• Clinical and Experimental Reproductive Medicine
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• 제35권2호
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• pp.143-153
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• 2008

목 적: 방향화효소억제제가 생식호르몬 분비 양상에 미치는 영향과 무배란 여성에서의 배란유도 효과를 평가하기 위함. 연구방법: 정상 월경주기를 가진 여성 30명을 대상으로 letrozole을 투여하지 않은 주기 (대조군)와 투여한 주기 (연구군)에서 생식호르몬 혈중치를 측정하였다. 각 월경주기 3, 11, 21일에 LH, FSH, $E_2$, testosterone, DHEA-S의 혈중치를 측정하였고 각 주기 21일에는 progesterone 측정이 추가되었다. 불임의 원인이 무배란으로 진단된 환자 60명에게 크로미펜과 letrozole을 투여한 후 (각 치료 군, 30명) 배란율, 임신율, LH 분비폭발 시점, 성장 난포 수, 자궁내막 두께, 자궁경관 점액의 양과 견사성, LH 분비폭발 시점의 난포 직경 등을 측정하여 두 군 간의 임상 효과를 비교하였다. 결 과: Letrozole은 LH, FSH, $E_2$, DHEA-S 분비에는 영향을 미치지 않았으나 letrozole 투여 주기 11일째의 testosterone과 21일째의 progesterone 혈중치는 대조군에 비해 유의한 상승을 보였다 ($0.40{\pm}0.16$ vs $0.28{\pm}0.11\;ng/ml$, p=0.002, $18.18{\pm}13.07$ vs $8.38{\pm}7.64\;ng/ml$, p=0.001). Letrozole과 크로미펜 군 간의 배란유도 효과에 대한비교에서 배란율, 임신율, 성장 난포 수, 배란 전 난포 직경에서는 두 군 간에 유의한 차이가 없었으나 크로미펜 군과 비교할 때 letrozole 군에서 조기에 LH 분비폭발이 발생했고 ($12.12{\pm}2.46$일 vs $14.52{\pm}3.18$, p=0.006), LH 분비폭발 시점에서의 자궁내막 두께가 두꺼웠으며 ($10.48{\pm}1.23$ vs $8.52{\pm}0.93\;mm$, p=0.000), 자궁경관 점액 양이 많았고 견사성이 높았다 ($2.04{\pm}0.61$ vs $1.57{\pm}0.59$, p=0.012, $6.00{\pm}1.12$ vs $4.95{\pm}1.61\;cm$, p=0.003). 결 론: Letrozole은 정상 월경주기를 가진 여성에서 난포 성장을 촉진하고 자궁내막을 호전시키며 무배란 여성에서는 크로미펜에 필적하는 배란유도 효과가 있으며 더욱 생리적인 배란유도가 이루어질 것으로 사료된다.

• 한국발생생물학회:학술대회논문집
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• 한국발생생물학회 2003년도 제3회 국제심포지움 및 학술대회
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• pp.127-127
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• 2003

