• Clinical and Experimental Reproductive Medicine
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• 제29권2호
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• pp.77-82
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• 2002

Objective : This study is to evaluate the efficacy of intracytoplasmic sperm injection (ICSI) for previous fertilization failure with conventional in vitro fetrtilization (IVF), compared with ICSI for male factor. Method: The author analyzed the 3 years of clinical experience with ICSI retrospectively, between the conventional IVF failure group (IVF failure) and male factor group (male factor). Surgically retrieved epididymal or testicular spermatozoa for ICSI were excluded. The IVF failure group was 13 cycles of 6 patients and male factor group was 30 cycles of 15 patients. Results: The fertilization rates of the IVF failure group and male factor group were 63% and 66% respectively (p=0.635). The clinical pregnancy rates of the both group were 23.1% and 26.7% (p=0.804), and that of live birth rates were 15.4% and 13.3% (p=0.858). There were no significant difference between the two groups. Conclusion: The author concluded that ICSI can overcome previous fertilization failure, with the same fertilization and clinical pregnancy rates seen in patients with male factor.

• 한국동물번식학회:학술대회논문집
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• 한국동물번식학회 2002년도 춘계학술발표대회 발표논문초록집
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• pp.52-52
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• 2002

The objective of this study was to determine the developmental competence of in vitro matured bovine oocytes after intracytoplasmic sperm injection(ICSI) with frozen-thawed epididymal spermatozoa. The ovaries were obtained from slaughtered Korean native cows. Oocytes matured in vitro for 24 hrs were fertilized by ICSI with frozen-thawed epididymal spermatozoa. After ICSI, one group of oocytes was activated with 7% ethanol for 5 min, and second group was not activated. The follicular oocytes were cultured in TCM-199 medium containing hormones and 10% FCS for 24-30 hrs in a incubator with 5% CO₂ in air at 38.5℃. (omitted)

• Clinical and Experimental Reproductive Medicine
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• 제43권3호
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• pp.157-163
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• 2016

Objective: The decision to use in vitro fertilization (IVF), intracytoplasmic sperm injection (ICSI), or split insemination (IVF-ICSI) in the first cycle is based on the number of motile sperm. Hence, total fertilization failure (TFF) often occurs during IVF cycles, despite normozoospermia. To investigate whether the cumulative motile swim-up spermatozoa percentage at 22 hours post-insemination (MSPPI) is an indicator for ICSI, we analyzed TFF, fertilization, blastocyst development, chemical pregnancy, clinical pregnancy, and live birth rates. Methods: This prospective study was performed using data obtained from 260 IVF cycles. At 22 hours after insemination, the remaining swim-up spermatozoa were observed and divided into six groups according to MSPPI (<10%, 10% to <30%, 30% to <50%, 50% to <70%, 70% to <90%, and 90% to 100%). Results: Regardless of the ejaculated motile sperm concentration ($0.6-280{\times}10^6/mL$ motile spermatozoa), the incidence of TFF significantly increased when MSPPI was <10%, and the fertilization rate significantly decreased when MSPPI was <30%. We found that cumulative MSPPI correlated with the cumulative fertilization rate (Spearman correlation, 0.508, p<0.001). Regarding embryo development, we observed no significant differences in the rates of blastocyst development, chemical pregnancy, clinical pregnancy, or live birth among all groups. Conclusion: Our findings suggest that MSPPI is a viable indicator for split IVF-ICSI and ICSI. Taken together, by employing the MSPPI test in advance before IVF, ICSI, or split IVF-ICSI cycles, unnecessary split IVF-ICSI and ICSI may be avoided.

• Clinical and Experimental Reproductive Medicine
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• 제26권3호
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• pp.399-405
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• 1999

Objective: In the preparation of ICSI, cumulus and corona cells should be removed from the oocytes by using a combination of enzymatic (hyaluronidase) and mechanical (pipetting) methods. But little is known about the effects of different degrees of oocyte denudation and incubation time between denudation and sperm injection on the outcomes of ICSI. The aim of this study was to evaluate the effects of varying the degrees of oocyte denudation and the lengths of incubation time from denudation to sperm injection on the outcomes of ICSI. Methods: In experiment 1, patients (oocytes) were grouped into group A and B according to the degree of denudation, complete and partial, respectively. In experiment 2, patients (oocytes) were grouped into group I, II and III according to the length of incubation time of denuded oocytes until sperm injection as < 1, $1{\sim}2$ and >2 hours, respectively. Results: There was no significant difference between the degree of oocyte denudation on the survival, fertilization and development rates after ICSI procedure. In case of the incubation time of denuded oocytes until ICSI, survival rates was higher in group III (83.1 %) than in group I (61.5%, p<0.05) or group II (64.3%). However no statistically significant differences were found between incubation time and fertilization or development rates. Conclusions: This study reveals that the outcomes of ICSI are not affected by the degree (complete or partial) of oocyte denudation. However, the denuded oocytes with incubation period of more than 2 hours show better outcomes of ICSI than those with the incubation period of less than 2 hours.

