A study was undertaken to evaluate the effect on nuclei number in huma
n embryos cultured in vitro with primary cell lines of human Fallopian
tube epithelium. The development of 203 surplus human embryos, cultur
ed in standard culture medium (Earle's balanced salt solution + 15% A5
) with or without ampullary cells, was observed from day 2 to day 5.5
post-insemination. The expanded blastocysts in both culture conditions
were analysed for nuclei numbers per blastocyst. Embryos transferred
to co-culture at the 2-cell stage had an average of 120.7 nuclei per b
lastocyst, which was significantly higher than the average of 62.9 nuc
lei per blastocyst (P = 0.023) for the embryos transferred to co-cultu
re at the 4-cell stage. The embryos cultured in the control medium had
an average of 42.1 nuclei per blastocyst, which was significantly les
s than cocultured embryos (P = 0.04). Severely fragmented embryos (gra
des 3 and 4) did not show recovery in co-culture. Our results show tha
t when human embryos are transferred to co-cultures before the 4-cell
stage, the blastulation rate and the cell number per embryo increase s
ignificantly compared to the embryos cultured in standard culture medi
um. The possible effect of co-culture on embryonic gene expression is
discussed.