Morphology of primary, secondary and tertiary follicles in both vitrified and control group is shown in Fig 3. Number of follicles recovered per ovary and the percentage of survival rate of follicles distributed in parenchyma for vitrified and control samples have been mentioned in Table 2. They showed a non significant decrease in vitrified group as compared to the control. This indicates that, the procedure used for vitrification in the present study, has very less impact on morphology of ovarian tissues. The potentiality of protocol used, possibly due to the use of combination of CPAs including DMSO, EG and Sucrose
(Amoushahi et al., 2017). DMSO prevents intra- and extra-cellular crystallization by penetrating into the cell, leading to an increase in the permeability of other CPAs combined with it. EG is a low molecular weight CPA, that rapidly diffuse into the cell. Sucrose is known to provide nutrition to the preserved cells. This combination of CPAs has reduced the risk of cryoinjury to the tissues in the present study. These similar observations can also be seen in other species
(Mofarahe et al., 2017).
Morphological parameter doesn’t explain the complete functionality of the vitrified group. So the present study, validate the changes that occurs through different developmental follicular stages, during vitrification in comparison with control group.
The relative expression levels of
FOXO3,
WNT4,
NLRP5,
SF1,
VEGFA and
HAS2 genes were evaluated in isolated primary, secondary and tertiary follicles from control and vitrified group (Fig 4).
FOXO3 showed a decreasing pattern from primary, secondary and tertiary follicles and slightly more decrease in vitrified group (2.13±0.76 vs 1.68±0.55 vs 0.81±0.25) as compared to control (2.99±0.47 vs 1.94±0.30 vs 1.01±0.09). This pattern of expression shows that
FOXO3 is activated at primary stage of follicular growth, providing a molecular entry point for studying the regulation of follicular growth. It is important to maintain dormancy factors; which act negatively to maintain the oocyte growth in early follicular stages. It is also maintained during cryopreservation and
in vitro follicle culture (Ting and Zelinski, 2017).
Whereas, other genes,
NLRP5,
SF1,
WNT4,
VEGFA and
HAS2, non-significant increasing pattern was observed from primary to tertiary follicular stage in both the groups, which signify the upregulation of expression of oocyte growth, with increasing number of follicular cells of increasing size. The non-differential expression of these genes between vitrified and control group, could be explained by the combination of cryoprotectants used in the study, which might have reduced the cryoinjury to the ovarian tissue
(Fathi et al., 2013).
Moreover, the role of follicular cells is essentially required during early folliculogenesis, including regulating and suppressing activation, dormancy, growth and development of competent oocyte. These cells provide an optimal microenvironment for proper expression of various genes which is essentially required for the transition of follicles from one stage to another. Further, proliferation of granulosa cells, which is also directed by
NLRP5,
SF1 and
WNT4 signaling pathway, maintains the follicular development. This increasing pattern in signals is due to the increased response of gonadotropins during secondary to tertiary transition stages
(Ernst et al., 2018). Granulosa cells starts accumulating around the oocytes in primary follicle differentiate as cumulous cells, which help the oocytes to grow. This transition is generally associated with the acquirement of oocyte competence to resume the first meiotic division. Higher relative gene expression of
VEGFA and
HAS2 in cumulus cells surrounding oocytes are generally at the time of tertiary follicle or subsequent stage of ovulation. Focusing,
VEGFA is a key factor that regulates angiogenesis in the ovary and
HAS2 transcripts essential growth factors for cumulus expansion required during the development of oocytes. It is inferred that, cumulus cells are required for the formation of oocytes during the preantral to antral follicle transition. Thus, oogenesis and folliculogenesis are highly coordinated process requiring complex cell-to-cell communication and a myriad of growth factors that interact within the follicular microenvironment
(Cadenas et al., 2017).
Significant (
P<0.05) decrease of expression in
WNT4 (5.46±0.39 vs 3.49±0.41) and
HAS2 (3.73±0.87 vs 1.92±0.04) gene in vitrified group could be explained by the effect of cryoinjury in granulosa and cumulous cells at tertiary follicles which might hinder its growth. The specific role of various genes, reveals the cellular and developmental complexity, but, as of now, very little is known about the global nature of the transcriptomes after vitrification, which supports respective cellular and functional diversification.
Further, metabolically active follicular cells of primary (1.00±0.00 vs 0.63±0.30); secondary (1.00±0.00 vs 0.75±0.3) and tertiary (1.00±0.00 vs 0.96±0.28) stages were analyzed by MTT assay, which also showed the non-significant results of vitrified group in comparison to control. This confirms that the protocol used for vitrification does not distort the follicular structure and functionality. Subsequently, this study can be applied as the basics genes of granulosa cells as biomarkers, to evaluate the efficiency in a culture system.
It is inferred that, ovarian tissue/follicle cryopreservation can be used as a notable option for fertility preservation, together with oocyte and embryo production. This technique can serve as the finest choice to regain fertility.