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In This Article

  • Summary
  • Abstract
  • Introduction
  • Protocol
  • Representative Results
  • Discussion
  • Acknowledgements
  • Materials
  • References
  • Reprints and Permissions

Summary

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.

Abstract

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.

Introduction

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....

Protocol

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

  1. Prepare media and recovery plates one day prior to embryo warming in a sterile laminar f.......

Representative Results

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.......

Discussion

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.......

Acknowledgements

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.

....

Materials

NameCompanyCatalog NumberComments
3130 or 3110 Forma Series II water-jacketed CO2 incubatorThermo Fisher Scientific13-998-078
35 mm Corning Primaria tissue culture dishVWR62406-038Case of 500
5 mL snap cap tubeVWR60819-295Pack of 25
60 mm Corning Primaria tissue culture dishVWR25382-687Case of 200
6-well dishAgtech Inc.D18Pack of 1, 10, or 50
Acidic Tyrode's solutionMillipore SigmaT1788100 mL
Biotix 1250 µL pipette tipsVWR76322-156Pack of 960
Blast, blastocyst culture mediaOrigio8306001010 mL
Dilution SolutionKitazatoVT8021 x 4 mL
Disposable Borosilicate Glass Pasteur PipetsThermo Fisher Scientific1367820D5.75 in. (146mm); 720/Cs
Dulbecco's Phosphate Buffered SalineMillipore SigmaD8537
Embryo culture paraffin oil OvOilVitrolife10029100 mL
Eppendorf PCR tubes 0.2 mLVWR47730-598Pack of 1,000
Eppendorf PCR tubes 0.5 mLVWR89130-980Case of 500
Fibronectin from human plasma. Liquid .1% solutionMillipore SigmaF08951 mg
Gilson 1 mL PipettemanThermo Fisher ScientificF123602G1 Pipetteman 200-1000 µL
Gilson 20 µL PipettemanThermo Fisher ScientificF123602G1 Pipetteman 2-20 µL
Gilson 200 µL PipettemanThermo Fisher ScientificF123602G1 Pipetteman 50-200 µL
G-MOPS handling mediaVitrolife10129125 mL
Handling mediaOrigio8310006060 mL
Ibidi 8 well chambered coverslipIbidi8082615 slides per box
IVC1/IVC2Cell Guidance SystemsM11-25/ M12-255-5mL aliquots
K System T47 Warming PlateCooper Surgical23054
MilliporeSigma Millex Sterile Syringe Filters with Durapore PVFD MembraneFisher ScientificSLGVR33RSPack of 50
Mouth piecesIVF StoreMP-001-Y100 pieces
Oosafe center well dishOosafeOOPW-CW05-1Case of 500
Quinn's Advantage SPSOrigioART-301012x 12 mL
Rubber latex tubing for mouth piecesIVF StoreIVFS-NRL-B-55 ft.
StereomicroscopeNikonSMZ1270
Stripper tipsCooper SurgicalMXL3-27520/pk 275 µm
Thawing SolutionKitazatoVT8022 x 4 mL
The Stripper MicropipetterCooper SurgicalMXL3-STR
TrypLE Express Enzyme (1X), no phenol redThermo Fisher Scientific126040131 x 100 mL
Tween20Millipore SigmaP1379-25ML25 mL bottle
VWR 1-20 µL pipette tipsVWR76322-134Pack of 960
VWR 1-200 µL pipette tipsVWR89174-526Pack of 960
Washing SolutionKitazatoVT8021 x 4 mL

References

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