• Journal of Chest Surgery
• /
• 제29권11호
• /
• pp.1182-1190
• /
• 1996

선천성 기도협착 또는 후천적 원인 등으로 기관협착이 유발된 환자의 치료에 있어 병변이 너무 길어 절제후 단단문합이 불가능한 경우에 인조물질과 생체조직편 등을 고려할 수 있으나 수많은 합병증으로 인해 사용하기가 어렵다. 본 연구는 다른 장기에서처럼 기관도 이식술이 가능한지를 규명하기 위한 첫단계로 초냉동 보관된 기관 조직을 복강 내에 이식하여 생명력과 기관의 형태학적 기능의 유지 여부를 파악하였다. 15마리의 공여동물인 Wistar쥐로부터 30개의 기관절편을 분리하였다. 이 중 18개의 절편을 장기 보관하지 않은 이소 이식술에, 12개의 절편을 초냉동장기 보관후 이소 이식술에 이용하였다. 모두 다섯 군이며 각 군은 6마리로 구성되었다. 각 군을 살펴보면 다음과 같다. I군은 동인자형 이식된 비교군으로 면역억제제를 투여하지 않았으며, II군은 이인자형이식후 면역억제제를 투여하지 않은 군이었다. III군은 이인자형이식후 면역억제제를 투여한 군으로 위 세 가지 군은 조직을 장기간 보관하지 않았다. IV군과 V군은 초냉동 보관된 기관을 이소 이식에 이용한 군으로 IV군은 면역억제제를 투여하였으며 V군은 이를 투여하였지 않았다. 모두 술후 28일째 이식 쥐를 절명시킨 후 이소 이식된 기관을 분리하여 조직학적 검사를 실시하여 상피의 두께와 재생정도를 조사하였다. 상피세포의 두께를 비교하여보면 II군과 IV군에서 나머지 군과 비교하여 유의한 감소가 있음을 관찰할 수 있었고 재생정도의 관찰에서는 II군이 타군과 비교하여 재생이 감소되어 있음을 알 수 있었다. 초냉동보관된 기관의 이소이식술후에는 면역억제제의 사용한 군은(IV)상피세포의 두께는 감소하나 재생정도는 면역억제제를 사용하지 않은 군과 비교하여 큰 차이는 없었다. 5군 모두 기관의 둥근 형태를 잘 유지하고 있었다. 이상의 결과로 기관조직의 장기간 초냉동 보관이 가능하고, 측행혈류를 조기에 생성해 주는 대망에 감싸주었을 때 기관의 둥근 형태를 유지하고 상피세포가 재생되어 기관의 동종이식이 가능할 것이며 면역억제제는 필요하지 않겠다는 것을 알 수 있었다.

• Clinical and Experimental Reproductive Medicine
• /
• 제37권4호
• /
• pp.329-338
• /
• 2010

목적: 본 연구에서는 10개 이하의 2PN 접합자를 얻은 환자군에서 전핵 단계 배아의 동결보관이 누적 분만율을 증가시키는 지를 살펴보고자 하였다. 연구방법: 2003년 1월부터 2007년 12월까지 제일병원 아이소망센터를 내원하여 과배란 유도에 의해 체외수정 및 배아이식술을 시행한 주기를 후향적으로 비교 분석하였다. 본 연구에서는 일반적 체외수정법 또는 세포질내 정자주입술을 이용하여 수정을 시도한 후 20~22시간에 8개의 수정란을 확인하거나, 또는 전핵이 1개만 보이는 접합자와 발달지연 배아를 포함하여 수정란이 10개 미만인 138주기의 체외수정 및 배아이식 주기를 대상으로 분석하였다. 분석대상을 두 군으로 나누었으며 그룹 I (n=86)은 배아의 동결 없이 모든 수정란을 배양하여 3일째 이식한 군으로 하였으며, 그룹 II (n=52)는 전핵 시기에 일부 수정란을 동결하고 나머지를 배양하여 3일째 이식한 군으로 분류하였다. 두 군간 신선배아 이식주기와 그 다음 동결-해동 이식주기 후의 임상적 임신율과 누적 임신율을 각각 비교하였다. 결과: 비교 대상군 사이에 여성의 평균 나이, 획득 난자의 수 및 수정란의 수에서는 통계적 차이를 보이지 않았다. 배양된 배아의 수는 그룹 II ($5.2{\pm}0.5$)가 그룹 I $8.4{\pm}0.7$)에 비하여 유의하게 적었다 (p<0.01). 또한 이식한 배아의 수 역시 그룹 II ($3.3{\pm}0.6$)가 그룹 I ($3.6{\pm}0.6$)에 비하여 통계적으로 유의하게 적었다 (p<0.01). 신선주기 배아이식에서 ${\beta}$-hCG 양성을 보인 환자 수와 분만을 한 환자의 수는 그룹 I이 그룹 II에 비하여 약간 높은 양상을 보였다 (51.2 vs. 46.2% and 41.9 vs. 34.6%). 동결-해동 배아이식 후 누적 분만율을 비교하였을 때 그룹 I (48.8%)과 그룹 II (50.0%)에서 통계적으로 유의한 차이를 관찰할 수 없었다. 결론: 적은 수의 수정란을 얻은 환자군에서 일부 전핵 단계에서의 동결보관이 누적 분만율을 향상 시키는 효과를 확인할 수 없었다. 그러나 일부 수정란의 동결보관은 해당 신선주기에서 임신에 실패하였을 경우 환자에게 추가적인 배아이식 기회를 제공해 줄 수 있는 장점을 가지고 있는 것으로 생각된다.

