Cryopreservation: Anuja Kamath, M.SC Bangalore Assisted Conception Centre

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CRYOPRESERVATION

ANUJA KAMATH, M.Sc


BANGALORE ASSISTED CONCEPTION CENTRE
Definitions
 Cryobiology- branch of biology that

studies life at below normal temperature.

 Deals with effects of freezing and thawing

 Cells in “Suspended Animation”


Definitions
 Cryopreservation -process of preserving and
storing living system in a viable condition at
low temperature for future use.

 Traditionally means freezing.

 Includes the ice free vitrification.


Applications
 Most widely used in Reproductive Medicine

 Preservation of
◦ Gametes
◦ Embryos
◦ Gonadal Tissue.

 Forefront of research in ART .

 Tendency of IVF world to switch over to natural cycle IVF


and SET.
Cryopreservation in ART
INDICATIONS-
 To gain time- postponement of fertility-

cancer patient , OHSS


 To meet logistic needs-gamete or embryo

donation
 Ensure backup-for repeat ET
Aim of cryopreservation
AIM
 To slow and/or shut down cellular activity
 To preserve structure

Results:
 Variable depending on the complexity

of the tissue to be preserved


Water – In Living Tissues
 Major content of cell.
 universal compatible solvent.
 Unique properties for stability of living cells.
 Cooling – Induction of ice crystals.
 Phase transition from water to ice is the

most profound challenge for survival.


 Volume expansion and Osmotic

dehydration.
 Cellular Destruction – Intra cellular

organelle & Phospholipid membrane.


Freezing
 Two types
◦ Equilibrium cooling (Slow Freezing)
slow-rate freezing, extracellular ice formation
drives cellular dehydration through an equilibrium
process.
◦ Non Equilibrium Cooling (Vitrification)
form of rapid cooling, utilizes very high
concentrations of cryoprotectant that solidify
without forming ice crystals.
Equilibrium Cooling
 Cryopreservation protocol

 Water content of a cell remains in osmotic


balance with the surrounding solution during
cooling

 In the presence of extra cellular ice crystals

 Slow cooling procedures


Non-Equilibrium Cooling

 Cellular dehydration and cryoprotectant


penetration are enforced by solutions with a
high osmolarity before cooling commences

 Change very little during the cooling step

 All rapid-cooling procedures


Seeding
 Manual or automated initiation of ice
formation
 Usually as part of a slow cooling procedure
 Is initiated for example by touching the edge
of the solution with a cold implement (e.g.
forceps at -196°C)
 The cryoprotectant is seeded at a high
subzero temperature (between - 4°C and -
9°C) to initiate dehydration of the specimen
Cryoprotectants
 Defined as any additive provided to cells
before freezing and yields a higher post-thaw
survival.
Cryoprotectant
 protect cells from ice crystal damage by
increasing solute
 Intracellular cyroprotectants (Permeating)

◦ 1,2 propanediol
◦ dimethyl sulfoxide DMSO
◦ ethylene glycol
◦ glycerol
 Extracellular cryoprotectants (Non
Permeating)
◦ sucrose and raffinose
Cryoprotectant
 Cryoprotectant - Non-permeating

 Any of a range of compounds which do not


readily cross the cell membrane but which
none the less provide cells with protection
against cryoinjury

 The ones most commonly used for cells


include sugars, polymers and proteins
Cryoprotectant
 Cryoprotectant – Permeating

 Any of a range of low molecular weight


hydrophilic compounds which can hydrogen bond
with water

 DMSO, ethylene glycol, glycerol and propylene


glycol

 Most cryoprotectants act as `antifreezes' in that


they depress the ice nucleation temperature
DMSO
 Antifreeze compound widely used for
oocytes and embryos at a concentration of
1.5 mol/l (11% v/v) for slow cooling, and
>3.5 mol/l for rapid cooling

 It is commonly used in combination with


glycol-type compounds as the combination
interacts with water and biological materials
in a slightly different way to glycols alone
Ethylene glycol
 Also called 1,2-ethanediol
 Antifreeze compound widely used for

oocytes and embryos


 It is commonly used in combination with

DMSO
 It has relatively low toxicity
 Small size - penetrates membranes rapidly
glycerol
 Also called 1,2,3-propanetriol
 Antifreeze compound widely used for sperm
and blastocysts
 It has low toxicity, but is slow to cross
membranes which can contribute to osmotic
shock
propanediol
 1,2-Propanediol
 Antifreeze compound - Used for human

embryos
 It readily forms vitrifying solutions
 Commonly abbreviated as PG or PRO
 A potential problem is that one of its

natural breakdown products is


formaldehyde which has the potential to
damage gametes
sucrose
 A sugar – Disccharide

