|
|
||||||||
| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
STEM CELL GENOMICS AND PROTEOMICS |
aMitochondrial and Reproductive Genetics Group, Medical School, University of Birmingham, Birmingham, United Kingdom;
bMonash Immunology and Stem Cell Laboratories and
dCentre for Reproduction and Development, Monash Institute of Medical Research, Monash University, Clayton, Victoria, Australia;
cStemagen Corporation, La Jolla, California, USA;
eMitochondrial and Reproductive Genetics Group, Clinical Sciences Research Institute, Warwick Medical School, University of Warwick, Warwick, United Kingdom
Key Words. Cloning • Evolutionary distance • Heteroplasmy • Mitochondrial DNA • Replication • Transcription
Correspondence: Correspondence: Justin C. St. John, Ph.D., Mitochondrial and Reproductive Genetics Group, Clinical Sciences Research Institute, Warwick Medical School, University of Warwick, Warwick CV2 2DX, United Kingdom. Telephone: 44-2476-968701; Fax: 44-2476-968653; e-mail: J.C.St-John{at}Warwick.ac.uk
Received on September 11, 2007;
accepted for publication on December 21, 2007.
First published online in STEM CELLS EXPRESS January 10, 2008.
| ABSTRACT |
|---|
|
|
|---|
Disclosure of potential conflicts of interest is found at the end of this article.
| INTRODUCTION |
|---|
|
|
|---|
Following fertilization of an oocyte, mtDNA is inherited strictly through the oocyte [3], as sperm mtDNA is normally eliminated by the process of ubiquitination [4], except in cases of interspecific crossing [5]. mtDNA in the mature oocyte is derived from a few copies present in 10–20 mitochondria [6], which are segregated to primordial germ cells during an early restriction event just after gastrulation and subsequently clonally expanded [7]. Consequently, these copies of mtDNA are usually identical (homoplasmic).
Somatic cell nuclear transfer (SCNT) involves the introduction of a somatic donor cell or nucleus into an enucleated oocyte [8]. The activation of this reconstructed oocyte gives rise to embryos and intra- and interspecific offspring, which have genetically identical chromosomes but not mtDNA as, in most cases, the majority of mtDNA will be derived from the recipient oocyte [9, 10]. However, mtDNA accompanying the donor cell can persist in embryos, fetuses, and offspring (reviewed in [11]). This can constitute up to 59% of their total mtDNA content [12] and thus gives rise to heteroplasmy. Such an outcome probably arises as the donor cell's mtDNA replication factors are still expressed during the early stages of preimplantation development, unlike in vitro-fertilized (IVF) embryos [13, 14]. This could result in the donor cell selectively favoring the replication of its own mtDNA. Furthermore, cloning protocols for larger mammals often use in vitro-matured (IVM) metaphase II (MII) oocytes harvested randomly from ovaries. The variation in mtDNA sequences between recipient oocytes and donor cells for the encoding genes, as observed between porcine or bovine breeds, could affect amino acid composition and thus compromise ETC function [15, 16].
Although intergeneric cloned embryos have been generated [17–20], they have not survived to term, perhaps because of the genetic divergence that exists between the donor cell and its recipient oocyte. Analysis of mtDNA genetic divergence between the mtDNA haplotypes of the two fusion partners has demonstrated a threshold for donor cell and recipient oocyte compatibility that intra- and interspecific (Ovis aries-O. aries) fusions appear to comply with but not intergeneric (Capra hircus-O. aries) nuclear transfer (NT) fusions [14]. This outcome is critical, as the donor cell's mtDNA genes will be compatible with its nuclear-encoded genes for functional ATP output but not necessarily with the recipient cytoplast's mtDNA genes. Such outcomes would have an impact on the potential to derive embryonic stem cells (ESCs) through intergeneric NT. It could also affect the ability of any fully differentiated cell to function efficiently, especially those cells highly dependent on OXPHOS (i.e., muscle and neuronal cells and cardiomyocytes).
