Introduction
Assisted reproductive techniques (ART) have become an established treatment for certain types of human infertility, with high fertilization rate (Edirisinghe et al., 1997). With ARTs used for fertilization of human oocytes in vitro are extremely effective, the overall fertilization rates are now consistently about 60-80% in programs per inseminated egg (Bedford and Kim 1993). The fertilization failure may be occurred in some and/or occasionally all oocytes. In other words, in some women, it is common to find that some and occasionally all pre-ovulatory oocytes in a clutch are non-fertilized. TFF occurs in about 10-15% of patients (Barlow et al 1990). Whereas, partial failure in a subset of visually TFF occurs in about 10-15% of patients (Barlow et al. 1990). Whereas, partial failure in a subset of visually normal and mature oocytes from a clutch despite the presence of competent spermatozoa, is more common. There are several reasons for a proportion of oocytes to remain unfertilized after insemination, such as abnormality of sperm DNA, sperm inability to undergo the acrosome reaction, immature oocyte either GV or MI stages and chromosomal abnormality as well (Kalantar et al., 1995; Plachot, 1995; Abruzzo & Hassold, 1995; Wall et al., 1996). Several researches have been attempted to analyze the chromosomal components reporting the incidence of chromosomal aberrations in the human oocyte to range from 11% to 49% (Bongso et al., 1988; Ma et al., 1989; Macas et al., 1990; Angell et al. 1991; Tarin et al., 1991; Kamiguchi et al., 1993; Almmedia & Bolton 1994; Sengoku, 1997).
This study was carried out on 115 patients underwent IVF treatment cycles who referred to our center for their infertility problem. Cytogenetic analysis was performed on 513 oocytes, which did not present signs of development 18-20 hr after insemination or re-insemination In Vitro.
Materials and Methods
Patients who were underwent ART at Yazd Research & Clinical Center for Infertility gave written consent to donate their excess oocytes and unfertilized oocytes for Cytogenetic analysis. The induction procedure was done as previously described (Aflatoonian et al., 2000). Oocytes were aspirated transvaginally with ultrasound guidance 35 h after the hCG administration. Oocytes were cultured in Ham’s F10 medium supplemented with 10% FBS. Insemination was carried out 4-6 hr following oocyte recovery using 50,000-100,000 motile spermatozoa/ml which were separated from seminal plasma by Percoll preparation. On day one, 18-20 h after insemination (IVF), fertilization was confirmed when two pronuclei (normal IVF) or more pronuclei (poly pronucleus FR) were present. All embryos were graded on basis of 1-4 scales and transfered the best quality were selected and replacement to the uterus. Chromosomal analysis of unfertilized oocytes was carried out within 20-24 hr of collection.
Cytogenetic methods
Chromosomal preparation was carried out as described by Tarkowski’s techniques (Tarkowski, 1966). Briefly, all oocyte with no sign of pronuclei were collected from TFF PFF. Prior to fixation for chromosomal analysis the cumulus cells were removed from the pre-ovulatory oocyte using 0.1% hyaluronidase (Sigma, Chemical Co., St Louis). The zona pelucida removal was done by mouth pipetting in and out. All oocytes were then exposed to a 1% sodium citrate
ashypotonic solution for 10 min. and fixed by a few drops of freshly prepared Carnoy’s solution (3 parts ethanol: 1 part acid acetic glacial, Merck). The slides were dried on a warming plate, and then stained in 10% Gimsa solution (Merck), the metaphase cell examined under an oil immersion objectives lens (Nikon, Co.). The results were analyzed by X2-test, using SPSS for windows.
Results
In total, 512 unfertilized oocytes from 220 cycles with mean age 30.6+5.1, ranged 23-41 were prepared for further Cytogenetic investigation. Chromosomal analysis was possible on 348 unfertilized oocytes (68%). The number of oocyte per cycle ranged from 1 to 12. All oocytes remained unfertilized from 26 TFF cycles, and in 194 cycles ranged from 1 to 5 as PFF. The Cytogenetic results of unfertilized oocytes are shown in Table I.A total of 232 unfertilized oocytes (66.3%) had a normal haploid karyotype. 6.4% of oocytes had hypo-haploid karyotype, forty-two oocytes (12.2%) were hyperhaploid , +1, to +3 (Figure 1.) and 52 were diploid (2n) (Figure 2). Of those only 5 cycles had more than one oocyte with abnormal chromosome, and remaining had only one abnormal oocyte per cycle. The most frequent numerical aberration was observed in chromosome groups, G, D, C, A of the human karyotyped. In cycles with TFF, 33 out of 80 oocytes showed aneuploidy which was significantly higher than cycles with PFF, where aneuploidy was 83 out of 268 oocytes (p<0.01, X2).Discussion
The occurrence of unfertilized oocytes considered common in ART treatment cycles. The failed fertilization is caused by abnormal gametes either oocyte or sperm (Bedford et al., 1993). Regarding to MII oocytes and associated with spontaneous miscarriage, may all contribute to the final chromosomal abnormalities in the human abnormal embryos (Plachot, 1995; Abruzzo & Hassold, 1995; Wall et al., 1996; Kamiguchi et al.,1993; Almmedia & Bolton 1994; Sengoku et al., 1997). The present data on cytogenetic analysis of unfertilized oocytes is compared with the average finding of the previous studies presented in Table 3 (32.75, ranged 18–73.8). The 33.3% total abnormality rate of oocytes failed to cleave 44-66 h after insemination, compared favorably with results from several studies (Bongso., 1988; Macas et al., 1990; Pellestor., 1991; Kamiguchi et al., 1993; Lim et al., 1995; Edirisinghe et al., 1997), but not with data from others (Ma et al., 1989; Delhanty & Penketh, 1990; Tarin et al., 1991; Almeida & Bolton, 1994; Nakaoka et al., 1998; Martini., et al., 1997). The difference of the romosomal aberration between different studies may be explained by several factors such as, cause of infertility, age of women, method of culturing of oocytes, stimulation protocol, also method of oocytes preparation for chromosomal analysis as well (Edirisinghe et al., 1992; Lim et al., 1995; Sengoku et al., 1997; Edirisighe et al., 1997; Nakaoka et al., 1998). It is reported that with the method described by Tarkowski an artificial loss of chromosome might occur while using the gradual fixation/air-drying method leads to poor spreading of chromosomes from oocytes that cause difficulty for analyzing in detail (Dyban et al., 1993; Nakaoka et al.,1998). In our study, the success rate of chromosome analysis was 68% which is in more than the gradual fixation/air-drying method used by others (Edrisinghe et al., 1997; Nakaoka et al., 1998). The incidence of chromosome aneuploidy in our study was not significantly different from previously reported as 29.65%, ranged 25%-37.3% (Pellestor et al., 1991; Tarin et al., 1991; Lim et al., 1995; Edrisinghe et al., 1997; Smith et al., 1998) which obtained using both methods As shown in Table2, aneuploidy in unfertilized oocytes was observed in all groups except B and F. the frequency of aneuploidy in group G (n=20, 32.2%) was higher than that in the other groups, which the results consistent with the data reported by Zenzens et al., 1992; Kamiguchi et al., 1993; Nakaoka et al., 1998, while we found only one oocytes with chromosomal anomaly in E group, and non in B and F, groups.Acknowledgment
The authors wish to thank IVF team of the centre for providing unfertilized oocytes.Rights and permissions | |
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