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Bioengineered 3D ovarian model for long-term multiple development of preantral follicle: bridging the gap for poly(ε-caprolactone) (PCL)-based scaffold reproductive applications

Reproductive Biology and Endocrinology volume 22, Article number: 95 (2024) Cite this article

Abstract

Background

Assisted Reproductive Technologies (ARTs) have been validated in human and animal to solve reproductive problems such as infertility, aging, genetic selection/amplification and diseases. The persistent gap in ART biomedical applications lies in recapitulating the early stage of ovarian folliculogenesis, thus providing protocols to drive the large reserve of immature follicles towards the gonadotropin-dependent phase. Tissue engineering is becoming a concrete solution to potentially recapitulate ovarian structure, mostly relying on the use of autologous early follicles on natural or synthetic scaffolds. Based on these premises, the present study has been designed to validate the use of the ovarian bioinspired patterned electrospun fibrous scaffolds fabricated with poly(ε-caprolactone) (PCL) for multiple preantral (PA) follicle development.

Methods

PA follicles isolated from lamb ovaries were cultured on PCL scaffold adopting a validated single-follicle protocol (Ctrl) or simulating a multiple-follicle condition by reproducing an artificial ovary engrafted with 5 or 10 PA (AO5PA and AO10PA). The incubations were protracted for 14 and 18 days before assessing scaffold-based microenvironment suitability to assist in vitro folliculogenesis (ivF) and oogenesis at morphological and functional level.

Results

The ivF outcomes demonstrated that PCL-scaffolds generate an appropriate biomimetic ovarian microenvironment supporting the transition of multiple PA follicles towards early antral (EA) stage by supporting follicle growth and steroidogenic activation. PCL-multiple bioengineering ivF (AO10PA) performed in long term generated, in addition, the greatest percentage of highly specialized gametes by enhancing meiotic competence, large chromatin remodeling and parthenogenetic developmental competence.

Conclusions

The study showcased the proof of concept for a next-generation ART use of PCL-patterned scaffold aimed to generate transplantable artificial ovary engrafted with autologous early-stage follicles or to advance ivF technologies holding a 3D bioinspired matrix promoting a physiological long-term multiple PA follicle protocol.

Background

Assisted Reproductive Technologies (ARTs) have a consolidated role in human and animal reproductive management [1]. Although in humans they are intended to overcome infertility or prevent genetically transmissible diseases, in veterinary medicine, they are primarily directed towards financial purposes or biomedical research [2]. The most standardized ARTs are the in vitro oocyte maturation (IVM), fertilization (IVF), and embryo culture technologies, collectively termed embryo production.

Nevertheless, effectively managing early folliculogenesis and oogenesis remains an unresolved challenge in ART, constraining the ability to rejuvenate reproductive endocrine control and optimize the availability of fertilizable female gametes, while leveraging the extensive untapped reserve represented by immature oocytes. In this context, in vitro folliculogenesis (ivF) and ovarian transplantation are the most promising technologies [3,4,5,6,7,8,9] in order to face either human fertility in case of premature reduction of female gamete reserve (young oncological patients and premature menopause) or animal reproduction to enhance the reproductive performance of highly selected domestic mammals or to preserve biodiversity by contrasting the reduced numerical strength of mammalian endangered species [10,11,12,13,14,15].

The transplantation of cryopreserved ovarian tissue is promising for restoring reproductive functionality, but it is limited by the risk of transferring tumor cells. A potential strategy is to use artificial ovaries made from engineered biomaterials, which can be populated with follicles in early development stages and have robust survival rates after cryopreservation treatment. The reproductive research sector is focusing on innovative platforms using three-dimensional (3D) artificial environments to overcome these limitations [16,17,18,19,20,21,22,23,24,25,26,27].

3D technologies are being used to engineer female biomimetic reproductive tissues, generating integrated multi-organ in vitro systems. These systems involve different cell compartments controlling female reproductive homeostasis and function, resulting in a complex paracrine mechanism controlling reproductive outcomes. This approach is a backward path to the origin of ARTs and is now being applied to Reproductive Tissue Engineering (REPROTEN) in various fields of investigative biology and medicine [18, 28, 29]. In particular, REPROTEN is based on the availability of tissue-specific materials, that have to be engineered to mimic the reproductive environments. This multifaceted approach, offering a potential therapeutic avenue for tumor treatment, underscores the transformative potential of the REPROTEN paradigm in complex clinical scenarios [17, 30]. To build up a bioengineered artificial ovary replicating the intricate native ovarian system, biocompatible scaffolds encapsulating isolated follicles and/or autologous ovarian cells are required [31].

Scaffolds fulfilling and replicating the reproductive matrix requirements are currently available by taking advantage of either the specific derived-natural tissue matrixes and synthetic polymers or emerging fabrication techniques.

In the landscape of artificial ovary construction, various materials, including ovarian decellularized bio-scaffolds [27, 32], alginate matrix [33, 34], fibrin gel [35,36,37], PEG hydrogel [38], and gelatin-based 3D-printed scaffolds [39], have been proposed in rodent models [31].

Amongst the emerging fabrication techniques laser cut manufacturing technique, in which a continuous wave laser is used to process materials with very high precision, has been frequently used. Templates for the cutting process can be generated by computer-aided design (CAD) [39,40,41,42]. Thus, the manufacturing process is highly flexible and replicable with respect to the final design of a generated sheet and the resulting 3D scaffold [43].

Three- and four-dimensional printing are essential tools for fabricating biomimetic scaffolds, using additive manufacturing techniques to achieve predefined shapes and controlled spatial chemistry and geometry. This involves using 3D software to create a model, which is then imported into slicing software and printed using a 3D printer. Four-dimensional printing, an advanced version, uses smart materials to mimic the dynamic nature of tissues to a very large extent [29, 39, 40, 42,43,44,45,46,47].

Electrospinning pursues a biomimetic approach in the scaffold design [48, 49] by generating nano- and microfibers mimicking the native extracellular matrix (ECM) morphology and these fibers can be easily functionalized with active biomolecules (i.e. drugs, growth factors, proteins, etc.). Recently, the scaffold-based tissue engineering approach started to be applied to the fabrication of ovarian stroma. A relevant novelty in the field [50] is the fabrication of 3D printing and electrospun patterned constructs which are able to support the development of ovarian follicles [39, 51,52,53].

Recent results demonstrated that poly(ε-caprolactone) (PCL), an FDA-approved material often used as an implantable material in the human body, can be exploited to fabricate bioinspired matrices for ovarian stroma, compatible with long-term ovarian follicle survival [51, 52, 54, 55].

The ovarian bioinspired PCL-patterned scaffolds have been recently used to perform 3D ivF of single preantral (PA) follicles protocols [56] to reproduce the gonadotropin-sensitive phase of transition to early antral (EA). This sets the stage for subsequent in vivo selection by gonadotropins during the EA phase, highlighting its potential in mimicking natural follicular development [57, 58].

