Background: Application of ovarian tissue cryopreservation followed by in-vitro culture of isolated follicles is a feasible method for fertility preservation in young female patients with cancer. For this purpose it is important to develop culture systems that can be used for various stages of follicles. However, only a few reports describe in-vitro growth (IVG) and in-vitro maturation (IVM) for isolated small follicles. This study examines the effectiveness of a two-step culture system for producing fertilizable eggs from early secondary follicles. Materials and Methods: Early preantral follicles constituted of small oocytes and 2-3 layers of granulosa cells were collected from 7-day-old BDF1 mice by mechanical treatment. The isolated follicles were divided into three groups based on their diameters, (Group A: 80-85μm, Group B: 70-90μm, Group C: 60-70μm) and mounted in collagen gel for initial in-vitro growth (IVG-I). The medium was composed of EGF, ITS, FSH, 5% FCS in α-MEM. At day 9, granulosa cell proliferation and follicle diameters were comparatively assessed in the three groups. Oocyte-granulosa cell complexes were isolated from grown follicles by collagenase treatment and transferred to a second in-vitro growth (IVG-II) condition. They were cultured on a collagen-coated membrane for a further 6 days. At day 15 of the whole culture, the grown OGCs were subjected to IVM to assess granulosa cell and oocyte maturation. An additional experiment was carried out to examine fertilization ability and embryo development of in-vitro matured oocytes. Results: The follicle diameters increased from 88.1μm to 160.1μm (Group A), from 78.3μm to 128.5μm (Group B) and from 63.1μm to 128.1μm (Group C) during IVG-I. The oocyte diameters also increased from 47.2 μm to 62.7 μm (Group A), from 46.3 μm to 60.0 μm (Group B) and from 41.8μm to 59.4μm (Group C). At day 9, OGCs having oocytes of more than 55 μm diameter (Group A:67; B:28; C:10) were transferred to the second 6-day culture (IVG-II). After IVG-II, 42/67 (62.7%), 16/28 (57.1%) and 16/28 (57.1%) of OGCs from Groups A, B and C respectively grew successfully. GVBD occurred by IVM in 41/42 (97.6%), 10/16 (62.5%) and 1/2 (50.0%) from Groups A, B and C, respectively. Fertilization rates were A: 6/41 (14.6%), B: 2/10 (20.0%) and C: 0/1 (00.0%) and presumptive embryos in Group A developed into a blastocyst stage in 2/6 (33.3 %). Conclusion: In this study we showed that early secondary follicles of diameter: 80-95μm successfully developed into mature oocytes having fertilizing ability in a two-step IVG culture system. This shows that a combination of collagen gel and collagen-coated membrane cultures is useful for growth and development of small ovarian follicles, although further improvement is necessary for less-developed follicles.
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