Pulmonary Embolism with Bone Fragments following Vertebral Body Marrow Infusion for Tolerance Induction

Protocols of donor bone marrow infusion for tolerance induction are receiving increasing attention in clinical trials of organ allotransplantation. We report pulmonary embolism with bone fragments following vertebral body marrow infusion in a recipient of a liver and intestinal transplant. Even though pulmonary embolism with bony microfragments has been widely described following bone marrow transplantation, the use of single, high-dose donor bone marrow infusion and/or multiple infusions currently under clinical investigation for induction of donor specific unresponsiveness, may warrant the implementation of additional steps in the vertebral body marrow processing technique to decrease or eliminate the component of bony microfragments in the final preparation.

Polymer-free amphilimus-eluting stents in patients with diabetes mellitus

Despite several improvements in drug-eluting stents design, diabetes mellitus (DM) remains an Achilles' heel for percutaneous coronary revascularization at the present time. The Cre8 stent is a third-generation drug-eluting stent devoid of polymer. The drug, which is formulated with an amphiphilic carrier, is eluted from laser-dug wells on the stent's abluminal surface. The Cre8 stent hat has shown promising preliminary results in patients with DM. This review summarizes the mechanisms of DES failure in patients with DM and the potential role of the Cre8 stent in this high-risk population.

Developmental competence and embryo quality of small oocytes from pre-pubertal goats cultured in IVM medium supplemented with low level of hormones, insulin-transferrin-selenium and ascorbic acid

The aim of this study was to test the effect of insulin-transferrin-selenium (ITS) and L-ascorbic acid (AA) supplementation and the hormonal level during in vitro maturation (IVM) of small oocytes from pre-pubertal goat on the blastocyst yield and quality. Concretely, we used four maturation media: conventional IVM medium (CM), growth medium (GM: CM+ITS+AA and low level of hormones), modified CM (mCM: CM with low level of hormones) and modified GM (mGM: CM+ITS+AA and normal level of hormones). Cumulus-oocyte complexes (COCs) were classified into two categories according to oocyte diameter: <125 μm and ≥ 125 μm. Large oocytes were matured 24 h in CM (Treatment A). Small oocytes were matured randomly in six experimental groups: Treatment B: 24 h in CM; Treatment C: 12 h in GM and 12 h in CM; Treatment D: 24 h in mGM; Treatment E: 12 h in mGM and 12 h in CM; Treatment F: 12 h in mCM and 12 h in CM; and Treatment G: 12 h in GM and 12 h in mGM. After IVM, oocytes were fertilized and cultured for 8 days. The blastocyst quality was assessed by the survival following vitrification/warming and the mean cell number. When different maturation media were combined, the blastocyst rate did not improve. The large oocytes produced the highest blastocysts yield. However, the culture of small oocytes in GM (53.3%) enhanced the post-warming survival of blastocysts compared to large oocytes matured in CM (35.7%). In conclusion, IVM of pre-pubertal goat small oocytes in GM would be useful to improve the quality of in vitro-produced blastocysts.

