TITLE: SEcuRe 2.0 – A simple and economic protocol for efficient in vitro fertilization using cryopreserved mouse sperm
AUTHORS: Magdalena Wigger, Branko Zevnik, Simon E Tröder

[DESCRIPTION]
The advent of genome editing tools like CRISPR/Cas has substantially increased the number of genetically engineered mouse models in recent years. In support of refinement and reduction, sperm cryopreservation is advantageous compared to embryo freezing for archiving and distribution of such mouse models. The in vitro fertilization using cryopreserved sperm from the most widely used C57BL/6 strain has become highly efficient in recent years due to several improvements of the procedure. However, the purchase of the necessary media for routine application of the current protocol poses a constant burden on budgetary constraints. In-house media preparation, instead, is complex and requires quality control of each batch. Here, we describe SEcuRe 2.0, a cost-effective and easily adaptable approach for in vitro fertilization using cryopreserved C57BL/6 sperm. This is mainly achieved by modification of an affordable commercial fertilization medium and a step-by-step description of all other necessary reagents. This protocol is compatible with frozen sperm from all major repositories, and the IVF can easily be adapted to accommodate freshly harvested sperm.

The basal fertilization medium (Cook's RVF) used in the initial SEcuRe approach has been discontinued by the manufacturer. We have validated HTF as a replacement, and SEcuRe 2.0 successfully employs HTF as the basal fertilization medium ever since. 

(The last step contains a supplemental video with extra context and tips, as part of the protocols.io Spotlight series, featuring conversations with protocol authors.)

[GUIDELINES]
ANIMAL PROCEDURES
Sperm of 10- to 20-week-old C57BL/6 males and oocytes of superovulated 3-4-week-old (i.e., 12-14 g body weight) of the corresponding genetic background are collected for the IVF procedures as decribed in published protocols (Behringer, R., et al. Manipulating the mouse embryo: a laboratory manual, Fourth edition. ed. Cold Spring Harbor, New York: Cold Spring Harbor Laboratory Press; 2014.). Females are superovulated with 5 IU of PMSG (Aviva Systems Biology; OPPA01037) followed after 48 hours by 5 IU of hCG (MSD Animal Health; Ovogest 300I.E.). 

We routinely pool the sperm from 2 males to compensate for variability in sperm quality between males, generate sufficient quantities of straws for archiving and distribution, and enable the optional quality control via an IVF of a single straw for each cryopreservation. Use of a single male is possible as well, but the number of straws and volume of media used needs to be reduced by 50%. The integrity of each sperm sample after cryopreservation is recommended to be evaluated by a validation IVF with oocytes from 2 superovulated females. Samples with fertilization rates of >20% can be considered as successfully archived. 

The 2-cell embryo transfer is performed unilaterally according to a published protocol (Behringer, R., et al. Manipulating the mouse embryo: a laboratory manual, Fourth edition. ed. Cold Spring Harbor, New York: Cold Spring Harbor Laboratory Press; 2014.). Well tolerated inhalational anesthetics like isoflurane should be used as anesthetic and carprofen (5 mg/kg BW) Carprosol, CP-Pharma Handels-Gesellschaft mBH) as analgesic after surgery. 


MEDIA PREPARATION
Use only embryo-grade reagents.
Use weighing paper and disposable spatulas only.
For precise volume measurement during c-TYH preparation use a 25 ml volumetric flask (Vitlab; 671941) washed with embryo-grade water before first use and between subsequent steps. Discard the flask after the entire procedure. Do not use detergent to clean the flask in order to re-use it as residual detergent will harm the sperm.

gCPA for sperm cryopreservation
Prepare cryoprotective agent (gCPA) containing 18% raffinose pentahydrate and 3% skim milk supplemented with 100 mM L-glutamine as follows:
Place 0.146 g of L-glutamine in 10 ml of prewarmed (60°C) embryo-grade water and vortex for 3 min
Place the tube back to 60°C for 5 min
Add 1.8 g of raffinose pentahydrate and 0.3 g of skim milk, vortex the solution for 3 min and incubate for 90 min at 60°C. Vortex gCPA every 30 min for 3 min
Centrifuge the solution at 10,000 g for 60 min (using 1 ml aliquots). The supernatant should be clear afterwards 
Carefully collect 720 μl of the supernatant of each sample from the central region of the tube and diascard the pellets
Filter the supernatant through a 0.22 μm filter, discard first drops
If possible, check osmolality (500-520 mOsm/kg) and store aliquots at room temperature for up to 3 months

c-TYH medium for sperm preincubation
For sperm preincubation prepare c-TYH containing 1.0 mg/ml of polyvinyl alcohol and 0.75 mM methyl-β-cyclodextrin (MBCD) from concentrated stocks as follows (alternatively commercially available FERTIUP® PM (Cosmo Bio; KYD-002-EX-X5) can be used):
1. Prepare a mixture of the following substances for concentrated stock solutions:
Stock X: 
            - 10x NaCl: Weigh 1.744 g of NaCl into a 50 ml centrifuge tube and dissolve in 20 ml of embryo-grade water
            - 100x Salt Mix: Weigh all the reagents into a 50 ml centrifuge tube and dissolve in 20 ml of embryo-grade water
 