While PCL exhibits promise, demonstrating its capability to support the simultaneous survival and development of multiple follicles remains a critical challenge. This is a crucial step in proving its suitability for constructing an artificial ovary that can effectively mimic the natural follicular environment once transplanted.

To this aim, the present research has been designed to collect the proof of concept of the innovative patterned electrospun fibrous scaffolds produced by “green electrospinning” [52] in generating functional artificial ovaries by testing them in vitro on a multiple 3D ivF system designed using mechanically isolated prepubertal sheep preantral follicles. This approach, driving innovation, harmonizes into the biomimetic environment the sequential processes of ovarian follicle recruitment during the transition from PA to EA by mimicking a key reproductive step of folliculogenesis (transition from gonadotropin responsive to gonadotropin-dependent follicular phase) and oogenesis (acquisition of oocyte meiotic competence) [58]. The experimental plan was set up to compare the somatic and germinal compartment outcomes after a 14 days (validated protocol) or long-term (18 days) 3D incubation performed on PCL scaffold engineered with single [56] or multiple PA follicles. This latter model has been designed to reproduce an artificial ovary enriched with 5 (AO5PA) or 10 PA (AO10PA) follicles. The morphological and functional assessments provide crucial insights into the biomimicry of patterned electrospun fibrous scaffold [59,60,61,62,63], which enabled long-term follicle development (survival, growth, antrum differentiation) and oocyte specialization (large chromatin remodeling and acquisition of both meiotic and partial developmental competence).

Altogether, the results established with strong functional in vitro evidence of the long-term biocompatibility of patterned electrospun fibrous scaffolds fabricated with PCL, an FDA-approved biomaterial, thus represents a significant stride toward its conceivable future use in costuming engineered artificial ovary to be transplanted or for advancing the ivF protocols, underscoring the transformative potential of Tissue Engineering approaches in reproductive medicine.

Materials and methods

Chemicals

All chemicals used in this study were purchased from Sigma (Sigma Chemical Co., St. Louis, MO, USA) unless otherwise specified.

Ethic issues

No ethical issues were encountered in the present research, as all biological materials were obtained from tissues of animals in the food chain discarded by the local slaughterhouse.

Biological sample recovery

Ovaries collection

The primary objective of this study was to conduct in vitro follicle growth of PA follicles isolated from the ovaries of Appenninica breed sheep lambs obtained from animals intended for consumption [64]. A total of twelve ewes, each approximately 5 months old, contributed 24 ovaries for this investigation.

The ovaries were swiftly transported to the laboratory in a thermostatic container, maintaining a temperature of 38 °C during the transportation from the slaughterhouse, and arrived within one hour. Upon arrival, the ovaries underwent a thorough rinse in NaCl 0.9% solution supplemented with benzoxonium chloride 1 mg/mL (Cat. No. 032186013 Bialcol Med, Vemedia Pharma S.r.l., Parma, Italy) prior to any manipulations.

Following the removal of the medulla, the ovaries were transferred into HEPES-buffered TCM199 medium (Cat. No. M7528, Sigma) and meticulously dissected into cortical strips measuring 0.5 × 0.5 × 0.5 cm.

Isolation, morphological evaluation, and in vitro culture of PA follicles

PA follicles were mechanically isolated from cortical strips using 32 G sterile needles under a stereomicroscope within a flow hood to prevent damage to the theca layer. Selection criteria were based on morphology and size [65]. The medium-large PA follicles utilized for in vitro culture experiments exhibited an average diameter of 245 ± 5 μm. This specific category, known for its superior in vitro growth performance [65,66,67], was identified using an inverted-phase microscope and the time-lapse imaging software NIS-Elements (Eclipse Ti Series, Nikon, Tokyo, Japan) to determine the PA diameter.

This meticulous selection process facilitated the exclusion of follicles with damaged basal membranes, while those displaying early signs of degeneration were discarded (follicles lacking follicular 3D microarchitecture, featuring oocyte extrusion, and exhibiting a darkened appearance in the somatic compartment). According to the experimental groups, the culture was conducted for 14 and 18 days at 38.5 °C and 5% CO2 in Minimum Essential Medium α (aMEM; Cat. No. BE02-002 F Lonza, Basel, Switzerland) supplemented with 5% Knockout™ Serum Replacement (Knockout™ SR; Cat. No. 10,828,028 Gibco, Thermo Fisher Scientific, Waltham, MA, USA), 1% ITS (insulin, transferrin, and selenium; Cat. No. I1884, Sigma), 50 µg/mL of ascorbic acid (Cat. No. A4544, Sigma), 2 mM of glutamine (Cat. No. BE17-605E/U1 Lonza), and antibiotics (75 mg/L of penicillin-G, 50 mg/L of streptomycin sulfate; Cat. No. DE17-602E Lonza) [56, 64].

For the single-PA follicle in vitro culture (Ctrl group), the trans-well systems were filled with 100 µL of ivF culture medium. For multiple-PA follicles in vitro culture, the trans-well systems were filled with 100 µL (Artifical Ovary/AO5PA group) and 233 µL (AO10PA group) of ivF culture medium, according to the experimental groups. For multiple-follicles in vitro culture, the correct numerical (5 or 10 PA/well) and volumetric (µL) ratio per well has been maintained according to the trans-well culture system adopted.

The culture medium was changed every 48 h and supplemented with 4 IU/mL of equine Chorionic Gonadotropin (eCG; equivalent to 1 µg/mL FOLLIGON®, MSD Animal Health S.r.l., Segrate, Italy), as previously validated [56, 57, 64]. The eCG’s biological activity was declared to be 5000 IU per vial in accordance with the manufacturer’s instructions.

in vitro PA follicles culture protocols comparison

The medium-large PA follicles used for the in vitro culture experiments showed a mean diameter of 245 ± 5 μm. The healthy medium-large PA follicles were randomly assigned to different culture ivF protocols, and the procedure was carried out by adopting single-follicle (Ctrl) and multiple-follicle (AO) approaches (Fig. 1). The electrospun fibrous morphology and scaffold topology confirmed the formation of a pattern with macropores averaging 300 μm in size, along with an average fiber diameter of approximately 1 μm [52, 56, 58, 62]. Consequently, PA follicles are housed within these culture macropores formed by the alignment of fibers. More in detail: (A) single-follicle validated approach designed by carrying out the whole PA follicle culture on the trans-well culture system with PCL-patterned scaffold that fits into a 96-well plate U-shaped (Ctrl) [56]; (B) multiple-follicles approach (5 PA x well) designed by carrying out the whole PA follicle culture on trans-well culture system with PCL-patterned scaffold that fits into a 96-well plate U-shaped (AO5PA); (C) multiple-follicles approach (10 PA x well) designed by carrying out the whole PA follicle culture on trans-well culture system with PCL-patterned scaffold that fits into a 48-well plate U-shaped (AO10PA).

