<?xml version="1.0" encoding="utf-8"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD Journal Publishing DTD v3.0 20080202//EN" "journalpublishing3.dtd">
<article xml:lang="en" article-type="research-article" xmlns:xlink="http://www.w3.org/1999/xlink">
<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">IJMM</journal-id>
<journal-title-group>
<journal-title>International Journal of Molecular Medicine</journal-title></journal-title-group>
<issn pub-type="ppub">1107-3756</issn>
<issn pub-type="epub">1791-244X</issn>
<publisher>
<publisher-name>D.A. Spandidos</publisher-name></publisher></journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3892/ijmm.2014.1924</article-id>
<article-id pub-id-type="publisher-id">ijmm-34-05-1372</article-id>
<article-categories>
<subj-group>
<subject>Articles</subject></subj-group></article-categories>
<title-group>
<article-title>Toxicity evaluation of ethanol treatment during <italic>in vitro</italic> maturation of porcine oocytes and subsequent embryonic development following parthenogenetic activation and <italic>in vitro</italic> fertilization</article-title></title-group>
<contrib-group>
<contrib contrib-type="author">
<name><surname>LEE</surname><given-names>SANGHOON</given-names></name><xref rid="fn1-ijmm-34-05-1372" ref-type="author-notes">*</xref></contrib>
<contrib contrib-type="author">
<name><surname>KIM</surname><given-names>EUNHYE</given-names></name><xref rid="fn1-ijmm-34-05-1372" ref-type="author-notes">*</xref></contrib>
<contrib contrib-type="author">
<name><surname>HYUN</surname><given-names>SANG-HWAN</given-names></name><xref ref-type="corresp" rid="c1-ijmm-34-05-1372"/></contrib>
<aff id="af1-ijmm-34-05-1372">Laboratory of Veterinary Embryology and Biotechnology (VETEMBIO), College of Veterinary Medicine, Chungbuk National University, Cheongju, Chungbuk 361-763, Republic of Korea</aff></contrib-group>
<author-notes>
<corresp id="c1-ijmm-34-05-1372">Correspondence to: Professor Sang-Hwan Hyun, Laboratory of Veterinary Embryology and Biotechnology (VETEMBIO), College of Veterinary Medicine, Chungbuk National University, 52 Naesudong-ro, Heungduk-gu, Cheongju, Chungbuk 361-763, Republic of Korea, E-mail: <email>shhyun@cbu.ac.kr</email></corresp><fn id="fn1-ijmm-34-05-1372">
<label>*</label>
<p>Contributed equally</p></fn></author-notes>
<pub-date pub-type="ppub">
<month>11</month>
<year>2014</year></pub-date>
<pub-date pub-type="epub">
<day>05</day>
<month>09</month>
<year>2014</year></pub-date>
<volume>34</volume>
<issue>5</issue>
<fpage>1372</fpage>
<lpage>1380</lpage>
<history>
<date date-type="received">
<day>13</day>
<month>05</month>
<year>2014</year></date>
<date date-type="accepted">
<day>02</day>
<month>09</month>
<year>2014</year></date></history>
<permissions>
<copyright-statement>Copyright &#x000A9; 2014, Spandidos Publications</copyright-statement>
<copyright-year>2014</copyright-year>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/3.0">
<license-p>This is an open-access article licensed under a Creative Commons Attribution-NonCommercial 3.0 Unported License. The article may be redistributed, reproduced, and reused for non-commercial purposes, provided the original source is properly cited.</license-p></license></permissions>
<abstract>
<p>Ethanol is frequently used as a solvent in several techniques for <italic>in vitro</italic> production (IVP). It is also used for the parthenogenetic activation (PA) of oocytes. Although a number of studies have suggested that ethanol has detrimental effects on fibroblasts and neuronal cells, little attention has been paid to the effects of ethanol on porcine oocytes. Thus, the aim of this study was to evaluate the effects of the addition of ethanol to <italic>in vitro</italic> maturation (IVM) medium. We investigated the effects of ethanol (0, 1 and 3&#x00025;) on the following parameters: nuclear maturation, intracellular glutathione (GSH) and reactive oxygen species (ROS) levels, and subsequent embryonic development following PA and <italic>in vitro</italic> fertilization (IVF). After 44 h of IVM, the 3&#x00025; group showed a significant (P&lt;0.05) decrease in nuclear maturation (34.0&#x00025;) compared with the control group (70.3&#x00025;). The 1 and 3&#x00025; groups exhibited a significant (P&lt;0.05) decrease in GSH levels and an increase in ROS levels compared with the control group. Compared with the control group, the 3&#x00025; group had significantly (P&lt;0.05) lower cleavage rates following PA (51.6 vs. 86.9&#x00025;) and IVF (53.2 vs. 70.6&#x00025;), as well as lower blastocyst formation rates and decreased total cell numbers following PA (11.3&#x00025; and 31.8 vs. 53.6&#x00025; and 65.4, respectively) and IVF (4.1&#x00025; and 22.0 vs. 36.1&#x00025; and 70.3, respectively). We evaluated the mRNA expression levels of DNA repair-related and apoptosis-related genes in the cumulus oocyte complexes (COCs). The 1&#x00025; ethanol group showed significantly (P&lt;0.05) higher mRNA expression levels of poly(ADP-ribose) polymerase-1 (PARP-1), Bax, Bak and caspase-3, and the 3&#x00025; ethanol group had significantly (P&lt;0.05) increased PARP-1, Bax and caspase-3 mRNA expression levels compared with the control group. Our results suggest that treatment with &gt;1&#x00025; ethanol during IVM exerts a toxic effect on the developmental potential of PA and IVF porcine embryos by decreasing the intracellular GSH level, thereby increasing the intracellular ROS level and upregulating the expression of apoptosis-related genes.</p></abstract>
<kwd-group>
<kwd>ethanol</kwd>
<kwd>toxicity</kwd>
<kwd>porcine oocyte</kwd>
<kwd><italic>in vitro</italic> maturation</kwd>
<kwd>embryonic development</kwd></kwd-group></article-meta></front>
<body>
<sec sec-type="intro">
<title>Introduction</title>
<p>The <italic>in vitro</italic> production (IVP) of embryos has been widely used in reproduction technology. Pigs have been used in biomedical research for decades as disease models, disease-resistance animals and genetically-defined models for surgery and xenotransplantation as their anatomy and physiology are similar to those of humans (<xref ref-type="bibr" rid="b1-ijmm-34-05-1372">1</xref>,<xref ref-type="bibr" rid="b2-ijmm-34-05-1372">2</xref>). However, the potential of porcine embryos to develop <italic>in vitro</italic> is still inferior to that of embryos obtained <italic>in vivo</italic>. One of the reasons of this inferiority is thought to be improper <italic>in vitro</italic> maturation (IVM) systems. Several researchers have made tremendous efforts to improve IVM conditions by the addition of pharmacological compounds (<xref ref-type="bibr" rid="b3-ijmm-34-05-1372">3</xref>,<xref ref-type="bibr" rid="b4-ijmm-34-05-1372">4</xref>). The addition of pharmacological compounds in IVM medium requires the use of solvents in order to dissolve these compounds.</p>
<p>Ethanol, which is known as a cryoprotectant (<xref ref-type="bibr" rid="b5-ijmm-34-05-1372">5</xref>,<xref ref-type="bibr" rid="b6-ijmm-34-05-1372">6</xref>) and an inducer of the artificial parthenogenetic activation (PA) of oocytes (<xref ref-type="bibr" rid="b7-ijmm-34-05-1372">7</xref>&#x02013;<xref ref-type="bibr" rid="b10-ijmm-34-05-1372">10</xref>), is frequently used in a number of techniques for IVP as one of the solvents for pharmacological compounds that are not dissolved in water. For example, in a previous study on the effect of lanosterol supplementation to porcine IVM medium, an ethanol concentration of 1.68&#x00025; was used for the lanosterol solvent (<xref ref-type="bibr" rid="b3-ijmm-34-05-1372">3</xref>). Moreover, ethanol has been used for the addition of meiosis-activating sterols (MAS) to IVM medium to improve the conditions of IVM (<xref ref-type="bibr" rid="b4-ijmm-34-05-1372">4</xref>). However, although a number of studies have suggested that high concentrations of ethanol have detrimental effects on several cell types (<xref ref-type="bibr" rid="b11-ijmm-34-05-1372">11</xref>&#x02013;<xref ref-type="bibr" rid="b13-ijmm-34-05-1372">13</xref>), little attention has been paid to the effects of low concentrations ethanol, which are often used as a solvent in the IVM of porcine oocytes.</p>
<p>Previous studies have demonstrated that ethanol promotes apoptotic cell death in cultured neurons (<xref ref-type="bibr" rid="b14-ijmm-34-05-1372">14</xref>). There are multiple apoptotic pathways activated in cells by ethanol, including the caspase-dependent pathway and caspase-independent apoptotic pathway known as the poly(ADP-ribose) polymerase-1 (PARP-1)-related pathway. Caspases have been thought to be the central executioners of the apoptotic pathway (<xref ref-type="bibr" rid="b15-ijmm-34-05-1372">15</xref>). Apoptosis can be directed by the activation of caspases, which cleave specific substrates and trigger cell death. PARP-1 is a zinc (Zn) finger nuclear protein activated by DNA strand-breaks and utilizes &#x003B2;-nicotinamide adenine dinucleotide (&#x003B2;-NAD) as a substrate to catalyze the synthesis of ADP-ribose polymers on nuclear proteins, including PARP-1 itself (<xref ref-type="bibr" rid="b16-ijmm-34-05-1372">16</xref>). Thus, PARP-1 plays a key role in caspase-independent cell death and survival under multiple stress conditions (<xref ref-type="bibr" rid="b17-ijmm-34-05-1372">17</xref>,<xref ref-type="bibr" rid="b18-ijmm-34-05-1372">18</xref>).</p>
<p>Considering how ethanol influences cells, the potential effects of ethanol on IVM may be related to apoptosis. Therefore, the aim of this study was to evaluate the toxic effects of the addition of low concentrations of ethanol to IVM medium for the culture of immature porcine oocytes. For this purpose, various parameters were compared in mature porcine oocytes, including nuclear maturation, intracellular levels of glutathione (GSH), intracellular levels of reactive oxygen species (ROS), mRNA expression levels of DNA repair- and apoptosis-related genes &#x0005B;proliferating cell nuclear (PCNA), PARP-1, Bax, Bak and caspase-3&#x0005D; in the cumulus oocyte complexes (COCs) at the end of the maturation period and embryo developmental competence following PA and <italic>in vitro</italic> fertilization (IVF).</p></sec>
<sec sec-type="materials|methods">
<title>Materials and methods</title>
<sec>
<title>Chemicals</title>
<p>All chemicals and reagents used in this study were purchased from Sigma-Aldrich Chemical Co. (St. Louis, MO, USA), unless otherwise stated.</p></sec>
<sec>
<title>Oocyte collection and IVM</title>
