Rev Bras Ginecol Obstet 2016; 38(07): 333-339
DOI: 10.1055/s-0036-1586258
Original Article
Thieme Publicações Ltda Rio de Janeiro, Brazil

Comparison between Slow Freezing and Vitrification in Terms of Ovarian Tissue Viability in a Bovine Model

Comparação da viabilidade do tecido ovariano após congelamento lento e vitrificação em modelo bovino
Ana Luisa Menezes Campos
1   Post-Graduation, Faculdade de Ciências Médicas de Minas Gerais, Belo Horizonte, MG, Brazil
,
Janaína de Souza Guedes
1   Post-Graduation, Faculdade de Ciências Médicas de Minas Gerais, Belo Horizonte, MG, Brazil
,
Jhenifer Kliemchen Rodrigues
2   In Vitro Consulting, Belo Horizonte, MG, Brazil
,
Walter Antônio Prata Pace
3   Gynecology Department, Faculdade de Ciências Médicas de Minas Gerais, Belo Horizonte, MG, Brazil
,
Renato Rinco Fontoura
4   School of Medicine, Faculdade de Ciências Médicas de Minas Gerais, Belo Horizonte, MG, Brazil
,
João Pedro Junqueira Caetano
5   Pró-Criar Medicina Reprodutiva, Belo Horizonte, MG, Brazil
,
Ricardo Mello Marinho
1   Post-Graduation, Faculdade de Ciências Médicas de Minas Gerais, Belo Horizonte, MG, Brazil
› Institutsangaben
Weitere Informationen

Publikationsverlauf

06. Januar 2016

24. Mai 2016

Publikationsdatum:
29. Juli 2016 (online)

Abstract

Objective To assess the viability of bovine ovarian tissue after cryopreservation through either slow freezing or vitrification, and to compare it to that of control tissue by performing morphological analyses.

Methods The study included 20 bovine ovarian cortex fragments that were divided into control, vitrification, and slow freezing groups. Each group consisted of four fragments of the same ovary, two fixed without cultivation, and two fixed with cultivation. Tissues were evaluated based on follicular morphology immediately after heating and after 7 days of culture, and compared with the control group.

Results A total of 240 fragments were analyzed, generating a sample of 1,344 follicles without cultivation and 552 with cultivation. When the non-cultivated samples were classified as non-atretic follicles, 572 were found in the control group, 289 in the vitrification group, and 373 in the slow freezing group, showing no significant differences. When classified as atretic, 46 follicles were found in the control group, 23 in the vitrification group, and 41 in the slow freezing group, also showing no statistical difference. In the post-culture sample, an evolution of the follicular stages could be observed. This finding was important to support that the follicles considered non-atretic in the non-cultivated group were actually viable in the morphological evaluation.

Conclusion With no differences between the protocols, vitrification was shown to be an advanced and alternative method for patients who will undergo treatments that carry the risk of ovarian failure, as the method is less expensive, faster, and more adaptable to laboratory routine.

Resumo

Objetivo avaliar a viabilidade do tecido ovariano bovino após a criopreservação, utilizando congelamento lento e vitrificação, e comparando com o tecido controle por meio de análises morfológicas.

Métodos o estudo incluiu fragmentos de córtex de vinte ovários bovinos divididos em grupos controle, vitrificação e congelamento lento. Cada grupo foi composto por quatro fragmentos do mesmo ovário, sendo dois fragmentos fixados sem cultivo e dois fragmentos fixados pós-cultivo. Os tecidos foram avaliados pela morfologia folicular logo após o aquecimento e após sete dias de cultivo, e comparados com o grupo controle.

Resultados um total de 240 fragmentos foi analisado, gerando uma amostra de 1.344 folículos sem cultivo e 552 pós-cultivo. Quando a amostra sem cultivo teve seus folículos agrupados em não atrésicos, obtivemos 572 no grupo controle, 289 no vitrificação, e 373 no congelamento lento, não apresentando diferença estatística. Quando agrupados em atrésicos, o grupo controle apresentou 46 folículos, o vitrificação, 23, e o congelamento lento, 41, não apresentando também diferença estatística. Na amostra pós-cultivo, podemos observar uma evolução dos estágios foliculares: esse achado foi importante para sustentar que os folículos considerados não atrésicos na avaliação morfológica sem cultivo estavam realmente viáveis.