본 연구의 목적은 젖소에서 다배란유기법의 확립을 위해서 호르몬을 처리법을 달리한 결과이다. 난포의 발생을 자극하는 FSH 호르몬을 하루에 2번의 호르몬 주사를 하는 데, 이는 혈액내에 난포자극호르몬의 농도를 연속적으로 유지하여 난소에서 다난포 발생의 목적을 달성하고자 하는 방법이다. 하지만 빈번하게 호르몬을 주사하는 방법은 처리하는 노력이 필요하고 공란우도 스트레스로 작용한다. 이러한 단점을 극복하기 위해 한번에 많은 난포의 성숙을 유도하는 다배란처리법에 대한 보고가 많이 있어, 본 연구에서 이 다배란처리 효과를 비교하고자 젖소를 이용하였다. 방법으로는 다회주사법(8회)과 일회주사법(1회)에서 황체수와 수정란의 생산수 등을 조사하였다. 다회주사법은 생리식염수에 융해한 FSH를 1일 50mg씩 2회(12시간 간격)주사하는 법으로 CIDR 질내 주입 9일째부터 4일간 주사하였으며, 질내에 CIDR를 주입하고 11일째되는 날에 PG(25mg, 루텔라이스, 한국)를 주사하고, 12일째는 CIDR를 제거하여 일회주사법과 주기를 맞추었다. 일회주사법은 CIDR를 질내에 주입하고 나서 9일째 되는 날에 400mg의 FSH을 생리식염수에 융해하여 일회주사를 하고 다회주사법과 같이 인공수정과 채란시간을 맞추었다. 인공수정은 황체퇴행제(PG)를 주사하고 나서 48, 72시간에 2회 인공수정을 실시하여 1주일 후 수정란을 채란하였다. 인공수정시는 반드시 GnRH(2.5mg)를 동시에 주사하였다. 채란은 인공수정 후 7일째 되는 날에 비외과적으로 채란을 실시하여 우수한 수정란은 동결을 실시하였다. 다회주사법에서 14두, 일회주사법에서 14두를 공시하여 황체수, 회수수정란수, 배반포수, 동결란수를 조사하였다. 다회주사법에서는 황체수는 8.07$\pm$6.62개, 회수정란수는 6.78$\pm$5.96개, 배반포율은 58.9%, 동결란 생산율은 52.6%의 성적을 얻었으며, 일회주사법에서 황체수는 12.07$\pm$8.07개, 회수수정란수는 10.0$\pm$9.24개, 배반포율은 27.1%, 동결란 생산율은 25.0% 수준의 결과를 얻었으나 결과에 대한 통계분석시 다회주사법과 일회주사리법 간에 유의적인 차는 인정되지 않았다(student T-test, P<0.05). 본 실험의 결과에서 나타나듯이 생리식염수를 용매로 이용한 FSH 1회 주사법이 다회주사법과 비교하였을 때에 수정란 생산효율에서 유의적인 차이가 없으므로 이 방법을 이용한 다배란유기는 노동력과 공란우에 대한 스트레스를 경감할 수 있을 것으로 사료된다.

• 한국동물생명공학회지
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• 제34권2호
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• pp.117-122
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• 2019

The objective of this study was to establish an in vitro culture system for ovarian preantral follicles of B6D2F1. First, we optimized the in vitro preantral-follicle culture by culture duration, follicle stimulating hormone (FSH) type, and activin A concentration. Duration of in vitro culture for 9, 11, and 13 days was sufficient for the normal development of preantral follicles to antral follicles. Formation of cumulus cell-oocyte complex (COC) was induced by treatment with human chorionic gonadotropin (hCG; 2.5 IU/mL) and epidermal growth factor (EGF; 5 ng/mL). In addition, metaphase II (MII) oocytes formed during this in vitro culture of preantral follicles. In vitro preantralfollicle culture for 9 days showed higher rates of growth and maturation, thus yielding a greater number of antral follicles, and there were significant differences (p < 0.05) in the number of MII oocytes (that formed from these preantral follicles via differentiation) between the 9-day culture and 11-day or 13-day culture. The follicles cultured for 9 days contained a tightly packed well-defined COC, whereas in follicles cultured for 11 days, the COC was not well defined (spreading was observed in the culture dish); the follicles cultured for 13 days disintegrated and released the oocyte. Second, we compared the growth of the preantral follicles in vitro in the presence of various FSH types. There were no significant differences in the growth and maturation rates and in differentiation into MII oocytes during in vitro culture between preantral follicles supplemented with FSH from Merck and those supplemented with FSH from Sigma. To increase the efficiency of MII oocyte formation, the preantral follicles were cultured at different activin A concentrations (0 to 200 ng/mL). The control follicles, which were not treated with activin A, showed the highest rate of differentiation into antral follicles and into MII oocytes among all the groups (0 to 200 ng/mL). Therefore, activin A (50 to 200 ng/mL) had a negative effect on oocyte maturation. Thus, in this study, we propose an in vitro system of preantral-follicle culture that can serve as a therapeutic strategy for fertility preservation of human oocytes for assisted reproductive medicine, for conservation of endangered species, and for creation of superior breeds.