<p>Ovaries of prepubertal gilts were collected at a local abattoir and transported to the laboratory within 2 h in physiological saline supplemented with 100 IU/l penicillin G and 100 mg/ml streptomycin sulfate at 32&#x02013;35&#x000B0;C. The COCs in the ovaries were aspirated from 3- to 6- mm diameter superficial follicles using an 18-gauge needle attached to a 10 ml disposable syringe and allowed to settle down as sediment in 15 ml conical tubes at 37&#x000B0;C for 5 min. The supernatant was discarded and the precipitate was resuspended with HEPES-buffered Tyrode&#x02019;s medium (TLH) containing 0.05&#x00025; (wt/vol) polyvinyl alcohol (PVA) (TLH-PVA). Subsequently, it was observed under a stereomicroscope for recovering the COCs. Only COCs having &#x02265;3 uniform layers of compact cumulus cells and a homogeneous cytoplasm were selected and washed 3 times in TLH-PVA. Approximately 60 COCs were placed into each well of a 4-well Nunc dish (Nunc, Roskilde, Denmark) containing 500 &#x003BC;l of culture medium (TCM199; Invitrogen Corp., Carlsbad, CA, USA) which was supplemented with 0.6 mM cysteine, 0.91 mM sodium pyruvate, 10 ng/ml epidermal growth factor, 75 &#x003BC;g/ml kanamycin, 1 &#x003BC;g/ml insulin, 10&#x00025; (vol/vol) porcine follicular fluid (pFF), 10 IU/ml equine chronic gonadotropin (eCG) and 10 IU/ml hCG (Intervet, Inc., Boxmeer, the Netherlands). The selected COCs were incubated at 39&#x000B0;C with 5&#x00025; CO<sub>2</sub> in 95&#x00025; humidified air for IVM. Following 21&#x02013;22 h of maturation with hormones, the COCs were washed twice in fresh hormone-free IVM medium and then cultured in hormone-free IVM medium for an additional 21&#x02013;22 h. The COCs during IVM were treated with or without low concentrations (0, 1 and 3&#x00025;) of ethanol according to the experimental design.</p></sec>
<sec>
<title>Evaluation of nuclear maturation</title>
<p>The oocytes at the metaphase II (MII) stage, 42&#x02013;44 h after IVM, were sampled to analyze nuclear maturation. Samples of oocytes (a total of 509 oocytes was used for the analysis of nuclear maturation) were by gently pipetting with 0.1&#x00025; hyaluronidase in IVM medium and washed in TLH-PVA. The denuded oocytes were fixed with fixative solution containing 2&#x00025; formaldehyde and 0.25&#x00025; glutaraldehyde, and stained with TLH-PVA containing 5 &#x003BC;g/ml Hoechst 33342 for at least 5 min. The stained oocytes were evaluated using a fluorescence microscope (Nikon Corp., Tokyo, Japan) and classified as germinal vesicle (GV), metaphase I (MI), anaphase-telophase I (AT-I), or MII according to the meiotic maturation stage. The oocytes at MII were considered to have matured.</p></sec>
<sec>
<title>Measurement of intracellular GSH and ROS levels</title>
<p>The oocytes at 42&#x02013;44 h after IVM were sampled to determine intracellular GSH and ROS levels. The measurement of GSH and ROS levels was carried out according to previously described methods (<xref ref-type="bibr" rid="b19-ijmm-34-05-1372">19</xref>,<xref ref-type="bibr" rid="b20-ijmm-34-05-1372">20</xref>). In brief, 2&#x02032;,7&#x02032;-dichlorodihydrofluorescein diacetate (H<sub>2</sub>DCFDA; Invitrogen Corp.oration, Paris, France) and 4-chloromethyl-6.8-difluoro-7-hydroxycoumarin (CellTracker Blue; CMF2HC; Invitrogen Corp.) were used to detect intracellular ROS levels as green fluorescence and GSH levels as blue fluorescence, respectively. From each treatment group, 10 oocytes were incubated (in the dark) for 30 min in TLH-PVA supplemented with 10 &#x003BC;M H<sub>2</sub>DCFDA and 10 &#x003BC;M CellTracker Blue. Following incubation, the oocytes were washed with Dulbecco&#x02019;s phosphate buffered saline (DPBS) (Invitrogen Corp.) containing 0.1&#x00025; (wt/vol) PVA, placed into 10-&#x003BC;l droplets, and fluorescence was evaluated under an epifluorescence microscope (TE300; Nikon Corp.) with UV filters (460 nm for ROS and 370 nm for GSH). These fluorescence images were saved as graphic files in TIFF format. The experiment was replicated 3 times with a total of examined oocytes (GSH samples, n=28; ROS samples, n=28).</p>
<p>Each intracellular GSH level was quantified according to the method previously described by Baker <italic>et al</italic> (<xref ref-type="bibr" rid="b21-ijmm-34-05-1372">21</xref>) with some modifications. Briefly, MII oocytes from each experimental group were washed 3 times in 0.2 M sodium phosphate buffer (Na<sub>2</sub>HPO<sub>4</sub>, NaH<sub>2</sub>PO<sub>4</sub>, and 10 mM EDTA-2Na, pH 7.2) and groups of 50&#x02013;60 oocytes (per sample) in 10 &#x003BC;l sodium phosphate buffer were transferred to 1.7 ml microfuge tubes; 10 &#x003BC;l of 1.25 mM phosphoric acid (final concentration of 0.625 M H<sub>3</sub>PO<sub>4</sub> ) in distilled water was added to each sample. Tubes containing the samples were frozen at &#x02212;80&#x000B0;C until analysis. GSH concentrations in the oocytes were measured using a 5,5&#x02032;-dithiobis-(2-nitrobenzoic acid) (DTNB)-GSH reductase (GSSG) recycling assay. The frozen samples were thawed at room-temperature, vortexed, centrifuged and microscopically evaluated to ensure complete lysis of the oocytes prior to the assay. The supernatants were transferred to a 96-well microtiter plate, and for each sample, 700 &#x003BC;l of 0.33 mg/ml nicotinamide adenine dinucleotide phosphate (NADPH) in 0.2 M assay buffer containing 10 mM EDTA (stock buffer, pH 7.2), 100 &#x003BC;l of 6 mM DTNB in the stock buffer and 180 &#x003BC;l of distille water and 1 U per sample of DTNB-GSH reductase (441 U/ml) were added to a conical tube, mixed and immediately added to the sample. The plate was immediately placed in a microtiter plate reader, and optical density was measured with a 405 nm filter (EMax; Molecular Devices, Sunnyvale, CA, USA). The formation of 5-thio-2 nitrobenzoic acid was monitored every 30 sec for 3 min. Standard curves were prepared for each assay and the GSH content per sample was determined by a standard curve. The GSH concentrations (pmol/oocyte) were calculated by dividing the total concentration per sample by the total number of oocytes present in the sample. The experiment was replicated 3 times.</p></sec>
<sec>
<title>PA of oocytes</title>
<p>For PA, the COCs were denuded at 42&#x02013;44 h following IVM by gently pipetting with 0.1&#x00025; hyaluronidase, washed 3 times in TLH-PVA and then rinsed twice in activation medium (280 mM mannitol solution containing 0.01 mM CaCl<sub>2</sub> and 0.05 mM MgCl<sub>2</sub>). For activation, the matured oocytes at the MII stage were placed between electrodes covered with activation medium in a chamber connected to an electrical pulsing machine (LF101; Nepa Gene, Co., Ltd., Ichikawa, Japan). Oocytes were activated with 2 direct-current (DC) pulses of 120 V/mm for 60 &#x003BC;sec. Following electrical activation, the oocytes were immediately placed into IVC medium supplemented with 5 &#x003BC;g/ml of cytochalasin B for 6 h. The PA embryos were washed 3 times in fresh IVC medium, placed into 30 &#x003BC;l IVC droplets (10 gametes per drop) covered with pre-warmed mineral oil, and then cultured at 39&#x000B0;C in a humidified atmosphere of 5&#x00025; O<sub>2</sub>, 5&#x00025; CO<sub>2</sub>, and 90&#x00025; N<sub>2</sub> for 7 days.</p></sec>
<sec>
<title>IVF and culture</title>
<p>For IVF, the COCs were denuded at 42&#x02013;44 h following IVM by gently pipetting with 0.1&#x00025; hyaluronidase and washed 3 times in TLH-PVA. Groups of 15 matured oocytes at the MII stage were randomly placed into 40 &#x003BC;l droplets of modified Tris-buffered medium (mTBM) in a 35&#x000D7;10 mm Petri dish (Falcon; Becton Dickinson Labware, Franklin Lakes, NJ, USA) covered with pre-warmed mineral oil. Subsequently, liquid semen supplied weekly from the Veterinary Service Laboratory (Department of Livestock Research, Yong-in, Korea) was kept at 17&#x000B0;C for 5 days prior to use. The semen sample was washed twice with DPBS supplemented with 0.1&#x00025; BSA by centrifuging at 2,000 &#x000D7; g for 2 min. After washing, the sperm pellet was resuspended in mTBM, as previously described (<xref ref-type="bibr" rid="b22-ijmm-34-05-1372">22</xref>), which had been pre-equilibrated for 18 h at 39&#x000B0;C at 5&#x00025; CO<sub>2</sub>. After appropriate dilution, 5 &#x003BC;l of the sperm suspension were added to a 40 &#x003BC;l drop of fertilization medium (mTBM) to set a final sperm concentration of 1&#x000D7;10<sup>6</sup> sperm/ml. Immediately before fertilization, sperm motility was assessed and &gt;80&#x00025; motile sperm was used in each experiment. To use stored liquid semen, a modified two-step culture system (<xref ref-type="bibr" rid="b23-ijmm-34-05-1372">23</xref>) was used. The oocytes were co-incubated with sperm for 20 min at 39&#x000B0;C in a humidified atmosphere of 5&#x00025; CO<sub>2</sub> and 95&#x00025; air. After 20 min of co-incubation with sperm, the loosely attached sperm was removed from the zona pellucida (ZP) by gentle pipetting. Subsequently, the oocytes were washed 3 times in mTBM and incubated in mTBM without sperm for 5&#x02013;6 h at 39&#x000B0;C in a humidified atmosphere of 5&#x00025; CO<sub>2</sub> and 95&#x00025; air. Thereafter, the gametes were washed 3 times in embryo culture medium and cultured in 25 &#x003BC;l microdrops (10 gametes/drop) of porcine zygote medium 3 (PZM3), as previously described (<xref ref-type="bibr" rid="b24-ijmm-34-05-1372">24</xref>) with pre-warmed mineral oil. The embryos with cultured drops were incubated at 39&#x000B0;C for 168 h under a humidified atmosphere of 5&#x00025; O<sub>2</sub>, 5&#x00025; CO<sub>2</sub> and 90&#x00025; N<sub>2</sub>. In all the experiments, the culture medium was renewed at 48 h (day 2) and 96 h (day 4) following IVF.</p></sec>
<sec>
<title>Embryo evaluation and total cell count of blastocysts</title>
<p>The day on which PA or IVF was performed was considered day 0. The embryos were evaluated under a stereomicroscope for cleavage on day 2 (48 h). Evenly cleaved embryos were classified into 3 groups (2&#x02013;3, 4&#x02013;5 and 6&#x02013;8 cells). Blastocyst formation was assessed on day 7 (168 h) following IVF, and blastocysts were classified according to the degree of expansion and hatching status, as previously described (<xref ref-type="bibr" rid="b25-ijmm-34-05-1372">25</xref>): early blastocyst (small blastocyst with a blastocoel equal to or less than half of the embryo volume), expanded blastocyst (a large blastocyst with a blastocoel greater than half of the embryo volume or blastocyst with a blastocoel completely filling the embryo) and hatched blastocyst (hatching or already hatched blastocyst). To count the total cell number of blastocysts, on day 7, the blastocysts were collected and washed in 1&#x00025; (wt/vol) PBS-BSA and stained with 5 &#x003BC;g/ml Hoechst 33342 (bisbenzimide) for 5 min. After a final wash in PBS-BSA, the embryos were briefly fixed in 4&#x00025; paraformaldehyde in PBS. Subsequently, the blastocysts were mounted on glass slides in a drop of 100&#x00025; glycerol, squashed gently with a cover slip and observed under a fluorescence microscope (Nickon Corp., Tokyo, Japan) at &#x000D7;400 magnification.</p></sec>
