- Open Access
DNA damage in cumulus cells generated after the vitrification of in vitro matured porcine oocytes and its impact on fertilization and embryo development
Porcine Health Management volume 7, Article number: 56 (2021)
The evaluation of the DNA damage generated in cumulus cells after mature cumulus-oocyte complexes vitrification can be considered as an indicator of oocyte quality since these cells play important roles in oocyte developmental competence. Therefore, the aim of this study was to determine if matured cumulus-oocyte complexes exposure to cryoprotectants (CPAs) or vitrification affects oocytes and cumulus cells viability, but also if DNA damage is generated in cumulus cells, affecting fertilization and embryo development.
The DNA damage in cumulus cells was measured using the alkaline comet assay and expressed as Comet Tail Length (CTL) and Olive Tail Moment (OTM). Results demonstrate that oocyte exposure to CPAs or vitrification reduced oocyte (75.5 ± 3.69%, Toxicity; 66.7 ± 4.57%, Vitrification) and cumulus cells viability (32.7 ± 5.85%, Toxicity; 7.7 ± 2.21%, Vitrification) compared to control (95.5 ± 4.04%, oocytes; 89 ± 4.24%, cumulus cells). Also, significantly higher DNA damage expressed as OTM was generated in the cumulus cells after exposure to CPAs and vitrification (39 ± 17.41, 33.6 ± 16.69, respectively) compared to control (7.4 ± 4.22). In addition, fertilization and embryo development rates also decreased after exposure to CPAs (35.3 ± 16.65%, 22.6 ± 3.05%, respectively) and vitrification (32.3 ± 9.29%, 20 ± 1%, respectively). It was also found that fertilization and embryo development rates in granulose-intact oocytes were significantly higher compared to denuded oocytes in the control groups. However, a decline in embryo development to the blastocyst stage was observed after CPAs exposure (1.66 ± 0.57%) or vitrification (2 ± 1%) compared to control (22.3 ± 2.51%). This could be attributed to the reduction in both cell types viability, and the generation of DNA damage in the cumulus cells.
This study demonstrates that oocyte exposure to CPAs or vitrification reduced viability in oocytes and cumulus cells, and generated DNA damage in the cumulus cells, affecting fertilization and embryo development rates. These findings will allow to understand some of the mechanisms of oocyte damage after vitrification that compromise their developmental capacity, as well as the search for new vitrification strategies to increase fertilization and embryo development rates by preserving the integrity of the cumulus cells.
Oocyte vitrification has become an important tool for the improvement of assisted reproduction in humans and other mammalian species. The oocyte meiotic stage , the cryoprotectant agents (CPAs) selection, and the volume of the cell-storage device  are key factors associated with the success of vitrification. For vitrification, CPAs are used at high concentrations (16–50%), which causes detrimental effects in oocytes and compromises their further development. The toxicity and use of high CPAs concentrations have been a limiting factor for cryopreservation success. For this reason, cryoprotectant-free vitrification methods have been attempted in human spermatozoa  and equine oocytes  without success, and so far, it has never been performed in porcine. Moreover, results from previous studies demonstrated the need for CPAs [3,4,5,6], and recently new nontoxic CPAs has been proposed . For oocyte cryopreservation, ethylene glycol (EG) and dimethylsulfoxide (DMSO) have been the most widely used permeable CPAs. It was reported that its use is safer than 1,2- propanediol (PROH) . Somfai et al.  reported that the mixture of EG + propylene glycol (PG) is similar to EG + DMSO in blastocyst production after immature oocyte vitrification. Also, we reported that immature oocyte vitrification with EG + DMSO resulted in a 30% blastocyst formation . Therefore, in the present study, EG + DMSO were used for metaphase II (MII) oocytes exposure or vitrification.
In humans and other mammalian species, oocytes are mostly recovered and vitrified at the MII stage [10,11,12,13,14] prior to in vitro fertilization (IVF) or intracytoplasmic sperm injection (ICSI). At this stage, the cumulus cells (CCs) are only removed if ICSI is performed. However, studies have reported contradictory results, some of which highlight the beneficial effects of the CCs  surrounding the oocyte during vitrification , but another study reported that the removal of these cells before vitrification improves oocyte survival and maturation . CCs play several major roles in oocyte maturation and fertilization  and have also been proposed as oocyte quality biomarkers . In this regard, a study reported that vitrified MII oocytes with CCs resulted in higher IVF rates compared to denuded oocytes . It was also reported that the CCs protect MII oocytes against zona pellucida hardening and cytoplasmic damage during vitrification-warming . Additionally, the CCs prevent oocyte cryodamage by preserving the structure of major oocyte organelles after vitrification . These cells are firstly exposed to the CPAs, preventing osmotic shock, facilitating oocyte dehydration, and reducing oocyte damage . Because of this, it was reported that the CCs viability decreases considerably after cumulus-oocyte complexes (COCs) vitrification [20, 22, 23]. In contrast, other studies support that COCs vitrification reduces CPAs penetration and increases ice crystal formation in oocytes leading to inadequate dehydration, which affects oocyte survival [24, 25]. However, information about the alterations produced by vitrification in porcine CCs is limited.
The inefficiencies in determining the quality of the oocytes are a major issue that compromises successful fertilization rates. Since the direct evaluation of oocytes by invasive methods can impair their development, the study of CCs can reflect oocytes developmental competence. It has been reported that CCs and oocytes bidirectional communication is needed for the development and functions of both cell types . Oocytes influence granulosa cells development by paracrine factors, and control metabolic activities by promoting gene expression in CCs . Therefore, to evaluate if vitrification is capable of generating DNA damage in the CCs is of great importance for oocyte fertilization and embryo development (ED). For this purpose, DNA fragmentation can be measured by means of the comet assay . Most studies have been carried out to evaluate the effects caused by vitrification on the oocytes leaving aside the importance of the CCs [28,29,30]. Stachowiak et al.  evaluated the DNA damage using the comet assay in bovine oocytes exposed to different vitrification methods. This study suggests that the vitrification of MII oocytes resulted in considerable DNA fragmentation. Also, DNA damage in CCs generated after cryopreservation has been reported in humans , bovine , and equine . It was reported that after vitrification, greater DNA damage is generated in the peripheral CCs than in the inner CCs . However, in pigs, this has not yet been evaluated. Pigs are an important experimental model since this species has anatomical, biochemical, and endocrine similarities with humans . Therefore, in vitro studies may suggest some of the mechanisms of damage produced by vitrification and its possible application in humans. Thus, the evaluation of the DNA integrity after vitrification in CCs will be helpful in order to find new vitrification strategies that will increase IVF and ED rates. Therefore, the aim of this study was to determine if matured porcine COCs exposure to CPAs or vitrification affects oocyte and cumulus cells viability, and if DNA damage is generated in cumulus cells, affecting fertilization and ED.
