Culture Media Flashcards
What conditions should culture media be evaluated for before use?
- Osmolality
- pH under working conditions
- endotoxin contamination
- biocompatibility
What are 3 main buffering systems used in IVF culture media?
- Bicarbonate buffers
- non-bicarbonate buffers
- zwitterion buffering
What is the pHi of embryos?
Between 7.1 and 7.3
What is the pH of the fallopian tube?
7.3
What are non-bicarbonate buffers?
- Designed for use with air
- phosphate with pH .7.2-7.43 and osmolality around 300mM was used in early days of IVF but less common now
- Should be used with calcium and magnesium salts and glucose
What are 2 zwitterion buffering systems?
- HEPES has working pH range of 6.8-8.2 and pKa 7.2-7.5
primarily used at mM from 20-25mM replacing much or equally molar concentrations of bicarbonate
can be used for sperm processing for IUI** because capacitation will proceed in vivo and lab can work without need for CO2 incubators - MOPS has pKa 7.15. used in sperm and oocyte handling media
Why must humidity be carefully controlled in the incubator?
- Prevent evaporation of water from medium
- incubators regulate CO2 injection with thermal sensors that depend on saturated humidity
What is the concentration of albumin in human plasma?
4mg/ml
conditions of culture attempt to mimic this
How much albumin is added to culture medium?
3-5mg/ml and sometimes 10mg/ml
What is the purpose of albumin in media?
- Undefined “vitality” promoting properties
- detoxifies culture medium
- Mask electrical charges on outer surface of cells and bottom of culture dish. Without protein or macromolecule like polyvinyl alcohol gametes and embryos stick
- secondary source of amino acids
What are the 4 types of proteins used in culture medium?
- Serum albumin commonly added between 3-5 up to 10 mg/ml. majority of commercial human protein supplements supplied in liquid dissolved in saline
- prepared homologous serum, follicular fluid, donor serum and fetal cord serum. routinely added in early days of human IVF before commercially prepared serum supplements became available. Must be prepared by centrifugation, filtration, heat inactivation and quarantined
- albumin and macroglobulin mixtures
- Recombinant human albumin.
note dilution effect with liquid protein supplements when added at higher percentage
protein free culture medium
capacitation involves removal of cholesterol from the membrane and albumin promotes cholesterol efflux via capacity to absorb steroid molecules
What are the 4 types of proteins used in culture medium?
- Serum albumin commonly added between 3-5 up to 10 mg/ml. majority of commercial human protein supplements supplied in liquid dissolved in saline
- prepared homologous serum, follicular fluid, donor serum and fetal cord serum. routinely added in early days of human IVF before commercially prepared serum supplements became available. Must be prepared by centrifugation, filtration, heat inactivation and quarantined
- albumin and macroglobulin mixtures
- Recombinant human albumin.
note dilution effect with liquid protein supplements when added at higher percentage
protein free culture medium
capacitation involves removal of cholesterol from the membrane and albumin promotes cholesterol efflux via capacity to absorb steroid molecules
Describe the benefits of mineral oil overlay?
- physical barrier
- dissolved gas sink
- prevent dehydration
4.
what is the best way to sterilize mineral oil?
membrane filtration. NOT heated or autoclaved in any fashion
Why is the function of heparin when added to oocyte retrieval media?
10,000 units per liter to decrease post-collection clotting of follicular fluid and blood
What is a damaging byproduct in culture medium taht is incubated for more than 48 to 72 hours?
Ammonia from breakdown of proteins/amino acids
glutamine is rapidly broek down
What are concerns with using phenol red?
mild estrogenic activity
What are the main antibiotics used in culture medium?
penicillin and streptomycin in the past.
allergy risk with penicillin and toxic effects of streptomycin
gentamicin is now used
some reports suggest that embryo development is inhibited to small dgree by presence of antibiotics
How many hours after administration of hCG is oocyte aspiration performed?
34-36 hours
What is the pressure used during oocyte aspiration?
100mmHg negative pressure
aspiration pressure should be maintained in narrow range of 100-105
must be applied at a constant level
What is the pH of culture media during retrieval?
pH 7.4
When does ovulation typically occur post-hCG
36 hours
How soon do sperm penetrate the zona in vitro?
as early as 3-4 hours post-insemination
sperm are penetrating the hyaluronate to the zona pellucida very soon after introduced
What is the range of concentration for sperm in conventional IVF?