<sec>
<title>Gene expression analysis by quantitative reverse transcription polymerase chain reaction (RT-qPCR)</title>
<p>For the gene expression analysis, groups (control, 1 and 3&#x00025; ethanol) of 140&#x02013;150 mature COCs were separately sampled under a stereomicroscope. All samples were stored at 80&#x000B0;C until analysis. The mRNA expression of PCNA, PARP-1, Bak, Bax and caspase-3 in the COCs was analyzed by RT-PCR. Total RNA was extracted using TRIzol reagent (Invitrogen Corp.), according to the manufacturer&#x02019;s instructions, and the total RNA concentration was determined by measuring the absorbance at 260 nm. First-strand complementary DNA (cDNA) was prepared by subjecting 1 &#x003BC;g of total RNA to reverse transcription using Moloney murine leukemia virus (MMLV) reverse transcriptase (Invitrogen Corp.) and random primers (9-mers; Takara Bio, Inc., Otsu, Shiga, Japan). To determine the conditions for the logarithmic phase PCR amplification of target mRNA, 1-&#x003BC;g aliquots were amplified using differing numbers of cycles. The housekeeping gene, GAPDH, was PCR-amplified to rule out the possibility of RNA degradation and to control for the variation in mRNA concentrations in the reverse transcription (RT) reaction. A linear relationship between the PCR product band visibility and the number of amplification cycles was observed for the target mRNAs. The GAPDH and target genes were quantified using 40 cycles. The cDNA was amplified in a 20 &#x003BC;l PCR reaction, which contained 1 U Taq polymerase (Intron Biotechnology, Inc., Seongnam, Korea), 2 mM deoxyribonucleoside triphosphate (dNTP) mix and 10 pM of each gene-specific primer. Quantitative PCR was performed with 1 &#x003BC;l cDNA template added to 10 &#x003BC;l 2X SYBR Premix Ex Taq (Takara Bio, Inc.) containing specific primers at a concentration of 10 pM each. The reactions were carried out for 40 cycles and the cycling parameters were as follows: denaturation at 95&#x000B0;C for 30 sec, annealing at 55&#x000B0;C for 30 sec and extension at 72&#x000B0;C for 30 sec. All oligonucleotide primer sequences are presented in <xref rid="tI-ijmm-34-05-1372" ref-type="table">Table I</xref>. The fluorescence intensity was measured at the end of the extension phase of each cycle. The threshold value for the fluorescence intensity of all samples was set manually. The reaction cycle at which the PCR products exceeded this fluorescence intensity threshold was deemed the threshold cycle (Ct) in the exponential phase of the PCR amplification. The expression of each target gene was quantified relative to that of the internal control gene (GAPDH). The relative quantification was based on a comparison of Ct values at a constant fluorescence intensity. The amount of transcript present was inversely related to the observed Ct and, for each 2-fold dilution in the amount of transcript, Ct was expected to increase by one. The relative expression (R) was calculated using the following equation: R = 2<sup>&#x02212;&#x0005B;&#x00394;Ct sample &#x02212; &#x00394;Ct control&#x0005D;</sup>. To determine a normalized arbitrary value for each gene, each obtained value was normalized to that of GAPDH. The experiments were repeated at least 4 times.</p></sec>
<sec>
<title>Experimental design</title>
<p>In experiment 1, the effects of various concentrations (0, 1 and 3&#x00025;) of ethanol treatment during IVM on nuclear maturation were examined. In experiment 2, the effects of ethanol treatment during IVM on intracellular levels of GSH and ROS were investigated. In experiment 3, the effects of ethanol treatment during IVM on subsequent embryonic development of PA and IVF embryos were examined. In experiment 4, the effects of ethanol treatment on the mRNA expression of PCNA, PARP-1, Bak, Bax and caspase-3 in the COCs were analyzed.</p></sec>
<sec>
<title>Statistical analysis</title>
<p>Statistical analyses were performed using SPSS 17.0 software (SPSS, Inc., Chicago, IL, USA). Percentage data (e.g., rates of maturation, cleavage, blastocyst formation and number of nuclei) were compared by one-way analysis of variance (ANOVA), followed by Duncan&#x02019;s multiple range test. All results are expressed as the means &#x000B1; SEM. A value of P&lt;0.05 was considered to indicate a statistically significant difference.</p></sec></sec>
<sec sec-type="results">
<title>Results</title>
<sec>
<title>Effects of ethanol on nuclear maturation during IVM</title>
<p>There was no significant difference in maturation (MII stage) between the control group (70.3&#x00025;) and the 1&#x00025; ethanol group (59.8&#x00025;) (<xref rid="tII-ijmm-34-05-1372" ref-type="table">Table II</xref>). However, the 3&#x00025; ethanol group (34.0&#x00025;) showed a significantly decreased (P&lt;0.05) number of MII stage oocytes compared with the control group. In addition, the 3&#x00025; group had a significantly increased number of MI oocytes (19.3 vs. 11.0&#x00025;) (P&lt;0.05), as well as AT-I oocytes (44.3 vs. 17.5&#x00025;) compared with the control group.</p></sec>
<sec>
<title>Effects of ethanol on intracellular GSH and ROS levels during IVM</title>
<p>Ethanol treatment decreased the intracellular GSH levels (P&lt;0.05) and increased ROS generation (P&lt;0.05) in MII oocytes derived from the maturation medium supplemented with 1 and 3&#x00025; ethanol (<xref rid="f1-ijmm-34-05-1372" ref-type="fig">Fig. 1</xref>).</p></sec>
<sec>
<title>Effects of the addition of ethanol to IVM medium on subsequent embryonic development following PA and IVF</title>
<p>Mature oocytes from each IVM group were subjected to PA. The cleavage rate was significantly lower (P&lt;0.05) in the 3&#x00025; ethanol group (51.6&#x00025;) than the control group (86.9&#x00025;) and the 1&#x00025; group (78.8&#x00025;) (<xref rid="tIII-ijmm-34-05-1372" ref-type="table">Table III</xref>). For the cleavage pattern, there were significantly fewer 4- to 5-cell PA embryos in the 3&#x00025; ethanol group than in the other groups (<xref rid="f2-ijmm-34-05-1372" ref-type="fig">Fig. 2A</xref>). However, no significant differences were observed in the cleavage pattern of 2- to 3-cell PA embryos and 6- to 8-cell PA embryos. The 3&#x00025; ethanol group had the lowest blastocyst formation rates (P&lt;0.05) and total cell numbers (11.3&#x00025; and 30.6, respectively) compared with the other groups (<xref rid="tIII-ijmm-34-05-1372" ref-type="table">Table III</xref>). The blastocyst formation rates and total cell number of the 1&#x00025; ethanol group (36.4 and 52.3&#x00025;, respectively) were significantly lower (P&lt;0.05) than those of the control group (51.5 and 65.0&#x00025;, respectively). The blastocyst formation rates and total cell number of blastocyts tended to decrease as the ethanol concentration increased (<xref rid="tIII-ijmm-34-05-1372" ref-type="table">Table III</xref>). When comparing blastocyst formation patterns on day 7, early, expanded and hatched PA blastocyst numbers were significantly (P&lt;0.05) lower in the 3&#x00025; ethanol group than in the other groups (<xref rid="f2-ijmm-34-05-1372" ref-type="fig">Fig. 2B</xref>). However, there were no statistically significant differences in the blastocyst formation patterns between the control and the 1&#x00025; ethanol groups.</p>
<p>As shown in <xref rid="tIV-ijmm-34-05-1372" ref-type="table">Table IV</xref>, <italic>in vitro</italic> fertilized embryos from the 3&#x00025; ethanol group displayed the lowest cleavage rates (P&lt;0.05), blastocyst formation rates and total cell numbers (53.3, 2.9 and 27.3&#x00025;, respectively) as compared with the other groups. The cleavage rates, blastocyst formation rates and total cell numbers were significantly lower (P&lt;0.05) in the 1&#x00025; ethanol group (65.6, 21.9 and 50.2&#x00025;, respectively) than the control group (70.6, 28.&#x00025; and 64.8&#x00025;, respectively). On day 2, there were significantly fewer 4- to 5-cell IVF embryos in the 3&#x00025; ethanol group compared with the other groups, and no significant difference was observed in the cleavage patterns of 2- to 3-cell IVF embryos and 6- to 8-cell IVF embryos (<xref rid="f3-ijmm-34-05-1372" ref-type="fig">Fig. 3A</xref>). The early, expanded and hatched IVF blastocyst formation rates on day 7 were significantly (P&lt;0.05) lower in the 3&#x00025; ethanol group than in the other groups (<xref rid="f3-ijmm-34-05-1372" ref-type="fig">Fig. 3B</xref>). However, no statistically significant difference was observed between the control and 1&#x00025; ethanol groups.</p></sec>
<sec>
<title>Effects of ethanol treatment during IVM on gene expression in the COCs</title>
<p>To examine the expression of DNA repair-related and apoptosis-related genes, we evaluated the mRNA expression levels of PCNA, PARP-1, Bax, Bak and caspase-3 in the COCs of each group (<xref rid="f4-ijmm-34-05-1372" ref-type="fig">Fig. 4</xref>). The COCs derived from the the 1&#x00025; ethanol group showed significantly higher (P&lt;0.05) mRNA expression levels of PARP-1, Bax, Bak and caspase-3 compared to those from the control group. The 3&#x00025; ethanol group had significantly increased (P&lt;0.05) PARP-1, Bax, Bak and caspase-3 mRNA expression levels in the COCs compared with the control group. No significant difference in PCNA transcript levels was observed in the 1 or 3&#x00025; ethanol groups compared with the control group.</p></sec></sec>
<sec sec-type="discussion">
<title>Discussion</title>
<p>Assisted reproduction technology (ART) strategies, including IVP of embryos, have been developed and used over several decades, and their application in porcine reproduction is well established worldwide (<xref ref-type="bibr" rid="b26-ijmm-34-05-1372">26</xref>). However, there are still many unresolved issues in current IVM-IVF systems, which are inefficient compared with <italic>in vivo</italic> systems.</p>