Materials and methods
Seven replicates were performed. In each replicate all experiments were performed. In vitro matured COCs with a two-four-layer of CCs  were randomly distributed into four groups: (1) control (no treatment); (2) hydrogen peroxide (H2O2) was used as a DNA damage-inducer , positive control (COCs exposed to 2.2% of H2O2 for 5 min); (3) toxicity (COCs exposed to CPAs, EG + DMSO without vitrification); and (4) Vitrification (COCs exposed to CPAs, EG + DMSO and vitrified in Cryolock, Importadora Mexicana de Materiales para Reproducción Asistida S.A. de C.V., México). After treatments, viability was evaluated in oocytes and CCs. For this, CCs were separated from oocytes by COCs mechanical denudation. The DNA damage was evaluated only in the CCs. After treatments, to determine the importance of the CCs during IVF and ED, oocytes were fertilized in the absence (denuded oocytes, − CCs) or presence (intact COCs, + CCs) of the CCs. The number of evaluated oocytes and CCs for each experiment is shown in the description of the figure captions.
This study was approved under the regulations of the Ethics Committee for the care and use of animals; Metropolitan Autonomous University-Iztapalapa Campus.
Oocyte collection and in vitro maturation
Ovaries were collected from F1 (Landrace X Yorkshire) pre-pubertal gilts at the “Los Arcos” slaughterhouse (State of Mexico) and transported to the laboratory in 0.9% NaCl solution at 25 °C in less than 2 h. The aforementioned facility has the animal health federal law authorization number 6265375. Ovarian follicles between 3 and 6 mm in diameter were punctured to obtain the follicular fluid. Follicular contents were left to sediment and washed twice with Tyrode modified medium supplemented with 10 mM sodium lactate, 10 mM HEPES and 1 mg/mL polyvinyl alcohol (PVA) (TL-HEPES-PVA) at pH 7.3–7.4 for COCs collection. Oocytes with uniform cytoplasm surrounded by a two-four-layer compact mass of CCs were selected. COCs were washed three times in 500 μL drops of maturation medium: TCM-199 with Earle’s salts and 26.2 mM sodium bicarbonate (In Vitro, Mexico) supplemented with 0.1% PVA, 3.05 mM D-glucose, 0.91 mM sodium pyruvate, 0.57 mM cysteine and 10 ng/mL EGF, 0.5 μg/mL LH, and 0.5 μg/mL FSH. 30–40 COCs were placed in each well of a four-well dish (Thermo-Scientific Nunc, Rochester NY) containing 500 μL of maturation medium and incubated at 38.5 °C with 5% CO2 in air and humidity at saturation for 44 h . Maturation was evaluated by the Hoechst stain only in the negative control. Oocytes were stained with 10 μg/mL bisbenzimide (Hoechst 33342) for 40 min using an epifluorescence microscope (Zeiss Axiostar) 400× magnification for observation. Oocytes with a germinal vesicle (GV) or in metaphase I (MI) were considered immature; and those in MII with the first polar body, as matured.
Oocyte and cumulus cells viability
After treatments, COCs were denuded mechanically to remove the CCs and evaluate both cell types separately. Oocytes were transferred to a 100 μL drop of 0.5 mg/mL methyl-thiazolyl-tetrazolium (MTT) diluted in modified Tris-buffered medium for viability evaluation. After 90 min, oocytes were observed under a light microscope (Zeiss Axiostar). Oocytes with purple coloration were considered as viable (Fig. 1a) and colorless ones as non-viable (Fig. 1b). For CCs viability, another agent was used. 10 μL of maturation medium with the CCs were transferred to a 10 μL drop of trypan blue. This 20 μL drop was settled in a Neubauer chamber for observation under a light microscope. Colorless cells were considered as viable and those with blue coloration as non-viable (Fig. 1c, d).
After in vitro maturation (IVM), groups of eight to ten COCs were exposed to the highest CPAs concentration solution (10 μL) containing TCM-199 with Earle´s Salts without HEPES, 16% DMSO, 16% EG and 0.4 M sucrose at 38.5 °C for 1 min (Toxicity group). Immediately, COCs were recovered and washed three times in TL-HEPES-PVA medium. Finally, the comet assay was performed only in CCs. The CPAs concentration, exposure time and temperature were selected to make them comparable to values commonly used for oocyte vitrification protocols .
Vitrification and warming
After IVM, COCs were exposed to the first vitrification solution in a four-well dish (500 μL) containing TCM-199, 7.5% DMSO and 7.5% EG for 3 min, and for 1 min in a second vitrification solution (10 μL) containing TCM-199, 16% DMSO, 16% EG and 0.4 M sucrose at 38.5 °C solution temperature. Groups of eight to ten COCs were loaded into the Cryolock, then immediately plunged horizontally into liquid nitrogen − 196 °C and stored for 30 min . For warming, the Cryolock was submerged vertically in a four-well dish containing 800 μL of TCM-199 at 38.5 °C solution temperature supplemented with 0.13 M sucrose for 5 min. COCs were washed three times in phosphate buffer solution (PBS) and denuded mechanically to obtain only the CCs in order to perform the comet assay.
