Journal of Clinical and Diagnostic Research, ISSN - 0973 - 709X

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On Sep 2018

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On Sep 2018

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"Journal of Clinical and Diagnostic Research is at present a well-known Indian originated scientific journal which started with a humble beginning. I have been associated with this journal since many years. I appreciate the Editor, Dr. Hemant Jain, for his constant effort in bringing up this journal to the present status right from the scratch. The journal is multidisciplinary. It encourages in publishing the scientific articles from postgraduates and also the beginners who start their career. At the same time the journal also caters for the high quality articles from specialty and super-specialty researchers. Hence it provides a platform for the scientist and researchers to publish. The other aspect of it is, the readers get the information regarding the most recent developments in science which can be used for teaching, research, treating patients and to some extent take preventive measures against certain diseases. The journal is contributing immensely to the society at national and international level."

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Thanking you
With sincere regards
Dr. Rajendra Kumar Ghritlaharey, M.S., M. Ch., FAIS
Associate Professor,
Department of Paediatric Surgery, Gandhi Medical College & Associated
Kamla Nehru & Hamidia Hospitals Bhopal, Madhya Pradesh 462 001 (India)
On May 11,2011

Dr. Shankar P.R.

"On looking back through my Gmail archives after being requested by the journal to write a short editorial about my experiences of publishing with the Journal of Clinical and Diagnostic Research (JCDR), I came across an e-mail from Dr. Hemant Jain, Editor, in March 2007, which introduced the new electronic journal. The main features of the journal which were outlined in the e-mail were extensive author support, cash rewards, the peer review process, and other salient features of the journal.
Over a span of over four years, we (I and my colleagues) have published around 25 articles in the journal. In this editorial, I plan to briefly discuss my experiences of publishing with JCDR and the strengths of the journal and to finally address the areas for improvement.
My experiences of publishing with JCDR: Overall, my experiences of publishing withJCDR have been positive. The best point about the journal is that it responds to queries from the author. This may seem to be simple and not too much to ask for, but unfortunately, many journals in the subcontinent and from many developing countries do not respond or they respond with a long delay to the queries from the authors 1. The reasons could be many, including lack of optimal secretarial and other support. Another problem with many journals is the slowness of the review process. Editorial processing and peer review can take anywhere between a year to two years with some journals. Also, some journals do not keep the contributors informed about the progress of the review process. Due to the long review process, the articles can lose their relevance and topicality. A major benefit with JCDR is the timeliness and promptness of its response. In Dr Jain's e-mail which was sent to me in 2007, before the introduction of the Pre-publishing system, he had stated that he had received my submission and that he would get back to me within seven days and he did!
Most of the manuscripts are published within 3 to 4 months of their submission if they are found to be suitable after the review process. JCDR is published bimonthly and the accepted articles were usually published in the next issue. Recently, due to the increased volume of the submissions, the review process has become slower and it ?? Section can take from 4 to 6 months for the articles to be reviewed. The journal has an extensive author support system and it has recently introduced a paid expedited review process. The journal also mentions the average time for processing the manuscript under different submission systems - regular submission and expedited review.
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Overall, the publishing process with JCDR has been smooth, quick and relatively hassle free and I can recommend other authors to consider the journal as an outlet for their work."

Dr. P. Ravi Shankar
KIST Medical College, P.O. Box 14142, Kathmandu, Nepal.
On April 2011

Dear team JCDR, I would like to thank you for the very professional and polite service provided by everyone at JCDR. While i have been in the field of writing and editing for sometime, this has been my first attempt in publishing a scientific paper.Thank you for hand-holding me through the process.

Dr. Anuradha
On Jan 2020

Important Notice

Experimental Research
Year : 2008 | Month : December | Volume : 2 | Issue : 6 | Page : 1234 - 1239 Full Version

In Vitro Maturation And Fertilization Capacity Of Mouse GV-Stage Oocyte Following Stepwise Vitrification

Published: December 1, 2008 | DOI:
Mahmoudi R * ,Ragardi Kashani I ** ,Abbasi M ** ,Amidi F** ,Sobhani A** ,Abolhasani F** Saadipour Kh***,Amiri I ****

*Department of Anatomy and Embryology, Medical school,Yasuj University of MedicalScience,Yasuj,(Iran)*Department of Anatomy and Embryology,Medical school,Tehran University of Medical Science,Tehran,(Iran).***Department of Physiology, Medical school,Yasuj University of Medical Science,Yasuj, (Iran).****Department of Anatomy and Embryology,Medical school,Hamadan University of MedicalScience,Hamadan, (Iran).

