Cryopreservation of ovarian cortical tissue and subsequent transplantation
or in vitro culture of follicles are technologies under development with th
e aim to safeguard fertility in patients with gonadal failure. in the prese
nt study, we investigated whether primordial follicles could be triggered t
o full maturation by a combination of in vivo transplantation and in vitro
culture in a mouse model. In a first step, newborn mouse ovaries containing
only primordial follicles were allotransplanted under the renal capsule of
ovariectomized recipient mice. The second step was to mechanically isolate
growing preantral follicles from the graft and culture these in vitro to m
aturity. In our experiment, one newborn mouse ovary was transplanted under
the renal capsule of each 8- to 12-wk-old F1 (C57Bl/6j x CBA/Ca) female ova
riectomized recipient (n = 26), Two weeks after transplantation, all 26 gra
fts were recovered. Four grafts were professed for histology and showed tha
t developmental stages of follicles in 14-day-old ovarian grafts were compa
rable to those in 14-day-old mouse ovaries, The 22 remaining grafts were us
ed for mechanical isolation of preantral follicles, As a control group, pre
antral follicles isolated from ovaries of 14-day-old mice were used. The me
an preantral follicle yield per ovary was II in the transplant group versus
33 in the control group. Follicles were cultured individually in 20-mu l d
roplets of ol-MEM supplemented with 100 mIU rFSH and 5% fetal bovine serum
for 12 days under an atmosphere of 5% CO2 in air at 37 degrees C. By Day 12
of culture, 66.5% of follicles retained their oocytes in the grafting grou
p versus 97.5% in the control group (P < 0.001). Final oocyte maturation wa
s induced by addition of 2.5 IU/ml hCG, At 14-16 h post-HCG, the percentage
s of oocytes showing germinal vesicle breakdown and polar body extrusion we
re significantly higher in the control group (90.6% and 82.8%) compared to
the grafting group (60% and 45%). The mean diameter of the mature oocytes o
f the grafting group (69.9 +/- 4.45 mu m) was similar to that of oocytes fr
om the control group (70.5 +/- 2.35 mu m) Our results suggest that maturati
on of mouse primordial follicles is feasible by combination of in vivo tran
splantation and in vitro culture. This two-step strategy may be an attracti
ve model for promoting the growth and maturation of primordial follicles fr
om other species.