DNA damage in cumulus cells by the comet assay
The DNA damage generated by CPAs exposure and vitrification in CCs was evaluated by the alkaline comet assay following the protocol by Einaudi et al. . Results were expressed as Comet Tail Length (CTL) and Olive Tail Moment (OTM), then analyzed with the ChromaGen program (ODP, México). Low melting point (0.5%) and normal melting point agarose (0.1%) were prepared in PBS magnesium salt-free. Frosted slides were covered with normal melting point agarose until solidification at room temperature for at least 24 h. CCs were dissolved in low melting point agarose and added to a slide previously treated with normal melting point agarose in darkness for 10 min until solidification. Another layer of low melting point agarose was added, and immediately covered by a coverslip until solidification. Slides were immersed in a lysis solution containing 2.5 M NaCl, 100 mM Na2EDTA, 10 mM Tris–HCl (pH 10), 1% Triton X-100 and 10% DMSO at 4 °C for 24 h; then placed in horizontal electrophoresis and equilibrated in the buffer solution for 15 min; afterward, electrophoresis was performed at 25 V, 300 mA for 15 min. After electrophoresis, slides were placed in a neutralization solution 0.4 M Tris–HCl (pH 7.5) for 10 min. Then submerged in 70% ethanol for 5 min and, finally, dried at room temperature, for approximately 3 h. To assess DNA damage, slides were stained with 25 mL of ethidium bromide for 10 min  and analyzed using an epifluorescence microscope (Zeiss Axiostar) with the red filter (band-pass filter, 515–560 nm; long-pass filter, 590 nm), observing comets at 400×. Comet pictures were analyzed with the ChromaGen program, considering the CTL in micrometers. The CTL refers to the extent of the DNA damage. The percentage of DNA integrity refers to less DNA damage. Approximately < 15 μm of CTL is related to undamaged DNA, 15–30 μM medium damaged, and > 30 μm strong damaged. The OTM = (% tail DNA x tail length)/100.
In vitro fertilization and embryo development
To determine the importance of the CCs during IVF and ED after warming, oocytes were fertilized in the absence (− CCs) or presence (+ CCs) of the CCs. IVF and ED were carried out following the protocol described by Casillas et al. . Briefly, in vitro matured oocytes were washed twice in 500μL of TCM-199 medium and later in 500 μL of modified Tris-buffered medium (mTBM). Groups of 30 oocytes from all groups were placed into a four-well dish with 50 μL drops of mTBM covered with mineral oil and incubated for 45 min. The semen sample was obtained from one Landrace boar using the gloved hand method at a commercial insemination center, diluted in Duragen (Magapor, México) 1:2 (v:v), then transported to the laboratory at 16 °C within 2 h after collection. Sperm motility was evaluated; only semen samples with > 80% motile spermatozoa were used. Evaluation of sperm viability was performed by observation of the sample under an optical microscope. For IVF, 5 mL of the semen sample were diluted with 5 mL of Dulbecco’s phosphate buffered saline (DPBS; In Vitro, S.A., México) medium supplemented with 0.1% BSA fraction V, 75 μg/mL potassium penicillin G and 50 μg/mL streptomycin sulfate. The suspension was centrifuged (61×g for 5 min). The pellet was discarded and 5 mL of the supernatant were diluted 1:1 (v:v) with DPBS and centrifuged (1900×g for 5 min). The supernatant was discarded, and the pellet was diluted with 10 mL of DPBS and centrifuged twice under the same conditions. Later, the pellet was diluted in 100 μL of mTBM to obtain the final sperm concentration (5 X 105 spermatozoa/mL). After dilution, 50 μL of the suspension were added to the medium containing oocytes, and gametes were co-incubated in mTBM for 6 h. After co-incubation, 30 putative zygotes were transferred to four-well dishes containing 500 μL drops of North Carolina State University medium (NCSU-23). ED was evaluated under an inverted microscope at 48 h (2 days post-IVF) and 168 h (7 days post-IVF). To evaluate IVF, oocytes were stained with 10 μg/mL bisbenzimide (Hoechst 33342) diluted in PBS for 40 min. The oocytes were fixed with 2% glutaraldehyde and mounted in a PBS-glycerol solution (1:9). Putative zygotes were analyzed under an epifluorescence microscope (Zeiss Axiostar) at 400 X magnification. Fertilization was assessed 16 h after IVF by visualizing pronucleus (PN) formation by the Hoechst staining method. The embryo cleavage (number of zygotes cleaved per total cultivated) and blastocyst rates (number of blastocysts per total cultivated) were determined at 48 h (2 days post-IVF) and 168 h (7 days post-IVF), respectively, by morphological evaluation under an inverted microscope (Olympus-Optical).
Seven replicates were performed for all experiments. The data obtained from oocyte and CCs viability, DNA damage in CCs, and oocyte fertilization, cleavage, and blastocyst rates were treated as non-parametric and then analyzed by one-way analyses of variance (ANOVA) followed by a post-hoc multiple comparison Duncan test with a confidence level of P < 0.05 using the NCSS11 program. Data are presented as Mean ± SD.
In the present study, all oocytes were matured in vitro. Results indicate that the percentage of control oocytes that reached the MII stage was 73 ± 8.47% (Table 1).
Oocyte and cumulus cells viability after CPAs exposure and vitrification
Viability was evaluated in oocytes and CCs separately after IVM by staining in all groups (Figs. 1, 2). COCs treated with H2O2 were used as a positive control. Results demonstrate that viability after CPAs exposure Toxicity group (75.5 ± 3.69%, oocytes; 32.7 ± 5.85%, CCs) and vitrification (66.7 ± 4.57%, oocytes; 7.7 ± 2.21%, CCs) was significantly lower (*P < 0.001) in both cell types compared to control (95.5 ± 4.04%, oocytes; 89 ± 4.24%, CCs) (Fig. 2). CCs viability was significantly reduced (*P < 0.001) after vitrification compared to control (7.7 ± 2.21% vs. 89 ± 4.24%, respectively). Compared to oocytes, CCs viability decreased significantly in all treatment groups (**P < 0.0001).
Cumulus cells DNA damage after CPAs exposure and vitrification
In the comet assay, fragmented DNA shows the characteristic appearance of a comet tail, while undamaged DNA appears as an intact head. Results demonstrate that higher (*P < 0.05) CTL was obtained in all groups (67.1 ± 39.88 μm, H2O2; 61.2 ± 32.98 μm, Toxicity; 55.2 ± 27.21 μm, Vitrification) compared to control (13.1 ± 9.22 μm) (Fig. 3; filled circle). Also, results indicate that the percentage of DNA integrity (less DNA damage) was significantly reduced (*P < 0.05) in all groups (28.7 ± 22.09%, H2O2; 45.1 ± 20.29%, Toxicity; 40.1 ± 27.52%, Vitrification) compared to control (79.1 ± 21.33%) (Fig. 3; empty square).