260 IN VITRO DEVELOPMENTAL COMPETENCE OF PREPUBERTAL GOAT OOCYTES CULTURED IN GROWTH MEDIUM

The prepubertal goat ovary presents a large number of small oocytes with a compromised competence to develop up to blastocyst stage. In pigs (Wu et al. 2006), using growth medium (GM) composed by low hormone concentrations, ascorbic acid, and insulin transferrin selenium (ITS) during the first 24 h of in vitro maturation (IVM) improved embryo development of small oocytes. The aim of this study was to test the GM in small prepubertal goat oocytes in order to increase blastocyst yield. The cumulus–oocyte complexes (COC) were recovered from prepubertal (1–2 months old) goat ovaries by slicing. The COC with a compact cumulus and homogeneous cytoplasm were selected and classified into 2 categories based on oocyte diameter: <125 μm and ≥125 μm. The ≥125 μm oocytes were matured in groups of 25 to 30 COC/100 μL drops of conventional IVM medium covered with mineral oil for 24 h (Treatment A). This medium was TCM-199 supplemented with 10% donor bovine serum, 10 μg mL–1 FSH, 10 μg mL–1 LH, 1 μg mL–1 17β-oestradiol, and 100 μM cysteamine. The <125 μm oocytes were distributed into 3 experimental groups: Treatment B, COC matured in the conventional IVM medium; Treatment C, COC cultured in GM (TCM-199, 10% donor bovine serum, 0.04 μg mL–1 FSH, 0.04 μg mL–1 LH, 0.004 μg mL–1 17β-oestradiol, 100 μM cysteamine, 100 μg mL–1 ascorbic acid, and 5 μL mL–1 ITS) for 12 h before placement for other 12 h in the conventional IVM medium, all drops of growth or maturation medium were covered with mineral oil; Treatment D, COC cultured during the first 12 h in GM and other 12 h into the conventional medium supplemented with 100 μg mL–1 ascorbic acid and 5 μL mL–1 ITS. After IVM, oocytes were fertilized for 24 h with a sperm concentration of 4 × 106 spz mL–1. Presumptive zygotes were cultured in SOF for 9 days. The cleavage rate was evaluated at 48 h post-insemination and blastocyst percentages at the final in vitro embryo culture (treatments A, B, C: 5 replicates; treatment D: 4 replicates). The results are shown in the Table 1. Cleavage and embryo development did not show different results when we compared small oocytes matured in GM to those matured in conventional IVM medium. However, the biggest oocytes (≥125 μm) showed the highest percentage of blastocyst development. The current study shows that the culture of small prepubertal goat oocytes in GM does not improve blastocyst yield. Table 1.Effect of growth medium on embryo development of small oocytes (<125 μm) from prepubertal goats

257 DETECTION OF MICROTUBULES BY POLARIZED LIGHT MICROSCOPY IN SHEEP AND GOAT OOCYTES

The meiotic spindle in the oocyte is composed of microtubules and plays a key role in normal chromosome alignment and segregation during meiosis. In oocytes from farm animals, the meiotic spindle cannot be detected by conventional light microscopy due to the characteristic of their cytoplasm. Conventional methods to image the meiotic spindle rely on fixation of the oocytes. Polarized light microscopy (PLM) allows noninvasive evaluation of the meiotic spindle of metaphase oocytes. The aim of this study was to assess the efficiency of polarized light microscopy to detect microtubule-polymerized protein within in vitro matured prepubertal sheep and goat oocytes. We carried out 2 studies. In the first one, cumulus–oocyte complexes from slaughterhouse sheep ovaries were matured in vitro for 27 h. After in vitro maturation, oocytes (n = 77) were denuded of cumulus cells and placed individually in 10-μL drops of TCM-199-HEPES-BSA in a glass Petri dish. Polarized light microscopy was used to detect the presence of polymerized protein, which could be associated with the forming of a meiotic spindle. To confirm the presence of the polymerized protein and the meiotic spindle, each individual oocyte was subjected to immunostaining and chromatin detection as described by (Morató et al. 2008 Mol. Reprod. Dev. 75, 191–201). The experiment was replicated 4 times. The correlation analysis was performed using the Proc Corr procedure of SAS. There was a positive correlation (r = 0.87; P < 0.001) between the signal obtained by PLM and the presence of microtubule-polymerized protein as confirmed by immunostaining. A positive PLM signal was detected in 87.0% of the oocytes, and 69.0% of the oocytes reached the metaphase II (MII) stage after in vitro maturation. A barrel-shaped spindle was observed in 77.3% of the MII oocytes. In the second study, we performed a similar experiment but used goat oocytes. A total of 78 oocytes were used, and PLM and immunostaining were performed in each individual oocyte as it was described with sheep oocytes. There was also a positive correlation (r = 1; P < 0.001) between the signal obtained by PLM and the presence of microtubule-polymerized protein. A positive PLM signal was detected in 98.7% of the oocytes, and 80.7% of the oocytes reached the MII stage after in vitro maturation. A barrel-shaped spindle was observed in 92.0% of the MII oocytes. These results indicate that PLM is an efficient system to detect polymerized protein in in vitro matured sheep and goat oocytes. This work was supported by the following grant: INIA: RZ2007-00013-00-00. M. Muñoz and D. Martín are sponsored by RYC08-03454 and PTA2007-0268-I, respectively.