• 한국수정란이식학회지
• /
• 제26권3호
• /
• pp.219-222
• /
• 2011

Eight female Himalayan tahrs (Hemitragus jemlahicus) were estrus-synchronized, and transcervically inseminated with frozen-thawed semen in September, 2009, about 2 to 3 months earlier than their natural breeding season. Intravaginal progesterone-releasing devices were inserted into vaginas of six Himalayan tahrs on September 7, and the other two on September 8 to suppress luteal function of ovaries. The devices had been placed deep inside the vagina prior to withdrawal on September 23. A day before CIDR removal, a combination of PMSG 400 IU and hCG 200 IU was intramuscularly injected. Forty hours later, frozen-thawed semen was transcervically inseminated. Pregnancy diagnosis was performed 39 days later by analyzing progesterone level of serum. Every treatment was done under anesthesia inducted by xylazine injection. In conclusion, vaginal discharge of cervical mucus, hormonal changes induced by implant-typed or muscularly injectable hormones and widening of cervix enough to insert an insemination gun into uterine body were achieved in non-breeding season. Moreover, the first inseminated Himalayan tahr, 36 hours after CIDR removal was assumed to be pregnant but the fetus may have been lost due to the use of anesthetic drug.

• 한국수정란이식학회지
• /
• 제23권1호
• /
• pp.1-4
• /
• 2008

This study was performed to investigate the effect of laser-assisted hole in the zona pellucida (ZP) of frozen-thawed ICR mouse embryos on the process of hatching that is critical for expanded blastocysts to implant into endometrium, Vitrification medium, composed of ethylene glycol and sucrose supplemented with 7.5% (w/v) PVP, was used to freeze $2{\sim}4$ cell stage embryos recovered from oviducts of superovulated and mated female mice before storing them in $LN_2$. Right after thawing them, a laser beam was shot to make a hole in ZP followed by culturing in KSOM for $96{\sim}120\;hr$ and examining development to blastocyst and hatching every 12 hr. Laser-treated embryos showed significantly higher hatching rate compared to control (92.9% vs. 22.1%, p<0.05). From around Day 4, blastocysts developed from laser-treated embryos started hatching while the blastocysts of control group failed to hatch showing a lot of shrinkage. This study shows that a laser-assisted hole in ZP improves the hatching rate of blastocysts developed from frozen-thawed, in vitro cultured ICR mouse embryos.

• 한국수정란이식학회지
• /
• 제25권2호
• /
• pp.89-92
• /
• 2010

We report herein the successful results of estrus induction, sperm cryopreservation and kids born by transcervical insemination of frozen-thawed semen in a Saanen goat. Flugestone acetate (FGA: 60 mg) was inserted into vagina for 15 days. The goat was intramuscularly injected with 400 IU PMSG and 200 IU hCG ($PG600^{(R)}$: Intervet, Korea) a day before withdrawal of the FGA sponge. Follicles and corpora lutea were identified on both ovaries by laparoscopy. Artificial insemination was performed 46 hours after removal of FGA sponge. The concentration of frozen-thawed semen was $3.975{\times}10^8/ml$ and 0.5 ml of frozen-thawed semen was transcervically inseminated into uterine body under anesthesia. Three kids, all females, were born 144 days after artificial insemination. This is the first report producing kids by transcervical insemination of frozen-thawed semen in a Saanen goat of which the estrus was induced by FGA sponges, PMSG and hCG during non-breeding season in Korea.