The DNA damage in CCs was also measured using the alkaline comet assay and expressed as OTM. The OTM = (% tail DNA x tail length)/100. In terms of the OTM, results indicate that H2O2, Toxicity, and Vitrification groups (38.5 ± 18.30, 39 ± 17.41, 33.6 ± 16.69, respectively) were significantly higher (*P < 0.05) than control (7.4 ± 4.22), demonstrating that higher DNA damage is produced after CPAs exposure and vitrification (Figs. 4, 5).
Oocyte in vitro fertilization and embryo development after CPAs exposure and vitrification in the absence or presence of cumulus cells
Results demonstrate that oocyte fertilization (70.6 ± 2.08% vs. 82 ± 2%), cleavage (59 ± 3.60% vs. 77 ± 3%), and blastocyst rates (13.6 ± 3.21% vs. 22.33 ± 2.51%) was significantly higher in granulose-intact oocytes (+ CCs) compared to denuded oocytes (− CCs) in control groups (*P < 0.0001). Additionally, fertilization, cleavage and blastocyst rates significantly decreased in granulose-intact oocytes in the Toxicity (35.3 ± 16.65%, 22.6 ± 3.05%, 1.6 ± 0.57%, respectively) and Vitrification (32.3 ± 9.29%, 20 ± 1%, 2 ± 1%, respectively) groups compared to control (82 ± 2%, 77 ± 3%, 22.3 ± 2.57%, respectively) (*P < 0.0001) (Fig. 6).
In different mammalian species including humans and swine, the preservation of intact CCs after COCs vitrification is of great importance because these cells play important roles in the maturation and fertilization processes [38, 39]. However, most studies have been carried out to evaluate the effects caused by vitrification on the oocytes leaving aside the importance of the CCs [28,29,30].
Effect of vitrification on cumulus cells and oocyte viability
Our results demonstrate that CPAs exposure (toxicity group) and vitrification decreased CCs and oocyte viability. Moreover, the decrease in viability after vitrification was greater in CCs compared to oocytes (7.7 ± 2.21% vs. 66.7 ± 4.57%, respectively). In the present study, the decrease in viability in both cell types may be mainly due to the toxicity of CPAs, as these substances are used at high concentrations in vitrification protocols. Gurtovenko and Anwar  reported the possible mechanism of the interaction of several of the most used CPAs with the lipid bilayer. DMSO has a greater ability to diffuse across the phospholipid bilayer than EG. DMSO at high concentrations (40%) can destroy cell membranes completely . The sulfinyl oxygen binds to water strongly and DMSO can surround polar head groups of cell membranes, which may help explain the compound toxicity . In agreement with the results obtained in the present study, it was previously reported that the use of EG affects CCs survival after freezing. Surprisingly, even though EG is widely used for embryo cryopreservation, low survival rates in CCs are reported . According to the literature, toxicity is reduced by combining CPAs [41, 42]. Therefore, in the present study, we used EG + DMSO for vitrification since it has been proven that this mixture allows high survival rates in ewe oocytes  and porcine embryos . Another study with porcine oocytes reported that EG + DMSO and EG + PROH resulted in similar viability and IVM rates after vitrification . Somfai et al.  reported that the mixture of EG + DMSO allows the production of viable blastocysts after immature oocyte vitrification. Also, we previously reported that EG + DMSO resulted in a 30% blastocyst formation . However, high concentrations of CPAs are still used (16–50%), promoting detrimental effects in cells, especially DNA damage either in the CCs or the oocytes [20, 28, 31, 32, 37, 45,46,47]. For example, it was reported that DMSO inhibits CCs expansion in a concentration-dependent manner, resulting in cell death by apoptosis . EG has been used as an effective cryoprotectant for bovine oocytes  and embryos . El-Shanat et al.  reported that immature buffalo oocytes vitrified with EG or DMSO resulted in 85 and 83% of morphological normal oocyte-CCs, respectively. However, maturation rates were low (47% when vitrified with EG and 46% when vitrified with DMSO). One study evaluated the viability of ewe oocytes after vitrification with different cryoprotectants. They reported that oocyte viability was higher (88.16%) when using (17% EG + 17% DMSO mixture) compared to (70.95%) with (34% EG) or (68.76%) with (17% EG + 17% PROH mixture) . However, most studies evaluate the viability of the oocytes after vitrification but not that of the CCs. In this regard, compared to oocytes, the CCs are smaller in size, and are the first in contact with the CPAs protecting the oocytes during vitrification, which implies that high CPAs concentrations are initially received by these cells, producing greater cytotoxic damage. Accordingly, the results obtained in the present study indicate that CCs do protect oocytes after vitrification; however, most of them lose their viability. In agreement, other study reported that the CCs protect and promote cumulus enclosed MII oocyte survival after vitrification in equine oocytes . Tharasanit et al.  reported that the proportion of dead CCs after the vitrification of GV oocytes with 10% EG + 10% DMSO equilibration solution, and 20% EG + 20% DMSO and 0.5 M sucrose vitrification solution was 13.7% and CPAs exposure without vitrification was 2.7%. When evaluating the viability of the CCs in oocytes that reached maturation (MII stage) an even greater decrease in viability was observed (36%). It was also reported that CCs are more affected than oocytes after vitrification since membrane damage is produced in mouse GV oocytes .
In the present study, MII oocyte viability diminished up to 66.7 ± 4.57% after vitrification. In this regard, the nuclear cell stage before vitrification is another key factor to be considered. GV  or MII oocytes have fewer CPAs and water permeability than zygotes and later-stage embryos . The vitrification of denuded MII oocytes could generate alterations in the plasma membrane, mitochondrial distribution, meiotic spindle, and chromosomes . Rojas et al.  reported that vitrified MII oocytes show spindle abnormalities because chromosomes are exposed directly to CPAs. When oocytes are vitrified with the CCs, these cells can prevent oocyte cryodamage . In the present study, the reduction of oocyte viability up to 75.5 ± 3.69% after CPAs exposure and 66.7 ± 4.57% after vitrification could be due to the possible oocyte injuries caused by the CPAs as already mentioned above.