251 SELECTION OF PREPUBERTAL SHEEP OOCYTES USING BRILLIANT CRESYL BLUE TEST

The aim of this study was to evaluate the utility of the brilliant cresyl blue (BCB) test as an indirect measure of oocyte growth to select competent prepubertal sheep oocytes for in vitro embryo production. The BCB stain allows the determination of glucose–6-phosphate dehydrogenase (G6PD) activity, an enzyme with decreased activity in oocytes that have finished their growth phase. Oocytes were obtained after slicing the surface of lamb ovaries (2–5 months old) obtained from a local abattoir. Oocytes with more than 3 compact cumulus layers and homogeny cytoplasm were selected and stained with different concentrations of BCB diluted in PBS (13-, 26-, 39-, and 52-μM BCB) during 60 min at 38.5°C in a humidified air atmosphere. Oocytes were classified into groups depending on their cytoplasm coloration: oocytes with blue cytoplasm or grown oocytes (BCB+) and oocytes without blue coloration or growing oocytes (BCB–). Oocytes were matured in an enriched TCM-199 medium for 24 h at 38.5°C and 5% CO2 in a humidified atmosphere. Oocyte diameter was also measured. Matured oocytes were partially denuded and transferred to fertilization medium (SOF) supplemented with 10% of oestrous sheep serum. Fresh semen was kept at room temperature (25°C) for 1 h. Highly motile spermatozoa were selected by using Ovipure density gradient (Nidacon EVB S.L.), and oocytes were fertilized with 1 × 106 sp mL–1. After 20 h postinsemination, presumptive zygotes were cultured for 8 days in SOF with 10% of fetal bovine serum at 38.5°C, 5% CO2, and 90% N2. Data was analysed by performing Fisher’s exact test for blastocyst production and ANOVA with Tukey’s post-test for oocyte diameter. Table 1 shows the percentage of BCB-stained oocytes and their embryo development. In this study oocytes exposed during 60 min to 13-μM BCB showed a higher percentage of embryos reaching blastocyst stage than did those in the control group (≤0.01). In other species such as goats (Rodriguez-Gonzalez et al. 2002 Theriogenology 57(5), 1397–1409) and cattle (Alm et al. 2005 Theriogenology 63(8), 2194–2205), the best protocol for the oocyte selection was the use of 26-μM BCB during 90 min. Oocyte diameter showed significant differences between BCB– with BCB+ and control group (110 μm, 134 μm, and 121 μm, respectively, ≤0.001). In conclusion, using 13 μM of BCB during 60 min is a suitable technique for increasing embryo blastocyst rates using lamb oocytes. Table 1.Effect of BCB1 concentration on embryo development of lamb oocytes The grant sponsor was the Spanish Ministry of Science and Innovation, Code: AGL2007-60227-CO2-01.