<p>The pig is a particularly difficult species in which to obtain high rates of fertilization and subsequent blastocyst development <italic>in vitro</italic> (<xref ref-type="bibr" rid="b27-ijmm-34-05-1372">27</xref>). The major obstacles that still need to be overcome are <italic>in vitro</italic> oocyte cytoplasmic maturation and the high incidence of polyspermy following IVF, as well as a low development rate and poor quality of blastocysts at the end of culture (<xref ref-type="bibr" rid="b28-ijmm-34-05-1372">28</xref>,<xref ref-type="bibr" rid="b29-ijmm-34-05-1372">29</xref>). Therefore, the addition of various pharmacological compounds has been examined in an attempt to improve the quality of <italic>in vitro</italic>-produced porcine embryos. During these efforts, ethanol has been frequently used as a solvent for some compounds, such as lanosterol and MAS (<xref ref-type="bibr" rid="b3-ijmm-34-05-1372">3</xref>,<xref ref-type="bibr" rid="b4-ijmm-34-05-1372">4</xref>). However, studies on the effects of ethanol treatment during IVM are limited. In the present study, we demonstrated that treatment with a low ethanol concentration during IVM had detrimental effects on oocyte maturation and the subsequent embryonic development of PA and IVF embryos.</p>
<p>Oocyte maturation includes both nuclear and cytoplasmic maturation. First, in terms of nuclear maturation, IVM medium with 3&#x00025; ethanol significantly decreased the maturation rate. This finding therefore suggests that 3&#x00025; ethanol-treated oocytes fail to progress beyond the AT-I stage. We also investigated intracellular GSH and ROS levels to examine cytoplasmic maturation. Intracellular levels of GSH and ROS are critical factors that influence oocyte IVM and oocyte developmental potential following PA and IVF (<xref ref-type="bibr" rid="b19-ijmm-34-05-1372">19</xref>,<xref ref-type="bibr" rid="b30-ijmm-34-05-1372">30</xref>,<xref ref-type="bibr" rid="b31-ijmm-34-05-1372">31</xref>). Intracellular GSH is a molecular marker in mature oocytes that predicts cytoplasmic maturation in porcine oocytes (<xref ref-type="bibr" rid="b32-ijmm-34-05-1372">32</xref>), and low intracellular GSH concentrations are responsible for lower developmental competence in porcine oocytes (<xref ref-type="bibr" rid="b33-ijmm-34-05-1372">33</xref>). Moreover, intracellular GSH plays a pivotal role protecting cells against the destructive effects of reactive oxygen intermediates and free radicals (<xref ref-type="bibr" rid="b34-ijmm-34-05-1372">34</xref>). In our study, ethanol treatment (1 and 3&#x00025;) during IVM significantly increased intracellular ROS levels and decreased intracellular GSH levels. We demonstrated that ethanol treatment at levels &gt;1&#x00025; had detrimental effects on the cytoplasmic maturation of porcine oocytes.</p>
<p>Embryonic development and blastocyst viability following PA and IVF also decreased by 1 and 3&#x00025; ethanol treatment due to the detrimental effects of ethanol on cytoplasmic maturation. A previous study that examined the effects of ethanol on bovine embryonic development demonstrated that the cleavage rate was not significantly affected by 1&#x00025; ethanol, but that the blastocyst formation rate of IVF was significantly decreased by 1&#x00025; ethanol (<xref ref-type="bibr" rid="b35-ijmm-34-05-1372">35</xref>). In comparison with bovine, our results indicated that 1&#x00025; ethanol significantly decreased porcine blastocyst formation rates and also decreased the cleavage rate of IVF porcine embryos. This difference may be due to the different species used or to the fact that porcine COCs are more sensitive to ethanol.</p>
<p>Modifications in culture environment modulate gene expression in mammalian cells and embryos (<xref ref-type="bibr" rid="b36-ijmm-34-05-1372">36</xref>,<xref ref-type="bibr" rid="b37-ijmm-34-05-1372">37</xref>). For example, mouse blastocyst formation depends on oocyte transcripts generated before fertilization (<xref ref-type="bibr" rid="b38-ijmm-34-05-1372">38</xref>). The presence of surrounding cumulus cells is responsible for appropriate oocyte maturation and the developmental competence of oocytes. Cumulus cells participate in oocyte development during IVM by secreting soluble factors, which induce developmental competence (<xref ref-type="bibr" rid="b39-ijmm-34-05-1372">39</xref>). Moreover, apoptosis plays a critical role in development and differentiation. Environmental stressors, such as those created by <italic>in vitro</italic> culture, can cause unplanned apoptosis in cultured embryos, which may lead to embryonic arrest or abnormal development and lower embryo viability (<xref ref-type="bibr" rid="b40-ijmm-34-05-1372">40</xref>,<xref ref-type="bibr" rid="b41-ijmm-34-05-1372">41</xref>). Therefore, we examined the mRNA expression levels of DNA repair-related and apoptosis-related genes in the COCs. PCNA is a necessary component of DNA repair machinery, and a PCNA signal suggests the activation of the DNA repair process (<xref ref-type="bibr" rid="b42-ijmm-34-05-1372">42</xref>,<xref ref-type="bibr" rid="b43-ijmm-34-05-1372">43</xref>). In this study, no significant differences in PCNA transcript levels were observed in the 1 or 3&#x00025; ethanol groups compared with the control group. However, considering that the PCNA transcript tended to increase as ethanol concentration increased, this result appears to be due to DNA damage induced by ethanol. PARP-1 is emerging as an important activator of caspase-independent cell death (<xref ref-type="bibr" rid="b18-ijmm-34-05-1372">18</xref>). Among multiple apoptotic pathways activated in neurons by ethanol, PARP-1 pathways also play a role in the subsequent apoptotic death (<xref ref-type="bibr" rid="b14-ijmm-34-05-1372">14</xref>). In the present study, the 1 and 3&#x00025; ethanol groups had significantly increased PARP-1 transcript levels in the COCs compared to the control group. These results indicate that the PARP-1-related apoptotic pathway may be induced by ethanol treatment during IVM in the COCs. The expression of PARP-1 may be useful as another indicator of apoptosis in porcine oocytes. Bax, Bak, and caspase-3 are also associated with apoptosis initiated by the mitochondrial release of apoptogenic factors (<xref ref-type="bibr" rid="b44-ijmm-34-05-1372">44</xref>). In this study, the 1&#x00025; ethanol group had increased Bax, Bak and caspase-3 transcript levels in the COCs, and the 3&#x00025; ethanol group had increased Bax and caspase-3 transcript levels in the COCs, thereby suggesting that ethanol promoted the expression of pro-apoptotic genes in the intrinsic apoptotic pathway in oocytes and cumulus cells. Fine modulation of gene expression plays a key role in the proper alterations and transitions that occur during oocyte maturation and development. These processes seem to be largely under the control of post-transcriptional regulatory mechanisms and mostly driven by cytoplasmic components (<xref ref-type="bibr" rid="b45-ijmm-34-05-1372">45</xref>). In this regard, changes in gene expression levels are likely related to the observed decrease in the blastocyst formation rate and blastocyst quality (less expanded and hatched blastocysts in the 1 and 3&#x00025; ethanol-treated groups), which may have also affected the number of nuclei in the blastocysts. The decreased cell number in blastocysts derived from ethanol-treated mature oocytes may be due to promoted apoptosis. These results suggest that ethanol supplementation to the maturation medium significantly affects the expression of apoptosis-related genes in mature oocytes and cumulus cells, thereby leading to an overall increase in their susceptibility to apoptosis.</p>
<p>The molecular mechanisms through which ethanol exerts its pro-apoptotic effects on oocyte maturation and subsequent embryonic development are unclear. In previous studies that examined ethanol-induced oxidative stress on fetal cortical neurons, it was shown that multiple apoptotic pathways were activated in neurons by ethanol, including the well-documented intrinsic components associated with caspase (caspase-3) activation and DNA damage (<xref ref-type="bibr" rid="b46-ijmm-34-05-1372">46</xref>,<xref ref-type="bibr" rid="b47-ijmm-34-05-1372">47</xref>). In cultured fetal cortical rat neurons, ethanol elicits an increase in ROS and, subsequently, a decrease in cellular GSH (<xref ref-type="bibr" rid="b46-ijmm-34-05-1372">46</xref>). DNA damage caused by ROS then activates PARP-1-related DNA repair processes. However, with longer term ethanol exposure, the hyperactivation of PARP-1 occurs, which may cause pro-apoptotic activities (<xref ref-type="bibr" rid="b14-ijmm-34-05-1372">14</xref>). Yu <italic>et al</italic> (<xref ref-type="bibr" rid="b48-ijmm-34-05-1372">48</xref>,<xref ref-type="bibr" rid="b49-ijmm-34-05-1372">49</xref>) demonstrated that PARP-1 activation signals cause the translocation of apoptosis-inducing factor (AIF), a 67 kDa flavoprotein, from the mitochondria to the nucleus, resulting in a caspase-independent pathway of programmed cell death. In turn, the upregulation of PARP-1 expression and poly(ADP-ribose) (PAR) formation cause apoptotic cell death (<xref ref-type="bibr" rid="b14-ijmm-34-05-1372">14</xref>, <xref ref-type="bibr" rid="b50-ijmm-34-05-1372">50</xref>).</p>
<p>In this study, we demonstrated that ethanol promoted the expression of both pro-apoptotic genes in the intrinsic apoptotic pathway and PARP-1 in oocytes and cumulus cells. It is therefore suggested, that ethanol increases intracellular ROS levels, which is strongly related to apoptosis, thus resulting in two possible mechanisms performed by its cascade of caspase-dependent apoptotic events and PARP-1-related apoptotic pathways (caspase-independent).</p>
<p>In conclusion, ethanol treatment during IVM was detrimental for the cytoplasmic maturation of porcine oocytes by increasing intracellular ROS levels, thereby decreasing GSH concentrations and upregulating apoptosis-related genes. Furthermore, porcine oocytes treated with &gt;1&#x00025; ethanol may have reduced developmental competence, which would greatly decrease blastocyst formation and the total cell number of blastocysts in PA- and IVF-derived embryos. Therefore, our results suggest that ethanol diminishes the quality of porcine oocytes and the subsequent <italic>in vitro</italic> development when IVM medium is supplemented with &gt;1&#x00025; ethanol.</p></sec></body>
<back>
<ack>
<title>Acknowledgements</title>
<p>This study was supported, in part, by a grant from the National Research Foundation of Korea Grant Government (NRF-2012R1A1A4A01004885, NRF-2013R1A2A2A04008751), Republic of Korea.</p></ack>
<ref-list>
<title>References</title>
<ref id="b1-ijmm-34-05-1372"><label>1</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Prather</surname><given-names>RS</given-names></name><name><surname>Hawley</surname><given-names>RJ</given-names></name><name><surname>Carter</surname><given-names>DB</given-names></name><name><surname>Lai</surname><given-names>L</given-names></name><name><surname>Greenstein</surname><given-names>JL</given-names></name></person-group><article-title>Transgenic swine for biomedicine and agriculture</article-title><source>Theriogenology</source><volume>59</volume><fpage>115</fpage><lpage>123</lpage><year>2003</year></element-citation></ref>
