C. Hilali , N. Louanjli , M. Ennaji , K.H. Mohamed , N. Bouanani , E.M. Hissane , W.S. Rhazi , M. Zarquaoui , I. Kaarouch , R. Cabry , F.A. Lahlou , M. Benkhalifa
{"title":"从刺激周期中挽救卵细胞:改善卵母细胞形态和能力","authors":"C. Hilali , N. Louanjli , M. Ennaji , K.H. Mohamed , N. Bouanani , E.M. Hissane , W.S. Rhazi , M. Zarquaoui , I. Kaarouch , R. Cabry , F.A. Lahlou , M. Benkhalifa","doi":"10.1016/j.morpho.2025.101064","DOIUrl":null,"url":null,"abstract":"<div><h3>Objective</h3><div>Oocyte in vitro maturation (<em>IVM</em>) is a technique where immature cumulus oocytes complexes (COCs) collected from mid cycle of follicular phase were maturated via Bi-Phasique maturation named CAPA-<em>IVM</em>or germinal vesicles (GV) and/or metaphase I oocytes (MI) from stimulated cycle are matured <em>in vitro</em>(<em>IVM</em> Rescue). The objective of our study was to evaluate the effectiveness of a new formulation of culture medium, developed by ourselves, in terms of improving oocyte maturation, competency, embryo development potential and quality.</div></div><div><h3>Material and methods</h3><div>This prospective study involved a total of 60 patients who underwent an <em>ICSI</em> cycle. Six hundred and fifty oocytes were collected including 410 oocytes at the metaphase II, 120 oocytes at the metaphase I and 120 oocytes at the germinal vesicle stages. Immature oocytes were divided into two groups: Group M (immature oocytes cultured in commercial<em>IVM</em> medium from Cooper-Origio) and group MS (immature oocytes cultured in the same medium but supplemented with an in-house mixture of cytokines, interleukins and growth factors). Metaphase II oocytes obtained after <em>IVM</em>underwent an <em>ICSI</em> attempt. Fertilization rates at day 1 and the numbers of 8-blastomere embryos at day 3 were assessed in all cultures after <em>ICSI</em>until blastocyst stage.</div></div><div><h3>Results</h3><div>While comparing <em>IVM</em> outcomes, we noted a significant increase in the oocyte maturation rate, fertilization rate and the percentage of 8-cell embryos on day 3 in the MS group compared to the M group. Moreover, the MS group also showed a significant increase in blastulation when compared to the MS group (<em>P</em> <!-->=<!--> <!-->0.02).</div></div><div><h3>Conclusion</h3><div>The development of suitable <em>IVM</em> medium contributes to better rescue maturation of immature oocytes obtained in stimulated cycles. Its use may increase the number of good-quality embryos and thus can improve time to pregnancy and the cumulative pregnancy rate.</div></div>","PeriodicalId":39316,"journal":{"name":"Morphologie","volume":"109 367","pages":"Article 101064"},"PeriodicalIF":0.0000,"publicationDate":"2025-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"IVMrescue from stimulated cycle: Improvement of oocyte morphology and competency\",\"authors\":\"C. Hilali , N. Louanjli , M. Ennaji , K.H. Mohamed , N. Bouanani , E.M. Hissane , W.S. Rhazi , M. Zarquaoui , I. Kaarouch , R. Cabry , F.A. Lahlou , M. Benkhalifa\",\"doi\":\"10.1016/j.morpho.2025.101064\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Objective</h3><div>Oocyte in vitro maturation (<em>IVM</em>) is a technique where immature cumulus oocytes complexes (COCs) collected from mid cycle of follicular phase were maturated via Bi-Phasique maturation named CAPA-<em>IVM</em>or germinal vesicles (GV) and/or metaphase I oocytes (MI) from stimulated cycle are matured <em>in vitro</em>(<em>IVM</em> Rescue). The objective of our study was to evaluate the effectiveness of a new formulation of culture medium, developed by ourselves, in terms of improving oocyte maturation, competency, embryo development potential and quality.</div></div><div><h3>Material and methods</h3><div>This prospective study involved a total of 60 patients who underwent an <em>ICSI</em> cycle. Six hundred and fifty oocytes were collected including 410 oocytes at the metaphase II, 120 oocytes at the metaphase I and 120 oocytes at the germinal vesicle stages. Immature oocytes were divided into two groups: Group M (immature oocytes cultured in commercial<em>IVM</em> medium from Cooper-Origio) and group MS (immature oocytes cultured in the same medium but supplemented with an in-house mixture of cytokines, interleukins and growth factors). Metaphase II oocytes obtained after <em>IVM</em>underwent an <em>ICSI</em> attempt. Fertilization rates at day 1 and the numbers of 8-blastomere embryos at day 3 were assessed in all cultures after <em>ICSI</em>until blastocyst stage.