Fig. 1
figure 1

ivF culture protocols carried out on single (A) and multiple-follicle approaches (B, C). The electrospun fibrous morphology and scaffold topology confirmed the formation of a pattern with macropores averaging 300 μm in size, along with an average fiber diameter of approximately 1 μm [52, 56, 58, 62]. Consequently, PA follicles are housed within these culture macropores formed by the alignment of fibers. More in detail: (A) single-follicle validated approach designed by carrying out the whole PA follicle culture on the trans-well culture system with PCL-patterned scaffold that fits into a 96-well plate U-shaped (Ctrl) [56]; (B) multiple-follicles approach (5 PA x well) designed by carrying out the whole PA follicle culture on trans-well culture system with PCL-patterned scaffold that fits into a 96-well plate U-shaped (AO5PA); (C) multiple-follicles approach (10 PA x well) designed by carrying out the whole PA follicle culture on trans-well culture system with PCL-patterned scaffold that fits into a 48-well plate U-shaped (AO10PA). Created with Biorender.com

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For multiple-follicles in vitro culture, the correct numerical (5 or 10 PA) and volumetric (µL) ratio per well has been maintained according to the trans-well culture system adopted.

Three independent biological replicates were performed for each tested protocol, comparing the performances of ivF by assessing the morphological and functional analysis of the in vitro follicle development and meiotic competence acquisition of in vitro follicle-grown oocytes.

in vitro PA follicles culture outcomes

Morphological and functional analysis of in vitro follicle development

The ivF outcomes at the end of the long-term culture (14 and 18 days) were defined by considering follicle growth, antral cavity differentiation, and the incidence of degeneration.

The in vitro follicle growth was analyzed by recording the final diameters detected using an inverted microscope (time-lapse imaging software NIS-Elements, Eclipse Ti Series, Nikon, Japan) and expressed as the rate of increasing size (∆ growth %).

The degenerated follicles that had lost the 3D microarchitecture, extruded the oocytes, and/or displayed a darkened aspect of the somatic compartment were discarded.

On the contrary, the following analyses collected the healthy follicles classified as having either “no antrum” or “early antral” (EA) structures based on the follicular 3D microarchitecture with a translucent oocyte and follicular cells with the absence or presence of a preliminary follicular cavity (antrum). Small antral (SA) follicles, serving as the gold standard of reference, are characterized by their larger size (approximately 500 μm in diameter), more developed morphology (exhibiting well-defined antral cavities and multiple layers of granulosa cells), and a more advanced stage of functional capacity, compared to the smaller and less mature early antral follicles.

Maturation of follicle enclosed oocyte (FEO) derived from EA follicles in vitro

At the end of the ivF, the obtained in vitro grown EA follicles displayed a mean diameter of 380 ± 9 μm. The gained EA follicles were accurately analyzed under an inverted-phase microscope associated with the time-lapse imaging software, NIS-Elements Advanced Research software 4.51.00 (Eclipse Ti Series, Nikon Europe BV, Amsterdam, The Netherlands), to determine its diameter and to exclude any morphological signs of degeneration such as somatic cell or oocyte darkness, loss of compactness of granulosa layer or basal membrane break.

The selected EA follicles were matured according to experimental groups on our previously validated FEO approach [58], using 96- and 48-well plates with U-shaped wells and with the holder filled with PCL-patterned electrospun scaffolds.

The whole EA follicles were incubated on confluent monolayers of ovarian surface epithelium (OSE) cells. More in detail, OSE cells, previously validated by our group as cell monolayer coculture [56, 58, 64], were isolated using a surgical scalpel from the ovarian cortex of pre-pubertal ovaries previously incubated in 0.25% Trypsin/EDTA 200 mg/L at 38.5 °C for 5 min. Cell suspensions were collected into a petri dish (6 cm), filled with Dulbecco′s Phosphate Buffered Saline (DPBS; Cat. No. D8662, Sigma) solution containing 30% Fetal Bovine Serum (FBS; Cat. No. 11,573,397, Gibco, Darmstadt, Germany) to inactivate Trypsin, centrifuged, and the supernatant discarded.

According to the experimental groups, the trans-well systems were filled with 100 µL of maturation medium or 233 µL: aMEM, 20% FBS, 1% glutamine (Cat. No. BE17-605E/U1 Lonza), antibiotics such as 75 mg/L of penicillin-G and 50 mg/L of streptomycin sulfate (Cat. No. DE17-602E Lonza). The hormonal trigger for oocyte maturation was established to be 25 IU/mL of human Chorionic Gonadotropin (hCG: equivalent to 6 µg/mL Chorulon®, MSD Animal Health S.r.l., Segrate, Italy), as previously validated [58]. The hCG’s biological activity was declared to be 5000 IU per vial in accordance with the manufacturer’s instructions.

EA follicles were left in an incubator at 38.5 °C and 5% CO2, and the oocyte maturation performances were assessed after 24 h of IVM.

Meiotic and developmental competences of low competent oocytes derived from EA

Oocyte nuclear stage assessment

The in vitro matured oocytes under FEO protocols were denuded of surrounding cumulus cells, permeabilized/fixed in a solution of acetic acid and ethanol (1:3) for at least 12 h, and finally stained with 1% Lacmoid (Cat. No. 274,720, Sigma) solubilized in distilled water. Then, the oocytes were mounted on the object slide and analyzed under a Phase Contrast Microscope (AxioVert, Carl Zeiss, Jena, Germany) for the detection of the nuclear stage.

The oocytes were classified according to the meiotic nuclear stages in Germinal Vesicle (GV), Germinal Vesicle Break Down (GVBD)/Metaphase I (MI), and Metaphase II (MII) according to [68].

Laser confocal microscopy analysis for oocyte chromatin configuration assessment

The oocytes in the GV stage, not subjected to a maturation protocol, were immunoassayed with Propidium Iodide (PI; 1 mg/ml) staining solution (Cat. No. P4864, Sigma) to evaluate their chromatin configuration.

Observations of the red fluorescence probe were performed with a Bio-Rad laser scanning confocal microscope (Radiance 2000 IK-2, Hemel Hempstead, UK) equipped with a krypton/argon ion laser. The samples were analyzed with an inverted microscope (Zeiss Axiovert, Oberkochen, Germany) equipped with a plan-apochromat oil immersion objective 636 magnification/1.4 numerical aperture (NA). Immunoassayed oocytes were observed using the visible lines of excitation of 488 nm and a dichroic filter (560LP, Bio-Rad). Digital optical sections were obtained by scanning the sample on the z-axis at 0.2 mm of thickness throughout the plane of focus containing the GV equatorial plane (620 mm). For each experiment, all the categories of oocytes were compared, maintaining similar gain and laser parameters.

The oocyte chromatin configuration was evaluated according to [68]. In brief, the z-series obtained were merged to produce a two-dimensional image showing the staining pattern and the Total Fluorescence Intensity (TFI) emitted by each GV. The TFI emitted from each GV was measured using the LaserPix software (Bio-Rad).