Oocyte secreted factors improve embryo developmental competence of COCs from small follicles in prepubertal goats

Oocytes secrete soluble paracrine factors called Oocyte Secreted Factors (OSFs) which regulate the cumulus cell phenotype. Follicle populations in ovaries from prepubertal females have smaller diameters than their adult counterparts. Oocytes from small follicles are less competent than those from large follicles. The aim of this study was to investigate, in prepubertal goats, the effect of OSFs secreted by denuded oocytes (DOs) from small (<3 mm) or large (>or=3 mm) follicles during IVM on embryo development and the blastocyst quality of cumulus-oocyte complexes (COCs) from small follicles and to determine if GDF9 participates in this process. Treatment groups were: (A) COCs non selected by their follicle size (control group); (B) cumulus oocytes complexes from small follicles (SFCOCs), (C) cumulus oocytes complexes from small follicles co-cultured with denuded oocytes from small follicles (SFCOCs + SFDOs), and (D) cumulus oocytes complexes from small follicles co-cultured with denuded oocytes from large follicles (SFCOCs + LFDOs). The effect of the addition of kinase inhibitor SB-431542, which antagonizes GDF9, was tested in A, C, and D treatment groups. Co-cultured SFCOCs with SFDOs or LFDOs significantly augmented the blastocyst rate in comparison to SFCOCs alone (15.77%, 17.39% vs. 10.31%, respectively). Blastocysts from SFCOCs + LFDOs group showed higher rates of tetraploid nuclei than blastocysts from SFCOCs and the control group (14.43% vs. 5.45% and 5.24%, respectively; P < 0.05). However, we did not observe differences in the hatching rate, mean cell number or embryo cryotolerance (P > 0.05) between the four treatment groups. The addition of SB-431542 during IVM did not have any effect on blastocyst rate (P > 0.05). In conclusion, in prepubertal goats, COCs with a low embryo developmental competence as a consequence of follicle size can be improved by coculturing them with denuded oocytes from both small and large follicles. GDF9 does not seem play a role in this improvement.

354 EFFECT OF OOCYTE-SECRETED FACTORS (OSF) ON EMBRYO DEVELOPMENT OF OOCYTES FROM SMALL FOLLICLES OF PREPUBERTAL GOATS

Prepubertal goat ovaries contain a great number of small follicles, between 2.5 and 3 mm in diameter (Martino A et al. 1994 Theriogenology 41, 969-980). Oocyte-secreted factors (OSFs) act on granulosa cells to perform multiple functions required for an appropriate development of the oocyte. In bovines, co-culture of COCs with denuded oocytes (DOs) during IVM improved COCs embryo development dueto OSFs secreted byDOs (Hussein T et al. 2006 Dev Biol. 296, 514-521). In each step of follicle growth, the OSFs secreted are different (Eppig JJ et al. 2001 Reproduction. 122, 829-838). Our hypothesis is that oocytes from small follicles could improve their embryo development by co-culturing with DOs which secrete additional OSFs. Oocytes from prepubertal goats were classified according to their follicular origin: large follicles (>3 mm), small follicles (<3 mm), and control (oocytes recovered by slicing technique and selected by their morphology). The COCs from small follicles were divided in 3 groups and each one transferred into 150-μL droplets of IVM (TCM-199 with serum, hormones and cysteamine): 1) 30 COCs alone (small group); 2) 30 COCs co-cultured with 75 denuded oocytes from small follicles (SDO group); 3) 30 COCs co-cultured with 75 denuded oocytes from large follicles (LDO group). After 27 h of IVM, COCs were fertilized in vitro and the presumptive zygotes were cultured for 8 days in SOF with 10% FCS. Two samples of oocytes were used as control groups: oocytes fertilized (IVF group) and oocytes activated (activated group).At 48 h and 8 days post-insemination (pi), respectively, cleavage and blastocyst rates were recorded. Results are shown in Table 1. Differences between treatment groups were assessed using Fisher’s exact test (Graph-Pad software, San Diego, CA, USA). Values with P < 0.05 were considered statistically significant. Oocytes from small follicle had a significantly lower cleavage and blastocyst rates than IVF and activation oocyte groups. The co-cultured of COCs with SDOs and LDOs increased significantly the blastocyst rate compared to COCs from small follicles. In conclusion, additional OSFs secreted by DOs, improved blastocyst yield of oocytes coming from small follicles. However, not differences were found between OSFs secreted by small or large follicles of prepubertal goat oocytes. Table 1.

