The success rates of vitrification of embryos have been increased with the use of an ultra-rapid cooling rate that are based on direct contact between a reduced volume of cryoprotectant and liquid nitrogen (LN2). One of the disadvantages of such an approach is that an unprotected exposure to LN2 bears a certain degree of biohazard such as bacteriological and viral contamination of embryos. Therefore, to minimize such risks, aseptic technologies have to be introduced, shielding embryos from LN2 during the cooling process while maintaining cooling rates compatible with high survival rates. Vitrification using non-aseptic and aseptic vitrification methods: prospective randomized analysis on sibling embryos. Fifty three day 3 embryos originating from 1PN or 3PN zygotes and 158 supernumerary day 5 blastocysts not eligible in our ART cryopreservation program were vitrified after exposure for 1 to 2 min for day 3 embryos and 2 to 3 min for blastocysts to dehydration solutions containing a 10% of DMSO and ethylene glycol (EG). This step was followed by a 30 seconds exposure at room temperature (RT) to 20% EG, 20% DMSO, 25 μmol/l Ficoll and 0.75 M sucrose. During this short time period, a very small amount (< 1μl) of vitrification solution containing the embryos was deposited to the tip of the trough of a straw (termed: hemi-straw) using an attenuated pipette. Each vitrification assay contained at least 3 embryos, each of them were allocated randomly to 3 different vitrification protocols. In the control group, the hemi-straw (HS) was directly plunged into a Dewar of LN2 allowing contact of the embryos with LN2. In the experimental group, direct contact with LN2 was avoided. Before plunging into LN2, the HS was inserted inside a 250μl straw or inside a straw with a larger diameter (500 μl straw). Afterward, the straws were sealed and then plunged into LN2. The same warming procedure was applied for the three groups. The tip of the HS holding the embryos was immediately immersed into 0.5M, 0.25M and 0.125M sucrose bath at intervals of 2 minutes at RT. The embryos were then washed several times in PBS-HSA solution. Embryo survival was assessed after 24 hours culture in Global medium. Day 3 embryos had to cleave further to the morulae stage and day 5 embryos had to re-expand. Tabled 1 The results show that post-thaw survival rates of day 3 and day 5 embryos vitrified at a lower cooling rate inside an hermetic sealed straw are comparable to the control non-aseptic group. These two aseptic vitrification protocols provides a simple and effective strategy for eliminating the risk of contamination during vitrification and long term storage. However, blastocysts seems more sensitive to the cooling rate as compared to day 3 embryos when they were vitrified in a larger volume straw (500μl). Such observations support the idea that the cooling rate is critical for an optimal protection of blastocysts and more particularly for blastocysts with a larger blastocoele cavity.
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