Correspondence Address :
Iraj Amiri,Ph.D in Anatomy,Institute Department of Anatomy and Embryology, Medical school,Hamadan University of Medical Science,Hamadan,(Iran)Email:,TEL:+98-912-336-2561 Fax:+98-811-8276299


Background: The storage of oocytes is important for advances in reproductive biology and infertility treatment. Although successful procedures for cryopreservation of human metaphase II oocytes have been reported, their results have proven unsatisfactory, and appear to require further progress. The microtubular spindle of MII oocytes is sensitive to temperature changes. Germinal vesicle (GV) stage oocytes do not have microtubular spindle, so its cryopreservation may be an alternative approach to the storage of gametes.
Aims: examining the viability and subsequent developmental ability of murine GV oocytes after vitrification.
Setting: Embryology research center at an academic institution.
Design: Original Article
Methods and Materials: Germinal vesicle oocytes with cumulus cells were transferred to vitrification solution, which was composed of 30% (v/v) ethylene glycol, 18% (w/v) Ficoll-70, and 0.3 M sucrose either by single step or in a step-wise way. After vitrification and storage in liquid nitrogen, the oocytes were thawed and washed two times in medium TCM199 and then subjected to in vitro maturation, fertilization and culture.
Results: The oocyte survival, maturation to MII, fertilization and development rates in step-wise exposure were found to be significantly higher (P<0.05) when compared with corresponding rates in the single step procedure. Collected data was analyzed by one way ANOVA test.
Conclusion: The results of present study indicate that GV stage oocytes have better morphology and viability after vitrification in stepwise method; and their rates of maturation and development to 2-cell stage are also higher as compared to oocytes cryopreserved via single step procedure.


Oocytes Cryopreservation, Germinal Vesicle Oocyte, Vitrification, Microtubule.

Cryopreservation of human gametes and embryos has become an integral part of assisted reproduction. The major developments in cryopreservation technology have mirrored the rapid expansion of reproductive technology over the past 2 decades. It is now possible to cryopreserve sperm, oocytes and embryos at their various stages of development (1). There are two methods of cell cryopreservation, slow cryopreservation and vitrification. Many cell types can be successfully cryopreserved by slow cryopreservation but some cell types can not be cryopreserved by slow equilibrium methods, or yield poor survivals.

The common reasons for failure are high sensitivity to extreme temperatures, inability to maintain an intracellular supercooled state, and disruption of complex cell-cell interactions by extracellular ice. One important cell type that has been found difficult to cryopreserve by slow freezing, is the mammalian oocyte. Generalized high sensitivity to extremes of temperature is one reason. Another, important reason is that mature oocytes are locked in the metaphase of Meiosis II; i.e., the chromosomes are arrayed on the meiotic spindle. The spindle is composed of microtubulin material, and like microtubules in general, it becomes disaggregated by being cooled to temperatures around 0°C(2),(3),(4),(5).

In case of cells and tissue types where equilibrium slow freezing yields inferior results, increasing efforts are being made to achieve cryopreservation by vitrification procedures. Vitrification has been used successfully for storage of mature (metaphase II stage) oocytes (6),(7),(8),(9),(10). But data about vitrification of germinal vesicle (GV)-stage oocytes are limited, although this mode of cryopreservation can be promising (11), (12).Up till the stage of Germinal vesicle (GV) oocytes have not formed spindles, which poses significant problems in successful cryopreservation of oocytes. At this stage, the chromosomes are decondensed and enclosed within nuclear membrane, potentially making them more resilient to cooling.
Regimes for collection of fully-grown GV-stage human oocytes have been devised that involve modification of mature oocyte collection techniques (13) and reduction in hormonal stimulation. Studies have shown that GV-stage oocytes which are stripped of cumulus cells have a reduced developmental capacity compared with that of cumulus-enclosed GV-stage oocytes (14). Cumulus cells play an important role on oocyte maturation, since they provide and transfer several known and unknown factors that are essential in regulation of meiotic progression, normal nuclear and cytoplasmic maturation of oocytes and subsequent embryonic development after fertilization (15),(16),(17),(18). The aim of this study was to compare the effects of stepwise and single step exposure to cryoprotectant on the developmental ability of vitrified mouse oocyte in ethylene glycol-sucrose in presence of cumulus cells.