Parthenogenetic activation

To determine the degree of cytoplasmic maturation, parthenotes were produced by activating MII oocytes identified for the extrusion of the first polar body under the stereomicroscope. The parthenogenetic competence assessment was performed on MII oocytes derived from the FEO maturation protocol and compared with that of MII oocytes isolated from medium antral follicles (positive Ctr). Parthenogenetic activation was carried out according to a previously validated protocol [68]. After 72 h from activation, both uncleaved and cleaved oocytes were analyzed under an inverted microscope (time-lapse imaging software NIS-Elements (Eclipse Ti Series, Nikon, Japan) to evaluate their developmental stage by counting the number of blastomeres. The presence of nuclei was confirmed using Lacmoid staining (Sect. Oocyte nuclear stage assessment) through phase contrast microscopy.

Biochemical analyses

Real-time qPCR

The total RNA was extracted with a Single-Cell RNA Purification Kit (Norgen Biotek Corp. Cat 51,800) following the manufacturer’s instructions. A total of 1 µg of total RNA was retrotranscribed using oligodT primers (Bioline, London, UK) and Tetro Reverse Transcriptase (Bioline, London, UK), following the manufacturer’s instructions. The qPCRs were carried out in triplicate using the SensiFAST SYBR Lo-ROX kit (Bioline London, UK) on a 7500 Fast Real-Time PCR System (Life Technologies, Carlsbad, CA, USA), according to the manufacturer’s instructions. The following PCR conditions were used for all the experiments: 95 °C for 10 min, followed by 40 cycles at 95 °C for 10 s and 60 °C for 30 s. Relative quantification was performed by using the ∆∆Ct method. GAPDH (Glyceraldehyde 3-phosphate dehydrogenase) and YWHAZ (Tyrosine 3-Monooxygenase/Tryptophan 5-Monooxygenase Activation Protein Zeta) were selected amongst the housekeeping genes for gene quantification. The expression profiles were similar with both reference genes. Three independent biological replicates were performed. For each ivF group (AO5PA and Ctrl), 30 EA-follicular walls were collected and processed for gene expression at the end of in vitro culture, respectively. The primer sequences are reported in Table 1.

Table 1 Sequences of primers used in real-time qPCR
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Statistical analysis

Three independent experimental replicates were performed. The data are presented as the percentage or mean ± SD. GraphPad Prism 9 (GraphPad Software) was used for the statistical analyses, and values with p < 0.05 were considered statistically significant.

Differences in antrum formation, oocyte meiotic competence acquisition and parthenogenetic development in vitro between different groups were evaluated by multiple unpaired t-test using the Holm-Šídák method and by ordinary one-way ANOVA followed by the Dunnett test to compare multiple groups. All the other data were analyzed by an unpaired t-test.

Results

ivF outcomes demonstrated that patterned electrospun-PCL scaffold support multiple follicle development

To verify the possibility of patterned electrospun PCL scaffolds to support multiple PA follicle development, an engineered ovary enriched in 5 PA follicles (AO5PA) was used and compared with the validated single follicle PCL-based ivF protocol (Ctrl).

Both AO5PA and Ctrl protocol supported follicle development by inducing a very low percentage of follicle degeneration (for both < 9%; p = 0.3280). On the contrary, the majority (> 91%) of 221 PA follicles after 14 days of culture were transited towards the EA stage independently of the ivF protocol adopted (Ctrl vs. AO5PA; p = 0.3346), as summarized in Fig. 2.

Fig. 2
figure 2

Percentage (%) of EA and degenerated follicles obtained after 14 days of ivF carried out under single and multiple follicles (AO5PA) set up. Three independent biological replicates were performed. A total of 115 and 106 follicles were cultured under artificial ovary (5 PA on PCL scaffold: AO5PA) or Ctrl (single PA scaffold-mediated culture), respectively

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However, in vitro follicle development under AO5PA culture condition was slowed. Indeed, only 46.6% of PA follicles differentiated the antrum cavity after 12 days of incubation instead of 85% under Ctrl (p < 0.0003; Fig. 3A). In addition, the final diameter of EA follicles obtained using AO5PA was significantly smaller than that of the Ctrl group (367.3 ± 11; Δ growth: 49.6% vs. 416.7 ± 11; Δ growth: 65.6% (p < 0.0001) respectively; Fig. 3B).

Fig. 3
figure 3

(A) Kinetic of antrum development during ivF carried out under Ctrl and AO5PA conditions. Three independent biological replicates were performed starting from 115 and 106 PA follicles for AO5PA and Ctrl, respectively. The differentiation of the antrum cavities during ivF cultures was recorded under the stereomicroscope. Superscripts indicated statistically significant values (*; p < 0.05). (B) PA in vitrogrowth carried out on PCL scaffold using multiple (AO5PA) and single follicle ivF (Ctrl). Three independent biological replicates were performed starting from 115 and 106 PA follicles for AO5PA and Ctrl, respectively. After 14 days of culture, follicle size was determined exclusively in follicles that had developed antrum cavity (105 and 100 EA follicles, respectively). Superscripts indicated statistically significant values (*; p < 0.05)

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Single and multiple follicles-PCL based ivF induced a steroidogenic activation in EA follicles

CYP11A1, CYP17A1, and CYP19A1 expression were evaluated on EA follicle walls at the end of incubation (14 days) under Ctrl and AO5PA protocol (Fig. 4) and compared with in vivo EA structures.

Fig. 4
figure 4

Expression profiles of the main steroidogenic enzymes analyzed on EA follicle walls obtained using Ctrl and AO5PAprotocol. Three independent biological replicates were performed. For each ivF group (AO5PA and Ctrl), 30 EA-follicular walls were collected and processed for gene expression at the end of in vitro culture, respectively. Superscripts indicated statistically significant values (****; p < 0.0001)

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Under in vivo folliculogenesis, the transition from PA to EA is accompanied by an upregulation of CYP17A1 and CYP19A1 (PA vs. EA, 1.4-fold and 2-fold upregulation, respectively), while the expression of CYP11A1 does not undergo any changes (Fig. 4).

Analogously, CYP19A1 (approximately 2-fold) and CYP17A1 (for both approximately 1.6-fold) were upregulated in EA follicles obtained from both ivF protocols but, on the contrary, also a significant overexpression of CYP11A1 was observed (AO5PA and Ctrl vs. in vivo EA; p < 0.0001).

Oocytes grown under both PCL-based single and multiple ivF achieved the full dimension and improved their meiotic competence

As summarized in Table 2, the majority of cumulus oocyte complexes (COCs) isolated from EA follicles obtained under both AO5PA and Ctrl protocols were classified as healthy (> 90%; p = 0.7892). In addition, all the enclosed oocytes reached the fully grown dimension (oocyte diameter of both in vitro EA vs. in vivo EA; p = 0.8542).

Table 2 Gamete morphological indexes before and after ivF carried out under PCL-based single and multiple ivF
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Most of the oocytes developed in vitro acquired the functional ability to resume the meiotic cell cycle in response to hCG stimulation (25 IU/mL), even if their percentage resulted significantly lower than that recorded in in vivo EA (Fig. 5).

