Fertility breakthrough as scientists create eggs from human SKIN cells
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Infertility is something that affects millions of people around the world – often caused by problems with the egg. 

Now, scientists have taken a huge step towards helping many women have their own genetic children. 

Experts from Oregon Health & Science University have created fertilizable eggs from human skin cells for the very first time. 

Although more studies are necessary to validate the safety and effectiveness before moving on to clinical trials, experts have hailed the development as a ‘significant breakthrough’.

‘Numerous women are unable to start a family because they have lost their eggs, which can happen for various reasons, such as following cancer treatments,’ explained Professor Richard Anderson, the Deputy Director of the MRC Centre for Reproductive Health at the University of Edinburgh, who did not participate in the study.

‘The ability to generate new eggs would be a major advance. 

‘This research indicates that genetic material from skin cells can be transformed into an egg-like cell, possessing the correct number of chromosomes needed for fertilization and the potential to develop into an early embryo.’

‘There will be very important safety concerns but this study is a step towards helping many women have their own genetic children.’ 

Experts from Oregon Health & Science University have created fertilizable eggs from human skin cells for the very first time

Experts from Oregon Health & Science University have created fertilizable eggs from human skin cells for the very first time

For some couples struggling to conceive, in virto fertilization (IVF) can be an option. 

This treatment sees the eggs fertilized by sperm in a lab, and the resulting embryo then placed in the woman’s uterus.

However, if there’s a problem with the egg itself, IVF can be ineffective.  

Previous studies have suggested that a method called ‘somatic cell transfer’ could be an alternative approach.

This process involves transplanting the nucleus from one of a patient’s own somatic cells (such as skin cells) into a donor egg cell with the nucleus removed, enabling the cell to differentiate into a functional egg. 

However, while standard eggs have half the usual number of chromosomes (one set of 23), cells generated from skin cells have two sets of chromosomes (46).

Without intervention, this would cause the differentiated eggs to have an extra set of chromosomes. 

So far, a method to remove this extra set has been developed and tested in mice – but is yet to be tried in humans.

For some couples struggling to conceive, in virto fertilization (IVF) can be an option. This treatment sees the eggs fertilized by sperm in a lab, and the resulting embryo then placed in the woman's uterus (stock image)

For some couples struggling to conceive, in virto fertilization (IVF) can be an option. This treatment sees the eggs fertilized by sperm in a lab, and the resulting embryo then placed in the woman’s uterus (stock image)

How does it work?

Somatic cell transfer involves transplanting the nucleus from a patient’s own skin cells into a donor egg cell with the nucleus removed, enabling the cell to differentiate into a functional egg. 

However, while standard eggs have half the usual number of chromosomes (23), cells generated from skin cells have two sets of chromosomes (46).

Without intervention, this would cause the differentiated eggs to have an extra set of chromosomes. 

The team resolved this issue by inducing a process they’ve named ‘mitomeiosis’, which mimics natural cell division and causes one set of chromosomes to be discarded.

During tests, the researchers produced 82 functional eggs using this process, which were fertilised in a lab. 

In their new study, the team resolved this issue by inducing a process they’ve named ‘mitomeiosis’. 

‘[Mitomeiosis] mimics natural cell division and causes one set of chromosomes to be discarded, leaving a functional gamete,’ the researchers explained in a statement. 

During tests, the researchers were able to produce 82 functional eggs using this process, which were then fertilised in a lab. 

Approximately nine per cent went on to develop the the blastocyst stage of embryo development. 

However, the researchers did not culture the blastocysts beyond this point, which coincided with the time at which they would usually be transferred to the uterus in IVF treatment.

While the findings raise the tantalising possibility of women with problems with their eggs having their own genetic children, the experts note several limitations with their study.

Importantly, the vast majority (91 per cent) did not progress beyond fertilisation. 

What’s more, several of the blastocysts were found to contain chromosomal abnormalities. 

Regardless, experts have called the research an ‘exciting proof of concept’. 

‘This breakthrough, called mitomeiosis, is an exciting proof of concept,’ said Professor Ying Cheong, a professor of reproductive medicine at the University of Southampton, who was not involved in the research. 

‘In practice, clinicians are seeing more and more people who cannot use their own eggs, often because of age or medical conditions. 

‘While this is still very early laboratory work, in the future it could transform how we understand infertility and miscarriage, and perhaps one day open the door to creating egg- or sperm-like cells for those who have no other options.’

How does IVF work?

In-vitro fertilisation, known as IVF, is a medical procedure in which a woman has an already-fertilised egg inserted into her womb to become pregnant.

It is used when couples are unable to conceive naturally, and a sperm and egg are removed from their bodies and combined in a laboratory before the embryo is inserted into the woman.

Once the embryo is in the womb, the pregnancy should continue as normal.

The procedure can be done using eggs and sperm from a couple or those from donors.

Guidelines from the National Institute for Health and Care Excellence (NICE) recommends that IVF should be offered on the NHS to women under 43 who have been trying to conceive through regular unprotected sex for two years.

People can also pay for IVF privately, which costs an average of £3,348 for a single cycle, according to figures published in January 2018, and there is no guarantee of success.

The NHS says success rates for women under 35 are about 29 per cent, with the chance of a successful cycle reducing as they age.

Around eight million babies are thought to have been born due to IVF since the first ever case, British woman Louise Brown, was born in 1978.

Chances of success

The success rate of IVF depends on the age of the woman undergoing treatment, as well as the cause of the infertility (if it’s known).

Younger women are more likely to have a successful pregnancy.

IVF isn’t usually recommended for women over the age of 42 because the chances of a successful pregnancy are thought to be too low.

Between 2014 and 2016 the percentage of IVF treatments that resulted in a live birth was:

29 per cent for women under 35

23 per cent for women aged 35 to 37

15 per cent for women aged 38 to 39

9 per cent for women aged 40 to 42

3 per cent for women aged 43 to 44

2 per cent for women aged over 44

 

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