Material and Methods

All chemicals were purchased from Sigma Chemical Co., St. Louis, MO, except for the ones specifically described.

Collection Of GV Oocytes
Oocytes were obtained from 3-4 week old ICR strain female mice, the animal were kept under controlled condition (14h light: 10h dark) and fed water and pellets ab libitum. Mice were stimulated by an i.p. injection of 7.5 IU pregnant mare serum gonadotropin (PMSG). 46h later the animals were killed by cervical dislocation and the ovaries were removed in Hepes-buffered human tubal fluid medium (HTF) (sigma) supplemented with 5mg/ml BSA. The GV-stage oocytes of ovarian antral follicles were released by puncturing with a 28G micro-injection needle under a stereomicroscope. The “GV cumulus oocyte complexes” were randomly allocated to three groups:control without treatment, stepwise preservation and single-step vitrification group.

Preparation Of Vitrification And Thawing Solutions
The solutions for vitrification and dilution were prepared using PB1 plus 20% fetal bovine serum. The stepwise vitrification solution consisted of solution A, which was composed of 10%(v/v) ethylene glycol, 4.5%(W/V) Ficoll-70, and 0.075M sucrose, and solution B which was composed of 20% (V/V) ethylene glycol, 9.0% (W/V) Ficoll-70, and 0.15 M sucrose, and solution C, which was composed of 30% (V/V) ethylene glycol, 18% (W/V) Ficoll-70, and 0.3 M sucrose. Single-step vitrification solution consisted only of 30% (V/V) ethylene glycol, 18% (W/V) Ficoll-70, and 0.3 M sucrose. The solutions for thawing were made of 0.5, 0.25 and 0.125 M sucrose.

Vitrification And Thawing
The GV-COC were randomly divided into either stepwise group or single-step group. In stepwise group, the GV-stage oocytes were exposed first for 5 min to 200-ml droplets of solution A, then for 2 min to 200- μl drop of solution B and finally for 1 min to 200- μl drop of solution C in 4-well plates. In single step group, the GV-stage oocytes were exposed for 1 min to 200- μl drop of solution C.

The procedures were performed at room temperature of 22-24ºC. After obtaining equilibrium, 10-15 GV oocytes were loaded into a 0.25 ml plastic straw (IVM, I Aigle, France). The straw was filled with 1 cm of vitrification medium, 0.5 cm of air, 2 cm of Vitrification medium containing oocytes, 0.5 cm of air and 3.5 cm of vitrification medium. The straw was heat sealed and plunged into liquid nitrogen. After storage for 1-5 days, straw was taken out of liquid nitrogen, held in air for 10 s, and then plunged into water of 37ºC for 10 s. Straw was then removed from water and wiped dry. It was cut with scissors and the contents containing oocytes were expelled into 400- μl drop with a sequential series of 0.5, 0.25, and 0.125 M sucrose by keeping for 90 s in each solution, and washed for 6 min in α-MEM medium supplemented with 20% FBS.

Maturation Of GV Oocytes
The vitrified-thawed GV oocytes or fresh GV oocytes (control group) were cultured in 100 μl drop of IVM medium composed of α-MEM supplemented with 0.23 mM sodium pyruvate, 1 mg/ml of fetuin, antibiotic and antimycotic solution (comprising 100 U of penicillin, 100 μg of streptomycin, and 0.25 μg of amphotericin B), 10 ng/ml of mouse epithelial growth factor of culture-grade (EGF, Upstate Biotechnology Inc, Lake placid, NY), 75 mU/ml of follicle-stimulating hormone (fertinome, serono, Geneva, Switzerland), and 3 mg/ml of bovine serum albumin (BSA, Fraction V, Sigma) under mineral oil of embryo-tested grade (sigma), and incubated at 37ºC in an atmosphere of 5% CO2 in humidified air. 16-18 h after culture, the GV-COC oocytes with first polar body were defined as mature MII oocytes.