334 EFFECT OF A GROWTH MEDIUM DURING IVM ON EMBRYO DEVELOPMENT OF PREPUBERTAL EWE OOCYTES

The aim of this study was to assess the effect of an in vitro growth medium (De Wu et al. 2006 Biol. Rep. 75, 547-554) in prepubertal ewe oocytes selected by the brilliant cresyl blue (BCB) test. Prepubertal ewe oocytes were recovered by slicing ovaries of slaughtered animals and immediately exposed during 1 h to 13 μM BCB and classified according to their cytoplasm coloration (Rodriguez-Gonzalez E et al. 2002 Theri- ogenology 57(5), 1397-1409): BCB+ (blue cytoplasm, hypothetically grown oocytes) and BCB- (uncolored cytoplasm, hypothetically growing oocytes). Uncolored oocytes (BCB-) were matured using three culture media: growth medium (GM: TCM-199, 0.04 μg mL-1 FSH, 0.04 μg mL-1 LH, 0.004 μg mL-1 estradiol, 100 μg mL-1 ascorbic acid, and 5 μL mL-1 ITS: insulin transferrin selenium), conventional maturation medium (CM: TCM-199, 10 μg mL-1 FSH, 10 μg mL-1 LH and 1 μg mL-1 estradiol) and modified maturation medium (MM: CM with the addition of 100 μg mL-1 ascorbic acid and 5 μL mL-1 ITS). Oocytes were matured in GM for 12 h and then separated into 2 groups, CM (GM+CM) and MM (GM+MM) for another 12 h of maturation. Two extra groups of BCB- oocytes were directly cultured for 24 h in CM or MM media (BCB-/CM and BCB-/MM). Colored oocytes (BCB+) and a control group (oocytes not exposed to BCB) were matured for 24 h in CM. All groups were cultured at 38.5°C and 5% CO2 in humidified atmosphere. Fertilization took place in SOF medium supplemented with 10% of estrous sheep serum during 20 h with a sperm concentration of 1 × 106 spermatozoa/mL. Presumptive zygotes were cultured for 8 days in SOF with 10% FCS at 38.5°C, 5% CO2 and 5% O2. Results are shown in Table 1. The percentage of morula plus blastocyst obtained from BCB - oocytes was significantly increased in oocytes exposed to growth medium (containing ITS, ascorbic acid and low hormone concentrations; groups GM+CM and GM+MM) for the first 12 h. An increasing tendency has also been observed in blastocyst yield in these two groups. Regarding maturation rate, no differences were found in all groups (data not shown). In conclusion, as De Wu et al. (2006) showed in prepubertal gilts, we also achieved some improvements in embryo development of growing oocytes when the first 12 h of maturation took place in a growth medium. However, embryo developmental potential of BCB- oocytes is still lower compared with that of BCB+ oocytes. Table 1.Effect of GM on embryo development of BCB- oocytes Grant sponsor Spanish Ministry of Science and Innovation.Code: AGL2007-60227-CO2-01

