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人类生殖细胞低温冷冻保存现状与研究进展

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人类生殖细胞低温冷冻作为生育力保存的一种方式,在辅助生殖技术(assisted reproductive technology,ART)发展中起着重要作用,目前该技术已成为生殖医学领域的研究热点之一,并在辅助生殖实践中得到越来越广泛的应用.为提高ART的成功率,冷冻保存技术在发展中不断改进,尤其是冷冻策略的选择和冷冻保护剂的改良与优化.冷冻保存技术适用于行ART治疗或是因疾病导致的生育力下降而进行的卵母细胞、精子、胚胎冷冻保存的群体,也适用于癌症患者为保存生育力而进行的卵巢及睾丸组织冷冻保存.然而,不同的冷冻方法对于不同生殖细胞类型的冷冻效果并不一致,且目前不同生殖细胞冷冻效果的评价尚缺乏合理有效的标准.本文综述了人类生殖细胞低温冷冻保存技术的发展现状及应用,并探讨了低温保存未来的发展方向.
Current status and research progress in the development of cryopreservation of human germ cells
Cryopreservation of human germ cells as a form of fertility preservation plays an important role in the development of assisted reproductive technology(ART),which has become one of the research hotspots in the field of reproductive medicine and is increasingly used in assisted reproductive practice.To improve the success rate of ART,cryopreservation techniques are constantly being improved in development,especially the selection of freezing strategies and the improvement and optimization of cryoprotectants.Cryopreservation is indicated for groups undergoing ART or for the freezing and preservation of oocytes,sperm and embryos due to reduced fertility caused by disease.It is also indicated for the cryopreservation of ovarian and testicular tissue for fertility preservation in cancer patients.However,the freezing effect of different freezing methods is not consistent for different germ cell types,and there is a lack of reasonable and valid criteria for evaluating the freezing effect of different germ cells.This paper reviews the current development and application of cryopreservation technology for human germ cells and discusses the future development of cryopreservation.

OocytesSpermTesticular tissueEmbryosOvarian tissueCryopreservation

蒋冉、胡静怡、姚桂东

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郑州大学第一附属医院生殖医学中心,郑州 450052

卵母细胞 精子 睾丸组织 胚胎 卵巢组织 低温冷冻保存

国家自然科学基金

U1904138

2024

中华生殖与避孕杂志
上海计划生育科学研究所

中华生殖与避孕杂志

CSTPCD北大核心
影响因子:0.989
ISSN:2096-2916
年,卷(期):2024.44(1)
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