<ref id="b2-ijmm-34-05-1372"><label>2</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Meurens</surname><given-names>F</given-names></name><name><surname>Summerfield</surname><given-names>A</given-names></name><name><surname>Nauwynck</surname><given-names>H</given-names></name><name><surname>Saif</surname><given-names>L</given-names></name><name><surname>Gerdts</surname><given-names>V</given-names></name></person-group><article-title>The pig: a model for human infectious diseases</article-title><source>Trends Microbiol</source><volume>20</volume><fpage>50</fpage><lpage>57</lpage><year>2012</year></element-citation></ref>
<ref id="b3-ijmm-34-05-1372"><label>3</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Marco-Jim&#x000E9;nez</surname><given-names>F</given-names></name><name><surname>Llobat</surname><given-names>L</given-names></name><name><surname>Vicente</surname><given-names>JS</given-names></name></person-group><article-title>Effects of lanosterol on in vitro maturation of porcine oocytes</article-title><source>Anim Reprod Sci</source><volume>117</volume><fpage>288</fpage><lpage>294</lpage><year>2010</year></element-citation></ref>
<ref id="b4-ijmm-34-05-1372"><label>4</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Avery</surname><given-names>B</given-names></name><name><surname>Faerge</surname><given-names>I</given-names></name><name><surname>Gr&#x000F8;ndahl</surname><given-names>C</given-names></name><name><surname>Ottesen</surname><given-names>J</given-names></name></person-group><article-title>Nuclear maturation and embryo development of bovine oocytes, matured in a semi-defined medium supplemented with meiosis activating sterol (MAS)</article-title><source>Theriogenology</source><volume>51</volume><fpage>367</fpage><year>1999</year></element-citation></ref>
<ref id="b5-ijmm-34-05-1372"><label>5</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Martino</surname><given-names>A</given-names></name><name><surname>Songsasen</surname><given-names>N</given-names></name><name><surname>Leibo</surname><given-names>SP</given-names></name></person-group><article-title>Development into blastocysts of bovine oocytes cryopreserved by ultra-rapid cooling</article-title><source>Biol Reprod</source><volume>54</volume><fpage>1059</fpage><lpage>1069</lpage><year>1996</year></element-citation></ref>
<ref id="b6-ijmm-34-05-1372"><label>6</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Vajta</surname><given-names>G</given-names></name><name><surname>Holm</surname><given-names>P</given-names></name><name><surname>Kuwayama</surname><given-names>M</given-names></name><etal/></person-group><article-title>Open Pulled Straw (OPS) vitrification: a new way to reduce cryoinjuries of bovine ova and embryos</article-title><source>Mol Reprod Dev</source><volume>51</volume><fpage>53</fpage><lpage>58</lpage><year>1998</year></element-citation></ref>
<ref id="b7-ijmm-34-05-1372"><label>7</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Barboni</surname><given-names>B</given-names></name><name><surname>Mattioli</surname><given-names>M</given-names></name></person-group><article-title>Oocyte maturation involves important changes required for activation competence</article-title><source>Reprod Domest Anim</source><volume>31</volume><fpage>589</fpage><lpage>594</lpage><year>1996</year></element-citation></ref>
<ref id="b8-ijmm-34-05-1372"><label>8</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Fukui</surname><given-names>Y</given-names></name><name><surname>Sawai</surname><given-names>K</given-names></name><name><surname>Furudate</surname><given-names>M</given-names></name><name><surname>Sato</surname><given-names>N</given-names></name><name><surname>Iwazumi</surname><given-names>Y</given-names></name><name><surname>Ohsaki</surname><given-names>K</given-names></name></person-group><article-title>Parthenogenetic development of bovine oocytes treated with ethanol and cytochalasin B after in vitro maturation</article-title><source>Mol Reprod Dev</source><volume>33</volume><fpage>357</fpage><lpage>362</lpage><year>1992</year></element-citation></ref>
<ref id="b9-ijmm-34-05-1372"><label>9</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Balakier</surname><given-names>H</given-names></name><name><surname>Casper</surname><given-names>RF</given-names></name></person-group><article-title>Experimentally induced parthenogenetic activation of human oocytes</article-title><source>Hum Reprod</source><volume>8</volume><fpage>740</fpage><lpage>743</lpage><year>1993</year></element-citation></ref>
<ref id="b10-ijmm-34-05-1372"><label>10</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Rybouchkin</surname><given-names>A</given-names></name><name><surname>Dozortsev</surname><given-names>D</given-names></name><name><surname>De Sutter</surname><given-names>P</given-names></name><name><surname>Dhont</surname><given-names>M</given-names></name></person-group><article-title>Factors affecting the role of the spindle during early response of mouse oocytes to ethanol stimulation</article-title><source>J Exp Zool</source><volume>275</volume><fpage>469</fpage><lpage>475</lpage><year>1996</year></element-citation></ref>
<ref id="b11-ijmm-34-05-1372"><label>11</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Novitskiy</surname><given-names>G</given-names></name><name><surname>Traore</surname><given-names>K</given-names></name><name><surname>Wang</surname><given-names>L</given-names></name><name><surname>Trush</surname><given-names>MA</given-names></name><name><surname>Mezey</surname><given-names>E</given-names></name></person-group><article-title>Effects of ethanol and acetaldehyde on reactive oxygen species production in rat hepatic stellate cells</article-title><source>Alcohol Clin Exp Res</source><volume>30</volume><fpage>1429</fpage><lpage>1435</lpage><year>2006</year></element-citation></ref>
<ref id="b12-ijmm-34-05-1372"><label>12</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Mameli</surname><given-names>M</given-names></name><name><surname>Botta</surname><given-names>P</given-names></name><name><surname>Zamudio</surname><given-names>PA</given-names></name><name><surname>Zucca</surname><given-names>S</given-names></name><name><surname>Valenzuela</surname><given-names>CF</given-names></name></person-group><article-title>Ethanol decreases Purkinje neuron excitability by increasing GABA release in rat cerebellar slices</article-title><source>J Pharmacol Exp Ther</source><volume>327</volume><fpage>910</fpage><lpage>917</lpage><year>2008</year></element-citation></ref>
<ref id="b13-ijmm-34-05-1372"><label>13</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Caires</surname><given-names>KC</given-names></name><name><surname>Shima</surname><given-names>CM</given-names></name><name><surname>de Avila</surname><given-names>J</given-names></name><name><surname>McLean</surname><given-names>DJ</given-names></name></person-group><article-title>Acute ethanol exposure affects spermatogonial stem cell homeostasis in pre-pubertal mice</article-title><source>Reprod Toxicol</source><volume>33</volume><fpage>76</fpage><lpage>84</lpage><year>2012</year></element-citation></ref>
<ref id="b14-ijmm-34-05-1372"><label>14</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Cherian</surname><given-names>PP</given-names></name><name><surname>Schenker</surname><given-names>S</given-names></name><name><surname>Henderson</surname><given-names>GI</given-names></name></person-group><article-title>Ethanol-mediated DNA damage and PARP-1 apoptotic responses in cultured fetal cortical neurons</article-title><source>Alcohol Clin Exp Res</source><volume>32</volume><fpage>1884</fpage><lpage>1892</lpage><year>2008</year></element-citation></ref>
<ref id="b15-ijmm-34-05-1372"><label>15</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Hengartner</surname><given-names>MO</given-names></name></person-group><article-title>The biochemistry of apoptosis</article-title><source>Nature</source><volume>407</volume><fpage>770</fpage><lpage>776</lpage><year>2000</year></element-citation></ref>
<ref id="b16-ijmm-34-05-1372"><label>16</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Kameshita</surname><given-names>I</given-names></name><name><surname>Matsuda</surname><given-names>Z</given-names></name><name><surname>Taniguchi</surname><given-names>T</given-names></name><name><surname>Shizuta</surname><given-names>Y</given-names></name></person-group><article-title>Poly (ADP-Ribose) synthetase. Separation and identification of three proteolytic fragments as the substrate-binding domain, the DNA-binding domain, and the automodification domain</article-title><source>J Bioll Chem</source><volume>259</volume><fpage>4770</fpage><lpage>4776</lpage><year>1984</year></element-citation></ref>
<ref id="b17-ijmm-34-05-1372"><label>17</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Vir&#x000E1;g</surname><given-names>L</given-names></name><name><surname>Szab&#x000F3;</surname><given-names>C</given-names></name></person-group><article-title>The therapeutic potential of poly (ADP-ribose) polymerase inhibitors</article-title><source>Pharmacol Rev</source><volume>54</volume><fpage>375</fpage><lpage>429</lpage><year>2002</year></element-citation></ref>
<ref id="b18-ijmm-34-05-1372"><label>18</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Hong</surname><given-names>SJ</given-names></name><name><surname>Dawson</surname><given-names>TM</given-names></name><name><surname>Dawson</surname><given-names>VL</given-names></name></person-group><article-title>Nuclear and mitochondrial conversations in cell death: PARP-1 and AIF signaling</article-title><source>Trends Pharmacol Sci</source><volume>25</volume><fpage>259</fpage><lpage>264</lpage><year>2004</year></element-citation></ref>
<ref id="b19-ijmm-34-05-1372"><label>19</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>You</surname><given-names>J</given-names></name><name><surname>Kim</surname><given-names>J</given-names></name><name><surname>Lim</surname><given-names>J</given-names></name><name><surname>Lee</surname><given-names>E</given-names></name></person-group><article-title>Anthocyanin stimulates in vitro development of cloned pig embryos by increasing the intracellular glutathione level and inhibiting reactive oxygen species</article-title><source>Theriogenology</source><volume>74</volume><fpage>777</fpage><lpage>785</lpage><year>2010</year></element-citation></ref>
