RBMOnline - Vol 8. No 5. 2004 492-495 Reproductive BioMedicine Online; www.rbmonline.com/Article/1329 on web 19 March 2004
Symposium: Clinical prospects of nuclear transfer and somatic cell haploidization Guest Editor: Zsolt Peter Nagy
Haploidization to produce human embryos: a new frontier for micromanipulation Zsolt Peter Nagy obtained his MD degree (1986) and the speciality degree in Obstetrics and Gynaecology (1996) at the Semmelweis Medical University in Budapest. The PhD degree was granted to him at the Free University of Brussels (VUB) in 1997. He worked for 8 years at the Centre for Reproductive Medicine of the VUB in the team that developed the ICSI procedure (1991–1997). He developed a new technique for fusion between karyoplast and cytoplast for nuclear transfer (2000). He is author or co-author of more than 100 publications. At present he is the scientific and laboratory director of Reproductive Biology Associates in Atlanta (USA).
Zsolt Peter Nagy Reproductive Biology Associates, 1150 Lake Hearn Drive, Suite 600, Atlanta, GA 30342, USA Correspondence: Tel: +1 404 4593557; Fax: +1 404 2573314; e-mail:
[email protected] or
[email protected] The technologies of gamete manipulation used in assisted reproduction are rapidly proliferating, and in some instances are adopted for clinical application before adequate research proves their efficiency or safety. Since micromanipulation techniques in humans are developing far beyond assisting fertilization by intracytoplasmic sperm injection (ICSI), there is a strong need to assess the impact of these methods on gamete/embryo development and, most importantly, for effects that may not be manifested until later in life. One of the ultimate goals of assisted reproduction has been to obtain offspring in infertile couples, a goal that was first achieved a little more than 25 years ago (Steptoe and Edwards, 1978). With the help of another breakthrough – ICSI – the success of IVF treatment was extended to patients suffering more severe male factor infertility (Palermo et al., 1992; Van Steirteghem et al., 1993); however, for couples of advanced reproductive age, success rates remained low. To address this problem, a new technique has been investigated, referred to as ‘haploidization’ or ‘artificial gamete production’. It was hoped that this process might help overcome one of the last barriers of infertility (Palermo et al., 2002a; Tesarik et al., 2001; Chang et al., 2004).
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After some encouraging preliminary results (Palermo et al., 2002b; Lacham-Kaplan et al., 2001; Tesarik et al., 2001) it was demonstrated that somatic cell nuclear transfer into enucleated oocytes generates more problems than the established but technically challenging process of cloning (Tateno et al., 2003; Eichenlaub-Ritter, 2003; Chang et al., 2004). In the meantime, trying to develop further this exigent technique can provide us new insight on some of the most intriguing topics in cell biology: epigenetic remodelling and reprogramming of the genetic material that play a crucial role during natural gametogenesis as well as after nuclear transfer using adult somatic or embryonic cells.
Epigenetic alterations refer to diverse mechanisms of gene regulations/expressions that defy Mendelian rules. Undoubtedly gametogenesis, fertilization and embryo development are the phases when many of these events occur (El-Maarri et al., 2001), as represented schematically in Figure 1, although they also arise in embryo stem (ES) cells in vitro (Rasmussen, 2003). It was shown that during gametogenesis a complete erasing of any imprinting occurs, which is essential since some genes are imprinted differentially depending on gender (ovary/testis-specific imprinting; Fedoriw et al., 2004). During early development, a dramatic reduction in methylation levels occurs in the early preimplantation embryo (Monk et al., 1987), with a different rate in the male genome compared with the female genome (see Figure 1) and perhaps not independently the onset of the paternally derived regulatory mechanism (Szollosi and Yotsuyanagi, 1985). This is followed by an upsurge of de-novo methylation involving most CpG residues but leaving the CpG islands unmethylated at the time of implantation (Kafri et al., 1992). After implantation, most of the genomic DNA is methylated, whereas tissue-specific genes undergo demethylation in their tissues of expression (Razin and Cedar, 1991). Epigenetic events and mechanisms are extremely complex and much research is needed to enhance our knowledge of the processes involved; however, some of the proposed modes of actions are shown in Figure 2 including DNA methylation, histone modifications (methylation, acetylation), X chromosome inactivation (Xue et al., 2002), and non-coding micro RNA (miRNA) interference (Verdel et al., 2004). Not surprisingly, due to the complexity of epigenetic action on the genome (Edwards, 2003), there are many possibilities for pathological alterations (Humpherys et al., 2002) resulting mostly in the arrest of embryonic development, which may explain the extremely low efficiency of cloning and fetal abnormalities (Hill et al., 2000; Kang et
Symposium - Haploidization to produce human embryos - ZP Nagy
Figure 1. Genetic reprogramming through methylation in germ cells and embryo.
a
c
b
Figure 2. Mechanisms for (a) genetic imprinting via methylation/acetylation; (b) genetic imprinting involving the XIST gene for X chromosome inactivation where the RNA product alone or together with a nuclear factor binds to the chromosome and induces a conformational change; (c) regulating gene end product through microRNAs (miRNAs). These short length RNAs are thought to regulate gene expression primarily by inhibiting translation.