Conclusão não havendo diferenças entre os protocolos, a vitrificação se mostra um avanço e um método alternativo para pacientes que irão se submeter a tratamentos que podem levar a uma falência ovariana, uma vez que a metodologia é mais barata, mais rápida e mais bem adaptável a uma rotina de um laboratório.

 
  • References

  • 1 Lamar CA, DeCherney AH. Fertility preservation: state of the science and future research directions. Fertil Steril 2009; 91 (2) 316-319
  • 2 Carvalho BR, Rodrigues JK, Campos JR, Marinho RM, Caetano JPJ, Rosa-e-Silva ACJS. Visão geral sobre preservação da fertilidade feminina depois do câncer. Reprod Clim. 2014; 29 (3) 123-129
  • 3 Brasil. Ministério da Saúde. Instituto Nacional de Câncer José Alencar Gomes da Silva [Internet]. Rio de Janeiro: INCA; ; 2014 [citado 2015 Out 23]. Disponível em: http://www2.inca.gov.br/wps/wcm/connect/inca/portal/home
  • 4 Donnez J, Bassil S. Indications for cryopreservation of ovarian tissue. Hum Reprod Update 1998; 4 (3) 248-259
  • 5 Cardoso F, Loibl S, Pagani O , et al; European Society of Breast Cancer Specialists. The European Society of Breast Cancer Specialists recommendations for the management of young women with breast cancer. Eur J Cancer 2012; 48 (18) 3355-3377
  • 6 Donnez J, Dolmans MM. Preservation of fertility in females with haematological malignancy. Br J Haematol 2011; 154 (2) 175-184
  • 7 Kondapalli LA. Ovarian tissue cryopreservation and transplantation. In: Gracia C, Woodruff TK, , editors. Oncofertility medical practice: clinical issues and implementation. New York: Springer; 2012. . p. 63-75
  • 8 Grynberg M, Poulain M, Le Parco S, Sebag-Peyrelevade S, Frydman N, Benachi A. [How to preserve female fertility before cancer treatments?]. . [in French] Rev Prat 2013; 63 (3) 314-318
  • 9 Anderson RA, McLaughlin M, Wallace WH, Albertini DF, Telfer EE. The immature human ovary shows loss of abnormal follicles and increasing follicle developmental competence through childhood and adolescence. Hum Reprod 2014; 29 (1) 97-106
  • 10 Donnez J, Dolmans MM. Ovarian cortex transplantation: 60 reported live births brings the success and worldwide expansion of the technique towards routine clinical practice. J Assist Reprod Genet 2015; 32 (8) 1167-1170
  • 11 Marinho RM, Rodrigues JK, Lamaita RM , et al. Preservação da fertilidade em mulheres com câncer: atualização e perspectivas. Rev Med Minas Gerais. 2013; 23 (4) 510-517
  • 12 Donnez J, Dolmans MM. Ovarian tissue freezing: current status. Curr Opin Obstet Gynecol 2015; 27 (3) 222-230
  • 13 Cobo A, Domingo J, Pérez S, Crespo J, Remohí J, Pellicer A. Vitrification: an effective new approach to oocyte banking and preserving fertility in cancer patients. Clin Transl Oncol 2008; 10 (5) 268-273
  • 14 AbdelHafez FF, Desai N, Abou-Setta AM, Falcone T, Goldfarb J. Slow freezing, vitrification and ultra-rapid freezing of human embryos: a systematic review and meta-analysis. Reprod Biomed Online 2010; 20 (2) 209-222
  • 15 Gandolfi F, Paffoni A, Papasso Brambilla E, Bonetti S, Brevini TA, Ragni G. Efficiency of equilibrium cooling and vitrification procedures for the cryopreservation of ovarian tissue: comparative analysis between human and animal models. Fertil Steril 2006; 85 (Suppl. 01) 1150-1156
  • 16 Mathias FJ, D'Souza F, Uppangala S, Salian SR, Kalthur G, Adiga SK. Ovarian tissue vitrification is more efficient than slow freezing in protecting oocyte and granulosa cell DNA integrity. Syst Biol Reprod Med 2014; 60 (6) 317-322