Effect of vitrification on cumulus cells DNA integrity
Results demonstrate that CPAs exposure and vitrification generated DNA damage in CCs. According to the literature, little is known about the DNA damage generated after vitrification in porcine CCs and most studies only evaluate the cryoinjuries produced in oocytes . In this regard, it was reported that the use of 20% of EG + 20% DMSO produced DNA damage in porcine vitrified GV oocytes, where 54.8% of oocytes resulted in DNA damage compared to 5.6% in the control group . The DNA damage in CCs may be generated since the concentrations of CPAs used during vitrification are very high for this cell type. Generally, in most vitrification protocols, these concentrations are calculated considering the characteristics of the oocytes but not those of the CCs. Therefore, this may cause the CCs to suffer more damage by vitrification than the oocytes. In agreement, Taghizabet et al. , reported that CCs create a natural protective shield around the oocyte against physico-chemical insults due to vitrification. In addition, the DNA damage generated in CCs after vitrification could also be due to the production of reactive oxygen species (ROS) [56, 57]. For example, H2O2 is believed to cause DNA strand breaks after conversion to the hydroxyl radical . Accordingly, H2O2 was used in the present study as DNA damage-inducer (positive control).
For the evaluation of cell genotoxicity caused by CPAs exposure and vitrification, the comet assay has generally been used as an evaluation method. Most studies consider the CTL as an indicator of the damage extent  and the percentage of DNA as fragmentation; however, the OTM is considered the most reliable value . The CTL is related to the percentage of DNA integrity as high CTL values indicate less DNA integrity. In the present study, an alkaline comet assay was performed to detect different types of DNA lesions including single (SSBs) and double-strand breaks (DSBs). The SSBs represent the most common type of DNA damage and unrepaired SSBs can alter DNA replication and transcription, resulting in diseases . In contrast, DSBs are one of the most severe forms of DNA damage, and can cause cell death, chromosome aberrations or loss of genetic material. However, one of the limitations of this study is that the alkaline version does not allow simultaneous discrimination between SSBs and DSBs.
Effect of vitrification on fertilization and embryo development in the presence or absence of cumulus cells
In porcine oocytes, more studies are needed since ED rates after vitrification are still reported to be low [9, 61, 62]. In the present study, the CCs were not removed from vitrified oocytes to evaluate their importance during fertilization, cleavage and ED. Results demonstrate that oocyte fertilization, cleavage, and blastocyst rates increased with the presence of the CCs compared to denuded oocytes in control groups. In vitro studies reported that CCs removal decreases fertilization rates in humans , and pigs . Also, another study in porcine oocytes reported that the presence of CCs during IVF has a positive influence on ED . However, in CPAs exposed and vitrified oocytes, fertilization, cleavage, and ED rates significantly decreased compared to control. This fact could be explained by the results obtained in the present study, in which the decreased CCs viability and the generation of DNA damage after vitrification, could affect CCs-sperm recognition prior to fertilization. In this regard, Dos Santos-Neto et al.  suggested to avoid CCs removal before IVF in sheep MII oocytes and the addition of a fresh CCs co-culture system for improving blastocyst production. This suggests that during vitrification the CCs protect the oocyte but for the subsequent processes it is necessary to replace damage cells with intact ones to ensure better ED rates. They reported that vitrification of MII oocytes, fertilized with CCs resulted in 22% cleavage rate, and 9.2% blastocyst rate. In matured oocytes without CCs, cleavage resulted in 15.1% and blastocyst rate in 4.6%. In the present study with porcine oocytes, we obtained 33.6 ± 8.02% cleavage (− CCs) and 3 ± 1.73% blastocyst rate (− CCs) compared to 20 ± 1% cleavage (+ CCs) and 2 ± 1% blastocyst (+ CCs) . Results obtained in the present study were similar to those reported in sheep oocytes regarding cleavage and blastocyst rates when fertilized with or without CCs ; however, differences between species should be considered. Therefore, we suggest that the vitrification of porcine mature oocytes should be carried out without removing the CCs since a higher oocyte viability is obtained. However, since viability in the CCs is significantly reduced, the use of a co-culture system with fresh intact CCs after vitrification could increase IVF and ED rates. In agreement, Dos Santos-Neto et al.  reported that the addition of a co-culture system with CCs increases blastocyst rates up to 10.7% in sheep. Also, it was previously reported that, in the case of vitrified porcine immature oocytes, these cells can be used in co-culture systems improving IVM , cleavage and blastocyst rates [22, 62].
CCs are important in all processes of oocyte development from maturation  to embryo development. The CCs can prevent premature exocytosis of cortical granules as well as the hardening of the zona pellucida to avoid failure of sperm-oocyte recognition, allowing fertilization . It has also been reported that HAS2, VCAN and progesterone receptor mRNA expression is increased in CCs associated with oocytes that have reached the blastocyst stage . Therefore, the results obtained in the present study strongly suggest that CCs integrity after CPAs exposure and vitrification is an important factor to be considered for further oocyte developmental competence.
This study demonstrates that oocyte exposure to CPAs or vitrification reduced viability in oocytes and CCs, and generated DNA damage in the CCs, affecting fertilization and ED rates. The decline in oocyte fertilization, cleavage, and blastocyst rates after CPAs exposure or vitrification can be attributed to the reduction in both cell types viability, and the generation of DNA damage in the CCs. These findings will allow to understand some of the mechanisms of oocyte damage after vitrification that compromise their developmental capacity, as well as the search for new vitrification strategies to increase fertilization and ED rates by preserving the integrity of the CCs.
Availability of data and materials
Comet tail length
Epidermal growth factor
Intracytoplasmic sperm injection
In vitro fertilization
In vitro maturation
Olive tail moment
Reactive oxygen species
Wei-Tung H, Wolfgang H. Effects of meiotic stages, cryoprotectants, cooling and vitrification on the cryopreservation of porcine oocytes. Asian-Aust J Anim Sci. 2002;4:485–93. https://doi.org/10.5713/ajas.2002.485.
Somfai T, Men NT, Noguchi J, Kaneko H, Kashiwazaki N, Kikuchi K. Optimization of cryoprotectant treatment for the vitrification of immature cumulus-enclosed porcine oocytes: comparison of sugars, combinations of permeating cryoprotectants and equilibration regimens. J Reprod Dev. 2015;61:571–9. https://doi.org/10.1262/jrd.2015-089.
Wang M, Isachenko E, Todorov P, Rahimi G, Mallmann P, Katkov I, et al. Aseptic technology for cryoprotectant-free vitrification of human spermatozoa by direct dropping into clean liquid air: apoptosis, necrosis, motility and viability. BioMed Res Int. 2020. https://doi.org/10.1155/2020/2934315.
