학술논문

Vitrification versus slow freezing of human ovarian tissue: a systematic review and meta-analysis of histological outcomes
Document Type
Review Paper
Source
Journal of Assisted Reproduction and Genetics: An Official Journal of the American Society for Reproductive Medicine. 40(3):455-464
Subject
Ovarian tissue cryopreservation
Fertility preservation
Slow freezing
Vitrification
Language
English
ISSN
1058-0468
1573-7330
Abstract
A systematic review and meta-analysis of pertinent literature published from 2006 to January 2022 were conducted to study and compare vitrification and slow freezing, the two prominent methods of ovarian tissue cryopreservation. The primary outcome measures for this study were (1) proportion of intact primordial follicles, (2) proportion of intact stromal cells, (3) proportion of DNA fragmentation in primordial follicles, and (4) mean primordial follicle density. This meta-analysis of 19 studies revealed a significantly greater proportion of intact stromal cells in vitrified tissue versus slow-frozen tissue. No significant differences upon pooled analyses were observed between the two cryopreservation methods with respect to the proportion of intact primordial follicles, proportion of DNA fragmentation, or mean primordial follicle density. Due to differences seen in stromal cell viability, vitrification may be a preferred option to preserve histology of tissue. However, more work should be done to compare the two freezing techniques with less heterogeneity caused by patients, samples, and protocols.