• 한국수정란이식학회지
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• 제26권3호
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• pp.153-158
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• 2011

This study was performed in order to simplify the operation and minimize stress of donor and be readily available in the field with low cost and high quality embryos using the Direct Embryo Collection (DEC). Donors, at random stages of the estrous cycle, received a CIDR. 7 days later, 200 mg FSH was treated with 40, 30, 20, 10 mg FSH levels in declining doses twice daily by intramuscular injection for 4 days. On the 3rd day administration of FSH, 25 mg $PGF_2{\alpha}$ was administered and CIDR was withdrawn. After FSH injections were complete, donors were artificially inseminated twice at 12 hr intervals. The donor cattle received 250 ${\mu}g$ GnRH at time of 1 st insemination and embryos were recovered 8 days after the 1st insemination. Embryo collection from superovulated donors was performed to flushing by non-surgical methods of 3-way, 2-way and DEC (l-way). The average number of recovered embryos were 11.25${\pm}$0.63, 12.5${\pm}$0.65 and 11.75${\pm}$0.48 from operations of 3-way, 2-way and DEC methods, respectively. There were no significant differences among the embryo collection methods. Also, The average number of transferable embryos were 6.25${\pm}$0.48, 7.25${\pm}$0.48 and 7.25${\pm}$0.63 from each embryo collection procedures. The number of transferable embryos was no differences among the 3-way, 2-way and DEC methods, respectively. Meanwhile, the ratio of transferable embryos for all recovered embryos from DEC methods was higher as 61.7 % than 55.6 %, 58 % from methods of 3-way, 2-way. And the flushing solution required for recovering embryos by DEC method was significantly lower as 0.28${\pm}$0.32 1 than 1.8${\pm}$0.12 1, 1.75${\pm}$0.10 1 from 3-way, 2-way methods (p<0.05). Also, the time required for recovering embryos by DEC methods was significantly lower as 27${\pm}$2 min than 51${\pm}$3, 45${\pm}$2 min, respectively (p<0.05). In conclusion, these results suggest that DEC method for embryo collection may be effectively used for production of in vivo embryos using less flushing solution and, it might be effectively available in the field compared to conventional embryo recovery methods using 3-way or 2-way balloon catheter.

• 한국수정란이식학회지
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• 제20권3호
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• pp.311-315
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• 2005

본 연구는 한우를 공란우로 이용시 효율을 최대화하고, 과도한 호르몬의 투여를 억제하며, 그로 인하여 공란우의 경제수명을 연장하고자 과배란 처리시 차기 발정을 고려하지 않고 과배란을 유도하였을때 공란우의 반응과 수정란의 생산율을 조사하였으며, 그 결과는 다음과 같다. 1. 한우 경산우 및 미경산우를 자연발정을 확인하고 차기발정 5일전에 FSH를 1일 2회 4일 간 투여한 것과 발정을 확인하지 않고 CIDR를 이용하여 동일한 호르몬을 방법으로 과배란을 처리하였을 때, 반응율은 각각 $82.2\%,\;89.7\%$였으며, 유의적인 차이는 인정되지 않았다. 2. 한우 경산우 및 미경산우를 자연발정을 확인하고 차기 발정 5일전에 FSH를 1일 2회 4일간 투여한 것과 발정을 확인하지 않고 CIDR를 이용하여 동일한 호르몬을 같은 방법으로 과배란을 처리하였을 때, 수정란의 회수율은 각각 7.7개, 10.5개를 회수하였고, 그 중 이식가능 수정란은 각각 3.4개, 3.8개를 나타냈으며, 두 처리간에 유의적인 차이를 나타냈다(p<0.05). 이상의 결과로 한우 공란우는 경산우 및 미경산우를 발정주기를 확인하지 않고도 과배란처리시 반응을 확인할 수 있었으며, 수정란의 회수에 있어서도 적절하게 채취할 수 있으므로 한우를 공란우로서 과도한 호르몬으로부터 보호할 수 있으며, 그에 따라 경제수명을 연장할 수 있을 것으로 사료된다. 또한 고능력 한우를 이용한 수정란 이식의 활성화에 유용한 방법이며, 농가에도 확산하여 소득향상에 기여할 수 있을 것으로 기대된다.