Handmade cloning (HMC) most likely exacerbates the outcomes of mtDNA transmission, as the donor cell can be fused to one or more cytoplasts [21, 22], with relatively similar quantities of mtDNA from various oocyte sources being incorporated. Consequently, this provides an excellent model to study (a) the relationship between mtDNA haplotype and development under the control of a somatic nucleus, and (b) the transmission and segregation of mtDNA in embryos. Furthermore, the use of multiple cytoplasts could result in direct competition between two or more mtDNA haplotypes. If one of these haplotypes is more compatible (i.e., closer in terms of genetic distance) with the mtDNA haplotype of the donor cell, then it may be preferentially replicated, resulting in the other haplotypes not being propagated. However, if the evolutionary distances between the populations of mtDNA are all within appropriate ranges for the donor cell nucleus, then these mtDNA haplotypes will be replicated with the same efficiency, resulting in a stable state of heteroplasmy.
To understand the effects of mtDNA genetic diversity on SCNT outcome, we have analyzed embryos from the zygote to the blastocyst stage that were generated with a somatic cell and one cytoplast. We have extended this to embryos generated with two and three cytoplasts to determine whether a genetically closer population of mtDNA has a selective advantage. Analysis of multiple mtDNA populations in fetuses and offspring allowed us to determine whether mtDNA from different backgrounds undergoes selection or segregation postimplantation and whether a mixed population is capable of coexisting in live offspring. We have also determined, using tissues from an aborted fetus, whether there is selection for one allele over another at the transcriptional level.
| MATERIALS AND METHODS |
|---|
|
|
|---|
The cumulus cells and zona pellucida were removed from IVM MII oocytes at 18–22 hours postmaturation (hpm), bisected and reconstructed with a donor cell using electrofusion, followed by parthenogenetic activation (PA) at 21–34 hpm and in vitro cultured according to previously described methods [22]. A more detailed description is provided in the supplemental online Materials and Methods.
Polymerase Chain Reaction Amplification and Sequencing of the mtDNA D-Loop
Total DNA was extracted from individual embryos and stored frozen in 2-µl sterile double-distilled H2O (ddH2O), using the single freeze-thaw protocol, as described in [13]. For one-cytoplast embryos, a minimum of five embryos were included from each stage of preimplantation development. For analyses, embryos were divided into 1-cell (n = 6), 2–6-cell (n = 25), 8–16-cell (n = 10), and blastocyst (n = 9) stages. The two- and three-cytoplast embryos were also analyzed at the 1-cell (n = 16), 2–6-cell (n = 22), 8-cell to morula (n = 12), and blastocyst (n = 10) stages. DNA was extracted from donor cells, fetal tissue (n = 10), and blood samples (n = 6) using the Puregene DNA Isolation Kit (Qiagen Ltd., West Sussex, U.K., http://www1.qiagen.com), according to the manufacturer's protocols [14]. Two hundred nanograms of DNA from tissues and cells or 2 µl of DNA from embryos was amplified in 50-µl reactions containing 1x polymerase chain reaction (PCR) buffer, 1.5 mM MgCl2, 200 mM dNTPs (all from Bioline, London, http://www.bioline.com), 0.5 µM CO1F (CACCATCAACCCCCAAAGCT), and 0.5 µM CO3R (TTGGGTTAAGCTACATCAAC) to produce 974 base pairs (bp) of the mtDNA D-loop. The reaction was performed at 35 cycles in an MJ Research PTC-200 thermocycler (GRI, Braintree, U.K., http://www.gri.co.uk), with an initial denaturation of 95°C for 5 minutes followed by 35 cycles of 94°C for 45 seconds, 54°C for 30 seconds, and 72°C for 2 minutes. When only low levels of product were obtained, 2 µl of PCR product was amplified with CO1F and CO2R (CCTGAAGAAAGAACCAGATG) (annealing temperature, 55°C) to generate 498 bp for DNA sequencing.
All PCR products were resolved on a 2% agarose gel at 100 V for 1 hour and purified using the QIAquick Gel Extraction Kit (Qiagen). Purified PCR products were then sequenced according to the automated direct sequencing protocol [24] using a GeneAmp 9700 and the ABI PRISM BigDye terminator cycle sequencing-ready reaction kit (Applied Biosystems, Foster City, CA, http://www.appliedbiosystems.com) with the appropriate forward and reverse primers. Electrophoresis of cycle sequencing products was performed on an ABI PRISM 377 sequencer (Applied Biosystems).