• Clinical and Experimental Reproductive Medicine
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• 제30권2호
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• pp.119-126
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• 2003

Objective: This study was carried out to compare the clinical outcomes of intracytoplasmic sperm injection (ICSI) in patients with obstructive azoospermia according to sperm retrieval site and technique; microsurgical epididymal sperm aspiration (MESA), percutaneous epididymal sperm aspiration (PESA), testicular sperm extraction by open biopsy (TESE). Methods: The outcomes of ICSI and IVF-ET were evaluated and compared among 3 groups. Seventy three men suffering from infertility due to obstructive azoospermia had 107 ICSI cycles using MESA (21 cycles in 15 patients), PESA (26 cycles in 17 patients) and TESE (60 cycles in 41 patients). Results: In the clinical outcomes in patients undergoing ICSI with epididymal or testicular sperm, there were no significant differences in fertilization rate (66.1% vs. 60.5%), cleavage rate (94.9% vs. 97.6%), cumulative embryo score (CES) (51.3 vs. 58.8), implantation rate (7.9% vs. 6.1), and clinical pregnancy rate per ET (30.4% (14/46) vs. 25.4% (15/59)) between both groups. Also, in the clinical outcomes in ICSI patients using MESA, PESA, TESE, there were no significant differences in fertilization rate (61.8%, 69.4%, 60.5%), cleavage rate (92.1%, 97.3%, 97.6%), CES (38.1, 52.0, 58.8), implantation rate (9.5%, 6.6%, 6.1%), and clinical pregnancy rate per ET (35% (7/20), 26.9% (7/26), 25.4% (15/59)) among 3 groups. Conclusion: When compared with MESA or TESE, PESA, the clinical outcomes were similar in ICSI patients with obstructive azoospermia whatever the origin or the technique of sperm retrieval. However, we considered PESA is more time-saving and cost effective for ICSI in patients with obstructive azoospermia.

• Clinical and Experimental Reproductive Medicine
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• 제48권1호
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• pp.50-60
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• 2021

Objective: This study investigated the mRNA expression of gamma-aminobutyric acid (GABA) receptors in the sperm of oligoasthenoteratozoospermic (OAT) and teratozoospermic (TER) men compared to normozoospermic (NOR) men, as well as the relationships between GABA receptor expression and sperm parameters, fertilization rate, and embryo quality. Methods: The mRNA expression of GABA A-α1 and GABA B-R2 receptors in sperm was examined using reverse transcription-polymerase chain reaction in three groups of patients: NOR (n=32), OAT (n=22), and TER (n=45). The fertilization rate and embryo quality were assessed in 35 patients undergoing intracytoplasmic sperm injection (ICSI; 10 NOR, 10 OAT, and 15 TER men). Results: OAT men had significantly higher mRNA expression of GABA A-α1 and GABA B-R2 receptors in sperm than NOR men; however, the difference between TER and NOR men was not significant. High levels of these receptors were significantly correlated with low sperm concentration, motility, and morphology, as well as the rate of good-quality embryos (GQEs) at the cleavage stage after ICSI. Patients whose female partners had a >50% GQE rate at the cleavage stage had significantly lower levels of GABA A-α1 receptor expression than those whose partners had a ≤50% GQE rate. Conclusion: Our findings indicate that mRNA levels of GABA receptors in human sperm are correlated with poor sperm quality and associated with embryo development after ICSI treatment. The GABA A-α1 receptor in sperm has a stronger relationship with embryo quality at the cleavage stage than the GABA B-R2 receptor.

• 한국가축번식학회지
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• 제23권2호
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• pp.113-118
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• 1999

본 연구는 고가의 저정자증 또는 불임증을 나타내는 소형 개에 있어서 수태율 증진과 불임해결에 적용할 목적하에 일차적으로, 돼지 정자의 농도별, 활력별로 IVF및 ICSI에 의해 수정시켰을 때 수정율과 체외발생율을 조사하였다. 1. 돼지 난자의 수정시 정자를 1.0, 2.0, 3.0, 5.0($\times$$10^{6}$$m\ell$)의 농도별로 IVF및 ICSI법으로 수정시켰을 때 수정율과 체외발생율은 각각 IVF시에 46.7%~75.0%와 10.6%~25.0%이고, ICSI시에는 60.0%~85.7%와 20.0%~64.3%였다. 2. 돼지 난자의 수정시 정자를 20, 40, 60, 80%의 활력별로 IVF 및 ICSI법으로 수정시켰을 때 수정율과 체외발생율은 각각 IVF시에 46.4%~71.4%와 7.1%~21.4%이고, ICSI시에는 67.9%~85.7%와 28.6%~60.7%였다. 3. 돼지 난자의 체외수정과 체외성숙 난자에 ICSI법에 의해 수정시켰을 때 각각 수정율과 체외발생율은 IVF시에 55.6%~60.0%와 17.8%~24.0%이고, ICSI시에는 77.8%~80.0%와 42.2%~56.0%로서 ICSI법에서 수정율이 크게 향상되었다.