366 SEXING OF GOAT BLASTOCYSTS PRODUCED IN VITRO BY FISH USING CHROMOSOME X AND Y OVINE SPECIFIC PROBES

The aim of this study was to test a FISH approach using ovine-painted probes specific for the chromosomes X and Y, on goat interphase and metaphase nuclei of blastocyst cells. Oocytes of prepubertal goats were recovered at a slaughterhouse and selected by morphological criteria. Oocytes were matured in TCM-199 supplemented with hormones, serum and cysteine at 38.5°C for 27 h. IVM-oocytes were fertilized in vitro and the presumptive zygotes were cultured for 10 days in SOF with 10% FCS at 38.5°C, 5% CO2 and 5% O2. The blastocyst nuclei were spread using a modified Tarkowski method (1966). Briefly, individual embryos were immersed into hypotonic solution for 5 min, followed by fixative solution of methanol/acetic acid (Carnoy’s solution) until the embryos acquired a transparent appearance. Next, the embryos were transferred to a Superfrost plus Slide (Menzel Gläser, Braunschweig, Germany) in a small droplet mixture of distilled water and Carnoy The zona pellucida and the blastomere cytoplasm dissolved gradually and Carnoy solution was added dropwise to the slide before the nuclei dried out. The morphology and total number of nuclei in each embryo were analyzed under phase contrast microscope and stored at -18°C. Embryos with appropriate fixation were then subjected to hybridization with ovine-painted probes specific to chromosomes X (Fluorocrom green-FITC) and Y (Fluorocrom orange-TAMRA) (Chrombios-Molecular Cytogenetics GmbH, Raubling, Germany) according to the manufacturers protocol and adjusted for the caprine species. Briefly, slides were then incubated at 60°C for 1 h. The chromosomal DNA was then denatured by immersing slides in 70% formamide/30% 2 × SSC at 70°C for 1.5 min, and immediately dehydrated in an ethanol series (70%, 90%, and 100%), 4 min duration per solution and air dried. In parallel, X- and Y-probes were added to the hybridization solution (50% deionized formamide, 10% dextran sulfate, 2 × SSC) and denatured at 75°C for 10 min. Aliquots (0.5 to 1.5 μL) of this solution were placed on each slide and sealed with a coverslip and glue prior to incubation at 37°C (Hybrite; Vysis Inc, Dowers Grove, IL, USA). After 22 to 24 h the coverslip was removed and the slides were washed three times. The first and third washes were performed with 2 × SSC at room temperature while the second wash was in a 0.4 × SSC/0.1% Tween at 73°C for 3 min. Nuclear DNA was counterstained with diamino-phenyl-indole solution (DAPI) and examined with a fluorescence microscope (Olympus BX61, Olympus America Inc., Melville, NY, USA) equipped with appropriate filters. From a total of 69 blastocysts, 11 355 blastomeres were analyzed and 7,825 were correctly hybridized (68.9%). The results of the embryo sexing were: 24 embryos XX, 11 XY, 22 polyploid embryos (of which 13 presented more than 80% of cells XX), 3 haploid embryos (X0), 2 tetraploid embryos, and 5 no result. In summary, goat blastocysts were successfully sexed using FISH with painted ovine X- and Y-specific probes. Grant sponsor Spanish Ministery of Science and Innovation.Code: AGL2007-60227-CO2-01.

Effect of ICSI and embryo biopsy on embryo development and apoptosis according to oocyte diameter in prepubertal goats

ICSI and embryo biopsy are routine methods used for assisted reproduction. However, their impact on embryo quality is still poor studied. Moreover, oocyte size is also a crucial factor for blastocyst production. In this study effect of oocyte size, ICSI and embryo biopsy was assessed in terms of incidence of apoptosis and blastocyst development. IVM-oocytes from prepubertal goats were fertilized by ICSI or IVF. Embryos obtained were divided depending on oocyte size, biopsied at day-4 post-insemination/injection and cultured for additional 4-5 days. Apoptotic cell number was assessed by TUNEL staining in day-4 embryos and blastocysts obtained. In each diameter group, ICSI did not affect embryo development, blastocyst cell number and embryo apoptotic grade in comparison to IVF. Embryo biopsy did not affect blastocyst rate and apoptotic cell number, but decreased blastocyst cell number (P=0.0018). Moreover, there was a negative relationship between blastocyst cell number and apoptotic grade (P<0.05). In conclusion, ICSI and embryo biopsy do not have negative effect on embryo quality and development. However, oocyte size has a positive relationship on blastocyst yield and quality.

