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From Lab to Life: How Science is Revolutionizing Fertility Preservation

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Home / From Lab to Life: How Science is Revolutionizing Fertility Preservation

From Lab to Life: How Science is Revolutionizing Fertility Preservation

Cohort Study
Review by Daniel Chase on December 8, 2023.
Endocrinology, Diabetes and Metabolism
From Lab to Life: How Science is Revolutionizing Fertility Preservation
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Revolutionizing Fertility Preservation: A Leap Forward

When it comes to fertility preservation, science is breaking new ground. The latest research, “Human immature testicular tissue organ culture: a step towards fertility preservation and restoration”, is a game-changer.

Full Article

The Source Article Details

Human immature testicular tissue organ culture: a step towards fertility preservation and restoration by Nagham Younis et al. in 2023.

The Source Article's Abstract

Background

Cryopreservation of immature testicular tissue (ITT) is currently the only option to preserve fertility of prepubertal patients. Autologous transplantation of ITT may not be safe or appropriate for all patients. Therefore, methods to mature ITT ex vivo are needed.

Objectives

Aim to investigate the feasibility of inducing in vitro spermatogenesis from ITT cryopreserved for pediatric patients prior to initiation of gonadotoxic therapy.

Materials and methods

Cryopreserved-thawed ITT from prepubertal and peripubertal patients were cultured for 7, 16, and 32 days in medium with no hormones or supplemented with 5 IU/L FSH, 1 IU/L hCG, or 5IU/L FSH+1 IU/L hCG. Samples were evaluated histologically to assess tissue integrity, and immunofluorescence staining was performed to identify VASA (DDX4)+ germ cells, UCHL1+ spermatogonia, SYCP3+ spermatocytes, CREM+ spermatids, SOX9+ Sertoli cells.

The Source Article References

  • Cancer statistics, 2021 by Siegel, 2021 in CA: Cancer J Clin
  • Gonadal function after combination chemotherapy for Hodgkin's disease in childhood by Whitehead, 1982 in Arch Dis Child
  • Exposure to chemotherapy during childhood or adulthood and consequences on spermatogenesis and male fertility by Delessard, 2020 in Int J Mol Sci
  • Diagnosis Of Endocrine Disease: Endocrine late-effects of childhood cancer and its treatments by Chemaitilly, 2017 in Eur J Endocrinology
  • Interest in fertility status assessment among young adult survivors of childhood cancer by Cherven, 2023 in Cancer Med
  • Patient attitudes toward fertility preservation by Schover, 2009 in Pediatr Blood cancer
  • American Society of Clinical Oncology recommendations on fertility preservation in cancer patients by Lee, 2006 in J Clin Oncol
  • Religious aspects of assisted reproduction by Sallam, 2016 in Facts Views Vis Obgyn
  • Fertility preservation in patients with cancer: ASCO clinical practice guideline update by Oktay, 2018 in J Clin Oncol
  • Update on fertility preservation from the Barcelona International Society for Fertility Preservation-ESHRE-ASRM 2015 expert meeting: indications, results and future perspectives by Martinez, 2017 in Fertil Steril
  • Birth after the reimplantation of a human embryo by Steptoe, 1978 in Lancet
  • Pregnancies after intracytoplasmic injection of single spermatozoon into an oocyte by Palermo, 1992 in Lancet
  • Male fertility preservation and restoration strategies for patients undergoing gonadotoxic therapies by Tran, 2022 in Biol Reprod
  • Fertility preservation in boys: recent developments and new insights by Goossens, 2020 in Hum Reprod Open
  • Xenografting of testicular tissue pieces: 12 years of an in vivo spermatogenesis system by Arregui, 2014 in Reproduction.
  • Porcine endogenous retroviruses in xenotransplantation–molecular aspects by Kimsa, 2014 in Viruses.
  • Effect of religious belief on selecting of graft materials used in oral and maxillofacial surgery by Gungormus, 2017 in J Oral Maxillofac Surg
  • SpermaTogonial stem cells for in vitro spermatogenesis and in Vivo restoration of fertility by Ibtisham, 2020 in Cells

Citing the Source Article (APA)

(2023). Human immature testicular tissue organ culture: a step towards fertility preservation and restoration. Front. Endocrinol., 14(2023). 10.3389/fendo.2023.1242263

The Promise of In Vitro Spermatogenesis

Until now, cryopreservation of immature testicular tissue (ITT) was the only option for preserving the fertility of prepubertal patients. This study aims to change that by investigating the feasibility of inducing in vitro spermatogenesis.

The research team used cryopreserved-thawed ITT from prepubertal and peripubertal patients, cultured them in various hormonal environments, and evaluated the tissue integrity and cellular markers.

Implications for the Medical Profession

  • Offers new avenues for fertility preservation
  • May reduce the need for autologous transplantation
  • Opens up possibilities for safer fertility restoration methods

FAQs: What You Need to Know

Is this method safe for all patients? The study suggests that autologous transplantation may not be safe or appropriate for all, making this method a promising alternative.

How effective is this new method? While complete spermatogenesis was not observed, the study shows promise in the initial stages of germ cell development.

As we stand on the cusp of a new era in fertility preservation, what are your thoughts on these groundbreaking findings? Share your insights below.

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Tags: CryopreservationFertility PreservationPediatric PatientsSpermatogenesisTesticular Tissue

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