</div></div><div><h3>Results</h3><div>While comparing <em>IVM</em> outcomes, we noted a significant increase in the oocyte maturation rate, fertilization rate and the percentage of 8-cell embryos on day 3 in the MS group compared to the M group. Moreover, the MS group also showed a significant increase in blastulation when compared to the MS group (<em>P</em> <!-->=<!--> <!-->0.02).</div></div><div><h3>Conclusion</h3><div>The development of suitable <em>IVM</em> medium contributes to better rescue maturation of immature oocytes obtained in stimulated cycles. Its use may increase the number of good-quality embryos and thus can improve time to pregnancy and the cumulative pregnancy rate.</div></div>\",\"PeriodicalId\":39316,\"journal\":{\"name\":\"Morphologie\",\"volume\":\"109 367\",\"pages\":\"Article 101064\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2025-08-18\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Morphologie\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S128601152500116X\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Morphologie","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S128601152500116X","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"Medicine","Score":null,"Total":0}
IVMrescue from stimulated cycle: Improvement of oocyte morphology and competency
Objective
Oocyte in vitro maturation (IVM) is a technique where immature cumulus oocytes complexes (COCs) collected from mid cycle of follicular phase were maturated via Bi-Phasique maturation named CAPA-IVMor germinal vesicles (GV) and/or metaphase I oocytes (MI) from stimulated cycle are matured in vitro(IVM Rescue). The objective of our study was to evaluate the effectiveness of a new formulation of culture medium, developed by ourselves, in terms of improving oocyte maturation, competency, embryo development potential and quality.
Material and methods
This prospective study involved a total of 60 patients who underwent an ICSI cycle. Six hundred and fifty oocytes were collected including 410 oocytes at the metaphase II, 120 oocytes at the metaphase I and 120 oocytes at the germinal vesicle stages. Immature oocytes were divided into two groups: Group M (immature oocytes cultured in commercialIVM medium from Cooper-Origio) and group MS (immature oocytes cultured in the same medium but supplemented with an in-house mixture of cytokines, interleukins and growth factors). Metaphase II oocytes obtained after IVMunderwent an ICSI attempt. Fertilization rates at day 1 and the numbers of 8-blastomere embryos at day 3 were assessed in all cultures after ICSIuntil blastocyst stage.
Results
While comparing IVM outcomes, we noted a significant increase in the oocyte maturation rate, fertilization rate and the percentage of 8-cell embryos on day 3 in the MS group compared to the M group. Moreover, the MS group also showed a significant increase in blastulation when compared to the MS group (P = 0.02).
Conclusion
The development of suitable IVM medium contributes to better rescue maturation of immature oocytes obtained in stimulated cycles. Its use may increase the number of good-quality embryos and thus can improve time to pregnancy and the cumulative pregnancy rate.
期刊介绍:
Morphologie est une revue universitaire avec une ouverture médicale qui sa adresse aux enseignants, aux étudiants, aux chercheurs et aux cliniciens en anatomie et en morphologie. Vous y trouverez les développements les plus actuels de votre spécialité, en France comme a international. Le objectif de Morphologie est d?offrir des lectures privilégiées sous forme de revues générales, d?articles originaux, de mises au point didactiques et de revues de la littérature, qui permettront notamment aux enseignants de optimiser leurs cours et aux spécialistes d?enrichir leurs connaissances.