Human Reproduction, Vol. 14, No. 5, 1141-1145,
May 1999
© 1999 European Society of Human Reproduction and Embryology
Debates Continued |
Embryo cryopreservation and development: facts, questions and responsibility
1 Biologie de la Reproduction et du Développement, CHU de Bicêtre, Universite Paris-Sud, 94275 Le Kremlin-Bicêtre, and 2 Genétique, Neurogenétique, Comportement, CNRS UPR 9074, Institut de Transgénose, 3B rue de la Férollerie, 45071 Orleans Cedex 02, France
Four years ago, the results of an experimental study led us to conclude that in the mouse, cryopreservation of preimplantation embryo induced post-natal effects and thus could not be considered as neutral for the long-term development (Dulioust et al., 1995
). This raised some concern in the scientific community and in the public about the safety of embryo cryopreservation in human assisted procreation. It has even been said that we had withdrawn our conclusions (Human Fertilisation and Embryology Authority, 1996
); this was unfounded. Since then, only few studies have focused on this issue. Recently, a severe attack of our work was published (Testart, 1998
). Here, we examine these criticisms and discuss the state of the art in the light of recent clinical and experimental studies.
Methodological criticisms
Principles of the study
According to Testart (1998), our research was limited to some kind of statistical fishing, lacking rational hypotheses, since `it appears that the
Statistical analysis
No report of some negative results
Discussion of the results
Maternal factor as a possible source of bias
Variability of the observed differences
Size of the differences
Selective bias
Evaluation of embryo cryopreservation and other assisted reproductive technologies, today and future
Transmission of information to the couples
Conclusions
Notes
References
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