Fig. 5
figure 5

Resumption of meiosis in in vivo vs. in vitro grown oocytes. Three independent biological replicates of FEO maturation were performed to compare the in vivo PA and EA follicles with the EA ones developed under both single and multiple ivF protocols. Superscripts indicated statistically significant values (* vs. in vivo EA; p < 0.05). Of particular importance, oocytes derived from PA are consistently found in the GV stage, a statistically significant finding when compared to all other groups (p < 0.0001). GV: Germinal Vesicle; GVBD, Germinal Vesicle Break Down; MI, Metaphase 1; MII, Metaphase 2

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Indeed, during the transition from PA to EA, most of the oocytes enclosed into in vivo EA resume meiosis under FEO (GVBD/MI + MII: 87.8%; PA vs. EA; p < 0.0001) vs. approximately 80% of oocytes enclosed in in vitro EA (76.4% and 82.8% for AO5PA or Ctr, respectively; p > 0.2917). Of note, only half of the oocytes grown in vitro reached the MII stage (45.5% vs. 45.4%, respectively; p > 0.9996) instead of 71% of in vivo-EA-derived ones (for both: p = 0.005).

Therefore, PCL-patterned scaffold was highly biomimetic to substitute the ovarian matrix during the transition from multiple PA to EA stage by ensuring, at the same time, an adequate environment to support oocyte development at morphological (fully grown dimension) and functional (> 80% acquired the meiotic competence) level.

Strengthening multiple follicle-based ivF did not compromise the ability of PCL-patterned scaffold to guide PA follicle growth and oocyte development

Once the AO5PA protocol was tested, a second step was performed to investigate whether the ivF culture could be implemented by increasing the number of PA follicles on scaffold basis. In order to compare the biological outcomes, the ratio between scaffold surface/culture media volume has been maintained during both AO cultures. To this aims, 10 PA (AO10PA) were cultured on 0.7 cm2 of PCL support using 48 multi wells/ 233 µL media instead of 5 PA (AO5PA) on 0.3 cm2 of scaffold in 96 multi wells/100 µL media.

The implemented AO ivF protocol (AO10PA) was totally compatible with follicle survival (degenerated follicles: < 5%) and development (Fig. 6A and B).

Indeed, most of the AO10PAivF-derived follicles reached the EA stage (100 out of 130 incubated PA), although in a smaller percentage (vs. AO5PA and Ctrl; p = 0.0016). Surprisingly, approximately 17% of these follicles, after 14 days of incubation, appeared to be healthy but still at the PA stage (Fig. 6A).

Fig. 6
figure 6

(A) Kinetic of antrum development duringivF carried out under Ctrl and multiple ivF protocols (AO5PA and AO10PA). Three independent biological replicates were performed, starting from 130 follicles per group. The differentiation of the antrum cavities during ivF cultures was recorded under the stereomicroscope in morphologically healthy follicles. Superscripts indicated statistically significant values: *vs. Ctrl group (p < 0.05); #vs.AO5PA well (p < 0.05). (B) PA in vitro growth carried out on PCL scaffold using two multiple (AO5PAvs. AO10PA) and single follicle protocols (Ctrl) in comparison. Three independent biological replicates were performed. A total of 120, 100 and 117 EA follicles are obtained from 130 PA used in each AO5PA, AO10PA and Ctrl ivF condition, respectively. Superscripts indicated statistically significant values: *vs.EA follicles (Ctrl; Day 14) for p < 0.05

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A clear delay in antrum cavity differentiation was recorded under AO10PA on Day 12 (in AO5PA and AO10PA ˜ 44% of EA follicles vs. 84% in Ctrl; p < 0.0007). The result became even more evident on Day 14 when only 80% of them displayed the antrum cavity instead of 100% in both Ctrl and AO5PA protocols (Fig. 6A).

In addition, follicles growth (25.2% less than Ctrl; p < 0.0001; Fig. 6B) was also lower in AO10PA and in AO5PA (22% less than Ctrl; p < 0.0001).

PCL-patterned matrix drove oogenesis even under the implemented multiple follicle-based ivF

Approximately 90% of EA developed using the AO condition released healthy COCs enclosing a fully grown oocyte, independently of the ivF protocol used (Table 3).

Table 3 Comparison of gamete morphological indexes amongst PCL-basedivF protocols
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Fig. 7
figure 7

Comparison of hCG-induced meiotic resumption in EA follicle obtained using PCL-based ivF multiple protocols. Three independent biological replicates of FEO maturation techniques were performed to compare the meiotic competencies of oocytes isolated from in vivo PA and EA follicles vs. those of oocytes derived from ivF EA follicles developed under Ctrl and both AO ivF protocols (AO5PAvs.AO10PA). Different nuclear stages were recorded: Germinal Vesicle stage, GV: GVBD, Germinal Vesicle Break Down; MI, Metaphase 1; MII, Metaphase 2. Superscripts indicated statistically significant values: *vs.AO5PA; # AO10PAvs.Ctrl; p < 0.05

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Of note, the highest meiotic competence was expressed from oocytes grown under the AO10PAivF protocol, thus confirming the biomimicry of PCL to support multiple oocytes in vitro development (GVBD/MI + MII: 100% vs. 81%; p = 0.0002 and 82.5%; p = 0.0003 of AO5PA and Ctrl, respectively; Fig. 7). Moreover, the AO10PA protocol also turned out to be the culture context where oocytes achieved an improved meiotic competence (62% vs. 46% and 45% of AO5PA and Ctrl, respectively; for both p = 0.02).

Based on the achieved results, the AO10PA protocol was successfully tested in ivF, thus building up a proof of concept of PCL biomimicry in bringing the simultaneous transition of 10 PA towards the EA stage without compromising the viability and functionality of both somatic and germinal compartment.

PCL-based multiple ivF is ideal for setting up long-term PA follicle incubation

Based on the previous results, 18 days ivF was tempted in order to verify whether PCL-patterned scaffold can support long-term AO10PA protocol by maximizing multiple recruitment of PA towards EA.

Long-term ivF did not determine any improvement in follicle growth (366±13 μm 18 days vs. 350±8 μm 14 days; p > 0.05), but positively impacted follicle survival and development (Fig. 8A and B). Indeed, long-term AO10PA significantly increased the number of recruited EA follicles (92% at day 18 vs. 74.7% at day 14; p < 0.001) without affecting follicle survival (16 degenerated out of 200 PA). On the contrary, prolonged incubation had adverse effects on Ctrl ivF, with a significantly higher occurrence of degenerated follicles (120 out of 230 PA incubated) and a decrease in EA follicle recruitment (48% vs. 90% after 14 days, respectively; p < 0.001) observed (see Fig. 8). Additionally, a lower expression of the steroidogenesis-related gene CYP19A1 was noted compared to the AO10PA Group (1.3-fold change increase vs. Ctrl; p = 0.008; Fig. 8C).