Subcloning of PCR Products
Purified PCR product was ligated into a pCR4-TOPO cloning vector (Invitrogen, Carlsbad, CA, http://www.invitrogen.com) and cultured, as described previously [25], to identify sequences of individual alleles within a heteroplasmic population.
Sequence Alignment and Haplotype Analysis
The first and last 20 bp of each sequence were removed so that 457 bp were analyzed (nucleotides 15,807–16,264 of the Bos taurus mtDNA reference sequence; GenBank accession no. V00654; [26]). For embryos constructed with one cytoplast, singletons were removed and replaced with the consensus sequence, as described previously [14], to identify the most frequent variants between the different mtDNA lineages. All sequences from single-cytoplast embryos were aligned using the ClustalW program with a Phylip output format [27] and then analyzed using the phylogenetic programs of PHYLIP, version 3.6 [28]. Pairwise evolutionary distances were calculated using DNADIST, which used the F84 model of nucleotide substitution (PHYLIP [28]). Phylogenetic trees were constructed from sequence alignments, first bootstrapping sequences 1,000 times in SEQBOOT, and then by maximum likelihood analysis using the DNAML and DRAWGRAM programs (PHYLIP [28]). Sequences generated from two- and three-cytoplast embryos and tissue and blood samples contained various numbers of heteroplasmic sites. Following subcloning, individual alleles were identified, and those containing the higher peaks on the chromatogram, representative of the overall sample, were designated the "major" alleles; those containing the lower peaks were designated the "minor" alleles. Sequences for major and minor alleles were aligned and analyzed as for the single-cytoplast embryos.
RNA Isolation
RNA was extracted from cells using the DNA-free RNA Isolation Kit for RT-PCR (Ambion, Austin, TX, http://www.ambion.com) according to the manufacturer's protocol for tissue samples. Contaminating DNA was eliminated by adding 2 U of DNase1 (Ambion) and incubating at 37°C for 1 hour.
Reverse Transcription
cDNA was produced using the Promega Reverse Transcription System (Promega, Southampton, U.K., http://www.promega.com). Each 20-µl reverse transcription (RT) reaction contained 800 ng of RNA, 5 mM MgCl2, 1x RT buffer, 1 mM dNTPs, 12.5 µg ml–1 oligonucleotide primers, 1 unit µl–1 RNasin, 0.75 unit µl–1 AMV-RT, and sterile ddH2O. In addition, no-enzyme and no-RNA controls were performed. The reaction was performed at 42°C for 2 hours in an MJ Research PTC-200 thermocycler. Prior to Allele Specific-PCR (AS-PCR), 100 µl of ddH2O was added to the cDNA.
Allele Specific-PCR Analysis of Tissue Samples
DNA and cDNA were amplified using forward (CCTCTGTTACCCATATCTGCCG) and reverse (CTAGAATTAGTAAGAGGGCCCC) primers producing 521 bp (nucleotides 14,704–15,225; GenBank accession no. V00654) of the Cytochrome B (CytB) gene. Initial denaturation at 95°C for 5 minutes was followed by 40 cycles of 94°C for 30 seconds, 59°C for 30 seconds, and 72°C for 50 seconds and a final extension at 72°C for 8 minutes. PCR products were subcloned and sequenced using M13 forward (TGTAAAACGACGGCCAGT) and reverse (CAGGAAACAGCTATGACC) primers, as described previously [14].
Each 20-µl reaction contained 2 µl of PCR product or purified plasmid, 1 x buffer (ABgene, Epsom, U.K., http://www.abgene.com), 1.5 mM MgCl2 (ABgene), 800 µM dNTPs (Chemicon International, Temecula, CA, USA), 0.5 µM FAM-tagged (GAAGGT-GACCAAGTTCATGCTATTACGGGTCTTACACTTTTC) or JOE-tagged (GAAGGTCGGAGTCAACGGATTATTACGGGTCTTACACTTTTA) AS-primer, 5 µM common reverse primer (ATGTATGGGATTGCTGATAAG), 0.5 µl of each of the 20 x Amplifluor SNPs FAM and JOE primers (Chemicon), and 1 U of Thermostart DNA Polymerase (ABgene). Reagents were pipetted using a CAS-1200 liquid handling system (Corbett Life Science, Sydney, New South Wales, Australia, www.corbettlifescience.com). AS-PCR was performed using the Rotorgene-3000 real-time PCR machine and software (Corbett Life Science). The reaction consisted of 8 cycles of 95°C for 120 seconds, 54°C for 15 seconds, and 72°C for 15 seconds, followed by 50 cycles of 95°C for 20 seconds, 54°C for 15 seconds, and 72°C for 15 seconds. Detection was through the FAM and JOE channels during the annealing phase. Samples were amplified alongside two sets of 10-fold dilution standards, one for each allele.