 Used to promote dehydration before, during


and/or after cryopreservation

 Normally membrane impermeant and of low


toxicity to oocytes and embryos
trehalose
 A sugar – Disaccharide

 Used to promote dehydration before, during


and/or after cryopreservation

 Normally membrane impermeant and of


low toxicity to oocytes and embryos
raffinose
 A sugar – Polysaccharide

 Used to promote dehydration before, during


and/or after cryopreservation

 Normally does not cross the cell membrane


(non-permeating/impermeant) and of low
toxicity to oocytes and embryos
Slow Cooling vs. Rapid Cooling
 Most dehydration and cryoprotectant
permeation takes place before cooling
commences

 Cooling is usually performed in a single step


in which the specimen is cooled directly from
a temperature >0°C to low subzero
temperatures (<-130°C)
Key aspects of
cryopreservation
 Cryoprotectant used  Cryoprotectant used
 Seeding temperature  Vitrification temp.
 Freezing rate
 Warming rate
 Handling
 Thawing rate
 Data management
 Handling
 Data management

Slow freezing vitrification


Slow Cooling
 State during Cooling

 Ice present (usually seeded at -5 to -9°C)


 Cooling rate usually 0.3 to 1°C/min to
between -30 and -80°C then >200°C/min

 State during Warming

 Ice present
 Warming rate – 4 to 100°C/min
Vitrification
 State during Cooling
 Glass like state without ice formation
 Cooling rate usually 200 to 20,000°C/min
 Cooling rate depends on the type of container
used

 State during Warming


 Maintains glass like, ice free state
 Warming rate depends on type of container
 Warming strategy usually 300 to >12
000°C/min
Slow Cooling Vitrification

Slow Fast

Programmable freezer No equipment

Less skill Technically demanding

Low concentration of CPA High concentration of CPA

Seeding No seeding

Not useful for oocytes Can be used for oocytes – No


meiotic spindle damage
Ice formation No Ice formation
Rate of cooling - 0.3 to 1°C/min to Rate of cooling - 200 to
between -30 and -80°C then 20,000°C/min
>200°C/min
No glass like state Glass like state

Cooling-Independent on type of Cooling depends on type of


container container
Less efficient More efficient

Warming rate – 4 to 100°C/min Warming rate -300 to


>12,000°C/min

Warming – Ice formation Warming – Glass like state

Less CPA Injury More CPA Injury

Less Osmotic Shock More osmotic shock


Cells – Less fragile Cells – More fragile

More membrane stability Less membrane stability

More exposure to CPA Less exposure to CPA

Not useful for small volume Very useful for small volume

Strict Control – Not required Strict Control - Required

Long equilibration time Short equilibration time


Safety Issues in Cryopreservation
 Skin frost bite

 Explosion of cryovials – During warming

 Large amount of LN2- O2 deprivation

 Cross Infection –Viral Infections (Storage in


vapor phase will reduce the chance of viral
contamination)
Oocyte freezing
 Denuded MII oocytes are frozen.
 Oocyte is a single cell, water content more
 Damage to oocyte during freeze thaw cycle
more
 Slow freezing and vitrification
Slow freezing of Oocyte
 Oocyte freezing kit
 60 mm petri dish
 Oocyte freezing straw
 170 micron pipette
 Freezer
 Forceps
Freezing medium
 Vial 1 : phosphate-buffered saline (PBS)

(WASH)

 Vial 2 : 1.5M 1,2-PROH

 Vial 3 : 1.5M 1,2-PROH + 0.3M sucrose


Slow freezing of Oocyte
1. Warm to room temperature for minimum 30 minutes.
2. Wash the oocytes in 3 ml medium from Vial 1 at room temperature.
3. Transfer the oocytes to 0.5 ml medium from Vial 2 for 10 minutes at
room temperature.
4. Transfer the oocytes to 0.5 ml medium from Vial 3 and rapidly load
into straws using this medium as transfer medium.
5. Transfer the straws to the controlled rate freezer and cool from room
temperature to -7ºC at a rate of 2ºC per minute.
6. Seed manually at -7°C.
 When the solution is white, seeding has been initiated.