Pereira BC, Ortiz I, Dorado JM, Diaz-Jimenez A, Consuegra C, Gosalvez J, et al. Effect of permeable cryoprotectants-free vitrification on DNA fragmentation of equine oocyte-cumulus cells. Reprod Domest Anim. 2019;3:53–6. https://doi.org/10.1111/rda.13491.
Kasai M. Advances in the cryopreservation of mammalian oocytes and embryos: development of ultrarapid vitrification. Reprod Med Biol. 2012;1:1–9. https://doi.org/10.1046/j.1445-5781.2002.00004.x.
Bojic S, Murray A, Bentley BL, Spindler R, Pawlik P, Cordeiro JL, et al. Winter is coming: the future of cryopreservation. BMC Biol. 2021;19:56. https://doi.org/10.1186/s12915-021-00976-8.
Raju R, Bryant SJ, Wilkinson BL, Bryant G. The need for novel cryoprotectants and cryopreservation protocols: Insights into the importance of biophysical investigation and cell permeability. BBA Gen Subj. 2021;1865:129749. https://doi.org/10.1016/j.bbagen.2020.129749.
Szurek EA, Eroglu A. Comparison and avoidance of toxicity penetrating cryoprotectants. PLoS ONE. 2011;6:e27604. https://doi.org/10.1371/journal.pone.0027604.
Casillas F, Betancourt M, Cuello C, Ducolomb Y, López A, Juárez-Rojas L, et al. An efficiency comparison of different in vitro fertilization methods: IVF, ICSI and PICSI for embryo development to the blastocyst stage from vitrified porcine immature oocytes. Porcine Health Manag. 2018;4:16. https://doi.org/10.1186/s40813-018-0093-6.
Bonetti A, Cervi M, Tomei F, Marchini M, Ortolani F, Manno M. Ultrastructural evaluation of human metaphase II oocytes after vitrification: closed versus open devices. Fertil Steril. 2011;95:928–35. https://doi.org/10.1016/j.fertnstert.2010.08.027.
Chian RC, Wang Y, Li YR. Oocyte vitrification: advances, progress and future goals. J Assist Reprod Genet. 2014;31:411–20. https://doi.org/10.1007/s10815-014-0180-9.
Chang H, Chen H, Zhang L, Wang Y, Xie X, Zhang Y, Quan F. Effect of oocyte vitrification on DNA damage in metaphase II oocytes and the resulting preimplantation embryos. Mol Reprod Dev. 2019;86:1–12. https://doi.org/10.1002/mrd.23247.
Dujickova L, Makarevich AV, Olexikova L, Kubovicova E, Strejcek F. Metodological approaches for vitrification of bovine oocytes. Zygote. 2020. https://doi.org/10.1017/S0967199420000465.
Huo Y, Yuan P, Qin Q, Yan Z, Yan L, Ping L, et al. Effects of vitrification and cryostorage duration on single-cell RNA-Seq profiling of vitrified-thawed human metaphase II oocytes. Front Med. 2021;15:144–54. https://doi.org/10.1007/s11684-020-0792-7.
Van Soom A, Tanghe S, De Pauw I, Maes D, De Kruif A. Function of the cumulus oophorus before and during mammalian fertilization. Reprod Domest Anim. 2002;37:144–51. https://doi.org/10.1046/j.1439-0531.2002.00345.x.
Abd-El Rheem SM, Elsharkawy S. Effect of cumulus cells on the efficiency of vitrified-thawed immature cattle oocytes. Open J Obstet Gynecol. 2019;9:669–78. https://doi.org/10.4236/ojog.2019.95066.
Bogliolo L, Ariu F, Fois S, Rosati I, Zedda MT, Leoni G, et al. Morphological and biochemical analysis of immature ovine oocytes vitrified with or without cumulus cells. Theriogenology. 2007;68:1138–49. https://doi.org/10.1016/j.theriogenology.2007.08.013.
Ekart J, McNatty K, Hutton J, Pitman J. Ranking and selection of MII oocytes in human ICSI cycles using gene expression levels from associated cumulus cells. Hum Reprod. 2013;28:2930–42. https://doi.org/10.1093/humrep/det357.
Kohaya N, Fujiwara K, Ito J, Kashiwazaki N. High developmental rates of mouse oocytes cryopreserved by an optimized vitrification protocol: the effects of cryoprotectants, calcium and cumulus cells. J Reprod Dev. 2011;57:675–80. https://doi.org/10.1262/jrd.11-066h.
Tharasanit T, Colleoni S, Galli C, Colenbrander B, Stout A. Protective effects of the cumulus-corona radiata complex during vitrification of horse oocytes. Reproduction. 2009;137:391–401. https://doi.org/10.1530/REP-08-0333.
Taghizabet N, Ali Khalili M, Anbari F, Agha-Rahimi A, Nottola SA, Macchiarelli G, et al. Human cumulus cell sensitivity to vitrification, an ultrastructural study. Zygote. 2018;26:224–31. https://doi.org/10.1017/S0967199418000138.
Jin HX, Song WY, Xin ZM, Dai SJ, Chen ZJ, Sun YP. Effects of cumulus cells on vitreous cryopreservation of human mature oocytes and clinical pregnancy outcomes. Reprod Sci. 2012;19:216–20. https://doi.org/10.1177/1933719111424450.
Casillas F, Teteltitla-Silvestre M, Ducolomb Y, Lemus AE, Salazar Z, Casas E, et al. Co-culture with granulosa cells improve the in vitro maturation ability of porcine immature oocytes vitrified with cryolock. Cryobiology. 2014;69:299–304. https://doi.org/10.1016/j.cryobiol.2014.08.004.
Gook DA, Osborn SM, Johnston WI. Cryopreservation of mouse and human oocytes using 1,2-propanediol and the configuration of the miotic spindle. Hum Reprod. 1993;8:1101–9. https://doi.org/10.1093/oxfordjournals.humrep.a138201.
Ortiz-Escribano N, Smits K, Piepers S, Van den Abbeel E, Woelders H, Van Soom A. Role of cumulus cells during vitrification and fertilization of mature bovine oocytes: Effects on survival, fertilization, and blastocyst development. Theriogenology. 2016;86:635–41. https://doi.org/10.1016/j.theriogenology.2016.02.015.