• 한국수정란이식학회지
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• 제23권4호
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• pp.275-281
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• 2008

The ability to preselect the sex of piglets is advantageous in the pig industry. The objective of this study was to examine the feasibility of using intracytoplasmic sperm injection (ICSI) with sorted spermatozoa to produce piglets with a preselected sex. Pig embryos were produced by ICSI of frozen X- and Y-sperm that had been separated by flow cytometry. The developmental competence of the embryos was investigated in vitro and in vivo. The populations of X- and Y-spermatozoa were 52.7% and 47.3%, respectively in our samples. The in vitro development of ICSI embryos was enhanced by longer of in vitro maturation of oocytes ($44{\sim}48\;h$ vs. $40{\sim}43\;h$). Their cleavage ($65{\sim}70%$) and blastocyst formation ($9{\sim}12%$) rates were not significantly different between male and female ICSI embryos, or between sorted and unsorted sperm-derived embryos. One pregnancy was established in a recipient that was transferred with 110 female ICSI embryos, but the pregnancy was terminated on Day 89 of gestation. Our results suggest that the separation X- and Y-spermatozoa by flow cytometric sorting can be a useful tool in combination with ICSI for the production of pig embryos and piglets of preselected sex.

• 한국가축번식학회지
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• 제25권2호
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• pp.181-189
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• 2001

본 연구에서는 ICSI에 의한 돼지 체외수정란의 생산효율을 높이고자, ICSI에 사용되는 돼지 체외성숙 난포란의 원심분리에 의한 효과, 세포질내에 주입하는 정자의 DTT전처리 효과, 체외성숙 난포란의 체외수정시 주로 사용되는 IVF방법과 ICSI방법 사용에 따른 수정율과 후기배로의 배발달율 조사 그리고 IVF방법과 ICSI방법에 의해 발달한 배반포기배의 할구수를 조사하여 다음과 같은 결과를 얻었다. ICSI에 사용되는 돼지 체외성숙 난포란을 이용하여 원심분리를 실시하지 않은 군과 실시한 군에 있어서 수정율과 후기배로의 발달율에 있어서는 두 처리군간에 유의적인 차이는 나타나지 않았으며, 또한 ICSI에 사용되는 정자를 주입전에 DTT를 처리한 군과 DTT를 처리하지 않은 군에서의 수정율과 배반포기배로의 발달율에 있어서도 유의적인 차이는 나타나지 않았다 그리고 체외성숙 후 IVF 또는 ISCI에 의한 체외수정 후 수정율과 후기배로의 발달율에 있어서도 두 처리군간의 유의성은 나타나지 않았다. IVF와 ICSI에 의해 체외수정된 수정란에 있어서 8일째까지 발달한 배반포기배의 할구수를 조사한 결과 각각 46.7$\pm$2.9개와 41.9$\pm$4.6개로 나타나 두 처리군간에 유의적인 차이를 나타내지 않았다. 이상의 실험 결과들을 종합해 보면, ICSI에 의한 체외수정란의 생산은 체외성숙후 난구세포가 제거된 난포란을 원심분리시키면 ICSI에 있어서의 편리를 도모할 수 있을 뿐만 아니라 주입된 정자의 관찰을 용이하게 하여 정확성을 높일 수 있고, 주입시 사용하는 배양액의 난포란내 진입을 최소화 할 수 있을 것으로 사료된다. 그러나 ICSI전 정자의 첨체반응 유도와 난포란의 활성화, 그리고 후기배로의 발달율 향상에 따른 할구수의 증가를 위한 연구가 진행되어야 할 것으로 사료된다. 지금까지의 이러한 결과들을 바탕으로 하여 ICSI에 의한 체외수정란의 생산을 위한 연구가 지속적으로 수행해 나가야 할 것이며, 또한 계속적인 연구로 ICSI를 이용하여 외부유전자의 도입에 의한 형질전환동물의 생산이 가능 할 수 있을 것으로 사료된다.

• 대한생식의학회:학술대회논문집
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• 대한불임학회 1999년도 제38차 추계 학술대회
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• pp.73-74
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• 1999