  • 17 Klocke S, Bündgen N, Köster F, Eichenlaub-Ritter U, Griesinger G. Slow-freezing versus vitrification for human ovarian tissue cryopreservation. Arch Gynecol Obstet 2015; 291 (2) 419-426
  • 18 Yeoman RR, Wolf DP, Lee DM. Coculture of monkey ovarian tissue increases survival after vitrification and slow-rate freezing. Fertil Steril 2005; 83 (Suppl. 01) 1248-1254
  • 19 Ting AY, Yeoman RR, Lawson MS, Zelinski MB. In vitro development of secondary follicles from cryopreserved rhesus macaque ovarian tissue after slow-rate freeze or vitrification. Hum Reprod 2011; 26 (9) 2461-2472
  • 20 The Oncofertility Consortium. National Physicians Cooperative [Internet]. Chicago: Oncofertility Consortium; 2015 [cited 2015 Sep 10]. Available from: http://oncofertility.northwestern.edu/resources/national-physicians-cooperative
  • 21 Keros V, Xella S, Hultenby K , et al. Vitrification versus controlled-rate freezing in cryopreservation of human ovarian tissue. Hum Reprod 2009; 24 (7) 1670-1683
  • 22 Kagawa N, Silber S, Kuwayama M. Successful vitrification of bovine and human ovarian tissue. Reprod Biomed Online 2009; 18 (4) 568-577
  • 23 Hovatta O. Methods for cryopreservation of human ovarian tissue. Reprod Biomed Online 2005; 10 (6) 729-734
  • 24 Harp R, Leibach J, Black J, Keldahl C, Karow A. Cryopreservation of murine ovarian tissue. Cryobiology 1994; 31 (4) 336-343
  • 25 Herraiz S, Novella-Maestre E, Rodríguez B , et al. Improving ovarian tissue cryopreservation for oncologic patients: slow freezing versus vitrification, effect of different procedures and devices. Fertil Steril 2014; 101 (3) 775-784
  • 26 Sanfilippo S, Canis M, Smitz J , et al. Vitrification of human ovarian tissue: a practical and relevant alternative to slow freezing. Reprod Biol Endocrinol 2015; 13: 67
  • 27 Santos SS, Ferreira MA, Pinto JA , et al. Characterization of folliculogenesis and the occurrence of apoptosis in the development of the bovine fetal ovary. Theriogenology 2013; 79 (2) 344-350
  • 28 Kim SS, Lee WS, Chung MK, Lee HC, Lee HH, Hill D. Long-term ovarian function and fertility after heterotopic autotransplantation of cryobanked human ovarian tissue: 8-year experience in cancer patients. Fertil Steril 2009; 91 (6) 2349-2354
  • 29 Rodrigues JK, Campos JR, Marinho RM, Zelinski MB, Stouffer RL, Xu J. Desenvolvimento folicular e maturação oocitária in vitro. In: Marinho RM, Rosa e Silva ACJS, Caetano JPJ, Rodrigues JK, , editors. Preservação da fertilidade uma nova fronteira em medicina reprodutiva e oncologia. Rio de Janeiro: Medbook; 2015. . p. 161-9
  • 30 Telfer EE, McLaughlin M, Ding C, Thong KJ. A two-step serum-free culture system supports development of human oocytes from primordial follicles in the presence of activin. Hum Reprod 2008; 23 (5) 1151-1158
  • 31 Rodrigues JK, Navarro PA, Zelinski MB, Stouffer RL, Xu J. Direct actions of androgens on the survival, growth and secretion of steroids and anti-Müllerian hormone by individual macaque follicles during three-dimensional culture. Hum Reprod 2015; 30 (3) 664-674
  • 32 Tanpradit N, Comizzoli P, Srisuwatanasagul S, Chatdarong K. Positive impact of sucrose supplementation during slow freezing of cat ovarian tissues on cellular viability, follicle morphology, and DNA integrity. Theriogenology 2015; 83 (9) 1553-1561
  • 33 Dos Santos Neto PC, Vilariño M, Barrera N, Cuadro F, Crispo M, Menchaca A. Cryotolerance of Day 2 or Day 6 in vitro produced ovine embryos after vitrification by Cryotop or Spatula methods. Cryobiology 2015; 70 (1) 17-22
  • 34 Wandji SA, Srsen V, Nathanielsz PW, Eppig JJ, Fortune JE. Initiation of growth of baboon primordial follicles in vitro. Hum Reprod 1997; 12 (9) 1993-2001