Su YQ, Sugira K, Eppig JJ. Mouse oocyte control of granulosa cell development and function: paracrine regulation of cumulus cell metabolism. Sem Reprod Med. 2009;27:32–42. https://doi.org/10.1055/s-0028-1108008.
Lorenzo Y, Costa S, Collins AR, Azqueta A. The comet assay, DNA damage, DNA repair and cytotoxicity: hedgehogs are not always dead. Mutagenesis. 2013;28:427–32. https://doi.org/10.1093/mutage/get018.
Rojas C, Palomo MJ, Albarracín JL, Mogas T. Vitrification of immature and in vitro matured pig oocytes: study of distribution of chromosomes, microtubules and actin microfilaments. Cryobiology. 2004;49:211–20. https://doi.org/10.1016/j.cryobiol.2004.07.002.
Brambillasca F, Guglielmo MC, Coticchio G, Mignini Renzini M, Dal Canto M, Fadini R. The current challenges to efficient immature oocyte cryopreservation. J Assist Reprod Genet. 2013;30:1531–9. https://doi.org/10.1007/s10815-013-0112-0.
Lei T, Guo N, Liu JQ, Tan MH, Li YF. Vitrification of in vitro matured oocytes: effects on meiotic spindle configuration and mitochondrial function. Int J Clin Exp Pathol. 2014;7:1159–65.
Stachowiak EM, Papis K, Kruszewski M, Iwanenko T, Bartlomiejczyk T, Modlinski JA. Comparison of the level(s) of DNA damage using comet assay in bovine oocytes subjected to selected vitrification methods. Reprod Domest Anim. 2009;44:653–8. https://doi.org/10.1111/j.1439-0531.2007.01042.x.
Lindley EM, Jacobson JD, Corselli J, King A, Chan PJ. Cryopreservation of human cumulus cells for co-cultures and assessment of DNA damage after thawing using the comet assay. J Assist Reprod Genet. 2001;18:534–8. https://doi.org/10.1023/A:1011991806423.
Rosa DE, Anchordaquy JM, Anchordaquy JP, Sirini MA, Testa JA, Mattiolo GA, et al. Analyses of apoptosis and DNA damage in bovine cumulus cells after in vitro maturation with different copper concentrations: consequences on early embryo development. Zygote. 2016;24:869–79. https://doi.org/10.1017/S0967199416000204.
Petters RM. Transgenic livestock as genetic models of human disease. Reprod Fertil Dev. 1994;6:643–5. https://doi.org/10.1071/rd9940643.
Collins AR, El Yamani N, Lorenzo Y, Shaposhnikov S, Brunborg G, Azqueta A. Controlling variation in the comet assay. Front Genet. 2014;20(5):359. https://doi.org/10.3389/fgene.2014.00359.
Einaudi L, Courbiere B, Tassistro V, Prevot C, Sari-Minodier I, Orsiere T, et al. In vitro exposure to benzo(a)pyrene induces significant DNA damage in mouse oocytes and cumulus cells. Hum Reprod. 2013;29:548–54. https://doi.org/10.1093/humrep/det439.
Berthelot-Ricou A, Perrin J, Di Giorgio C, De Meo M, Botta A, Courbiere B. Comet assay on mouse oocytes: an improved technique to evaluate genotoxic risk on female germ cells. Fertil Steril. 2011;95:1452–7. https://doi.org/10.1016/j.fertnstert.2010.09.016.
Racowsky C, Needleman DJ. Cumulus cell gene expression as a potential biomarker for oocyte quality. Fertil Steril. 2018;109:438–9. https://doi.org/10.1016/j.fertnstert.2017.12.013.
Casillas F, Ducolomb Y, López A, Betancourt M. Effect of porcine immature oocyte vitrification on oocyte-cumulus cell gap junctional intercellular communication. Porcine Health Management. 2020;6:37. https://doi.org/10.1186/s40813-020-00175-x.
Gurtovenko AA, Anwar J. Modulating the structure and properties of cell membranes: the molecular mechanism of action of dimethyl sulfoxide. J Phys Chem B. 2007;111:10453–60. https://doi.org/10.1021/jp073113e.
Best BP. Cryoprotectants toxicity: facts, issues and questions. Rejuvenation Res. 2015;18:422–36. https://doi.org/10.1089/rej.2014.1656.
Widyastuti R, Setiawan R, Syamsunarno AA, Ghozali M, Saili T, Boediono A. Improving ewe oocyte viability after vitrification warming using combination of different cryoprotectant and carrier system. J Kedokertan Hewan. 2018;12:57–61. https://doi.org/10.21157/j.ked.hewan.v12i3.11398.
Cuello C, Sanchez-Osorio J, Almiñana C, Gil MA, Parrilla I, Roca J, Vazquez JM, et al. Superfine open pulled straws vitrification of porcine blastocysts does not require pretreatment with cytochalasin B and/or centrifugation. Reprod Fertil Dev. 2010;28:808–17. https://doi.org/10.1071/RD09160.
Wu G, Jia B, Quan G, Xiang D, Zhang B, Shao Q, et al. Vitrification of porcine immature oocytes: association of equilibration manners with warming procedures, and permeating cryoprotectants effects under two temperatures. Cryobiology. 2017;75:21–7. https://doi.org/10.1016/j.cryobiol.2017.03.001.
Berthelot-Ricou A, Perrin J, Di Giorgio C, De Meo M, Botta A, Courbiere B. Genotoxicity assessment of mouse oocytes by comet assay before vitrification and after warming with three vitrification protocols. Fertil Steril. 2013;100:882–8. https://doi.org/10.1016/j.fertnstert.2013.05.025.
Berthelot-Ricou A, Perrin J, Orsière T, Aye M, Roustan A, Botta A, et al. Genotoxicity risk assessment and oocytes: basis of genetic toxicology and application in reproductive science. Gynecologie Obstetrique & Fertilite. 2013;41:544–7. https://doi.org/10.1016/j.gyobfe.2013.07.008.
Kopeika J, Thornhill A, Khalaf Y. The effect of cryopreservation on the genome of gametes and embryos: principles of cryobiology and critical appraisal of the evidence. Hum Reprod Update. 2015;21:209–27. https://doi.org/10.1093/humupd/dmu063.