<ref id="b20-ijmm-34-05-1372"><label>20</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Nasr-Esfahani</surname><given-names>MH</given-names></name><name><surname>Aitken</surname><given-names>JR</given-names></name><name><surname>Johnson</surname><given-names>MH</given-names></name></person-group><article-title>Hydrogen peroxide levels in mouse oocytes and early cleavage stage embryos developed in vitro or in vivo</article-title><source>Development</source><volume>109</volume><fpage>501</fpage><lpage>507</lpage><year>1990</year></element-citation></ref>
<ref id="b21-ijmm-34-05-1372"><label>21</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Baker</surname><given-names>MA</given-names></name><name><surname>Cerniglia</surname><given-names>GJ</given-names></name><name><surname>Zaman</surname><given-names>A</given-names></name></person-group><article-title>Microtiter plate assay for the measurement of glutathione and glutathione disulfide in large numbers of biological samples</article-title><source>Anal Biochem</source><volume>190</volume><fpage>360</fpage><lpage>365</lpage><year>1990</year></element-citation></ref>
<ref id="b22-ijmm-34-05-1372"><label>22</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Abeydeera</surname><given-names>LR</given-names></name><name><surname>Day</surname><given-names>BN</given-names></name></person-group><article-title>In vitro penetration of pig oocytes in a modified Tris-buffered medium: effect of BSA, caffeine and calcium</article-title><source>Theriogenology</source><volume>48</volume><fpage>537</fpage><lpage>544</lpage><year>1997</year></element-citation></ref>
<ref id="b23-ijmm-34-05-1372"><label>23</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Gil</surname><given-names>MA</given-names></name><name><surname>Ruiz</surname><given-names>M</given-names></name><name><surname>Vazquez</surname><given-names>JM</given-names></name><name><surname>Roca</surname><given-names>J</given-names></name><name><surname>Day</surname><given-names>BN</given-names></name><name><surname>Martinez</surname><given-names>EA</given-names></name></person-group><article-title>Effect of short periods of sperm-oocyte coincubation during <italic>in vitro</italic> fertilization on embryo development in pigs</article-title><source>Theriogenology</source><volume>62</volume><fpage>544</fpage><lpage>552</lpage><year>2004</year></element-citation></ref>
<ref id="b24-ijmm-34-05-1372"><label>24</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Yoshioka</surname><given-names>K</given-names></name><name><surname>Suzuki</surname><given-names>C</given-names></name><name><surname>Tanaka</surname><given-names>A</given-names></name><name><surname>Anas</surname><given-names>IM</given-names></name><name><surname>Iwamura</surname><given-names>S</given-names></name></person-group><article-title>Birth of piglets derived from porcine zygotes cultured in a chemically defined medium</article-title><source>Biol Reprod</source><volume>66</volume><fpage>112</fpage><lpage>119</lpage><year>2002</year></element-citation></ref>
<ref id="b25-ijmm-34-05-1372"><label>25</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Cheng</surname><given-names>TC</given-names></name><name><surname>Huang</surname><given-names>CC</given-names></name><name><surname>Huang</surname><given-names>LS</given-names></name><name><surname>Chen</surname><given-names>CI</given-names></name><name><surname>Lee</surname><given-names>MS</given-names></name><name><surname>Liu</surname><given-names>JY</given-names></name></person-group><article-title>Evaluation of mouse blastocyst implantation rate by morphology grading</article-title><source>Chin J Physiol</source><volume>47</volume><fpage>43</fpage><lpage>47</lpage><year>2004</year></element-citation></ref>
<ref id="b26-ijmm-34-05-1372"><label>26</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Hall</surname><given-names>V</given-names></name><name><surname>Hinrichs</surname><given-names>K</given-names></name><name><surname>Lazzari</surname><given-names>G</given-names></name><name><surname>Betts</surname><given-names>DH</given-names></name><name><surname>Hyttel</surname><given-names>P</given-names></name></person-group><article-title>Early embryonic development, assisted reproductive technologies, and pluripotent stem cell biology in domestic mammals</article-title><source>Vet J</source><volume>197</volume><fpage>128</fpage><lpage>142</lpage><year>2013</year></element-citation></ref>
<ref id="b27-ijmm-34-05-1372"><label>27</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Gil</surname><given-names>MA</given-names></name><name><surname>Cuello</surname><given-names>C</given-names></name><name><surname>Parrilla</surname><given-names>I</given-names></name><name><surname>Vazquez</surname><given-names>JM</given-names></name><name><surname>Roca</surname><given-names>J</given-names></name><name><surname>Martinez</surname><given-names>EA</given-names></name></person-group><article-title>Advances in swine in vitro embryo production technologies</article-title><source>Reprod Domest Anim</source><volume>45</volume><issue>Suppl 2</issue><fpage>S40</fpage><lpage>S48</lpage><year>2010</year></element-citation></ref>
<ref id="b28-ijmm-34-05-1372"><label>28</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Funahashi</surname><given-names>H</given-names></name><name><surname>Day</surname><given-names>BN</given-names></name></person-group><article-title>Advances in in vitro production of pig embryos</article-title><source>J Reprod Fertil Suppl</source><volume>52</volume><fpage>271</fpage><lpage>283</lpage><year>1997</year></element-citation></ref>
<ref id="b29-ijmm-34-05-1372"><label>29</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Coy</surname><given-names>P</given-names></name><name><surname>Romar</surname><given-names>R</given-names></name></person-group><article-title>In vitro production of pig embryos: a point of view</article-title><source>Reprod Fertil Dev</source><volume>14</volume><fpage>275</fpage><lpage>286</lpage><year>2002</year></element-citation></ref>
<ref id="b30-ijmm-34-05-1372"><label>30</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>De Matos</surname><given-names>DG</given-names></name><name><surname>Furnus</surname><given-names>CC</given-names></name></person-group><article-title>The importance of having high glutathione (GSH) level after bovine in vitro maturation on embryo development: effect of beta-mercaptoethanol, cysteine and cystine</article-title><source>Theriogenology</source><volume>53</volume><fpage>761</fpage><lpage>771</lpage><year>2000</year></element-citation></ref>
<ref id="b31-ijmm-34-05-1372"><label>31</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Abeydeera</surname><given-names>LR</given-names></name><name><surname>Wang</surname><given-names>WH</given-names></name><name><surname>Cantley</surname><given-names>TC</given-names></name><name><surname>Prather</surname><given-names>RS</given-names></name><name><surname>Day</surname><given-names>BN</given-names></name></person-group><article-title>Presence of beta-mercaptoethanol can increase the glutathione content of pig oocytes matured in vitro and the rate of blastocyst development after in vitro fertilization</article-title><source>Theriogenology</source><volume>50</volume><fpage>747</fpage><lpage>756</lpage><year>1998</year></element-citation></ref>
<ref id="b32-ijmm-34-05-1372"><label>32</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Luberda</surname><given-names>Z</given-names></name></person-group><article-title>The role of glutathione in mammalian gametes</article-title><source>Reprod Biol</source><volume>5</volume><fpage>5</fpage><lpage>17</lpage><year>2005</year></element-citation></ref>
<ref id="b33-ijmm-34-05-1372"><label>33</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Brad</surname><given-names>AM</given-names></name><name><surname>Bormann</surname><given-names>CL</given-names></name><name><surname>Swain</surname><given-names>JE</given-names></name><etal/></person-group><article-title>Glutathione and adenosine triphosphate content of in vivo and in vitro matured porcine oocytes</article-title><source>Mol Reprod Dev</source><volume>64</volume><fpage>492</fpage><lpage>498</lpage><year>2003</year></element-citation></ref>
<ref id="b34-ijmm-34-05-1372"><label>34</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Meister</surname><given-names>A</given-names></name></person-group><article-title>Selective modification of glutathione metabolism</article-title><source>Science</source><volume>220</volume><fpage>472</fpage><lpage>477</lpage><year>1983</year></element-citation></ref>
<ref id="b35-ijmm-34-05-1372"><label>35</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Avery</surname><given-names>B</given-names></name><name><surname>Greve</surname><given-names>T</given-names></name></person-group><article-title>Effects of ethanol and dimethylsulphoxide on nuclear and cytoplasmic maturation of bovine cumulus-oocyte complexes</article-title><source>Mol Reprod Dev</source><volume>55</volume><fpage>438</fpage><lpage>445</lpage><year>2000</year></element-citation></ref>
<ref id="b36-ijmm-34-05-1372"><label>36</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Park</surname><given-names>SH</given-names></name><name><surname>Park</surname><given-names>SB</given-names></name><name><surname>Kim</surname><given-names>NH</given-names></name></person-group><article-title>Expression of early development-related genes in bovine nuclear transferred and fertilized embryos</article-title><source>Zygote</source><volume>11</volume><fpage>355</fpage><lpage>360</lpage><year>2003</year></element-citation></ref>
<ref id="b37-ijmm-34-05-1372"><label>37</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Zhou</surname><given-names>W</given-names></name><name><surname>Xiang</surname><given-names>T</given-names></name><name><surname>Walker</surname><given-names>S</given-names></name><etal/></person-group><article-title>Global gene expression analysis of bovine blastocysts produced by multiple methods</article-title><source>Mol Reprod Dev</source><volume>75</volume><fpage>744</fpage><lpage>758</lpage><year>2008</year></element-citation></ref>
<ref id="b38-ijmm-34-05-1372"><label>38</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>De Sousa</surname><given-names>PA</given-names></name><name><surname>Caveney</surname><given-names>A</given-names></name><name><surname>Westhusin</surname><given-names>ME</given-names></name><name><surname>Watson</surname><given-names>AJ</given-names></name></person-group><article-title>Temporal patterns of embryonic gene expression and their dependence on oogenetic factors</article-title><source>Theriogenology</source><volume>49</volume><fpage>115</fpage><lpage>128</lpage><year>1998</year></element-citation></ref>
