: a guideline. Fertil Steril. 2013; 99: 37–43.
Cobo A, Kuwayama M, Pérez S, Ruiz A, Pellicer A, Remohí J. Comparison of oncomitant outcome achieved with fresh and cryopreserved donor oocytes vitrified by the Cryotop method. Fertil Steril. 2008;89:1657–64.
Cobo A, Meseguer M, Remohí J, Pellicer A. Use of cryo-banked oocytes in an ovum donation programme: a prospective, randomized, controlled, clinical trial. Hum Reprod. 2010;25:2239–46.
Cil AP, Bang H, Oktay K. Age-specific probability of live birth with oocyte cryopreservation: an individual patient data meta-analysis. Fertil Steril. 2013;100:492–9.
Vajta G, Kuwayama M. Improving cryopreservation systems. Theriogenology. 2006;65:236–44.
Kuleshova L, Gianaroli L, Magli C, Ferraretti A, Trounson A. Birth following vitrification of a small number of human oocytes: case report. Hum Reprod. 1999;14:3077–9.
Cobo A, Vajta G, Remohí J. Vitrification of human mature oocytes in clinical practice. Reprod Biomed Online. 2009;19 Suppl 4:4385.
García JI, Noriega-Portella L, Noriega-Hoces L. Efficacy of oocyte vitrification combined with blastocyst stage transfer in an egg donation program. Hum Reprod. 2011;26:782–90.
Smith GD, Serafini PC, Fioravanti J, Yadid I, Coslovsky M, Hassun P, et al. Prospective randomized comparison of human oocyte cryopreservation with slow-rate freezing or vitrification. Fertil Steril. 2010;94:2088–95.
Chian RC, Huang JY, Gilbert L, Son WY, Holzer H, Cui SJ, et al. Obstetric outcomes following vitrification of in vitro and in vivo matured oocytes. Fertil Steril. 2009;91:2391–8.
Selman H, Rinaldi L, Pacchiarotti A, Floccari A, El-Danasouri I. Pregnancies and deliveries after injection of vitrified-warmed oocytes with cryopreserved testicular sperm. Fertil Steril. 2010;94:2927–9.
Trokoudes KM, Pavlides C, Zhang X. Comparison outcome of fresh and vitrified donor oocytes in an egg-sharing donation program. Fertil Steril. 2011;95:1996–2000.
Kim TJ, Laufer LR, Hong SW. Vitrification of oocytes produces high pregnancy rates when carried out in fertile women. Fertil Steril. 2010;93:467–74.
Selman H, Angelini A, Barnocchi N, Brusco GF, Pacchiarotti A, Aragona C. Ongoing pregnancies after vitrification of human oocytes using a combined solution of ethylene glycol and dimethyl sulfoxide. Fertil Steril. 2006;86:997–1000.
Kim MK, Lee DR, Han JE, Kim YS, Lee WS, Won HJ, et al. Live birth with vitrified-warmed oocytes of a chronic myeloid leukemia patient nine years after allogenic bone marrow transplantation. J Assist Reprod Genet. 2011;28:1167–70.
Yoon TK, Kim TJ, Park SE, Hong SW, Ko JJ, Chung HM, et al. Live births after vitrification of oocytes in a stimulated in vitro fertilization-embryo transfer program. Fertil Steril. 2003;79:1323–6.
Szurek EA, Eroglu A. Comparison and avoidance of toxicity of penetrating cryoprotectants. PLoS One. 2011;6, e27604.
Mullen SF, Li M, Li Y, Chen ZJ, Critser JK. Human oocyte vitrification: the permeability of metaphase II oocytes to water and ethylene glycol and the appliance toward vitrification. Fertil Steril. 2008;89:1812–25.
Agca Y, Liu J, Rutledge JJ, Critser ES, Critser JK. Effect of osmotic stress on the developmental competence of germinal vesicle and metaphase II stage bovine cumulus oocyte complexes and its relevance to cryopreservation. Mol Reprod Dev. 2000;55:212–9.
Akhoondi M, Oldenhof H, Stoll C, Sieme H, Wolkers WF. Membrane hydraulic permeability changes during cooling of mammalian cells. Biochim Biophys Acta. 1808;2011:642–8.
Wang WH, Meng L, Hackett RJ, Odenbourg R, Keefe DL. Limited recovery of meiotic spindles in living human oocytes after cooling-rewarming observed using polarized light microscopy. Hum Reprod. 2001;16:2374–8.
Rienzi L, Martinez F, Ubaldi F, Minasi MG, Iacobelli M, Tesarik J, et al. Polscope analysis of meiotic spindle changes in living metaphase II human oocytes during the freezing and thawing procedures. Hum Reprod. 2004;19:655–9.
Gao S, Li Y, Gao X, Hu J, Yang H, Chen ZJ. Spindle and chromosome changes of human MII oocytes during incubation after slow freezing/fast thawing procedures. Reprod Sci. 2009;16:391–6.
Chen CK, Wang CW, Tsai WJ, Hsieh LL, Wang HS, Soong YK. Evaluation of meiotic spindles in thawed oocytes after vitrification using polarized light microscopy. Fertil Steril. 2004;82:666–72.
Larman MG, Minasi MG, Rienzi L, Gardner DK. Maintenance of the meiotic spindle during vitrification in human and mouse oocytes. Reprod Biomed Online. 2007;15:692–700.
Ciotti PM, Porcu E, Notarangelo L, Magrini O, Bazzocchi A, Venturoli S. Meiotic spindle recovery is faster in vitrification of human oocytes compared to slow freezing. Fertil Steril. 2009;91:2399–407.
Acknowledgments
We thank our colleagues in our reproductive center for all of their work toward the study and data collection.
Funding
This study supported by National Basic Research Program of China (973 Program) (2011CB944502; 2012CB944700) and Independent Innovation Funding of Reproductive Medical Hospital Affiliated to Shandong University(20141105).
Conflict of interest
The authors declare that they have no conflict of interest.
Author information
Authors and Affiliations
Corresponding author
Additional information
Capsule
The temperature at which the oocytes are exposed to CPA solutions might have different osmotic and toxic consequences on cryosurvival and subsequent development. In this study, we aimed to compare the effect of different temperatures during rehydration on the cryosurvival and subsequent development of vitrified oocytes from infertile patients. The results of this study give supportive evidence of the application of 37 °C in the dilution process, especially for oocytes of poor quality.
Rights and permissions
About this article
Cite this article
Shanshan, G., Mei, L., Keliang, W. et al. Effect of different rehydration temperatures on the survival of human vitrified-warmed oocytes. J Assist Reprod Genet 32, 1197–1203 (2015). https://doi.org/10.1007/s10815-015-0480-8
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10815-015-0480-8