PMID- 20961941 OWN - NLM STAT- MEDLINE DCOM- 20110426 LR - 20191210 IS - 1460-2350 (Electronic) IS - 0268-1161 (Linking) VI - 26 IP - 1 DP - 2011 Jan TI - In vitro maturation of human germinal vesicle-stage oocytes: role of epidermal growth factor-like growth factors in the culture medium. PG - 76-81 LID - 10.1093/humrep/deq290 [doi] AB - BACKGROUND: In vitro maturation (IVM) of oocytes is a promising technique to reduce the costs and avert the side effects of gonadotrophin stimulation for IVF. The pregnancy rates from oocytes matured in vitro are still lower than those of in vivo stimulation cycles, indicating that optimization of IVM remains a challenge. Recently, it was demonstrated that LH exerts its action on ovulation, at least in part, through stimulation of the production of the epidermal growth factor family members amphiregulin (Areg) and epiregulin (Ereg) in pre-ovulatory follicles, and they, in turn, serve as paracrine mediators of LH. We aimed to investigate the effect of supplementation of the medium with Areg and Ereg on the maturation rate of immature oocytes. METHODS: A total of 105 sibling human germinal vesicle (GV) oocytes obtained after gonadotrophin stimulation were cultured in a complex defined medium either with or without supplemented recombinant human Areg (75 ng/ml) and Ereg (75 ng/ml) for 24 h. RESULTS: Significantly more oocytes reached the metaphase II stage at 24 h in media supplemented with Areg and Ereg (75.5 versus 36.5%, P < 0.001). In vitro matured oocytes retrieved from the two subgroups had no statistically significant difference in fertilization and cleavage rates or morphology scores. Overall, a significantly higher number of Day 2 (52.8 versus 26.9% P < 0.01) and Day 3 (45.2 versus 23%, P < 0.05) embryos originated from GV oocytes cultured in the Areg- and Ereg-enriched medium. CONCLUSIONS: Supplementation of the maturation medium with Areg and Ereg improves the maturation of human GV oocytes in vitro. FAU - Ben-Ami, I AU - Ben-Ami I AD - Department of Obstetrics and Gynecology, Assaf Harofeh Medical Center, Tel Aviv University, Zerifin, Israel. idorit@netvision.net.il FAU - Komsky, A AU - Komsky A FAU - Bern, O AU - Bern O FAU - Kasterstein, E AU - Kasterstein E FAU - Komarovsky, D AU - Komarovsky D FAU - Ron-El, R AU - Ron-El R LA - eng PT - Evaluation Study PT - Journal Article DEP - 20101020 PL - England TA - Hum Reprod JT - Human reproduction (Oxford, England) JID - 8701199 RN - 0 (AREG protein, human) RN - 0 (Amphiregulin) RN - 0 (EGF Family of Proteins) RN - 0 (EREG protein, human) RN - 0 (Epiregulin) RN - 0 (Glycoproteins) RN - 0 (Intercellular Signaling Peptides and Proteins) RN - 62229-50-9 (Epidermal Growth Factor) SB - IM MH - Adult MH - Amphiregulin MH - Cell Culture Techniques MH - EGF Family of Proteins MH - Epidermal Growth Factor/*pharmacology MH - Epiregulin MH - Female MH - Glycoproteins/*pharmacology MH - Humans MH - Intercellular Signaling Peptides and Proteins/*pharmacology MH - Oocytes/*drug effects/growth & development MH - Prospective Studies MH - Reproductive Techniques, Assisted MH - Sperm Injections, Intracytoplasmic EDAT- 2010/10/22 06:00 MHDA- 2011/04/27 06:00 CRDT- 2010/10/22 06:00 PHST- 2010/10/22 06:00 [entrez] PHST- 2010/10/22 06:00 [pubmed] PHST- 2011/04/27 06:00 [medline] AID - deq290 [pii] AID - 10.1093/humrep/deq290 [doi] PST - ppublish SO - Hum Reprod. 2011 Jan;26(1):76-81. doi: 10.1093/humrep/deq290. Epub 2010 Oct 20.