<ref id="b39-ijmm-34-05-1372"><label>39</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Hashimoto</surname><given-names>S</given-names></name><name><surname>Saeki</surname><given-names>K</given-names></name><name><surname>Nagao</surname><given-names>Y</given-names></name><name><surname>Minami</surname><given-names>N</given-names></name><name><surname>Yamada</surname><given-names>M</given-names></name><name><surname>Utsumi</surname><given-names>K</given-names></name></person-group><article-title>Effects of cumulus cell density during in vitro maturation on the developmental competence of bovine oocytes</article-title><source>Theriogenology</source><volume>49</volume><fpage>1451</fpage><lpage>1463</lpage><year>1998</year></element-citation></ref>
<ref id="b40-ijmm-34-05-1372"><label>40</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Jurisicova</surname><given-names>A</given-names></name><name><surname>Latham</surname><given-names>KE</given-names></name><name><surname>Casper</surname><given-names>RF</given-names></name><name><surname>Varmuza</surname><given-names>SL</given-names></name></person-group><article-title>Expression and regulation of genes associated with cell death during murine preimplantation embryo development</article-title><source>Mol Reprod Dev</source><volume>51</volume><fpage>243</fpage><lpage>253</lpage><year>1998</year></element-citation></ref>
<ref id="b41-ijmm-34-05-1372"><label>41</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Byrne</surname><given-names>AT</given-names></name><name><surname>Southgate</surname><given-names>J</given-names></name><name><surname>Brison</surname><given-names>DR</given-names></name><name><surname>Leese</surname><given-names>HJ</given-names></name></person-group><article-title>Analysis of apoptosis in the preimplantation bovine embryo using TUNEL</article-title><source>J Reprod Fertil</source><volume>117</volume><fpage>97</fpage><lpage>105</lpage><year>1999</year></element-citation></ref>
<ref id="b42-ijmm-34-05-1372"><label>42</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Makarevich</surname><given-names>AV</given-names></name><name><surname>Markkula</surname><given-names>M</given-names></name></person-group><article-title>Apoptosis and cell proliferation potential of bovine embryos stimulated with insulin-like growth factor I during in vitro maturation and culture</article-title><source>Biol Reprod</source><volume>66</volume><fpage>386</fpage><lpage>392</lpage><year>2002</year></element-citation></ref>
<ref id="b43-ijmm-34-05-1372"><label>43</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Wu</surname><given-names>MH</given-names></name><name><surname>Chang</surname><given-names>JH</given-names></name><name><surname>Yung</surname><given-names>BY</given-names></name></person-group><article-title>Resistance to UV-induced cell-killing in nucleophosmin/B23 over-expressed NIH 3T3 fibroblasts: enhancement of DNA repair and up-regulation of PCNA in association with nucleophosmin/B23 over-expression</article-title><source>Carcinogenesis</source><volume>23</volume><fpage>93</fpage><lpage>100</lpage><year>2002</year></element-citation></ref>
<ref id="b44-ijmm-34-05-1372"><label>44</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Zong</surname><given-names>WX</given-names></name><name><surname>Li</surname><given-names>C</given-names></name><name><surname>Hatzivassiliou</surname><given-names>G</given-names></name><etal/></person-group><article-title>Bax and Bak can localize to the endoplasmic reticulum to initiate apoptosis</article-title><source>J Cell Biol</source><volume>162</volume><fpage>59</fpage><lpage>69</lpage><year>2003</year></element-citation></ref>
<ref id="b45-ijmm-34-05-1372"><label>45</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Gandolfi</surname><given-names>TA</given-names></name><name><surname>Gandolfi</surname><given-names>F</given-names></name></person-group><article-title>The maternal legacy to the embryo: cytoplasmic components and their effects on early development</article-title><source>Theriogenology</source><volume>55</volume><fpage>1255</fpage><lpage>1276</lpage><year>2001</year></element-citation></ref>
<ref id="b46-ijmm-34-05-1372"><label>46</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Ramachandran</surname><given-names>V</given-names></name><name><surname>Watts</surname><given-names>LT</given-names></name><name><surname>Maffi</surname><given-names>SK</given-names></name><name><surname>Chen</surname><given-names>J</given-names></name><name><surname>Schenker</surname><given-names>S</given-names></name><name><surname>Henderson</surname><given-names>G</given-names></name></person-group><article-title>Ethanol-induced oxidative stress precedes mitochondrially mediated apoptotic death of cultured fetal cortical neurons</article-title><source>J Neurosci Res</source><volume>74</volume><fpage>577</fpage><lpage>588</lpage><year>2003</year></element-citation></ref>
<ref id="b47-ijmm-34-05-1372"><label>47</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Ramachandran</surname><given-names>V</given-names></name><name><surname>Perez</surname><given-names>A</given-names></name><name><surname>Chen</surname><given-names>J</given-names></name><name><surname>Senthil</surname><given-names>D</given-names></name><name><surname>Schenker</surname><given-names>S</given-names></name><name><surname>Henderson</surname><given-names>GI</given-names></name></person-group><article-title>In utero ethanol exposure causes mitochondrial dysfunction, which can result in apoptotic cell death in fetal brain: a potential role for 4-hydroxynonenal</article-title><source>Alcohol Clin Exp Res</source><volume>25</volume><fpage>862</fpage><lpage>871</lpage><year>2001</year></element-citation></ref>
<ref id="b48-ijmm-34-05-1372"><label>48</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Yu</surname><given-names>SW</given-names></name><name><surname>Wang</surname><given-names>H</given-names></name><name><surname>Poitras</surname><given-names>MF</given-names></name><etal/></person-group><article-title>Mediation of poly(ADP-ribose) polymerase-1-dependent cell death by apoptosis-inducing factor</article-title><source>Science</source><volume>297</volume><fpage>259</fpage><lpage>263</lpage><year>2002</year></element-citation></ref>
<ref id="b49-ijmm-34-05-1372"><label>49</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Yu</surname><given-names>SW</given-names></name><name><surname>Andrabi</surname><given-names>SA</given-names></name><name><surname>Wang</surname><given-names>H</given-names></name><etal/></person-group><article-title>Apoptosis-inducing factor mediates poly(ADP-ribose) (PAR) polymer-induced cell death</article-title><source>Proc Natl Acad Sci USA</source><volume>103</volume><fpage>18314</fpage><lpage>18319</lpage><year>2006</year></element-citation></ref>
<ref id="b50-ijmm-34-05-1372"><label>50</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Strosznajder</surname><given-names>JB</given-names></name><name><surname>Czapski</surname><given-names>GA</given-names></name><name><surname>Adamczyk</surname><given-names>A</given-names></name><name><surname>Strosznajder</surname><given-names>RP</given-names></name></person-group><article-title>Poly(ADP-ribose) polymerase-1 in amyloid beta toxicity and Alzheimer&#x02019;s disease</article-title><source>Mol Neurobiol</source><volume>46</volume><fpage>78</fpage><lpage>84</lpage><year>2012</year></element-citation></ref></ref-list></back>
<floats-group>
<fig id="f1-ijmm-34-05-1372" position="float">
<label>Figure 1</label>
<caption>
<p>Epifluorescence photomicrographic images of <italic>in vitro</italic> matured porcine oocytes. (A) Oocytes were stained with (a-c) Cell Tracker Blue and (d-f) 2&#x02032;,7&#x02032;-dichlorodihydrofluorescein diacetate (H<sub>2</sub>DCFDA) to detect intracellular levels of glutathione (GSH) and reactive oxygen species (ROS), respectively. Metaphase II (MII) oocytes derived from the maturation medium supplemented with (a and d) 1&#x00025; ethanol, (b and e) 3&#x00025; ethanol, and (c and f) without ethanol. (B) Relative levels of intracellular GSH and ROS in <italic>in vitro</italic> matured porcine oocytes between the 3 groups (1, 3&#x00025; and without ethanol treatment). For each analysis (GSH and ROS levels), bars with different letters (a and b) indicate a statistically significant difference between groups (P&lt;0.05). Total no. of examined oocytes: GSH samples, n=28; ROS samples, nN=28. The experiment was replicated 3 times.</p></caption>
<graphic xlink:href="IJMM-34-05-1372-g00.gif"/></fig>
<fig id="f2-ijmm-34-05-1372" position="float">
<label>Figure 2</label>
<caption>
<p>(A) Effects of various concentrations of ethanol during <italic>in vitro</italic> maturation (IVM) on the cleavage pattern of parthenogenetic activation (PA) embryos on day 2 and (B) the percentage of PA embryos that developed into blastocysts on day 7. For each endpoint, bars with different letters (a and b) indicate a statistically significant difference between groups (P&lt;0.05) for different concentrations of ethanol. EarBL, early blastocyst; ExpBL, expanded blastocyst; HatBL, hatched blastocyst. The experiment was repeated 3 times.</p></caption>
<graphic xlink:href="IJMM-34-05-1372-g01.gif"/></fig>
<fig id="f3-ijmm-34-05-1372" position="float">
<label>Figure 3</label>
<caption>
<p>(A) Effects of various concentrations of ethanol during <italic>in vitro</italic> maturation (IVM) on the cleavage pattern of <italic>in vitro</italic> fertilization (IVF) embryos on day 2 and (B) the percentage of IVF embryos that developed into blastocysts on day 7. For each endpoint, bars with different letters (a and b) indicate a statistically significant difference (P&lt;0.05) for different concentrations of ethanol. EarBL, early blastocyst; ExpBL, expanded blastocyst; HatBL, hatched blastocyst. The experiment was repeated 5 times.</p></caption>
<graphic xlink:href="IJMM-34-05-1372-g02.gif"/></fig>
<fig id="f4-ijmm-34-05-1372" position="float">
<label>Figure 4</label>
<caption>
<p>mRNA expression levels (mean &#x000B1; SEM) of proliferating cell nuclear (PCNA), poly(ADP-ribose) polymerase-1 (PARP-1), Bax, Bak, and caspase-3 in cumulus oocyte complexes (COCs) treated with ethanol during <italic>in vitro</italic> maturation (IVM). Within the same target mRNA, bars with different letters indicate a statistically significant difference between groups (P&lt;0.05). The experiment was replicated 3 times.</p></caption>