Fig. 8
figure 8

Somatic compartment performance of PA follicles grown under long-term ivF (18 days) carried out using single and multiple follicles (AO10PA) protocols. (A) Incidence of EA and degenerated follicles in long-term ivF. Three independent biological replicates were performed. 184 and 110 out of 200 and 230 cultured PA follicles reached the EA stage, whereas 16 and 120 of them degenerated under AO10PA and Ctrl ivF, respectively. Superscripts indicated statistically significant values: *vs.Ctr; p < 0.05. (B) Comparison of PA in vitrolong-term growth carried out on multiple (AO10PA) and single PCL-based ivF protocols (Ctrl). Three independent biological replicates were performed. A total of 200 and 230 PA follicles per group were cultured for 18 days, adopting AO10PA and Ctrl protocols. Superscripts indicated statistically significant values: *vs.Day 0; #vs.Ctr 18 days of ivF; p < 0.05. (C) CYP19A1 expression pattern in EA follicles developed in long-term ivF. Three independent biological replicates were performed using 60 follicular walls of in vitro EA follicles obtained under AO10PA and 50 follicular walls under Ctrl, respectively, and 50 follicle walls isolated from in vivo EA. The corresponding oocytes were used for the analysis of chromatin remodeling. Superscripts indicated statistically significant values; p < 0.05)

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Long-term PCL-based ivF guided multiple oocyte development favoring large chromatin remodeling and meiotic competence achievement

Long-term AO10PA protocol did not influence oocyte growth (p > 0.05; 18 days vs. 14 days), but the oogenesis process (Figs. 9 and 10, and Fig. 11).

Interestingly, long-term AO10PA protocol was essential to promote a more advanced large chromatin remodeling (Fig. 9A): in fact, long-term ivF switched on the process of chromatin rearrangement if carried out under multiple protocols. Specifically, long-term AO10PA enabled 73% of in vitro grown oocytes to arrange chromatic reaching the mature SN and SNE configurations. More in detail, half of these oocytes left the immature NSN chromatin configuration to move towards the SN one, like the oocyte belonging to in vivo EA follicles (50% vs. 62%; p > 0.05). Of note, 23% of them acquired the final SNE pattern, thus suggesting that long-term PCL-based culture supported a germinal compartment advancement (23% vs. 0% in vivo EA). Indeed, the process of large chromatin remodeling moved towards the final outcome of oocytes recorded exclusively in oocytes enclosed in small antral (SA) follicles (52%, see Fig. 9).

Fig. 9
figure 9

Chromatin configurations in GV oocytes isolated from follicles developed in vivo (EA and SA) or in vitro (Ctrl and AO10PA). (A) Comparison of the three major chromatin configuration patterns in antral-enclosed oocytes recruited in vivo or in vitro using PCL-based ivF protocols. Three independent biological replicates were performed. Superscripts indicated statistically significant values: *vs. in vivo EA; #vs. in vivo SA; $vs.AO10PA (18 days ivF); p < 0.05. (B) Example of chromatin configuration analyzed in GV in vitro grown oocytes. Confocal images of sheep GVs showing the three major chromatin configurations: NSN, Non-Surrounding Nucleolus; SN, Surrounding Nucleolus and SNE, Surrounding Nuclear Envelope/SNE. DNA staining was performed using Propidium Iodide (red fluorescence). Upper panel: 10 μm; Lower panel: scale bar: 30 μm

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The enhanced development of the oocytes grown under long-term AO10PA was further supported by the analysis of their nuclear stage after FEO maturation (Fig. 10).

Indeed, approximately 90% of them were able to resume meiosis in response to hCG stimulation (GVBD/MI + MII 92.5% vs. 87.8% in vivo EA; p > 0.05) and more than half reached the MII stage (MII 67% vs. 71.1% in vivo EA; p > 0.05; Fig. 10). Notably, single follicle long-term ivF (Ctrl), although negatively impacted the percentage of healthy available COCs (48% 18 days vs. 92% 14 days; p < 0,001), did not affect the acquisition of the meiotic competence (GVBD/MI + MII: 82.5% vs. 81%, respectively for Ctrl group cultured for 14 days or 18 days; p > 0.05).

Fig. 10
figure 10

Comparison of meiotic competence of in vitro grown oocytes obtained under long-term PCL-based ivF carried out using single and multiple (AO10PA) protocols. Three independent biological replicates were performed on a total of 111 and 57 EA follicles obtained under AO10PA and Ctrl ivF protocols, respectively. Superscripts indicated statistically significant values: *vs.Ctrl for p < 0.005. GV: Germinal Vesicle; GV: Germinal Vesicle Break Down; MI: Metaphase I; MII: Metaphase II

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Finally, the degree of cytoplasmic maturation expressed by the in vitro-grown oocytes was tested by performing a comparative study to exploit the parthenogenetic activation assay (Fig. 11).

Fig. 11
figure 11

Parthenogenetic activation of in vitro grown oocytes obtained under PCL-single and multiple ivF. (A) Embryo development recorded after 72 h from parthenogenetic activation. The parthenogenetic activation was performed on MII oocytes obtained from EA developed in vitro or from small antral (SA) follicles grown in vivo (positive Ctr). Three independent biological replicates were performed. Superscripts indicated statistically significant values: *vs. in vivo SA; #vs. Ctrl; p < 0.05. (B) Representative images of key moments of embryo development after 3 days from parthenogenetic activation. The illustrative figures represent the major stages of parthenogenetic development recorded in sheep oocytes grown in vitro using single (Ctrl) or multiple (AO10PA) ivF protocols: uncleaved oocyte, pronuclear (PN) stage, embryo development at < 8-nuclei and > 8-nuclei. The oocytes/embryos are stained with Lacmoid, and the images are captured using bright field microscopy at 40× magnification: scale bar: 30 μm

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As summarized in Fig. 11A, embryo development recorded after 3 days from parthenogenetic activation in long-term AO10PA-derived oocytes was superimposable to that of SA-enclosed ones (81.4% activated oocytes vs. 85%; p > 0.05). On the contrary, most oocytes grown under Ctrl protocol were unaffected by parthenogenetic activation by remaining uncleaved (74.8% vs. 18.2% and 15% of AO10PA and SA, respectively; for both p < 0.0001).

The engineered ovarian model adopted for our in vitro screening proves that patterned PCL scaffolds can be considered to develop innovative REPROTEN strategies for biomedical applications addressed to treat female infertility as well as for providing great potential to advance ivF culture systems.

Indeed, the present results altogether confirm the total adequacy of patterned electrospun fibrous PCL scaffold in replacing the ovarian matrix during follicle transition from preantral to antral stage. The ovarian bioinspired PCL scaffold also has the merit of maintaining its biocompatibility over the long term, thus guiding the germinal compartment towards the stepwise process of specialization leading to meiotic and developmental competence acquisition.

