PMID- 16640885 OWN - NLM STAT- MEDLINE DCOM- 20080214 LR - 20131121 IS - 0529-567X (Print) IS - 0529-567X (Linking) VI - 41 IP - 3 DP - 2006 Mar TI - [Oocyte activation with calcium ionophore A23187 and puromycin on human oocytes that fail to fertilize after intracytoplasmic sperm injection]. PG - 182-5 AB - OBJECTIVE: To investigate the effect of assisted oocyte activation with calcium ionophore A23187 and puromycin on human oocytes that fail to fertilize after intracytoplasmic sperm injection (ICSI). METHODS: All 113 discarded oocytes that showed no evidence of fertilization at 16 - 18 hours after in vitro maturation (IVM)-ICSI cycles and conventional ICSI were assigned to four groups according to the time after ICSI: IVM-ICSI 22-hour group (n = 33), IVM-ICSI 44-hour group (n = 18), ICSI 44-hour group (n = 37) and ICSI 68-hour group (n = 25). All unfertilized oocytes were exposed to calcium ionophore A23187 (5 micromol/L) for 5 minutes and subsequently incubated with puromycin (10 microg/ml) for 4 hours. After incubation, the oocytes were cultured in vitro for 3 - 5 days. The activation rate, proportion of oocytes that showed pronucleus formation and cleavage rate were calculated after activation. Sex chromosomal analysis was performed by dual color fluorescence in situ hybridization (FISH) on the embryos that displayed two pronuclei and a second polar body. RESULTS: The combination of calcium ionophore A23187 with puromycin could activate the unfertilized oocytes 22 - 68 hours after ICSI. Best results were achieved in IVM-ICSI 22-hour group, which elicited 88% (29/33) of activation rate, 62% (18/29) of cleavage rate and 28% (5/18) of 4-cell embryos. One embryo in this group developed to the morular stage. The activation rate and developmental potential of the activated embryos in IVM-ICSI 44-hour group, ICSI 44-hour group and ICSI 68-hour group decreased. FISH analysis showed 4 embryos with XX and 9 embryos with XY in 16 embryos. CONCLUSIONS: The combination of calcium ionophore A23187 with puromycin could effectively activate unfertilized oocytes 22 - 68 hours after ICSI. The cultured time of unfertilized oocytes after ICSI affects activation efficiency and developmental potential of the activated embryos. The activated zygotes that display two pronuclei and a second polar body can develop normally. FAU - Lu, Qun AU - Lu Q AD - Reproductive Medicine Center, Shandong Provincial Hospital, Shandong University, Jinan 250021, China. FAU - Chen, Zi-jiang AU - Chen ZJ FAU - Gao, Xuan AU - Gao X FAU - Ma, Shui-ying AU - Ma SY FAU - Li, Mei AU - Li M FAU - Hu, Jing-mei AU - Hu JM FAU - Li, Yuan AU - Li Y LA - chi PT - English Abstract PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - China TA - Zhonghua Fu Chan Ke Za Zhi JT - Zhonghua fu chan ke za zhi JID - 16210370R RN - 0 (Ionophores) RN - 37H9VM9WZL (Calcimycin) RN - 4A6ZS6Q2CL (Puromycin) SB - IM MH - Calcimycin/*pharmacology MH - Cells, Cultured MH - Cleavage Stage, Ovum/drug effects MH - Embryo, Mammalian/cytology/drug effects MH - Female MH - Fertilization in Vitro MH - Humans MH - In Situ Hybridization, Fluorescence MH - Ionophores/pharmacology MH - Karyotyping MH - Male MH - Oocytes/cytology/*drug effects/metabolism MH - Puromycin/*pharmacology MH - *Sperm Injections, Intracytoplasmic MH - Time Factors MH - Zygote/cytology/drug effects/growth & development EDAT- 2006/04/28 09:00 MHDA- 2008/02/15 09:00 CRDT- 2006/04/28 09:00 PHST- 2006/04/28 09:00 [pubmed] PHST- 2008/02/15 09:00 [medline] PHST- 2006/04/28 09:00 [entrez] PST - ppublish SO - Zhonghua Fu Chan Ke Za Zhi. 2006 Mar;41(3):182-5.