<graphic xlink:href="IJMM-34-05-1372-g03.gif"/></fig>
<table-wrap id="tI-ijmm-34-05-1372" position="float">
<label>Table I</label>
<caption>
<p>Primer sequences used for gene expression analysis.</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th valign="bottom" align="left">mRNA</th>
<th valign="bottom" align="center">Primer sequences</th>
<th valign="bottom" align="center">Product size (bp)</th>
<th valign="bottom" align="center">GenBank accession no.</th></tr></thead>
<tbody>
<tr>
<td valign="top" align="left">GAPDH</td>
<td valign="top" align="left">F: 5&#x02032;-GTCGGTTGTGGATCTGACCT-3&#x02032;<break/>R: 5&#x02032;-TTGACGAAGTGGTCGTTGAG-3&#x02032;</td>
<td valign="top" align="center">207</td>
<td valign="top" align="left">NM_001206359.1</td></tr>
<tr>
<td valign="top" align="left">PCNA</td>
<td valign="top" align="left">F: 5&#x02032;-CCTGTGCAAAAGATGGAGTG-3&#x02032;<break/>R: 5&#x02032;-GGAGAGAGTGGAGTGGCTTTT-3&#x02032;</td>
<td valign="top" align="center">187</td>
<td valign="top" align="left">XM_003359883</td></tr>
<tr>
<td valign="top" align="left">PARP-1</td>
<td valign="top" align="left">F: 5&#x02032;-ACTTTAAGACGTCCCTGTGG-3&#x02032;<break/>R: 5&#x02032;-GATTGGAGAAGTTGGGAAAA-3&#x02032;</td>
<td valign="top" align="center">202</td>
<td valign="top" align="left">XM_003357641.1</td></tr>
<tr>
<td valign="top" align="left">Bax</td>
<td valign="top" align="left">F: 5&#x02032;-TGCCTCAGGATGCATCTACC-3&#x02032;<break/>R: 5&#x02032;-AAGTAGAAAAGCGCGACCAC-3&#x02032;</td>
<td valign="top" align="center">199</td>
<td valign="top" align="left">XM_003127290</td></tr>
<tr>
<td valign="top" align="left">Bak</td>
<td valign="top" align="left">F: 5&#x02032;-GCGGAAAACGCCTATGAGTA-3&#x02032;<break/>R: 3&#x02032;-GCAGTGATGCAGCATGAAGT-5&#x02032;</td>
<td valign="top" align="center">189</td>
<td valign="top" align="left">XM_001928147</td></tr>
<tr>
<td valign="top" align="left">Caspase-3</td>
<td valign="top" align="left">F: 5&#x02032;-CGTGCTTCTAAGCCATGGTG-3&#x02032;<break/>R: 5&#x02032;-GTCCCACTGTCCGTCTCAAT-3&#x02032;</td>
<td valign="top" align="center">186</td>
<td valign="top" align="left">NM_214131</td></tr></tbody></table></table-wrap>
<table-wrap id="tII-ijmm-34-05-1372" position="float">
<label>Table II</label>
<caption>
<p>Effects of ethanol treatment during porcine IVM on nuclear maturation.</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th valign="bottom" rowspan="3" align="left">Ethanol concentration (&#x00025;)</th>
<th valign="bottom" rowspan="3" align="center">No. of oocytes cultured for maturation<xref rid="tfn1-ijmm-34-05-1372" ref-type="table-fn">a</xref></th>
<th colspan="4" valign="bottom" align="center">No. of oocytes at different stages of maturation</th></tr>
<tr>
<th colspan="4" valign="bottom" align="left">
<hr/></th></tr>
<tr>
<th valign="bottom" align="center">Germinal vesicle (&#x00025;)</th>
<th valign="bottom" align="center">Metaphase I (&#x00025;)</th>
<th valign="bottom" align="center">Anaphase-telophase I (&#x00025;)</th>
<th valign="bottom" align="center">Metaphase II (&#x00025;)</th></tr></thead>
<tbody>
<tr>
<td valign="top" align="left">0 (control)</td>
<td valign="top" align="center">172</td>
<td valign="top" align="center">2 (1.2&#x000B1;1.2)</td>
<td valign="top" align="center">19 (11.0&#x000B1;0.4)<xref rid="tfn2-ijmm-34-05-1372" ref-type="table-fn">b</xref></td>
<td valign="top" align="center">30 (17.5&#x000B1;1.4)<xref rid="tfn2-ijmm-34-05-1372" ref-type="table-fn">b</xref></td>
<td valign="top" align="right">121 (70.3&#x000B1;1.5)<xref rid="tfn2-ijmm-34-05-1372" ref-type="table-fn">b</xref></td></tr>
<tr>
<td valign="top" align="left">1</td>
<td valign="top" align="center">167</td>
<td valign="top" align="center">2 (1.2&#x000B1;0.6)</td>
<td valign="top" align="center">20 (12.0&#x000B1;1.7)<xref rid="tfn2-ijmm-34-05-1372" ref-type="table-fn">b</xref></td>
<td valign="top" align="center">45 (27.0&#x000B1;3.9)<xref rid="tfn2-ijmm-34-05-1372" ref-type="table-fn">b</xref></td>
<td valign="top" align="right">100 (59.8&#x000B1;5.6)<xref rid="tfn2-ijmm-34-05-1372" ref-type="table-fn">b</xref></td></tr>
<tr>
<td valign="top" align="left">3</td>
<td valign="top" align="center">170</td>
<td valign="top" align="center">4 (2.3&#x000B1;1.5)</td>
<td valign="top" align="center">33 (19.3&#x000B1;2.3)<xref rid="tfn2-ijmm-34-05-1372" ref-type="table-fn">c</xref></td>
<td valign="top" align="center">75 (44.3&#x000B1;4.4)<xref rid="tfn2-ijmm-34-05-1372" ref-type="table-fn">c</xref></td>
<td valign="top" align="right">58 (34.0&#x000B1;2.2)<xref rid="tfn2-ijmm-34-05-1372" ref-type="table-fn">c</xref></td></tr></tbody></table>
<table-wrap-foot><fn id="tfn1-ijmm-34-05-1372">
<label>a</label>
<p>Experiments repeated 3 times;</p></fn><fn id="tfn2-ijmm-34-05-1372">
<label>b,c</label>
<p>Values with different letters in superscript within a column indicate a statistically significant difference (P&lt;0.05).</p></fn><fn id="tfn3-ijmm-34-05-1372">
<p>IVM, <italic>in vitro</italic> maturation.</p></fn></table-wrap-foot></table-wrap>
<table-wrap id="tIII-ijmm-34-05-1372" position="float">
<label>Table III</label>
<caption>
<p>Effects of ethanol treatment during IVM on embryonic development in porcine PA embryos.</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th valign="bottom" rowspan="3" align="left">Ethanol concentration (&#x00025;)</th>
<th valign="bottom" rowspan="3" align="center">No. of embryos cultured</th>
<th colspan="2" valign="bottom" align="center">No. of embryos developed into (&#x00025;)</th>
<th valign="bottom" rowspan="3" align="center">Total cell numbe in blastocyst (N)<xref rid="tfn5-ijmm-34-05-1372" ref-type="table-fn">a</xref></th></tr>
<tr>
<th colspan="2" valign="bottom" align="left">
<hr/></th></tr>
<tr>
<th valign="bottom" align="center">&#x02265;2-cell embryos</th>
<th valign="bottom" align="center">Blastocysts</th></tr></thead>
<tbody>
<tr>
<td valign="top" align="left">0 (control)</td>
<td valign="top" align="right">130</td>
<td valign="top" align="right">113 (86.9&#x000B1;2.4)<xref rid="tfn6-ijmm-34-05-1372" ref-type="table-fn">b</xref></td>
<td valign="top" align="center">67 (51.5&#x000B1;2.7)<xref rid="tfn6-ijmm-34-05-1372" ref-type="table-fn">b</xref></td>
<td valign="top" align="center">65.0&#x000B1;5.1<xref rid="tfn6-ijmm-34-05-1372" ref-type="table-fn">b</xref> (12)</td></tr>
<tr>
<td valign="top" align="left">1</td>
<td valign="top" align="right">118</td>
<td valign="top" align="right">93 (78.8&#x000B1;2.4)<xref rid="tfn6-ijmm-34-05-1372" ref-type="table-fn">b</xref></td>
<td valign="top" align="center">43 (36.4&#x000B1;5.0)<xref rid="tfn6-ijmm-34-05-1372" ref-type="table-fn">c</xref></td>
<td valign="top" align="center">52.3&#x000B1;3.8<xref rid="tfn6-ijmm-34-05-1372" ref-type="table-fn">c</xref> (12)</td></tr>
<tr>
<td valign="top" align="left">3</td>
<td valign="top" align="right">97</td>
<td valign="top" align="right">50 (51.6&#x000B1;3.9)<xref rid="tfn6-ijmm-34-05-1372" ref-type="table-fn">c</xref></td>
<td valign="top" align="center">11 (11.3&#x000B1;0.3)<xref rid="tfn6-ijmm-34-05-1372" ref-type="table-fn">d</xref></td>
<td valign="top" align="center">30.6&#x000B1;3.1<xref rid="tfn6-ijmm-34-05-1372" ref-type="table-fn">d</xref> (11)</td></tr></tbody></table>
<table-wrap-foot><fn id="tfn4-ijmm-34-05-1372">
<p>The experiment was repeated 3 times. The data represent the &#x000B1; SEM.</p></fn><fn id="tfn5-ijmm-34-05-1372">
<label>a</label>
<p>Number of examined blastocysts;</p></fn><fn id="tfn6-ijmm-34-05-1372">
<label>b&#x02013;d</label>
<p>Values with different letters in superscript within a column indicate a statistically significant difference (P&lt;0.05)</p></fn><fn id="tfn7-ijmm-34-05-1372">
<p>IVM, <italic>in vitro</italic> maturation; PA, parthenogenetic activation.</p></fn></table-wrap-foot></table-wrap>
<table-wrap id="tIV-ijmm-34-05-1372" position="float">
<label>Table IV</label>
<caption>
<p>Effects of ethanol treatment during IVM on embryonic development following IVF.</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th valign="bottom" rowspan="3" align="left">Ethanol concentration (&#x00025;)</th>
<th valign="bottom" rowspan="3" align="center">No. of embryos cultured</th>
<th colspan="2" valign="bottom" align="center">No. of embryos developed into (&#x00025;)</th>
<th valign="bottom" rowspan="3" align="center">Total cell number in blastocyst (N)<xref rid="tfn9-ijmm-34-05-1372" ref-type="table-fn">a</xref></th></tr>
<tr>
<th colspan="2" valign="bottom" align="left">
<hr/></th></tr>
<tr>
<th valign="bottom" align="center">&#x02265;2-cell embryos</th>
<th valign="bottom" align="center">Blastocysts</th></tr></thead>
<tbody>
<tr>
<td valign="top" align="left">0 (control)</td>
<td valign="top" align="center">201</td>
<td valign="top" align="right">142 (70.6&#x000B1;0.7)<xref rid="tfn10-ijmm-34-05-1372" ref-type="table-fn">b</xref></td>
<td valign="top" align="right">57 (28.4&#x000B1;3.3)<xref rid="tfn10-ijmm-34-05-1372" ref-type="table-fn">b</xref></td>
<td valign="top" align="left">64.8&#x000B1;4.5<xref rid="tfn10-ijmm-34-05-1372" ref-type="table-fn">b</xref> (12)</td></tr>
<tr>
<td valign="top" align="left">1</td>
<td valign="top" align="center">183</td>
<td valign="top" align="right">121 (65.6&#x000B1;1.3)<xref rid="tfn10-ijmm-34-05-1372" ref-type="table-fn">c</xref></td>
<td valign="top" align="right">40 (21.9&#x000B1;2.0)<xref rid="tfn10-ijmm-34-05-1372" ref-type="table-fn">c</xref></td>
<td valign="top" align="left">50.2&#x000B1;2.5<xref rid="tfn10-ijmm-34-05-1372" ref-type="table-fn">c</xref> (13)</td></tr>
<tr>
<td valign="top" align="left">3</td>
<td valign="top" align="center">137</td>
<td valign="top" align="right">73 (53.3&#x000B1;1.5)<xref rid="tfn10-ijmm-34-05-1372" ref-type="table-fn">d</xref></td>
<td valign="top" align="right">4 (2.9&#x000B1;1.4)<xref rid="tfn10-ijmm-34-05-1372" ref-type="table-fn">d</xref></td>
<td valign="top" align="left">27.3&#x000B1;4.7<xref rid="tfn10-ijmm-34-05-1372" ref-type="table-fn">d</xref> (4)</td></tr></tbody></table>
<table-wrap-foot><fn id="tfn8-ijmm-34-05-1372">
<p>The experiment was repeated 5 times. The data represent the means &#x000B1; SEM.</p></fn><fn id="tfn9-ijmm-34-05-1372">
<label>a</label>
<p>Number of examined blastocysts;</p></fn><fn id="tfn10-ijmm-34-05-1372">
<label>b&#x02013;d</label>
<p>Values with different letters in superscript within a column indicate a statistically significant difference (P&lt;0.05).</p></fn><fn id="tfn11-ijmm-34-05-1372">
<p>IVM, <italic>in vitro</italic> maturation; IVF, <italic>in vitro</italic> fertilization.</p></fn></table-wrap-foot></table-wrap></floats-group></article>
