Document Detail


Pregnancy in a 46-year-old woman after autologous granular cell mitochondria transfer.
MedLine Citation:
PMID:  12865239     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Growth of 4 follicles was achieved in a 46-year-old infertile woman and 2 mature oocytes were subsequently obtained after pituitary desensitization with triptorelin (1.875 mg) and hyperstimulation with recombinant human FSH (Gonal-F) and urinary human menopausal gonadotropin (HMG). The granular cells were collected from the cumulus and follicle fluid of the patient with Percol gradient centrifugation. The cells (about 1 x 10(6) /ml) were homogenized for 6 times with cold glass homogenizer, the resultant crude homogenate centrifuged for 20 min at 2000 x g. The supernatant was again centrifuged for 20 min at 9800 x g, after which the pellets of the mitochondria were resuspended in 1 microl modified human tubal fluid (mHTF) medium and maintained at 4 degrees Celsius. A microinjection needle with the inner diameter of approximately 7 microm was used to aspirate the mitochondrion suspension for about 100 microm in length on the scale of the needle for delivering the mitochondria, along with the immobilized sperms, into a single MII oocyte. About 3000 mitochondria were transferred into each oocyte. The two oocytes were both fertilized, but one had 3 pronucleus, and the normal fertilized oocyte developed into 8-blastomere embryo 3 d after its transfer into the patient's uterus. The urine test confirmed clinical pregnancy in the woman 15 d later, and 30 d after the transfer, the fetal body and heart beat could be observed by ultrasound, but unfortunately, spontaneous abortion occurred at the ninth week. According to our knowledge, this woman is the eldest person in mainland China to receive assisted reproduction operations that successfully got clinical pregnancy with her own oocyte.
Authors:
Ling-hong Kong; Zhong Liu; Hong Li; Liang Zhu; Fu-qi Xing
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Di 1 jun yi da xue xue bao = Academic journal of the first medical college of PLA     Volume:  23     ISSN:  1000-2588     ISO Abbreviation:  Di Yi Jun Yi Da Xue Xue Bao     Publication Date:  2003 Jul 
Date Detail:
Created Date:  2003-07-16     Completed Date:  2004-01-28     Revised Date:  2006-03-02    
Medline Journal Info:
Nlm Unique ID:  9426110     Medline TA:  Di Yi Jun Yi Da Xue Xue Bao     Country:  China    
Other Details:
Languages:  eng     Pagination:  743, 747     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynecology, Nanfang Hospital, First Military Medical University, Guangzhou 510515, China. klh@fimmu.edu.cn
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MeSH Terms
Descriptor/Qualifier:
Female
Follicular Fluid / cytology*
Humans
Infertility, Female / therapy*
Middle Aged
Mitochondria / transplantation*
Pregnancy
Transplantation, Autologous

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