• Clinical and Experimental Reproductive Medicine
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• 제23권3호
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• pp.283-292
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• 1996

Objective: To determine the cutoff value of clomiphene citrate challenge test(CCCT) that can predict the normal and abnormal(diminished) ovarian response group and to assess the usefulness of CCCT as a predictor of ovarian reserve. Materials and Methods: From March 1994 to Februry 1996, CCCT was performed to 129 infertile patients and among them, 20 patients whose basal FSH on the third day of menstrual cycle was more than 20 mIU/ml were excluded. At the same time, the same CCCT was performed to the fifteen healthy volunteers with proven fertility to determine the cutoff value of CCCT. Results; 1) A FSH value higher than 23.4 mIU/ml, measured on the 10th day of menstrual cycle, was defined as a abnormal ovarian response. The cutoff value of 23.4 mIU/ml is more than 2 standard deviations(SD) above the mean value of 15 healthy women after CCCT. 2) The abnormal CCCT group, the subpopulation with a FSH value of 23.4 mIU/ml or more, was 7.3%(8/109) and their mean age was higher than the normal CCCT group($36.5{\pm}4.5$ vs. $32.9{\pm}4.8$, P = 0.059). And the percentage of the patients older than 35 years of the abnormal CCCT group was significantly higher than that of the normal CCCT group(62.5% vs. 38.6%, p <0.05). 3) There was no correlation between the hormone values of the third day and the 10th day of menstrual cycle before and after CCCT except between FSH of the third day and the 10th day. Conclusion: The CCCT is a good method to predict the individual ovarian response to COH for ART, especially in the patients who has no other abnormal findings that predict poor prognosis. And it is neccessary to determine the cutoff value of CCCT by the large numbers of randomized study, and combining the previously proven prognostic factors, it can be applicated in many individual centers for evaluate the ovarian response before ART program.

• 한국가축번식학회지
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• 제14권4호
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• pp.263-271
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• 1990

This study was carried out to investigate the factors affecting maturation in vitro of follicular oocytes in Korean Native Cattle. The bovine ovaries were obtained at a slaughter house and the follicular oocytes were recovered by aspirating the follicular fluid from the visible follicles of 3~6mm. The bovine oocytes were matured in vitro in TCM-199 containing FCS and hormones. The effects of TCM-199 salt type, number of oocytes per drop, incubation time and co-culture with granulosa cells on maturation of oocytes, were investigated. The results obtained are summarized as follows. 1. The maturation rates of follicular oocytes cultured for 22, 25 and 28 hours in Hank's TCM-199 or Earle's TCM-199 were 59.3, 59.6, 80% and 80.0, 90.0, 93.7%, respectively. The maturation rate of follicular oocytes in Earle's TCM-199 was faster and higher than in Hank's TCM-199(P<0.05). 2. The maturation rates of oocytes were 54.5, 62.5 and 62.0% when cultured the oocytes number 10, 20 and 40 per 200${mu}ell$ drop for 18 hours. 3. The maturation of follicular oocytes in the Korean Native Cattle was induced at 14 hours culture, by giving the maturation rate of 90.0% after 20 hours. 4. The maturation rates were 63.3% and 66.7%, respectigely when the oocytes were co-cultured with granulosa cells from medium-size follicles used immediately after recovery in the presence or absence of hormones added(0.02AU/ml FSH, 10$\mu\textrm{g}$/ml LH and 1$\mu\textrm{g}$/ml estradiol 17-$\beta$). When the oocytes were co-cultured with granulosa cells from medium-size follicles cultured for 3 days, the maturation rates were 20.8% and 76.2%, respectively(P<0.05). 5. The maturation rate were 88.0% and 70.0%, respectively when the oocytes were co-cultured with granulosa cells from large-size follicles used immediately after recovery in the presence or absence of hormones added(0.02AU/ml FSH, 10$\mu\textrm{g}$/ml LH and 1$\mu\textrm{g}$/ml estradiol 17-$\beta$)(P<0.05). When the hormones added(0.02AU/ml FSH, 10$\mu\textrm{g}$/ml LH and 1$\mu\textrm{g}$/ml estradiol 17-$\beta$)(P<0.05). When the oocytes were co-cultred with granulosa cells from large-size follicles cultured for 3 days, the maturation rates were 41.2% and 73.3%, respectively(P<0.05).