            - Rinse a new 25 ml volumetric flask with embryo-grade water before use by inverting the plugged flask
            - Transfer the dissolved salt mix solution into the flask, wash the centrifuge tube with 3 ml of embryo-grade water and add it to the flask
            - Fill the flask up to 25 ml with embryo-grade water
            - Transfer the salt mix solution into a new centrifuge tube
            - Pipette 2.5 ml of the salt mix to the centrifuge tube containing 20 ml of NaCl solution
            - Wash the previously used 25 ml volumetric flask 3x with embryo-grade water
            - Transfer the prepared NaCl + salt mix solution into the flask and fill it up to 25 ml with embryo-grade water
            - Filter the solution through a 0.22 μm filter and store 3 ml aliquots at -20°C for a maximum of 12 months
Stock Y: 100x CaCl2 x 2H2O  
            - Weigh 0.628 g of CaCl2 x 2H2O into a 50 ml centrifuge tube and dissolve in 20 ml of embryo-grade water
            - Wash the previously used 25 ml volumetric flask 3x with embryo-grade water
            - Transfer the CaCl2 solution into the flask, wash the centrifuge tube with 3 ml of embryo-grade water and add it to the flask
            - Fill the flask up to 25 ml with embryo-grade water
            - Filter the solution through a 0.22 μm filter, prepare 300 μl aliquots and store at -20°C for a maximum of 12 months

2. Preparation of PVA solution: 
Fill a 15 ml centrifuge tube with 2.5 ml of embryo-grade water 
Weigh 0.025 g of PVA and add it into the centrifuge tube
To dissolve the PVA, heat the solution up to 90 °C for at least 10 min and vortex
Note: Preheating of embryo-grade water before adding PVA facilitates solving.

3. Preparation of c-TYH medium (in 50 ml centrifuge tube)
Pipette 10 ml of embryo-grade water to a new 50 ml centrifuge tube and add to it in the following order:
 
Transfer the medium into a 25 ml volumetric flask, wash the centrifuge tube with 3ml of embryo-grade water and add it to the flask
Fill the flask up to 25 ml with embryo-grade water (CAUTION: As soon as the PVA solution is added, it starts to foam)
Filter the solution through a 0.22 μm filter and store 1 ml aliquots at +4 °C for up to 3 months
If possible, perform osmolality check (283-293 mOsm/kg)

HTF preparation
A ready-to-work media can be obtained commercially (e.g., Merck; MR-070-D). This product should be thawed after arrival and aliquoted. The aliquots can be stored at -80 °C for 6 months. Once the aliquots are thawed, they can be stored at 4 °C for two weeks. 

HTF+ medium for in vitro fertilization
For the IVF procedure, supplement HTF medium with reduced glutathione (GSH; final concentration: 1 mM) and Ca2+ (final concentration: 5.14 mM) as following to obtain HTF+ medium:

Prepare a 100x CaCl2 x 2H2O stock solution (310 mM) by dissolving 0.4558 g of CaCl2 x 2H2O in 10 ml of embryo-grade water
Filter the solution through a 0.22 μm filter and store aliquots at -20°C for a maximum of 6 months
On the day of IVF thaw an aliquot of 100x CaCl2 at room temperature
Add 60 μl of 100x CaCl2 to 6 ml of HTF medium and mix gently
HTF supplemented with CaCl2 can be stored at 4°C for up to 1 week
Place 1 ml of HTF medium supplemented with CaCl2 in a tube containing 30.7 mg of GSH and vortex
Add 50 μl of this solution to 5 ml of HTF medium supplemented with CaCl2, mix gently and filter using 0.22 μm syringe end filter in order to obtain HTF+ medium

Embryo culture media
Use M2 medium for handling of embryos outside and embryo culture medium (M16, KSOM) for culture inside a CO2 incubator. Many labs prefer the use of KSOM as it supports the development of embryos from many different mouse strains. All media can be prepared in-house according to the previously published method (Behringer, R., et al. Manipulating the mouse embryo: a laboratory manual, Fourth edition. ed. Cold Spring Harbor, New York: Cold Spring Harbor Laboratory Press; 2014.) or commercially purchased.
Mouse oocytes and pre-implantation embryos are incubated in embryo culture medium pre-equilibrated for at least 4 h in a CO2 incubator (5% CO2, 37 °C, 95% humidity).