Li X, Wang YK, Song ZQ, Du ZQ, Yang CX. Dimethyl sulfoxide perturbs cell cycle progression and spindle organization in porcine meiotic oocytes. PLoS ONE. 2016;11: e0158074. https://doi.org/10.1371/journal.pone.0158074.
El-Shahat KH, Hammam AM. Effect of different types of cryoprotectants on developmental capacity of vitrified-thawed immature buffalo oocytes. Anim Reprod. 2014;11:543–8.
Voelkel SA, Hu YX. Use of ethylene glycol as a cryoprotectant for bovine embryos allowing direct transfer of frozen-thawed embryos to recipient females. Theriogenology. 1992;37:687–97. https://doi.org/10.1016/0093-691x(92)90148-k.
Suo L, Zhou GB, Meng QG, Yan CL, Fan ZQ, Zhao XM, et al. OPS vitrification of mouse immature oocytes before or after meiosis: the effect on cumulus cells maintenance and subsequent development. Zygote. 2008;17:71–7. https://doi.org/10.1017/S0967199408005091.
Kharche SD, Sharma GT, Majumdar AC. In vitro maturation and fertilization of goat oocytes vitrified at the germinal vesicle stage. Small Rumin Res. 2005;57:81–4. https://doi.org/10.1016/j.smallrumres.2004.03.003.
Pedro PB, Yokoyama E, Zhu SE, Yoshida N, Valdez DM, Tanaka M, et al. Permeability of mouse oocytes and embryos at various developmental stages to five cryoprotectants. J Reprod Dev. 2005;51:235–46. https://doi.org/10.1262/jrd.16079.
Peinado I, Moya I, Sáez-Espinosa P, Barrera M, García-Valverde L, Francés R, et al. Impact of maturation and vitrification time of human GV oocytes on the metaphase plate configuration. Int J Mol Sci. 2021;22:1125. https://doi.org/10.3390/ijms22031125.
Taniguchi M, Agung B, Morita Y, Sato Y, Otoi T. Meiotic competence and DNA damage of porcine immature oocytes following cryoprotectant exposure and vitrification. Asian J Anim Vet Adv. 2013;8:670–6. https://doi.org/10.3923/ajava.2013.670.676.
Somfai T, Ozawa M, Noguchi J, Kaneko H, Karja NWK, Farhudin M, et al. Developmental competence of in vitro-fertilized porcine oocytes after in vitro maturation and solid surface vitrification: effect of cryopreservation on oocyte antioxidative system and cell cycle stage. Cryobiology. 2007;55:115–26. https://doi.org/10.1016/j.cryobiol.2007.06.008.
Sharma V, Collins LB, Chen TH, Herr N, Takeda S, Sun W, et al. Oxidative stress at low levels can induce clustered DNA lesions leading to NHEJ mediated mutations. Oncotarget. 2016;7:25377–90. https://doi.org/10.18632/oncotarget.8298.
Gunasekarana V, Raj GB, Chand P. A comprehensive review on clinical applications of comet assay. J Clin Diagn Res. 2015;9:GE01–5. https://doi.org/10.7860/JCDR/2015/12062.5622.
Greco F, Perrin J, Auffan M, Tassistro V, Orsiere T, Courbiere B. A new approach for the oocyte genotoxicity assay: adaptation of comet assay on mouse cumulus-oocyte complexes. Lab Anim. 2015;49:251–4. https://doi.org/10.1177/0023677214567136.
Hossain MDA, Lin Y, Yan S. Single-strand break end resection in genome integrity: mechanism and regulation by APE2. Int J Mol Sci. 2018;19:2389. https://doi.org/10.3390/ijms19082389.
Fernández-Reyes F, Ducolomb Y, Romo S, Casas E, Salazar Z, Betancourt M. Viability, maturation and embryo development in vitro of immature porcine and ovine oocytes vitrified in different devices. Cryobiology. 2012;64:261–6. https://doi.org/10.1016/j.cryobiol.2012.02.009.
Casillas F, Ducolomb Y, Lemus AE, Cuello C, Betancourt M. Porcine embryo production following in vitro fertilization and intracytoplasmic sperm injection from vitrified immature oocytes matured with a granulosa cell co-culture system. Cryobiology. 2015;71:299–305. https://doi.org/10.1016/j.cryobiol.2015.08.003.
Xian-Hong T, Li-Min W, Ren-Tao J, Li-Hua L, Hong-Bing L, Yu-Sheng L. Fertilization rates are improved after IVF if the corona radiate is left intact in vitrified-warmed human oocytes. Hum Reprod. 2012;27:3208–14. https://doi.org/10.1093/humrep/des295.
Suzuki K, Eriksson B, Shimizu H, Nagai T, Rodríguez-Martinez H. Effect of hyaluronan on monospermic penetration of porcine oocytes fertilized in vitro. Int J Androl. 2000;23:13–21. https://doi.org/10.1046/j.1365-2605.2000.t01-1-00198.x.
Wongsrikeao P, Kaneshige Y, Ooki R, Taniguchi M, Agung B, Nii M, et al. Effect of the removal of cumulus cells on the nuclear maturation, fertilization and development of porcine oocytes. Reprod Domest Anim. 2005;40:166–70. https://doi.org/10.1111/j.1439-0531.2005.00576.x.
Dos Santos-Neto PC, Vilariño M, Cuadro F, Barrera N, Crispo M. Cumulus cells during in vitro fertilization and oocyte vitrification in sheep: Remove, maintain or add? Cryobiology. 2020;92:161–7. https://doi.org/10.1016/j.cryobiol.2020.01.002.
The authors wish to thank the ¨Los Arcos¨ slaughterhouse, State of Mexico for the donation of porcine ovaries.
This study was financially supported by CONACyT, Grant Number: 598630 to Alma López for Ph.D. in Biological Health and Sciences.
Ethics approval and consent to participate
This study was performed under the Ethics Committee regulations for the care and use of animals; Metropolitan Autonomous University-Iztapalapa Campus.
The authors declare no competing interests.
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Yvonne Ducolomb: Deceased
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López, A., Betancourt, M., Ducolomb, Y. et al. DNA damage in cumulus cells generated after the vitrification of in vitro matured porcine oocytes and its impact on fertilization and embryo development. Porc Health Manag 7, 56 (2021). https://doi.org/10.1186/s40813-021-00235-w
- Matured oocytes
- Cumulus cells
- DNA damage