Both meiotic and postmeiotic maturation events have been observed to occur
in human male germ cells during in-vitro culture. The temperature of 30 deg
rees C, medium supplementation with follicle-stimulating hormone and testos
terone and the maintenance of the original cell-cell associations within ex
planted segments of the testicular seminiferous tubules are common features
of the most efficient culture systems. The in-vitro maturation processes a
re markedly accelerated as compared to the in-vivo situation, probably due
to the abrogation of a checkpoint controlling the full assembly of molecule
s needed for spermiogenesis. Moreover, both meiotic and postmeiotic maturat
ion processes can be reactivated in vitro in some cases with a complete blo
ck of the same processes in vivo. Healthy babies were born after micromanip
ulation-assisted fertilization with in-vitro matured elongated spermatids f
rom men with complete in-vivo maturation arrest at the round spermatid stag
e and at the primary spermatocyte stage. (C) 2000 Elsevier Science Ireland
Ltd. All rights reserved.