SEcuRe 2.0 protocol applicability
The SEcuRe 2.0 protocol can be used to perform IVF with freshly harvested sperm after applying the following modifications:
1. 2 males of the same line should be sacrificed and sperm of better quality (based on a visual assessment after 60 min preincubation) should be utilized in an IVF procedure. If sperm of both males show the same quality, both can be used in an IVF. Sacrifice two males and dissect the cauda epididymides. Transfer the 2 cauda epididymides (after removal of fat and blood) of each male to separate dishes into the oil next to the c-TYH (or FERTIUP® PM) drop. After nicking the tissue, drag sperm with watchmaker forceps into the drop.
2. Sperm should be allowed capacitation for 60 min in c-TYH (or FERTIUP® PM).
3. 0.25 mM GSH concentration should be used in the HTF+. For this purpose:
Prepare a 100x CaCl2 x 2H2O stock solution (310 mM) by dissolving 0.4558 g of CaCl2 x 2H2O in 10 ml of embryo-grade water
Filter the solution through a 0.22 μm filter and store aliquots at -20°C for a maximum of 6 months
On the day of IVF, thaw an aliquot of 100x CaCl2 at room temperature
Add 60 μl of 100x CaCl2 to 6 ml of HTF medium and mix gently
Place 1 ml of HTF medium supplemented with CaCl2 in a tube containing 30.7 mg of GSH and vortex
Add 10 μl of this solution to 4 ml of HTF medium supplemented with CaCl2, mix gently and filter using 0.22 μm syringe end filter  
4. Oocytes from a maximum of 5 females should be placed in a 200 μl drop of HTF+;
5. 5 μl of sperm suspension should be added to the oocytes. If the removal of cumulus cells assessed after 20 min of incubation is poor, indicating insufficient motility or concentration of sperm, an additional 5 µl of the sperm suspension should be transferred to the fertilization medium. 

The SEcuRe 2.0 protocol can also be used with samples cryopreserved according to Ostermeier et al. (2008) approach routinely used by The Jackson Laboratory. In this case, the entire sperm suspension should be expelled into the center of a 6-cm dish and 30 μl of that suspension should be added to a 90 μl drop of c-TYH (or FERTIUP PM®). Subsequently, IVF should be conducted according to the standard protocol described here (see Steps 23-28).

Update information
The basal fertilization medium (Research Vitro Fert, Cook Medical; K-RVFE-50) used in the initial SEcuRe approach has been discontinued by the manufacturer. We have validated HTF as a replacement, and SEcuRe 2.0 successfully employs HTF as the basal fertilization medium ever since. 

[STEPS]
SECTION: Sperm cryopreservation
1. Prepare 20 straws for 2 sacrificed males of the same line. Use of a single male is possible as well, but the number of straws and volume of media used needs to be reduced by 50%
SECTION: Sperm cryopreservation
2. Mark the straws at 2.3 cm and 4.0 cm at the open end and label them at the other end (cotton plug)
SECTION: Sperm cryopreservation
3. Attach a 1 ml syringe to the labeled end of the straw and aspirate HTF medium until the meniscus reached the 4.0 cm mark
SECTION: Sperm cryopreservation
4. Aspirate a 2.3 cm air into the straw and store the assembly until required
SECTION: Sperm cryopreservation
5. Place a 120 μl drop of the gCPA (for preparation see Guidelines & Warnings) in a 35-mm culture dish, cover it with paraffin oil, add another 120 μl of gCPA into the drop to obtain a tall, semi-spherical 240 μl drop (for 4 cauda epididymis pooled from 2 males) and prewarm on a 37  °C hot plate

SECTION: Sperm cryopreservation
6. Sacrifice 2 males, collect the cauda epididymides and vasa deferentia in DPBS and clean them of fat and the testicular artery to avoid contaminating the semen with blood
SECTION: Sperm cryopreservation
7. Dry the cauda epididymides on a tissue (to avoid dilution of gCPA with DPBS), transfer to a 240 µl drop of prewarmed gCPA (on a 37 °C hot plate for at least 5 min) and make 6–7 cuts across the cauda epididymis with a pair of micro spring scissors

SECTION: Sperm cryopreservation
8. Place the dish on a 37 °C hot plate for 3 min and gently swirl every min for 20 sec to help the sperm disperse from the tissue

