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Here, we describe a method for warming vitrified human blastocysts, culturing them through the implantation period in vitro, digesting them into single cells and collecting early trophoblast cells for further investigation.
Human implantation, the apposition and adhesion to the uterine surface epithelia and subsequent invasion of the blastocyst into the maternal decidua, is a critical yet enigmatic biological event that has been historically difficult to study due to technical and ethical limitations. Implantation is initiated by the development of the trophectoderm to early trophoblast and subsequent differentiation into distinct trophoblast sublineages. Aberrant early trophoblast differentiation may lead to implantation failure, placental pathologies, fetal abnormalities, and miscarriage. Recently, methods have been developed to allow human embryos to grow until day 13 post-fertilization in vitro in the absence of maternal tissues, a time-period that encompasses the implantation period in humans. This has given researchers the opportunity to investigate human implantation and recapitulate the dynamics of trophoblast differentiation during this critical period without confounding maternal influences and avoiding inherent obstacles to study early embryo differentiation events in vivo. To characterize different trophoblast sublineages during implantation, we have adopted existing two-dimensional (2D) extended culture methods and developed a procedure to enzymatically digest and isolate different types of trophoblast cells for downstream assays. Embryos cultured in 2D conditions have a relatively flattened morphology and may be suboptimal in modeling in vivo three-dimensional (3D) embryonic architectures. However, trophoblast differentiation seems to be less affected as demonstrated by anticipated morphology and gene expression changes over the course of extended culture. Different trophoblast sublineages, including cytotrophoblast, syncytiotrophoblast and migratory trophoblast can be separated by size, location, and temporal emergence, and used for further characterization or experimentation. Investigation of these early trophoblast cells may be instrumental in understanding human implantation, treating common placental pathologies, and mitigating the incidence of pregnancy loss.
Human implantation and the emergence of the early placenta are historically difficult to investigate and remain largely unknown because human tissues are inaccessible at this stage when pregnancy is clinically undetectable. Animal models are inadequate, as human placentation has its own unique features compared to other eutherian mammals. For example, human placenta invades deeply into the decidua with some trophoblast cells reaching at least the inner third of the uterine myometrium while other cells remodel the uterine spiral arteries. Even our closest evolutionary ancestors, the non-human primates, show differences in placental morphology and trophoblast interactio....
All human embryos have been donated with consent for use in research. Protocols for extended human embryo culture have been approved by the Western Institutional Review Board (study no. 1179872) and follow international guidelines. Any use of human embryos must be reviewed by the appropriate ethics and governing bodies associated with the research institution using this protocol.
1. Preparation
Healthy embryos exhibited continued proliferation over the course of extended culture (Figure 2B). Abnormal embryos began to retract from their outer edges and disintegrate (Figure 2C). From our experience, approximately 75% of embryos were attached to the bottom of the fibronectin coated dish at 48 h and the attachment increased to approximately 90% by 72 h in culture. The success of embryo attachment may be largely impacted by the initial quality of the blasto.......
The development of the protocol to culture human embryos through implantation has allowed scientists to explore a previously uncharted time in development8,9. Here, we use an extended culture system to culture human embryos and study early trophoblast differentiation before the formation of villous placenta. The methods described here allow us to collect different TB sublineages for use in downstream single-cell analysis. This work allows the scientific community.......
We would like to acknowledge the many patients at the Colorado Center for Reproductive Medicine (CCRM) that have graciously donated their embryos for research. We would also like to thank Karen Maruniak and the clinical laboratory at CCRM for their help in processing hCG samples, as well as Sue McCormick and her clinical IVF embryology team at CCRM for their help with embryo collection, storage, tracking, and donation. Funding was provided internally by CCRM.
....Name | Company | Catalog Number | Comments |
3130 or 3110 Forma Series II water-jacketed CO2 incubator | Thermo Fisher Scientific | 13-998-078 | |
35 mm Corning Primaria tissue culture dish | VWR | 62406-038 | Case of 500 |
5 mL snap cap tube | VWR | 60819-295 | Pack of 25 |
60 mm Corning Primaria tissue culture dish | VWR | 25382-687 | Case of 200 |
6-well dish | Agtech Inc. | D18 | Pack of 1, 10, or 50 |
Acidic Tyrode's solution | Millipore Sigma | T1788 | 100 mL |
Biotix 1250 µL pipette tips | VWR | 76322-156 | Pack of 960 |
Blast, blastocyst culture media | Origio | 83060010 | 10 mL |
Dilution Solution | Kitazato | VT802 | 1 x 4 mL |
Disposable Borosilicate Glass Pasteur Pipets | Thermo Fisher Scientific | 1367820D | 5.75 in. (146mm); 720/Cs |
Dulbecco's Phosphate Buffered Saline | Millipore Sigma | D8537 | |
Embryo culture paraffin oil OvOil | Vitrolife | 10029 | 100 mL |
Eppendorf PCR tubes 0.2 mL | VWR | 47730-598 | Pack of 1,000 |
Eppendorf PCR tubes 0.5 mL | VWR | 89130-980 | Case of 500 |
Fibronectin from human plasma. Liquid .1% solution | Millipore Sigma | F0895 | 1 mg |
Gilson 1 mL Pipetteman | Thermo Fisher Scientific | F123602G | 1 Pipetteman 200-1000 µL |
Gilson 20 µL Pipetteman | Thermo Fisher Scientific | F123602G | 1 Pipetteman 2-20 µL |
Gilson 200 µL Pipetteman | Thermo Fisher Scientific | F123602G | 1 Pipetteman 50-200 µL |
G-MOPS handling media | Vitrolife | 10129 | 125 mL |
Handling media | Origio | 83100060 | 60 mL |
Ibidi 8 well chambered coverslip | Ibidi | 80826 | 15 slides per box |
IVC1/IVC2 | Cell Guidance Systems | M11-25/ M12-25 | 5-5mL aliquots |
K System T47 Warming Plate | Cooper Surgical | 23054 | |
MilliporeSigma Millex Sterile Syringe Filters with Durapore PVFD Membrane | Fisher Scientific | SLGVR33RS | Pack of 50 |
Mouth pieces | IVF Store | MP-001-Y | 100 pieces |
Oosafe center well dish | Oosafe | OOPW-CW05-1 | Case of 500 |
Quinn's Advantage SPS | Origio | ART-3010 | 12x 12 mL |
Rubber latex tubing for mouth pieces | IVF Store | IVFS-NRL-B-5 | 5 ft. |
Stereomicroscope | Nikon | SMZ1270 | |
Stripper tips | Cooper Surgical | MXL3-275 | 20/pk 275 µm |
Thawing Solution | Kitazato | VT802 | 2 x 4 mL |
The Stripper Micropipetter | Cooper Surgical | MXL3-STR | |
TrypLE Express Enzyme (1X), no phenol red | Thermo Fisher Scientific | 12604013 | 1 x 100 mL |
Tween20 | Millipore Sigma | P1379-25ML | 25 mL bottle |
VWR 1-20 µL pipette tips | VWR | 76322-134 | Pack of 960 |
VWR 1-200 µL pipette tips | VWR | 89174-526 | Pack of 960 |
Washing Solution | Kitazato | VT802 | 1 x 4 mL |
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