• 한국수정란이식학회지
• /
• 제14권3호
• /
• pp.145-153
• /
• 1999

This study was conducted to investigate the effects of vitrification solution and developmental stage on the survival rate of vitrified-thawed human blastocyst embryos. Human blastocyst embryos were cryopreserved by vitrification using EFS and GE solution, and their survival rates were examined after thawing and further culture. EFS solution was consisted of 40% ethylene glycol, 18% Ficoll 70 and 0.3M sucrose. GE solution was consisted of 25% glycerol and 25% ethylene glycol. Embryos were exposed to EFS and GE solution by 2 steps and 3 steps, respectively, and plunged into liquid nitrogen after loading into 0.25ml plastic straws. Blastocysts were classified into 4 groups in accordance with their developmental stage: into 1) EEB, 2) MEB and 3) EdB, of blastocysts developed on day 5, and 4) 6d-Bla(the blastocysts which formed on day 6). The blastocysts at each stage were vitrified by GE solution and cryopreserved in LN2. After thawing them, we examined their survival rates, respectively. The resulted of this study were as follows: 1. The survival rate of blastocysts vitrified by GE solution was 64.4%, significantly higher than that (5.7%) vitrified by EFS solution (P<0.001). 2. When the blastocysts were vitrified by GE solution according to each developmental stage, the survival rates of EEB, MEB, EdB and 6d-Bla were 65.9%, 65.9%, 73.2% and 58.1%, respectively. In conclusion, the cryopreservation of human blastocysts by vitrification is likely to have a marked advantage in terms of cost, work and time as compared to the conventional slow freezing in IVF-ET programs.

• Clinical and Experimental Reproductive Medicine
• /
• 제32권2호
• /
• pp.91-99
• /
• 2005

Objective: To define an appropriate vitrification condition of preantral follicle that yields high survival and to evaluate growth and ovulation rate of mouse follicles during in vitro culture after vitrification. Methods: Preantral follicles were isolated mechanically from mouse ovaries that were surgically recovered from mice aged 14 days. Retrieved preantral follicles were placed in EG (Ethylene Glycol) for 2, 5, 10 minutes and transferred to EFS-40 (40% EG, 18% Ficoll-70, 0.5 M sucrose) for 0.5, 1, 2 minutes. And then, preantral follicles were placed onto an EM grid and submerged immediately in liquid nitrogen. Thawing was carried out at room temperature. After defining the most appropriate vitrification condition that yields high survival, in vitro growth and ovulation rate of follicles were evaluated. Results: Appropriate vitrification condition that yield high survival rate ($83.2{\pm}2.1%$) of preantral follicle was EG for 5 minutes and EFS-40 for 0.5 minutes. In vitro survival rate of the vitrified preantral follicles were $85.5{\pm}0.5%$, $67.9{\pm}0.8%$ and $40.2{\pm}0.5%$ on day 2, 6 and 10. And in vitro growth of the vitrified preantral follicles were $107.1{\pm}16.1{\mu}m$, $117.1{\pm}18.4{\mu}m$, $178.4{\pm}45.6{\mu}m$ and $325.4{\pm}54.4{\mu}m$ on day 0, 2, 6 and 10. Although in vitro survival rate and growth of vitrified preantral follicles were lower than that of non-vitrified preantral follicles, the patterns of survival and growth were similar in vitrified and non-vitrified preantral follicles. The ovulation rate of antral follicles that was grown from vitrified preantral follicles was $32.6{\pm}1.2%$. Conclusion: Vitrified preantral follicles could be grown to antral sizes, and mature oocytes that can be used for IVF-ET programs were produced successfully. These data suggest that cryopreservation of preantral follicle by vitrification can be used for the preservation of the fertility.

• Clinical and Experimental Reproductive Medicine
• /
• 제27권4호
• /
• pp.367-372
• /
• 2000

Objective: This study was performed to evaluate whether vitrification method could be used for the cryopreservation of human blastocysts derived from IVF program. Methods: Surplus embryos were obtained from consented IVF patients. Controlled ovarian hyperstimulation was done with midluteal GnRH agonist, gonadotropin and hCG. After oocyte retrieval and insemination, fresh embryo transfer was done at $4{\sim}8$ cell stage. The surplus embryos after ET were cultured in blastocyst medium up to 6 days after oocyte retrieval. Obtained blastocysts were cryopreserved with our vitrification method. Blastocysts were exposed to 1.5 Methylene glycol (EG) in phosphate buffered saline (PBS) for 2.5 minutes, followed by 5.5 M EG plus 1 M sucrose for 20 seconds. Then 1 to 3 blastocysts were mounted on electron microscope (EM) grid and the grid was plunged into liquid nitrogen for storage. For thawing, blastocyst-containing EM grids were sequentially transferred in 1.0 M, 0.5 M, 0.25 M, 0.125 M and 0 M sucrose solution at the intervals of2.5 minutes. And blastocysts were cultured for about 6 hours and only re-expanded blastocysts were transferred to uterus of the patients on 4 to 5 days after ovulation in natural cycle or on 18 to 19 day of artificial cycle. Results: From Oct. 1998 to Jul. 1999, 34 patients were agreed to participate in this study. The mean age and duration of infertility of the patients were 31.6 years and 4.1 years, respectively. Among 34 cycles. replacements could be done in 20 cycles (58.8%). A total 93 blastocysts were thawed and 48 (51.6%) of them survived. Thirty-eight blastocysts, mean 1.9 embryos per patient, were transferred, resulting in 5 clinical pregnancies which consisted of 1 triplet, 2 sets of twins and 2 singleton pregnancies. The pregnancy rate per transfer was 25% and implantation rate was 23.6%. Five patients delivered 7 healthy babies including 2 sets of twins at term. Conclusion: Successful pregnancies and deliveries were established after transfer of vitrified human blastocysts. Vitrification using ethylene glycol as cryoprotectant and electron microscope grid is a rapid and simple method that can be effectively applied for the cryopreservation of human blastocysts.

