OBJECTIVE: The effectiveness of oocyte cytoplasmic exchange has already been demonstrated for the treatment of the infertility cause of defective cytoplasm and of the prevention of heredity of the mitochondrial diseases (Kuwayama, 58th ASRM meeting, 2002). However, mitochondria is brought in with the nuclear when the cell membrane fusion method (McGrath, et al.Science 1983) is used, and two kinds of mitochondria, derivation from both of donor and recipient mitochondria, exist together consequentially in the donor cytoplasm. Because mitochondria coexistence does not exist in nature, and the safety in the situation is uncertain, these two types of mitochondria coexistence is an obstruction in a clinical use of this technology application. To prevent mitochondria coexistence, we tried the development of the pronuclear microinjection method. DESIGN: Prospective in vitro study. MATERIALS AND METHODS: The pronuclear stage oocytes with informed consent were used for the experiment. A pronuclear was removed from the cell membrane crushed oocyte that was crushed by the pulse of the Piezo micromanipulator (the cell membrane crushing method) in modified P1 medium containing 60% of serum substitute supplement (SSS, Irvine Scientific). To remove the cytoplasm containing mitochondria, the removed pronuclear was washed by the repetitive pipetting with the small glass pipette assembled in the micromanipulator. The cytoplasm-free pronuclear was injected directly to the donor cytoplasm with the glass pipette of the inside diameter 15 or 25 μm. The pronuclear injected oocytes were cultured with Cleavage Medium (SAGE) containing 10% of SSS for 30 minutes 5% CO2 5% O2 and 90% N2 at 37C. The oocyte that the cell membrane had been maintained intact after 30 minutes from the pronuclear microinjection was judged survival and the oocyte that was able to confirm the pronuclear intact was judged the pronuclear microinjection success. RESULTS: The survival rate in the pronuclear micro injected oocyte using a pipette inner diameter 15 or 25 μm were 93% (37 / 40) and 50% (20 / 40) (P<0.01), and the pronuclear microinjection success rate were 78% (29 / 37) and 70% (14 / 20), respectively. CONCLUSIONS: The pronuclear that was removed from the oocyte without cytoplasm is able to inject into the enucleated cytoplasm directly. The result shows the possibility that this pronuclear microinjection method becomes the effective treatment of the infertility cause of defective cytoplasm, and of the prevention of heredity of the mitochondrial diseases.
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