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BioMed Research International
Volume 2017 (2017), Article ID 1840417, 11 pages
https://doi.org/10.1155/2017/1840417
Review Article

Risk of Contamination of Gametes and Embryos during Cryopreservation and Measures to Prevent Cross-Contamination

1Invitra, Assisted Reproductive Technologies Ltd., Supera Innovation and Technology Park, 14056-680 Ribeirão Preto, SP, Brazil
2Department of Obstetrics and Gynecology, Faculty of Medicine of Ribeirão Preto, University of São Paulo, 14049-900 Ribeirão Preto, SP, Brazil
3National Institutes of Hormones and Woman’s Health, CNPq, Porto Alegre, RS, Brazil

Correspondence should be addressed to Alessandra A. Vireque; rb.moc.artivni@ardnassela

Received 30 March 2017; Revised 17 June 2017; Accepted 10 July 2017; Published 14 August 2017

Academic Editor: Dong-Wook Han

Copyright © 2017 Daniel C. Joaquim et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

The introduction and widespread application of vitrification are one of the most important achievements in human assisted reproduction techniques (ART) of the past decade despite controversy and unclarified issues, mostly related to concerns about disease transmission. Guidance documents published by US Food and Drug Administration, which focused on the safety of tissue/organ donations during Zika virus spread in 2016, as well as some reports of virus, bacteria, and fungi survival to cryogenic temperatures, highlighted the need for a review of the way how potentially infectious material is handled and stored in ART-related procedures. It was experimentally demonstrated that cross-contamination between liquid nitrogen (LN2) and embryos may occur when infectious agents are present in LN2 and oocytes/embryos are not protected by a hermetically sealed device. Thus, this review summarizes pertinent data and opinions regarding the potential hazard of infectious transmission through cryopreserved and banked reproductive cells and tissues in LN2. Special attention is given to the survival of pathogens in LN2, the risk of cross-contamination, vitrification methods, sterility of LN2, and the risks associated with the use of straws, cryovials, and storage dewars.