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ZITAO LIU, MD, PhD New Hope Fertility Center, NY, USA [email protected] Nuclear Transfer: Clinical Applications Oct 26, 2017

Nuclear Transfer: Clinical Applicationscme-utilities.com/mailshotcme/Material for Websites/ART...Nuclear Transfer: Clinical Applications Oct 26, 2017 1. Rejuvenation of aged oocytes

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Page 1: Nuclear Transfer: Clinical Applicationscme-utilities.com/mailshotcme/Material for Websites/ART...Nuclear Transfer: Clinical Applications Oct 26, 2017 1. Rejuvenation of aged oocytes

ZITAO LIU, MD, PhD

New Hope Fertility Center, NY, USA

[email protected]

Nuclear Transfer: Clinical Applications

Oct 26, 2017

Page 2: Nuclear Transfer: Clinical Applicationscme-utilities.com/mailshotcme/Material for Websites/ART...Nuclear Transfer: Clinical Applications Oct 26, 2017 1. Rejuvenation of aged oocytes

1. Rejuvenation of aged oocytes 2. Rescue of embryo arrest 3. Offspring for lesbian couple 4. Distant prospect: whole body rejuvenation

Outline:

Page 3: Nuclear Transfer: Clinical Applicationscme-utilities.com/mailshotcme/Material for Websites/ART...Nuclear Transfer: Clinical Applications Oct 26, 2017 1. Rejuvenation of aged oocytes

3

1. Rejuvenation of aged oocytes

Page 4: Nuclear Transfer: Clinical Applicationscme-utilities.com/mailshotcme/Material for Websites/ART...Nuclear Transfer: Clinical Applications Oct 26, 2017 1. Rejuvenation of aged oocytes

Zhang et al 1999

Human GV Transfer

Page 5: Nuclear Transfer: Clinical Applicationscme-utilities.com/mailshotcme/Material for Websites/ART...Nuclear Transfer: Clinical Applications Oct 26, 2017 1. Rejuvenation of aged oocytes

GV Transfer

Jo

hn

Zh

ang

et a

l 19

99

Hu

man

Mo

de

l

12 GVT oocytes 7 matured to MII 4 normal karyotyping

GV from patient (>38 years) Cytoplast from patient (<31 years)

Donor 1

Donor 2

Donor 1 - GV

Donor 2 - cytoplast

Donor 1 GV / Donor 2 cytoplast

Electrofusion

Page 6: Nuclear Transfer: Clinical Applicationscme-utilities.com/mailshotcme/Material for Websites/ART...Nuclear Transfer: Clinical Applications Oct 26, 2017 1. Rejuvenation of aged oocytes

Aged oocyte Reconstituted

in vitro MII GV

Transfer Spindle Nuclear

Transfer Rejuvenated

oocyte

Page 7: Nuclear Transfer: Clinical Applicationscme-utilities.com/mailshotcme/Material for Websites/ART...Nuclear Transfer: Clinical Applications Oct 26, 2017 1. Rejuvenation of aged oocytes

EMBRYONIC DEVELOPMENT FOLLOWED BY RECIPROCAL NUCLEAR TRANSFER

Patient nucleus/ Donor Cytoplasm

Donor nucleus/ Patient

Cytoplasm

D6 D2

2. Rescue of embryo arrest

Page 8: Nuclear Transfer: Clinical Applicationscme-utilities.com/mailshotcme/Material for Websites/ART...Nuclear Transfer: Clinical Applications Oct 26, 2017 1. Rejuvenation of aged oocytes

Current treatment for lesbian:

One of the Donor Sperm

lesbian couple

8

3. OFFSPRING OF LESBIAN COUPLE

Page 9: Nuclear Transfer: Clinical Applicationscme-utilities.com/mailshotcme/Material for Websites/ART...Nuclear Transfer: Clinical Applications Oct 26, 2017 1. Rejuvenation of aged oocytes

Lesbian B

MII spindle

Offspring

Lesbian A

Future Model Donor Sperm

Page 10: Nuclear Transfer: Clinical Applicationscme-utilities.com/mailshotcme/Material for Websites/ART...Nuclear Transfer: Clinical Applications Oct 26, 2017 1. Rejuvenation of aged oocytes