Figure 3. A theoretical model of producing artificial gametes with techniques that already exist.
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Symposium - Haploidization to produce human embryos - ZP Nagy
al., 2001), though in some cases efficiency may be improved by taking into account physiological features of the species involved, e.g. altered timing for nuclear transfer (NT) in rabbit embryos (Chesne et al., 2002). Alarmingly, on some occasions diseases related to epigenetic alterations are manifested only in later life (such as Beckwith–Wiedemann syndrome; Gosden et al., 2003). When appreciating this highly orchestrated function of the chromatin, it may not come as a surprise that even just slightly altered environmental conditions, such as (extended) in-vitro culture, could cause epigenetic modifications that can perhaps be observed as behavioural changes only later in life (Ecker et al., 2004). In view of these recent developments, gametogenesis is more a focus of research now than ever before. Extending our understanding of how gametes are produced naturally, the regulating and organizing factors involved can reveal information that may help to develop new diagnostic and therapeutic measures. The accompanying review by Sarah Kimmins and colleagues (2004) on the gamete- and developmental–stage-specific gene regulator CREM gives an excellent demonstration of the importance of this topic. Nuclear transfer studies remain increasingly important not only for improving efficiency rates of the technique or success in various species but also as a tool/methodology to examine epigenetic organization/function of the chromatin (Wrenzycki and Niemann, 2003). Additionally, cloning techniques provide the methodological background to stem cell research that is expected to play a central role in disease treatments in the near future (Hochedlinger and Jaenisch, 2003; Edwards, 2004). Although recent nuclear transfer experiments failed on primates (Simerly et al., 2003), most recently it was successful on humans (Hwang et al., 2004) demonstrating both the extreme rapid progression of science and that rules derived from other species must be applied sparingly to man. Another paper in this symposium by Cindy Tian (2004) reviews the experimental knowledge gained from nuclear transfer in this regard. The final paper in the symposium provides a review on the present standing of ‘haploidization’ or ‘artificial gamete production’ by Takeuchi and Palermo (2004). It is clear from the most recent research results that haploidization does not perform in the way it was hoped. It was proposed earlier that haploidization may work similarly to cloning: transferring a somatic cell nucleus to enucleated (mature or maturing) egg cytoplasm, then performing oocyte activation (in a somewhat altered way compared with cloning) may result in semimeiotic reduction of the DNA content. Not totally unexpectedly, this approach was not fully successful, not only since the same problems emerged as encountered during cloning and relating to impaired nuclear remodelling and reprogramming, but also because of alterations in spindle formation and in chromosome alignment/segregation (Tateno et al., 2003; Chang et al., 2004).
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However, the production of artificial gametes can be envisioned using an alternative approach, and a successful outcome is possibly nearer than expected. As Figure 3 depicts a combination of existing techniques that might provide a solution to this problem: (i) somatic cell nuclear transfer to enucleated oocyte (cloning; Cibelli et al., 2001; Hwang et al., 2004); (ii) in-vitro culture to blastocyst stage;
(iii) establishment of a stem cell line from the inner cell mass (ICM; Hwang et al., 2004); (iv) tissue-specific culture of stem cells to obtain gametes (oocyte or spermatozoon; Hubner et al., 2003; Geijsen et al., 2004). All of these techniques have been demonstrated to work separately, the ‘only’ action required being to channel them together in a single chain of testing research. Although this approach can be expected to provide functional gametes in the near future, yet another approach to somatic cell haploidization may be developed in coming years that may mimic better the true in-vivo conditions of meiosis. Such a technique might be technically more efficient and ethically more acceptable. This alternative technique ‘in-vitro meiosis’ requires the identification of cellular factors guiding the path of cell division between mitosis and meiosis and factors that govern meiotic cell division (Marston et al., 2004). With the use of more advanced methods such as microarrays it should be possible to accelerate this process of identifying the related gene products and then applying these factors to somatic cell(s) to help achieve this goal.
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