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26 protocols using g ivf medium

1

Sperm-Oocyte Co-Incubation Protocol

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Semen specimens were analyzed according to the fifth edition of the World Health Organization guidelines, and sperm were collected by the swim-up method. The COCs were washed twice after 2–3 h of oocyte retrieval and then placed in 100 µL of G-IVF medium (Vitrolife, Sweden) to achieve a final concentration of 1–2 × 106 spermatozoa/mL. Then, the fertilization dish containing oocytes and sperm was incubated in a 5% CO2 humidified incubator at 37°C for 4 h. After the co-incubation of oocytes and sperm for 4 h, the oocytes were removed and placed in new drops of the G-IVF medium. After the oocytes were removed, 30 μL of the fertilization medium was collected and used for the sORP detection by the MiOXSYS system.
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2

Ovarian Stimulation and Oocyte Retrieval

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Ovarian stimulation and oocyte retrieval were carried out as previously described [34 (link)]. In brief, ovarian stimulation was performed by recombinant FSH (Gonal F; Merck Serono, Switzerland) and monitored by plasma estradiol and transvaginal ultrasonography. Human chorionic gonadotropin (hCG, Ovidrel; Merck Serono, Switzerland) was administered when at least 3 follicles measuring > 18 mm in diameter. Transvaginal oocyte retrievals were performed 36 h after hCG injection. The retrieved oocytes were placed in 2.5 ml of G-IVF medium (Vitrolife Sweden AB, Sweden) and cultured at 37 °C in a 5% O2/6% CO2 incubator until insemination.
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3

In Vitro Fertilization Protocol

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Cumulus-oocyte-complexes (COCs) retrieval was performed at 36–37 h post-hCG injection. These were subsequently cultured for 2–3 h in G-IVF medium (Vitrolife Sweden AB, Goteborg, Sweden) supplemented with 10% HSA solution (Vitrolife) at 37 °C with 6% CO2, to facilitate further maturation. Spermatozoa were selected using a two-layer Spermgrad (Vitrolife) gradient (90% and 45%) and/or swimming up methods. In vitro fertilization (IVF) was performed by incubating each oocyte with 10,000 spermatozoa in a 50 μl fertilization microdrop. Prior to intracytoplasmic sperm injection (ICSI), COCs were denuded using hyaluronidase (80 U) and then cultured further for 1–2 h.
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4

Oocyte Retrieval and Fertilization Techniques

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The oocyte retrievals were done by transvaginal aspiration under ultrasound guidance after 36 h from the hCG administration. The follicles were flushed by G-MOPS (Vitrolife) medium. After retrieval, oocytes were rapidly isolated from follicular fluid, and cultured in G-IVF medium (Vitrolife). Oocytes were inseminated 3–5 h later by classical IVF (mean concentration of 200 000 motile spermatozoa/mL) or by ICSI. Spermatozoa for IVF and ICSI were prepared with the swim-up technique and density gradient centrifugation method, respectively. For ICSI, cumulus cells needed to be removed by hyaluronidase (Vitrolife), and then the single motile spermatozoan with the best morphologic appearance was injected into each mature oocyte.
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5

In Vitro Fertilization of Mouse Oocytes

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Following IVM, the two-cell embryo development
potential rate of MII oocytes was evaluated by IVF.
Male mice spermatozoa were obtained from the cauda
epididymis that capacitated for 1 hour at 37°C. MII
oocytes were incubated with sperms in the GIVF medium
(Vitrolife, Sweden) for 4 hours. For the removal of
additional spermatozoa, oocytes were washed and then
cultured in a G1-plus droplet (Vitrolife, Sweden; 5-6
oocytes in one drop) and in 37°C and 5% CO2in air for
3 days. The embryo development rate was checked and
evaluated everyday by using a stereomicroscope.
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6

Postmortem Sperm Extraction and Incubation

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Spermatozoa were collected postmortem from the right cauda epididymidis and ductus deferens and expressed into 0.5-ml G-IVF medium (Vitrolife, Gothenberg, Sweden) and incubated for at least 10 min in 6% (v/v) CO2 and 5% (v/v) O2 at 37°C.35
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7