200 EFFECT OF OOCYTE SIZE AND MICROMANIPULATION TECHNIQUES (ICSI AND EMBRYO BIOPSY) ON GOAT EMBRYO QUALITY

The aim of this study was to evaluate embryo quality of prepubertal goat oocytes after micromanipulation techniques: ICSI and embryo biopsy. Prepubertal goat oocytes were recovered from a slaughterhouse and matured in IVM medium (TCM-199 with serum, hormones, and cystamine) for 27 h. Spermatozoa were selected by swim-up and capacitated with heparin (10 µg mL−1) plus ionomycin (200 nM) for 15 min. A total of 930 IVM oocytes were divided into 4 groups depending on size (Group I: 110–125 µm, and Group II: &gt;125 µm) and fertilization procedure: ICSI or IVF. Zygotes were cultured in TALP fertilization medium. At 24 h post-insemination (hpi), zygotes were cultured in SOF. At 48 hpi, oocyte cleavage was recorded. Four days after insemination, a sample of 8-cell embryos was biopsied by removal of one blastomere. After biopsy, embryos were cultured in SOF for a further 4 days. Blastocysts were stained by TUNEL to assess apoptotic cell percentage. Results are shown in Table 1. Biopsied and non-biopsied embryos from Group II had higher blastocyst rates than those in Group I both in ICSI and IVF (P ≤ 0.02). Group II had also larger blastocyst cell numbers than Group I both in ICSI and in IVF (P ≤ 0.001). Moreover, blastocysts from Group II non-biopsied embryos had statistically larger cell numbers than those from the biopsied ones (P ≤ 0.05). Blastocysts from Group II had a lower apoptotic rate than those in Group I both in ICSI and IVF (P ≤ 0.05). In conclusion, oocytes larger than 125 µm were more competent to achieve embryo development than smaller oocytes. ICSI did not reduce embryo quality, either in blastocyst cell number or apoptotic index, when compared with IVF. Furthermore, embryo biopsy did not reduce blastocyst rates or apoptotic index. However, embryo biopsy reduced blastocyst cell number in Group II-derived blastocysts. Table 1.Effect of oocyte size and micromanipulation techniques on goat embryo quality

338 INFLUENCE OF OOCYTE DIAMETER AND MORPHOLOGY ON APOPTOSIS AND BLASTOCYST DEVELOPMENT IN PREPUBERTAL GOAT

In vitro embryo production from prepubertal females is lower than from adult females. There are different hypotheses to explain this fact. The aim of this study was to analyze the apoptosis of prepubertal goat oocytes and its relationship to embryo development according to oocyte diameters. Oocytes from slaughtered prepubertal goats were recovered by slicing, and classified as: healthy (H: compact cumulus cells and homogeneous cytoplasm) and early atresic (EA: granulated cytoplasm and/or initial cumulus expansion), and by oocyte diameter: 110–125 µm, 125–135 µm, and &gt;135 µm. They were matured in TCM-199 for 27 h at 38.5°C and 5% CO2 in air. After maturation, a sample of oocytes was denuded, and oocytes and cumulus cells, separately, were analyzed by TUNEL assay (In Situ Cell Death Detection Kit; Roche Diagnostics SL, Barcelona, Spain) to study the apoptosis. The rest of oocytes were fertilized in vitro and the presumptive zygotes were cultured for 8 days in SOF at 38.5°C, 5% CO2 and 90% N2. Results are shown in Table 1. Fisher's exact test showed a significantly higher percentage of blastocyst formation in the largest oocytes than in those with smaller diameters; moreover, the largest healthy oocytes produced a higher rate of blastocyst formation than the early atretic oocytes of the same diameter group. TUNEL assay showed that the percentage of apoptotic oocytes was lower in the largest healthy oocytes, whereas in early atresic oocytes, apoptosis was not related to oocyte size. After maturation, the percentage of apoptotic cumulus cells was low (10% of cells) in all oocyte categories. However, in the early atretic group, the percentage of apoptotic cumulus cells increased in oocytes &lt; 125 µm. In conclusion, in prepubertal goat oocytes, the percentage of blastocysts formed depends on oocyte diameter and the percentage of apoptotic cumulus cells. Table 1.Effect of oocyte diameter and morphology on apoptosis and blastocyst development This work was supported by a grant from Generalitat de Catalunya (2006FIC 00187) and a grant from the Universitat Autonoma de Barcelona (EME-2004-25).

