Fertilization, embryo culture, and clinical results using low lactate embryo culture medium for pre‐culture, insemination, and beyond

Abstract Purpose We focused on the metabolism of oocytes in pre‐culture and insemination and compared these results between our existing fertilization medium, GEMS Fertilisation Medium (GEMS group) (Merck BioPharma) and Continuous Single Culture Medium—NX Complete (CSCM‐NXC group) (FUJIFILM Irvine S...

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Main Author: Masato Kobanawa
Format: Article
Language:English
Published: Wiley 2022-01-01
Series:Reproductive Medicine and Biology
Subjects:
Online Access:https://doi.org/10.1002/rmb2.12458
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author Masato Kobanawa
author_facet Masato Kobanawa
author_sort Masato Kobanawa
collection DOAJ
description Abstract Purpose We focused on the metabolism of oocytes in pre‐culture and insemination and compared these results between our existing fertilization medium, GEMS Fertilisation Medium (GEMS group) (Merck BioPharma) and Continuous Single Culture Medium—NX Complete (CSCM‐NXC group) (FUJIFILM Irvine Scientific). Methods Patients under 42 years of age were received controlled ovarian stimulation and oocytes were retrieved. Those were pre‐cultured and fertilized with either GEMS fertilization medium or CSCM‐NXC. After fertilization was confirmed, embryos were cultured using CSCM‐NXC in both groups. The embryos were cryopreserved at blastocyst stage (3BB or more, Gardner classification) and then transferred in HRT cycles. Results The fertilization rate of both groups was the same, but the 3PN rate was significantly lower in the CSCM‐NXC group. In terms of embryo culture results, the CSCM‐NXC group had a significantly higher rate of good quality blastocysts, high‐grade embryos, and embryos with a high degree of expansion. Conclusions The use of CSCM‐NXC, a low lactate embryo culture medium, from pre‐culture and for insemination, increases the energy metabolic efficiency of oocytes and cumulus cells, making it possible to supply sufficient energy ATP for fertilization and early division, which is thought to promote good embryonic development.
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spelling doaj.art-f53f8ce59e9044fa85ac98e4ea3187cd2022-12-27T13:54:58ZengWileyReproductive Medicine and Biology1445-57811447-05782022-01-01211n/an/a10.1002/rmb2.12458Fertilization, embryo culture, and clinical results using low lactate embryo culture medium for pre‐culture, insemination, and beyondMasato Kobanawa0Kobanawa Clinic Omitama‐shi JapanAbstract Purpose We focused on the metabolism of oocytes in pre‐culture and insemination and compared these results between our existing fertilization medium, GEMS Fertilisation Medium (GEMS group) (Merck BioPharma) and Continuous Single Culture Medium—NX Complete (CSCM‐NXC group) (FUJIFILM Irvine Scientific). Methods Patients under 42 years of age were received controlled ovarian stimulation and oocytes were retrieved. Those were pre‐cultured and fertilized with either GEMS fertilization medium or CSCM‐NXC. After fertilization was confirmed, embryos were cultured using CSCM‐NXC in both groups. The embryos were cryopreserved at blastocyst stage (3BB or more, Gardner classification) and then transferred in HRT cycles. Results The fertilization rate of both groups was the same, but the 3PN rate was significantly lower in the CSCM‐NXC group. In terms of embryo culture results, the CSCM‐NXC group had a significantly higher rate of good quality blastocysts, high‐grade embryos, and embryos with a high degree of expansion. Conclusions The use of CSCM‐NXC, a low lactate embryo culture medium, from pre‐culture and for insemination, increases the energy metabolic efficiency of oocytes and cumulus cells, making it possible to supply sufficient energy ATP for fertilization and early division, which is thought to promote good embryonic development.https://doi.org/10.1002/rmb2.12458embryo metabolismglycolysislactateoxidative phosphorylationpyruvate
spellingShingle Masato Kobanawa
Fertilization, embryo culture, and clinical results using low lactate embryo culture medium for pre‐culture, insemination, and beyond
Reproductive Medicine and Biology
embryo metabolism
glycolysis
lactate
oxidative phosphorylation
pyruvate
title Fertilization, embryo culture, and clinical results using low lactate embryo culture medium for pre‐culture, insemination, and beyond
title_full Fertilization, embryo culture, and clinical results using low lactate embryo culture medium for pre‐culture, insemination, and beyond
title_fullStr Fertilization, embryo culture, and clinical results using low lactate embryo culture medium for pre‐culture, insemination, and beyond
title_full_unstemmed Fertilization, embryo culture, and clinical results using low lactate embryo culture medium for pre‐culture, insemination, and beyond
title_short Fertilization, embryo culture, and clinical results using low lactate embryo culture medium for pre‐culture, insemination, and beyond
title_sort fertilization embryo culture and clinical results using low lactate embryo culture medium for pre culture insemination and beyond
topic embryo metabolism
glycolysis
lactate
oxidative phosphorylation
pyruvate
url https://doi.org/10.1002/rmb2.12458
work_keys_str_mv AT masatokobanawa fertilizationembryocultureandclinicalresultsusinglowlactateembryoculturemediumforprecultureinseminationandbeyond