7. Hold for 10 minutes at -7°C


8. Cool from –7ºC to –30ºC at a rate of 0.3ºC per minute.
9. Cool from –30ºC to –150ºC at a rate of 50ºC per minute.
10. After 10-12 minutes of temperature stabilisation, transfer the
straws into liquid nitrogen and store at –196ºC.
 Load the straw(s) with oocytes inthe following
order:
a. 1-inch medium
b. 1/4-inch air space
c. 1/2-inch medium
d. 1-inch medium containing oocytes
e. 1/4-inch air space
f. Fill the remainder of the straw with medium.
Make sure the medium completely wets the straw
sealant at the end of the straw to ensure a proper
seal.
Thawing of Oocyte
 Thawing medium

◦ VIAL 1 : 1M PROH + 0.3M SUCROSE

◦ VIAL 2 : 0.5M PROH + 0.3M SUCROSE

◦ VIAL 3 : 0.3 M SUCROSE

◦ VIAL 4 : PBS
 Warm for a minimum of 30 minutes at room temperature.
 Remove straws from liquid nitrogen and keep at room temperature

for 30 seconds. Then place straws in water at 30°C for 40 seconds


until all traces of ice have disappeared.
 Open the straws or cryo-tubes according to the manufacturer’s

instructions and expel the contents into a Petri dish.


 Place the oocytes in medium from Vial 1 at room temperature for 5

minutes.
 Transfer oocytes into medium from Vial 2 at room temperature for

5 minutes and then into medium from Vial 3 at room temperature


for 10 minutes.
 Transfer oocytes into medium from Vial 4 for 10 minutes at room

temperature and for an additional 10 minutes at 37°C.


 Place the oocytes in culture medium in CO 2 at 37°C for a minimum

of 2 hours before fertilisation.


Embryo freezing and thawing
 Embryo freezing medium
◦ Vial 1 : HEPES buffered medium
◦ Vial 2 : 1.5 M PROH
◦ Vial 3 : 1.5 M PROH + 0.1 M Sucrose

 Embryo Thawing Medium


◦ Vial 1 : 1 M PROH + 0.2 M Sucrose
◦ Vial 2 : 0.5 M PROH + 0.2 M Sucrose
◦ Vial 3 : 0.2 M Sucrose
◦ Vial 4 : HEPES Buffered Medium.
Blastocyst Freezing and Thawing
 Blastocyst freezing medium
◦ Vial 1 : HEPES buffered media
◦ Vial 2 : 5% glycerol
◦ Vial 3 : 9% glycerol +0.2 M sucrose

 Blastocyst thawing medium


◦ Vial 1 : 0.5 M Sucrose
◦ Vial 2 : 0.2 M Sucrose
◦ Vial 3 : HEPES buffered media
vitrification
 Vitrification cooling medium
◦ Vial 1 : Buffered Medium

◦ Vial 2 : Ethylene glycol

◦ Vial 3 : Ethylene glycol, propanediol, sucrose


 Take 0.5 ml of each media in each well of a 4
well dish, Warm 37 deg C, for 30 mins.
 Select the embryos and transfer them to well

1 for 5 – 10 mins.
 Transfer the embryos to well 2 for 1 ½ min.
 Finally transfer the embryos to well 3 for 30

sec and load the cryodevice.


Vitrification warming
 Warm 0.5 ml of all media at 37 deg C
 Take out the cyodevice from canister into

container with LN2.


 Open the cap of the device and plunge it in

well 1 for 30 sec


 Gather the embryo and transfer to well 2 for

1 min
 Move the embryo to well 3 for 2 min.
 Move the embryo to well 4 for 5 mins.
 Transfer to pre equilibrated culture dish.
Cryodevices

 McGill Cryoleaf
 Rapid i
 cryotop
 Cryolock
 Should be performed by trained embryologist
 Embryos should be loaded on the device and
plunged in LN2 within 30 secs
 Volume should be minimum
 First step in thawing very important.
 Temp should be maintained at 37 deg while
thawing.
Thank you

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