4. Distant prospect: whole body rejuvenation (mice)

CONJOINING YOUNG + OLD MICE:

YOUNG BLOOD REJUVENATES BRAIN AND MUSCLE IN OLD MICE

PARABIOSIS

Page 11: Nuclear Transfer: Clinical Applicationscme-utilities.com/mailshotcme/Material for Websites/ART...Nuclear Transfer: Clinical Applications Oct 26, 2017 1. Rejuvenation of aged oocytes

3. Distant prospect: whole body rejuvenation (human)

REMOVING PLASMA FROM ALZHEIMER’S PATIENTS & REPLACING WITH HEALTHY PLASMA LEADS TO CLINICAL BENEFITS

Nature, Sept 2017

Page 12: Nuclear Transfer: Clinical Applicationscme-utilities.com/mailshotcme/Material for Websites/ART...Nuclear Transfer: Clinical Applications Oct 26, 2017 1. Rejuvenation of aged oocytes

APPLICATION FOR AGING: Somatic Cell Nuclear Transfer (SCNT) to generate patient blastocyst, derive Human Embryonic Stem Cells, differentiate them into Hematopoietic cells. Young blood replacement with own genetic material.

3. Distant prospect: whole body rejuvenation (human)

Page 13: Nuclear Transfer: Clinical Applicationscme-utilities.com/mailshotcme/Material for Websites/ART...Nuclear Transfer: Clinical Applications Oct 26, 2017 1. Rejuvenation of aged oocytes

APPLICATION FOR AGING: Somatic Cell Nuclear Transfer (SCNT) to generate patient blastocyst, derive Human Embryonic Stem Cells, differentiate them into Hematopoietic cells. Young blood replacement with own genetic material.

3. Distant prospect: whole body rejuvenation (human)

Skin cell Enucleated MII

Donor MII

Artificial activation

Parthenote Embryonic Stem Cells

In Vitro Differentiation

hESC-derived hematopoietic cells

Page 14: Nuclear Transfer: Clinical Applicationscme-utilities.com/mailshotcme/Material for Websites/ART...Nuclear Transfer: Clinical Applications Oct 26, 2017 1. Rejuvenation of aged oocytes

ACKNOWLEDGEMENTS

Page 15: Nuclear Transfer: Clinical Applicationscme-utilities.com/mailshotcme/Material for Websites/ART...Nuclear Transfer: Clinical Applications Oct 26, 2017 1. Rejuvenation of aged oocytes

EXTRA SLIDES

Page 16: Nuclear Transfer: Clinical Applicationscme-utilities.com/mailshotcme/Material for Websites/ART...Nuclear Transfer: Clinical Applications Oct 26, 2017 1. Rejuvenation of aged oocytes

Fresh oocyte Normal alignment of MII chromosomes

In vitro aging oocytes Abnormal alignment of MII chromosomes

Aging GV / Fresh ooplast Normal alignment of MII chromosomes

Fresh GV / Aging ooplasm Abnormal alignment of MII chromosomes

Mo

use

Mo

de

l

GV transfer restore normal alignment of MII chromosomes

Page 17: Nuclear Transfer: Clinical Applicationscme-utilities.com/mailshotcme/Material for Websites/ART...Nuclear Transfer: Clinical Applications Oct 26, 2017 1. Rejuvenation of aged oocytes

GV transfer procedure

Hu

i Liu

et

al 2

00

3,

Joh

n Z

han

g e

t al

20

15

M

ou

se M

od

el

Nucleus / Cytoplasm

GV transfer oocyte

Maturation rate (%)

Fresh / Fresh 52 98a

Aging / Fresh 35 100 a

Fresh / Aging 37 43 b

Nucleus / Cytoplast

GV transfer oocyte

Normal MII spindle rate (%)

Aging / Fresh 35 91

Fresh / Aging 37 16

Restore meiotic maturation

Restore meiotic spindle structure

Nucleus /

Cytoplasm

GV transfer oocyte

Maturation rate (%)

Fresh / Fresh 52 98a

Aging / Fresh 35 100 a

Fresh / Aging 37 43 b

Nucleus /

Cytoplast

GV

transfer

oocyte

Normal MII

spindle rate

(%)

Aging / Fresh 35 91

Fresh / Aging 37 16