• Clinical and Experimental Reproductive Medicine
• /
• 제43권2호
• /
• pp.119-125
• /
• 2016

Objective: The aim of this study was to report a case series of in vitro matured (IVM) oocyte freezing in gynecologic cancer patients undergoing radical surgery under time constraints as an option for fertility preservation (FP). Methods: Case series report. University-based in vitro fertilization center. Six gynecologic cancer patients who were scheduled to undergo radical surgery the next day were referred for FP. The patients had endometrial (n=2), ovarian (n=3), and double primary endometrial and ovarian (n=1) cancer. Ex vivo retrieval of immature oocytes from macroscopically normal ovarian tissue was followed by mature oocyte freezing after IVM or embryo freezing with intracytoplasmic sperm injection. Results: A total of 53 oocytes were retrieved from five patients, with a mean of 10.6 oocytes per patient. After IVM, a total of 36 mature oocytes were obtained, demonstrating a 67.9% maturation rate. With regard to the ovarian cancer patients, seven IVM oocytes were frozen from patient 3, who had stage IC cancer, whereas one IVM oocyte was frozen from patient 4, who had stage IV cancer despite being of a similar age. With regard to the endometrial cancer patients, 15 IVM oocytes from patient 1 were frozen. Five embryos were frozen after the fertilization of IVM oocytes from patient 6. Conclusion: Immature oocytes can be successfully retrieved ex vivo from macroscopically normal ovarian tissue before radical surgery. IVM oocyte freezing provides a possible FP option in patients with advanced-stage endometrial or ovarian cancer without the risk of cancer cell spillage or time delays.

• 한국수정란이식학회:학술대회논문집
• /
• 한국수정란이식학회 2002년도 국제심포지엄
• /
• pp.92-92
• /
• 2002

Considerable attention has been focused on the cryopreservation of semen and estrus induction in dog, as consequence of poor productivity caused by long anestrus period, in order to enhance the productivity of youngs and to preserve the breeds. The objectives of this study were to evaluate semen quality after cryopreservation and to evaluate the Pregnancy rate after insemination (AI). Fifty infertilie dogs (age 2∼3 years) were selected for the study and divided into three different estrus induction treatment groups. Group 1: dogs (n=15) were given clomifene (0.1 mg/kg) orally for five days at 12 hr intervals. Group 2: dogs (n=15) were given bromocriptine (50 $\mu\textrm{g}$/kg) orally for five days at 12 hr intervals, followed by single injection intravenously of 500 IU GnRH (Group 3, n=20) when pro-estrus occurred. The rates of pregnancy in estrus inducted dogs mated naturally compared to those inseminated artificially with ejaculated fresh semen and frozen-thawed semen. Estrus detection was performed using the method of vaginal smear and confirmed by the plasma progesterone assay. The ejaculated semen to freeze was exposed to a mixture of Tris extender with cryoprotectant (Trisma, 81 mM: TES, 209 mM: citric acid, 6 mM; glucose, 5 mM; glycerol, 8%) and cryopreserved gradually by slow-cooling at 17 cm above the surface of liquid nitrogen (LN$_2$) for 23 min. The motility of frozen-thawed spermatozoa was assessed by phase-contrast microscopy. To assess their viability and acrosome content, spermatozoa were stained with a vital stain and Fluorescence conjugated lectin Pisum Savitum Agglutinin (FITC/PAS), respectively. Pregnancy was confirmed by ultrasonograpy on day 25, 35 and 55 post insemination. The use of fresh semen, the pregnancy rates were observed 66.6, 66.6, 75.0 and 83.3% in natural estrus, clomifene induced, bromocriptine induced and a combination of GnRH and bromocriptine, respectively. The use of frozen-thawed semen, the pregnancy rates were observed 66.6, 33.3, 50.0 and 60.0% in natural estrus, clomifene induced, bromocriptine induced and a combination of GnRH and bromocriptine, respectively. No difference was observed in the number of offspring produced among natural estrus and treated groups inseminated with fresh or frozen-thawed semen. In conclusion, the pregnancy rate of dogs treated with a combination of GnRH and bromocriptine was more effective than use of clomifene or bromocriptine only. In addition, frozen-thawed semen can be used successfully far artificial insemination in dog.