50,000 sperm/oocyte/mL to 150,000 sperm/oocyte/mL
Why should sperm be washed from semen within one hour of collection?
- SPerm will die rapidly after 1-2 hours of exposure to seminal plasma
- after more than 30 minutes exposure the fertilizing capacity of sperm is reduced
- sperm placed in nutritive medium may live for over 72 hours
- semen processing removes seminal components such as decapacitation factors, hormones and pathogens
What are the benefits of sperm isolation from semen
- removing seminal fluid factors: ROS, inhibitors of capacitation, prostaglandins, anti-sperm antibodies, bacteria and viruses, other unknown inhibitors
- Addition of sperm culture medium: nutrition, pH buffers, electrolyte balance for extended culture, allows adjustment of sperm concentrations for insemination
List methods for separation of motile sperm from ejaculated semen, retrograde urine, cryopreserved semen, epididymal fluids
density gradient separation
pelleting
swim up
swim down
swim out
filtration columns (glass wool)
sedimentation/migration
transmembrane migration
What are some damaging consequences of centrifugation of semen samples?
Concentration of ROS (superoxide anions, hydroxyl radicals, hydrogen peroxide breakdown products) in sample that can damange sperm membrane
Not all sperm cells respond or tolerate centrifugal processing
What is the most common gradient material for sperm processing?
silane-coated silica
Do all sperm preparation techniques damage sperm?
All preparation techniques increase DNA fragmentation rate above that of raw semen samples
authors reported that pelleting followed by swim up or gradient separation followed by swim up had lowest levels of processing induced DNA fragmentation
What is the source of ROS in semen?
Leukocytes, less dense spermatozoa with excess cytoplasm
What is the typical centrifugation for gradient separation?
20 minutes at 300xg
How is capacitation effected by cryopreservation?
Cryopreservation alters the heterogeneous nature of the ejaculate
alters sperm membranes
causes earlier capacitation
cryopreserved semen sample can be thawed and incubated for shorter time before placing with oocytes
How should retrograde patients be prepared for ART?
Need to neutralize or alkalinize the bladder
take oral bicarbonate the night before and morning of procedure
acidic and hyperosmotic urine is detrimental to sperm
reduced motility is often observed
What is the order of importance for pre-wash semen parameters in IUI?
- Forward progressive motility
- concentration
- total motile count
- sperm morphology
What post-wash factors are correlated with succesfull IUI
- Motility and concentration (TMC)
- threshold minimum number needed for pregnancy is 1-2 million motile sperm
- too many sperm doesnt appear to be a concern
Where does capacitation occur in vivo?
Begins with paassage through cervical mucus and uterine environment
movement of sperm into female reproductive tract aids in removal of seminal decapactiation factors
exposes sperm to milieu of periovulatory duct that may include ovulated COC
What are the major events associated with capacitation?
- removal of surface proteins
- efflux of unesterified cholesterol from the sperm cell membrane (can be mediated by albumin)
- alteration of sperm proteins (tyrosine phosphorylation)
- modifies the acrosome membrane phospholipids that lead to membrane fenestration and increased ion channel availability
- increase in speed of sperms nonlineaer progression - hyperactivation
availability of extracellular ions, sodium, calcium, bicarbonate is essential for capacitation and subsequent AR
Timing of capacitation is sensitve to temperature, energy metabolism and pH
When does capacitation occur in vitro?
Spontaneously
initiated by washing the sperm to remove seminal proteins and decapacitation factors
incubation in bicarbonate buffered medium with albumin/serum proteins for several hours
What are capacitation enhancers?
promote likelihood that sperm undergo AR
include egg yolk buffers, pentoxyfylline and methylxanthine derivatives, homologous folliuclar fluid
they enhance motility
What is the frequency of azoospermia?
5-10% of men evaluated for infertility
What are the potential causes of azoospermia?
- Retrograde ejaculation
- obstructive azoospermia
- non-obstructive azoospermia (NOA) - result of impaired or non-existant sperm production
surgical recovery can be as low as 50% per patient