Discussion

The development of an artificial ovary stands as a pivotal facet within the field of REPROTEN, its successful realization contingent upon the faithful recapitulation of ovarian folliculogenesis [17, 18, 69]. This intricate process entails the utilization of immature follicles and their guidance through advanced stages until the attainment of fully-grown oocytes to be enrolled in vivo towards follicle dominance or in ART towards IVM-IVF protocols [28, 30]. These biomedical innovations may profoundly impact open female reproductive issues, such as fertility preservation in young oncological patients [25, 70]. Despite the successful cryopreservation outcomes of ovarian tissue and concurrent scientific evidence of successful transplantation leading to the restoration of cyclicality, the risk of transplanting cancerous cells necessitates the exploration of alternative strategies. The development of engineered ovaries could offer a viable solution by utilizing biomaterials tested not only for biocompatibility but also for mimicking the ovarian matrix in various stages of folliculogenesis. More in detail, engineering immature follicles derived from cryopreserved ovarian tissue of cancer patients on a bioinspired ovarian scaffold may represent a valid and safe alternative since it strategically mitigates the risks associated with inadvertent malignant cell transfer [20, 28, 30, 71]. In light of this, the development of a bioengineered artificial ovary aims to replicate the intricate native ovarian system, necessitating a biocompatible scaffold for encapsulating isolated follicles and/or autologous ovarian cells [29, 72]. In this context, biomimetic scaffolds can be used to optimize current ivF protocols by leveraging an ovarian mimetic approach, potentially mimicking the gonadotropin-insensitive or low-sensitive phases of folliculogenesis [72, 73]. Among these, PCL electrospun fibrous scaffold produced by “green-electrospinning” technology has ventured into engineered reproductive materials, representing a novel focus in the field, albeit currently explored by only a few research groups [51, 52, 54]. Recent results with PCL have shown promise, offering not only clinical usability but also long-term biocompatibility [74,75,76,77,78]. Our previous study further demonstrates that PCL serves as a supportive scaffold, enabling individual follicles to undergo the gonadotropin-sensitive phase of folliculogenesis and transition from the preantral to the early antral stage [56]. This establishes the foundation for subsequent in vivo selection by gonadotropins during the early antral phase, underscoring its potential to mimic natural follicular development effectively. While PCL holds promise, demonstrating its capability to sustain the simultaneous survival and growth of multiple follicles remains a formidable challenge. This represents a critical milestone in affirming its suitability for constructing an artificial ovary that faithfully emulates the complexities of the natural follicular environment.

Within this framework, the current study aims to juxtapose a validated single-follicle in vitro culture method (Ctrl) [56] with the novel multiple follicle-on-scaffold procedure within the REPROTEN context (AO) to functional validate the biocompatibility of patterned-electrospun fibrous scaffolds fabricated with PCL, an FDA approved biomaterial [79, 80]. To mimic the behavior of PA-engineered PCL after in vivo transplantation, the sequential step-wise phases of follicle growth and oocyte maturation have been simulated in vitro and assessed on both the somatic and germinal compartments.

Based on our findings, PCL in vitro can be successfully adopted to support multiple PA follicle growth by reproducing a long-term favorable microenvironment to guide an advanced follicle and oocyte in vitro development.

The 3D culture employing an engineered-PCL scaffold with multiple PA constructs has demonstrated compatibility with the long-term survival of ovarian structures, exhibiting significant growth (Δ growth: 48%) and consistently promoting antral differentiation in the majority of incubated follicles. Particularly noteworthy is the observed positive paracrine cross-talk among follicles within the multiple-system during culture, a phenomenon absents in the single-system setup. Notably, follicles exhibit a decelerated growth rate, prolonged viability, and heightened steroidogenic activity. This mechanism closely mirrors the physiological processes observed in vivo, wherein the cohort of antral follicles transitions from gonadotropin sensitivity to dependence [81].

This data underscores the sustained follicular performance observed during in vitro culture, emphasizing the intricate regulation of steroid hormone production throughout follicle growth and its pivotal role in supporting the development of fully competent oocytes and subsequent reproductive processes. In particular, aromatase activation in ovarian folliculogenesis is of critical importance due to its involvement in orchestrating the hormonal dynamics essential for optimal follicular progression [82,83,84]. This regulatory process not only impacts oocyte quality but also significantly influences the overall success of reproductive outcomes. Thus, understanding and manipulating steroid hormone regulation are crucial steps in enhancing the journey from follicular development to successful reproduction [12, 85, 86].

The positive effect of the long-term AO10PA system on oocyte development further corroborates the PCL’s capacity to accurately mimic the ovarian microenvironment. By facilitating a gradual follicular growth rate, the PCL scaffold creates an environment conducive to the effective differentiation process of enclosed oocytes. This phenomenon aligns with the physiological scenario within the ovary, where controlled follicular growth is essential for optimal oocyte maturation. Thus, the ability of the PCL scaffold to replicate such dynamics highlights its potential to provide a more physiologically relevant platform for in vitro follicle development studies and underscores its significance in advancing reproductive research and technology. Indeed, long-term ivF on PCL fibers promoted a significant advancement in oocyte differentiation by supporting advancement in the process of large chromatin remodeling. Here, the critically analyzed results reveal that PCL effectively supports oocyte development, culminating in the transition from the NSN to SN configuration over the long term. This transition represents a significant functional milestone during sheep oogenesis, physiologically achieved by approximately 60% of oocytes enclosed within EA follicles. However, follicular antrum differentiation in vitro does not always coincide with this oocyte functional target. Indeed, oocyte engagement in chromatin remodeling occurs only when follicular development is delayed, as seen in the single follicle oil system [68, 87] or in the current 3D AO10PA long-term system. Nevertheless, a comparison between the two systems reveals that, for the first time, a culture system has successfully promoted the acquisition of the final configuration in a substantial proportion of oocytes (20%), resembling the SNE configuration observed in sheep [87]. Consistently, the chromatin configuration is highly species-specific, as demonstrated by Russo et al., where in sheep, the mature configuration observed in oocytes enclosed within preovulatory follicles is consistently SNE in 100% of cases [87]. This finding affirms the compatibility of the culture system developed utilizing PCL as an ovarian matrix with efficient germinal compartment development. Initiation of oocytes within the 3D AO10PA system results in an advanced stage of chromatin remodeling after 18 days of ivF, surpassing the stage recorded in oocytes isolated from physiologically grown EA follicles and intermediate to that observed in oocytes residing within SA follicles (52% SNE).