Oral health during pregnancy: an analysis of information collected by the pregnancy risk assessment monitoring system

BACKGROUND

Little is known about the use of dental services during pregnancy. Yet research suggests that a pregnant woman's oral health and her pregnancy outcome may be associated.

METHODS

Four states collected oral health data a part of the Pregnancy Risk Assessment Monitoring System, or PRAMS, in 1998. PRAMS is an ongoing, population-based survey designed to obtain information from mothers who recently delivered live-born infants about their experiences and behaviors before, during and immediately after pregnancy.

RESULTS

Reports of dental care use during pregnancy ranged from 22.7 to 34.7 percent. In three states, 12.2 percent to 25.4 percent of respondents reported having a dental problem and of these, 44.7 percent to 54.9 percent went for care. Among mothers reporting a dental problem, prenatal care, or PNC, insurance through public funding and late PNC entry were significantly associated with their not getting dental care.

CONCLUSIONS

Most mothers did not go for dental care during their pregnancy; among those who reported having problems, one-half did not get dental care.

PRACTICE IMPLICATIONS

Attention toward the oral health needs of pregnant women is warranted. A coordinated effort from the dental and obstetric communities to establish guidelines could benefit maternal oral health and perinatal outcomes.

Exaggerated neurogenic inflammation and substance P receptor upregulation in RSV-infected weanling rats

Respiratory syncytial virus (RSV) infection in adult rats causes exaggerated inflammation after sensory nerve stimulation in the extrapulmonary, but not in the intrapulmonary airways. The goal of this study was to analyze neurogenic inflammation in weanling F-344 rats infected with RSV 18 +/- 2 d after birth. Five days after RSV inoculation, the extravasation of Evans blue-labeled albumin after nerve stimulation was significantly greater in the intrapulmonary airways of RSV-infected weanling rats than in pathogen-free control rats. In contrast, no difference was found in the extrapulmonary airways. The level of messenger RNA (mRNA) encoding the substance P (SP) receptor (neurokinin 1 [NK1]) increased fourfold in RSV-infected lungs, whereas mRNA encoding the VIPR1 receptor for the antiinflammatory vasoactive intestinal peptide (VIP) increased to a much lesser degree. mRNAs encoding the other neurokinin (NK2) and VIP (VIPR2) receptors were not affected by the virus. Selective inhibition of the NK1 receptor abolished neurogenic inflammation in RSV-infected intrapulmonary airways. Also, neurogenic inflammation and NK1 receptor upregulation in infected lungs were inhibited by prophylaxis with a monoclonal antibody against RSV. These data suggest that RSV lower respiratory tract infection makes the intrapulmonary airways of young rats abnormally susceptible to the proinflammatory effects of SP by selectively upregulating the expression of NK1 receptors.

Pulmonary embolism with bone fragments following vertebral body marrow infusion for tolerance induction

Protocols of donor bone marrow infusion for tolerance induction are receiving increasing attention in clinical trials of organ allotransplantation. We report pulmonary embolism with bone fragments following vertebral body marrow infusion in a recipient of a liver and intestinal transplant. Even though pulmonary embolism with bony microfragments has been widely described following bone marrow transplantation, the use of single, high-dose donor bone marrow infusion and/or multiple infusions currently under clinical investigation for induction of donor specific unresponsiveness, may warrant the implementation of additional steps in the vertebral body marrow processing technique to decrease or eliminate the component of bony microfragments in the final preparation.