Resistance in Mouse Oocyte Maturation

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A total of 308 mouse oocytes classed as resistant immature following in vitro culture were randomly allocated to control (n = 113) and treatment groups (n = 195). This study conducted at Animal Science Laboratory of IMERI, Human Reproductive, Infertility, and Family Planning Research Center of IMERI, and Electrophysiology Imaging of Terpadu Laboratory, Faculty of Medicine, University of Indonesia. Immature oocyte after in vitro culture was included in this study, whereas exclusion criteria were mature and degenerated oocytes.
Immature mouse oocytes were obtained by priming 8–12-week-old DDY hybrid female mice with 7.5 IU of a pregnant mare's serum gonadotropin (Intervet, The Netherlands) (intraperitoneal). A total of 44‒48-h later ovarian dissection was performed to collect immature oocytes using a 26.5G sterilized needle in G-MOPS medium (Vitrolife, Sweden). Subsequently, maturation cultures were divided into two groups based on cumulus status (intact or without cumulus cells) [Figure 1] in G-IVF medium (Vitrolife, Sweden) for 14‒16 h at 37°C and 5% CO2. Oocytes in both germinal vesicle (GV) and MI stages were randomly allocated to activation treatment and control groups by an embryologist [Figure 2].
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8

Mature Oocyte Retrieval and IVF Protocol

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After 16 h, COCs ovulated from follicles were retrieved. COCs were digested by hyaluronidase (Sigma) in about 2 min at 37°C. Oocytes with first polar bodies and homogeneous cytoplasm were considered normal mature oocytes. Mature oocytes that are at the meiosis II (MII) stage are known as MII oocytes. As illustrated in Fig. 1, mature oocytes were counted and transferred to a drop of G-IVF medium covered (Vitrolife, Sweden) with paraffin liquid (Sigma) in a 35-mm dish, which was incubated for about 4 h with 5% CO2 in the air and 100% humidity at 37°C. Mature spermatozoa were collected from the cauda epididymis of ICR mice over 8 wk of age [18 (link)]. Spermatozoa were added at a final concentration of 2 × 106/mL to a drop of G-IVF medium containing the MII oocyte and incubated for 20 h at 37°C. Spermatozoa were removed by pipetting, and the eggs were cultured for 72 h in the G-1 medium (Vitrolife).
In the positive control group, female mice were injected intraperitoneally with 10 IU of pregnant mare serum gonadotropin (PMSG; ShuSheng), followed by 10 IU hCG (ShuSheng) at 48 h post-PMSG. Ovulated COCs were retrieved from the oviduct at 16 h post-hCG [19 (link)].
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9

Semen Analysis and IVF Embryo Evaluation

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Briefly, semen was collected in a sterile container through masturbation after 3–5 days of sexual abstinence and maintained at 37 °C for 30 min. After liquefaction, samples were analyzed for sperm concentration, motility and morphology, according to the World Health Organization criteria. The oocytes were incubated in G-IVF medium (Vitrolife, San Diego, CA, USA) and fertilization occurred 3 to 4 h after retrieval. We confirmed that mature oocytes were defined as a structure known as the polar body. Normal fertilization was defined as zygotes with two pronuclei (2PN). Then, fertilized oocytes were continuously cultured in a G1 medium for 2 more days. Day 3 embryos were evaluated on the basis of the numbers and symmetry of their blastomeres, the percentage of fragmentation, vacuolization, granulation and multi-nucleation [10 (link)]. The grades for the blastocysts were evaluated according to the Gardner and Schoolcraft grading system based on the expansion stage, the number of cells joining compaction or blastulation, and the appearance of the trophectoderm and inner cell mass (Table 1).
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10

In Vitro Fertilization of Mouse Oocytes

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The developmental potential of the oocytes that reached to the MII stage via IVM in hTCCM
was evaluated by IVF. Sperms were taken from the caudal epididymis of mature NMRI males
and capacitated for 1 hour at 37°C. MII oocytes were incubated with spermatozoa for 4
hours in GIVF medium (Vitrolife, Sweden). Then, the oocytes were washed to remove extra
spermatozoa and then cultured in a microdrop of G1-plus medium (Vitrolife, Sweden) at 37°C
in a humidified chamber containing 5% CO2 for three days. Their developmental
stages were determined by morphological evaluations conducted every 24 hours under a
stereomicroscope. Fertilization rate was scored as the number and percentage of 2-cell and
4-cell cleavage embryos observed at 24 and 48 hours after insemination.
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