Chromatin remodeling plays a crucial role in extending current in vitro protocols to an in vivo setting, facilitating the acquisition of evolutionary competence in oocytes derived from immature developmental-stage follicles [88,89,90]. This process is essential to support the correct progression of meiotic resumption and subsequent oocyte activation [91]. Additionally, chromatin remodeling has been linked to oocyte developmental competence, as evidenced by the development of pre-in vitro maturation protocols. These protocols utilize a culture medium containing cumulus-oocyte complex ligand-receptor signaling molecules to maintain meiotic arrest, aiming to promote synergistic chromatin development [92,93,94,95]. Expanding on this concept, the higher degree of competence observed in oocytes at a more advanced stage of chromatin configuration appears to be indirectly supported by the present finding of increased activation in oocytes grown in AO10PA. This correlation reinforces the notion that chromatin remodeling is intricately linked to oocyte developmental competence and highlights the potential of our system to promote optimal chromatin development and subsequent oocyte functionality. Thus, to assess oocyte developmental functionality accurately, parthenogenetic activation was employed, serving to evaluate the degree of cytoplasmic maturation without introducing the variable associated with fertilization and subsequent male pronucleus remodeling. It is noteworthy that oocytes grown long-term on the PCL-patterned scaffold have surpassed the 8-cell block, indicating successful developmental progression. The criticality of surpassing this block is explained by the need for successful embryonic development to proceed beyond the early cleavage stages. Therefore, it is crucial to ensure that oocytes exhibit robust developmental potential beyond this stage. Hence, emphasizing that in the absence of fertilization within a simplified activation model, the cytoplasm of oocytes isolated from differentiated EA follicles in a long-term 3D system on a PCL scaffold behaves similarly to those isolated from SA follicles.

Leveraging a highly biocompatible and FDA-approved material fabricated through electrospinning technology, reproductive medicine may have a substantial leap toward the implementation of either of the strategies based on the use of artificial ovary [51, 52] or the protocols of PA ivF applied to different species (in small mammals, such as rodents [96,97,98], medium-large sized mammals such as sheep [10, 64, 65, 68, 99], goats [100], cows [101, 102], mares [103], pigs [8] and non-human primates [104, 105]).

The use of PCL-based scaffolds may have far-reaching implications for reproductive medicine and fertility preservation, particularly opening innovative strategies for oncological [71, 106] and premature ovarian failure challenges [107]. Furthermore, enhancing the regenerative potential of these scaffolds through surface functionalization with ECM-derived bioactive components represents a forward-looking approach, aimed at improving cellular interactions and promoting the attachment and growth of ovarian follicles in a manner that closely resembles the natural tissue environment [22, 108]. Mimicking the natural ovarian ECM enhances the microenvironmental cues necessary for follicle development, potentially leading to improved follicle health and developmental outcomes [109]. Moreover, tailoring the composition of ECM bioactive components on the PCL-scaffold surface could allow for the customization of the artificial ovary microenvironment based on individual patient characteristics or specific clinical needs.

But not to be outdone, the availability of ovarian-inspired matrices enabling a 3D system for long-term follicle/oocyte development is a unique opportunity to elucidate the fundamental molecular and cellular mechanisms governing fertility.

Conclusions

The study showcased the proof of concept for a next-generation ART use of PCL-patterned scaffold aimed to generate transplantable artificial ovary engrafted with autologous early-stage follicles or to advance ivF technologies. Patterned electrospun PCL scaffolds confirmed to be structured for reproducing a three-dimensional bioinspired matrix enabling in vitro the long-term process of multiple PA follicle development. The PCL-based REPROTEN approach may provide, indeed, great potential in advancing ivF protocols applied to early stages of follicle recruitment, genetic vulnerability, medications, environmental exposures and toxicities, aging, nutrition, and diseases. At the same time, the present results document through solid functional evidence that the patterned electrospun fibrous scaffolds fabricated with PCL is ready to be moved toward clinical practice for the benefit of people worldwide facing fertility-related challenges.

Data availability

No datasets were generated or analysed during the current study.

Abbreviations

ARTs:

Assisted Reproductive Technologies

CAD:

Computer-Aided Design

CYP11A1:

Cytochrome P450 Family 11 Subfamily A Member 1

CYP17A1:

Cytochrome P450 Family 17 Subfamily A Member 1

CYP19A1:

Cytochrome P450 Family 19 Subfamily A Member 1

EA:

Early Antral

eCG:

equine Chorionic Gonadotropin

ECM:

Extracellular Matrix

FDA:

Food and Drug Administration

GV:

Germinal Vesicle

GVBD/MI:

Germinal Vesicle Break Down/Metaphase 1

hCG:

human Chorionic Gonadotropin

IVC:

in vitro embryo culture

IVF:

in vitro fertilization

ivF:

in vitro Folliculogenesis

IVM:

in vitro maturation

MII:

Metaphase 2

NSN:

Non-Surrounding Nucleolus

PA:

Preantral

PCL:

Poly(ε-caprolactone)

REPROTEN:

REPROductive Tissue ENgineering

SN:

Surrounding Nucleolus

SNE:

Surrounding Nuclear Envelope

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Acknowledgements

The authors thank the European Union—Next Generation EU. Project Code: ECS00000041; Project CUP: C43C22000380007; Project Title: Innovation, digitalization, and sustainability for the diffused economy in Central Italy—VITALITY. The authors also thank Fabiana Verni for her valuable contribution in retrieving and transporting the biological material.

Funding

This research was funded by the European Union—Next Generation EU. Project Code: ECS00000041; Project CUP: C43C22000380007; Project Title: Innovation, digitalization, and sustainability for the diffused economy in Central Italy—VITALITY.

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  1. Department of Bioscience and Technology for Food, Agriculture and Environment, University of Teramo, 64100, Teramo, Italy

    Chiara Di Berardino, Alessia Peserico, Chiara Camerano Spelta Rapini, Giulia Capacchietti, Valentina Russo, Paolo Berardinelli & Barbara Barboni

  2. Institute of Biomaterials, Department of Materials Science and Engineering, University of Erlangen–Nuremberg, Cauerstraße 6, 91058, Erlangen, Germany

    Liliana Liverani, Irem Unalan, Andrada-Ioana Damian-Buda & Aldo R. Boccaccini

  3. DGS SpA, Via Paolo di Dono 73, 00142, Rome, Italy

    Liliana Liverani

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Contributions

B.B. and L.L. made substantial contributions to the conception and design of the work. B.B. and C.D.B. were the major contributors to writing the manuscript. B.B., A.P., L.L., V.R., P.B., A.R.B., I.U., A-ID-B assisted in manuscript preparation and reviewed the manuscript. C.D.B., C.C.S.R., G.C. performed most experiments and B.B., C.D.B., A.P. interpreted the data. C.D.B., A.P., C.C.S.R. analyzed the data and prepared the figures and manuscript draft. L.L., I.U., A-ID-B carried out additional experiments, A.R.B. provided resources. All authors read and approved the final manuscript.

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Correspondence to Chiara Di Berardino.

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Di Berardino, C., Peserico, A., Camerano Spelta Rapini, C. et al. Bioengineered 3D ovarian model for long-term multiple development of preantral follicle: bridging the gap for poly(ε-caprolactone) (PCL)-based scaffold reproductive applications. Reprod Biol Endocrinol 22, 95 (2024). https://doi.org/10.1186/s12958-024-01266-y

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Reproductive Biology and Endocrinology

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