In Vitro Fertilization And Development
Spermatozoa from male ICR mice of 12 weeks age were released by cauda Epididymis puncture in to IVF medium TYH medium supplemented with 4 mg/ml BSA. The sperms were suspended in 200 μl droplet of the IVF medium, were covered with mineral oil and incubated at 37ºC for 1-2 hrs in humidified atmosphere of 5% CO2 for capacitation. Mature oocytes (n=15-20) were placed in separate 200 μl droplet of IVF Medium under mineral oil. Sperm mixture (10-20 μl) was added to each droplet to obtain a concentration of 1-2 × 106 motile sperm/ml. after co-incubation for 5 h at 37ºC, the oocytes were then removed and washed in fresh TYH medium and placed in a 5% CO2 incubator at 37ºC. At 6-8 h post-insemination, embryos with two distinct pronuclei and a second polar body were classified as PN stage, observed under a phase-contrast inverted microscope. The pronuclei stages were then transferred to 100 μl of KSOM (potassium Simplex optimized medium) for 2-cell stage development.

Statistical Analysis
Collected data was analyzed by one way ANOVA test. The difference in values of Survival, Maturation, Fertilization and Developmental rate, were considered significant when p value was<0.05.


A total of 570 GV oocytes with cumulus cells were obtained from 26 ovaries that were used for vitrified and non-vitrified (control) group.
Morphological figures of nonvitrified (controls) and vitrified GV oocytes using either single step or stepwise method are shown in (Table/Fig 3). Partly dispersed cumulus cells and large subzonal space are noticeable. In stepwise method COC were similar to those in the control group.

Survival and in vitro maturation of vitrified GV oocytes
The survival and maturation rates of GV oocytes after different treatments including exposure to cryoprotectant, vitrification and for non-vitrified oocytes are shown in (Table/Fig 1). The survival and maturation rate in the stepwise group was significantly higher than single step group (p<0.05). But maturation rate in control group was significantly higher than both single step and stepwise vitrified groups(P<0.05).

In Vitro Fertilization And Development Of Vitrified GV
In vitro fertilization and development after in vitro maturation of vitrified GV oocytes is shown in (Table/Fig 2). The rates of fertilization and development to 2-cell stage in the control group were significantly higher than the entire vitrified group. Among the vitrified groups, the fertilization and developmental rates in the stepwise group treatment with EFS10, EFS 20 and EFS 30% were significantly higher than those of the single step treatment only with EFS30%. Furthermore, in stepwise vitrified group the fertilization and developmental rates were significantly higher than those in single step group (p <0.05).


In the present study mouse oocytes have been used as an easily available source. We have investigated effects of stepwise and single step exposure to cryoprotectant on the developmental ability of vitrified oocyte in ethylene glycol-sucrose in presence of cumulus cells. The vitrified oocytes were evaluated by post thawing survival, in vitro maturation, in vitro fertilization and developmental capacity to 2-cell stage. We provide evidence that vitrification of immature mouse oocytes in a stepwise manner results in satisfactory maturation and fertilization rates.

Also, this study emphasizes that the connection between cumulus cells and the oocyte in the GV-COCs is important for completion of normal oocyte maturation in vitro. Partly dispersed cumulus cells in the oocytes after single step vitrification, shows that the connection between cumulus cells and oocytes may be disturbed during vitrification and result in lower in vitro maturation rates in this group. The role of cumulus cells on oocyte maturation, ovulation, and fertilization has been identified before (18).Our results show that the presence of cumulus cells is important for oocyte maturation and fertilization after vitrification. In agreement to our study, Abe et al (19) reported survival, fertilization, maturation and developmental rate of bovine GV-COCs with using Nylon-Mesh and exposure with stepwise cryoprotectant to be significantly higher (p < 0.05) compared with the single-step vitrification. Also, Anon et al (20),(21) reported higher survival, maturation and development rates when using ultrarapid vitrification accompanied with step-wise equilibration in mouse GV oocytes than single step vitrified group.

In conclusion, the introduction of vitrification and rapid freezing techniques is gaining widespread recognition and might become the procedure of choice over traditional slow freezing methods. This study shows that GV oocytes can be vitrified successfully with both single step and stepwise methods. But, better survival and maturation and developement rates can be obtained when GV oocytes are vitrified by stepwise procedure with conventional straws.


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