• Clinical and Experimental Reproductive Medicine
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• 제44권2호
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• pp.111-117
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• 2017

Objective: The aim of this study was to evaluate pregnancy outcomes and the live birth rate at 1-year age increments in women aged ${\geq}40years$ undergoing fresh non-donor in vitro fertilization (IVF) and embryo transfer (ET), and to identify predictors of success in these patients. Methods: This retrospective study was performed among women ${\geq}40years$ of age between 2004 and 2011. Of the 2,362 cycles that were conducted, ET was performed in 1,532 (73.1%). Results: The clinical pregnancy rate and live birth rate in women ${\geq}40years$ significantly decreased with each year of increased age (p<0.001). Maternal age (odds ratio [OR], 0.644; 95% confidence interval [CI], 0.540-0.769; p<0.001), basal follicle-stimulating hormone (FSH) levels (OR, 0.950; 95% CI, 0.903-0.999; p=0.047), the number of high-quality embryos (OR, 1.258; 95% CI, 1.005-1.575; p=0.045), and the number of transferred embryos (OR, 1.291; 95% CI, 1.064-1.566; p=0.009) were significant predictors of live birth. A statistically significant increase in live birth rates was seen when ${\geq}3$ embryos were transferred in patients 40 to 41 years of age, whereas poor pregnancy outcomes were seen in patients ${\geq}43years$ of age, regardless of the number of transferred embryos. Moreover, the cumulative live birth rate increased in patients 40 to 42 years of age with repeated IVF cycles, but the follicle-stimulating hormone in those ${\geq}43years$ of age rarely showed an increase. Conclusion: IVF-ET has acceptable outcomes in those < 43 years of age when a patient's own oocytes are used. Maternal age, basal FSH levels, and the number of high-quality embryos and transferred embryos are useful predictors of live birth.

• Fisheries and Aquatic Sciences
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• 제18권2호
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• pp.211-220
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• 2015

We investigated the differences in the expression of the neurohormones kisspeptin (Kiss) and gonadotropin-inhibitory hormone (GnIH) and cytochrome P450 aromatase (P450arom), gonadotropin hormones (GTHs), and sex steroids in the goldfish Carassius auratus exposed to light-emitting diodes (LEDs). The expression levels of Kiss1, Kiss2, G-protein-coupled receptor 54 (GPR54), GTHs, GnIH, and P450arom were compared between the control (white light) and LED-treated goldfish. Furthermore, we measured the plasma levels of follicle-stimulating hormone (FSH) and luteinizing hormone (LH). The levels of Kiss1 mRNA and protein; Kiss2, GPR54, and $GTH{\alpha}$ protein; GTH mRNA; and plasma FSH and LH in the hypothalamus and cultured hypothalamus cells were significantly higher in the green and purple LED treatment groups than in the other groups. These results suggested that red LEDs inhibit the sex maturation hormones, Kiss, GPR54, GTHs, and P450arom, and that GnIH plays a role in the negative regulation of reproductive function in goldfish.

• Clinical and Experimental Reproductive Medicine
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• 제49권2호
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• pp.135-141
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• 2022

Objective: This study investigated the impact of two stimulation protocols using highly purified human menopausal gonadotropin (HP-hMG) on the endocrine profile, follicular fluid soluble Fas levels, and outcomes of intracytoplasmic sperm injection (ICSI) cycles. Methods: This prospective clinical trial included 100 normal-responder women undergoing ovarian stimulation for ICSI; 55 patients received concomitant follicle-stimulating hormone (FSH) plus HP-hMG from the start of stimulation, while 45 patients received FSH followed by HP-hMG during mid/late follicular stimulation. The primary outcome was the number of top-quality embryos. The secondary outcomes were the number and percentage of metaphase II (MII) oocytes and the clinical pregnancy rate. Results: The number of MII oocytes was significantly higher in the concomitant protocol (median, 13.0; interquartile range [IQR], 8.5-18.0 vs. 9.0 [8.0-13.0] in the consecutive protocol; p=0.009); however, the percentage of MII oocytes and the fertilization rate were significantly higher in the consecutive protocol (median, 90.91; IQR, 80.0-100.0 vs. 83.33 [75.0-93.8]; p=0.034 and median, 86.67; IQR, 76.9-100.0 vs. 77.78 [66.7-89.9]; p=0.028, respectively). No significant between-group differences were found in top-quality embryos (p=0.693) or the clinical pregnancy rate (65.9% vs. 61.8% in the consecutive vs. concomitant protocol, respectively). The median follicular fluid soluble Fas antigen level was significantly higher in the concomitant protocol (9,731.0 pg/mL; IQR, 6,004.5-10,807.6 vs. 6,350.2 pg/mL; IQR, 4,382.4-9,418.4; p=0.021). Conclusion: Personalized controlled ovarian stimulation using HP-hMG during the late follicular phase led to a significantly lower response, but did not affect the quality of ICSI.