SECTION: Sperm cryopreservation
9. Divide the sperm suspension into 20 aliquots of 10 µl (using a pipette and 200 µl cell-saver tips) on a 10-cm culture dish lid, avoiding carryover of paraffin oil (clean the pipette tip from the outside with a tissue to remove the oil each time before placing a 10 µl aliquot on the dish lid) and any tissue (use microscope) into the aliquots
SECTION: Sperm cryopreservation
10. Aspirate each 10 µl drop into a separate freezing straw followed by 2.3 cm air
SECTION: Sperm cryopreservation
11. Seal the straws (e.g., with a heat sealer or metal balls) and place them in liquid nitrogen gas phase for 10 min. Note: We use a custom-made metal inlay for this purpose but self-made or purchased freezing canisters can be used as well (e.g., http://card.medic.kumamoto-u.ac.jp/card/english/sigen/manual/spfreeze.html#canister or KYD-S018 from Cosmo Bio)

SECTION: Sperm cryopreservation
12. Transfer the straws to the liquid nitrogen tank for long-term storage
SECTION: Oocyte isolation
13. Ideally, the entire IVF procedure (oocyte preincubation, sperm preincubation and fertilization) should be performed in an incubator (5% CO2, 37 °C) at 5% O2, but atmospheric O2 concentration have been shown to work well, too
SECTION: Oocyte isolation
14. Prepare a 35-cm culture dish (for oocytes from a maximum of 3 females) with a 90 µl drop of HTF+ (for preparation see Guidelines & Warnings) covered with oil (prewarmed to 37 °C) and equilibrate it for at least 20 min in an atmosphere of mixed gas (5% CO2, 5% O2, 37 °C)
SECTION: Oocyte isolation
15. Collect oviducts from superovulated females 15 hours after the hCG injection and clean them in DPBS
SECTION: Oocyte isolation
16. Transfer the oviducts into the paraffin oil next to the 90 μl drop of HTF+
SECTION: Oocyte isolation
17. Release oocyte clutches into the oil by ripping the ampulla with forceps and drag them through the oil into the fertilization drop
SECTION: Oocyte isolation
18. Incubate oocytes for 50 min before adding the sperm suspension (at least 30 min and no longer than 60 min) in an atmosphere of mixed gas (5% CO2, 5% O2, 37 °C)
SECTION: Sperm thawing and capacitation
19. Prepare a 35-mm culture dish (for each IVF experiment) with 90 μl c-TYH drop (for preparation see Guidelines & Warnings) covered with paraffin oil and equilibrate it overnight in an atmosphere of mixed gas (5% CO2, 5% O2, 37 °C)
SECTION: Sperm thawing and capacitation
20. Remove the required straw(s) from long-term storage in liquid nitrogen on the day of IVF, place in a dewar with liquid nitrogen. For thawing, remove the straw(s) from liquid nitrogen, keep it for 5 sec at room temperature and then quickly transfer it into a 37 °C water bath for 10 min
SECTION: Sperm thawing and capacitation
21. Dry the straw(s) with a tissue and cut the sealed end and the labeled end of the straw below the cotton plug
SECTION: Sperm thawing and capacitation
22. Expel 10μl sperm suspension into the center of a 90 μl c-TYH drop using a 1 ml syringe
SECTION: Sperm thawing and capacitation
23. Preincubate for 30 min in an atmosphere of mixed gas (5% CO2, 5% O2, 37 °C) before the IVF procedure to allow capacitation of the sperm. Note: Do not disturb the dishes containing the frozen/thawed sperm until the sperm are moving rapidly within the medium. Otherwise, the sperm will not recover full motility 
SECTION: In vitro fertilization
24. Add 10 μl of the sperm suspension taken from the edge of the c-TYH drop to the oocyte clutches with the help of a 200 µl cell-saver tip and incubate for 4 hours (at least 3 hours and no longer than 5 hours) in an atmosphere of mixed gas (5% CO2, 5% O2, 37 °C)

SECTION: In vitro fertilization
25. Add another 10 µl of the sperm suspension to the fertilization medium if the removal of cumulus cells assessed after 20 min of incubation is poor, indicating insufficient motility or concentration of sperm
SECTION: Embryo culture and transfer
26. Wash embryos after the IVF procedure through 10 drops of preincubated embryo culture medium (e.g., M16 or KSOM) and incubate overnight in embryo culture medium in groups of 15–50 embryos per drop (a 30 µl drop of embryo culture medium covered with paraffin oil) in a CO2 incubator (5% CO2, 37 °C, 95% humidity)
SECTION: Embryo culture and transfer
27. The day after insemination determine fertilization rates (a percentage of the total number of inseminated oocytes that developed to the 2-cell stage)
SECTION: Embryo culture and transfer
28. Transfer 2-cell embryos into the oviducts of pseudo-pregnant 0.5 dpc females
SECTION: Embryo culture and transfer
29. (The following video contains extra context and tips, as part of the protocols.io Spotlight series, featuring conversations with protocol authors.)