Statistical Analysis
All statistical analysis was performed using GraphPad Prism version 4.0 (GraphPad Software, Inc., San Diego, http://www.graphpad.com). All data sets were first tested for Gaussian distribution using the Kolmogorov-Smirnov test. The proportional data for cell fusion and in vitro development of embryos were analyzed by the
2 test, whereas the differences in the number of major alleles from offspring and fetal samples were clustered into one of the three groups of the phylogenic tree and then analyzed by the
2 test. For the phylogenic groups, contingency tables were constructed on the basis of the assumption that each group contained the same number of major alleles. The Kruskal-Wallis test and then Dunn's multiple comparison test were used to determine the significance of the following: the phylogenic distribution of single-cytoplast embryos; evolutionary distance and stage of development (one-cell; two- to six-cell; eight-cell to morula; and blastocyst, fetus, and offspring) for one, two, and three cytoplasts and for major and minor alleles in heteroplasmic embryos, fetuses, and blood samples; the percentage of heteroplasmic sites in two- and three-cytoplast embryos, fetal tissue, and blood samples; and overall differences between all developmental stages. For relative proportions of alleles 1 and 2 for major and minor alleles, six replicates were converted to logarithmic values. Two-way analysis of variance (ANOVA) was used to test for significance between the values for DNA and mRNA for different tissue types, and one-way ANOVA was used to test for global differences between all six DNA and mRNA samples and for differences in transcriptional ratios among tissues. Bonferroni post hoc tests were used to test between individual tissue types. In all cases, p < .05 was deemed significant.
| RESULTS |
|---|
|
|
|---|
|
|
Heteroplasmy in Two- and Three-Cytoplast Embryos
D-loop sequences from 60 preimplantation embryos generated using two (n = 30) and three (n = 30) cytoplasts were analyzed for heteroplasmic mtDNA variants. Whereas 54 embryos exhibited various numbers of heteroplasmic sites, ranging from 2 (0.44% of total numbers of base pairs per sequence) to 32 (7%), the remaining 6 were homoplasmic. There was no significant variability in the occurrence of heteroplasmy between two- and three-cytoplast embryos at various stages of preimplantation development (one-cell, two- to six-cell, eight-cell to morula, and blastocyst) or between stages of preimplantation development.
Heteroplasmy in Tissue and Blood Samples
To determine the degree of heteroplasmic variants that could coexist throughout postimplantation development and in offspring, we analyzed liver samples from 10 cloned fetuses that had spontaneously aborted and blood samples from six live offspring generated using a range of cytoplasts (1–6). Tissue samples from seven fetuses possessed only one predominant mtDNA population, whereas three were heteroplasmic, harboring one of 2, 4, and 30 variant sites. Heteroplasmy was observed in three of six blood samples each containing two mtDNA populations that varied at 1, 16 and 17 sites. Comparison of the number of heteroplasmic sites throughout development demonstrated a significant overall reduction (p < .02; Fig. 2), with fetal liver samples (0.776% ± 0.65%) having significantly fewer variants than the one-cell (2.476% ± 0.62%; p < .05) and the two- to six-cell (3.225% ± 0.604%; p < .05) embryos.
|
|
|
Distribution of Heteroplasmic Variants Among Tissues
To determine whether major and minor alleles would be uniformly segregated during fetal development, we analyzed heart, liver, lung, kidney, muscle, and spleen tissues from a single aborted fetus generated using six cytoplasts. DNA sequencing of the D-loop determined that each of the tissues possessed two mtDNA populations. These alleles differed at four sites and thus had almost identical evolutionary distances from the donor cell line (0.06849% vs. 0.06852%). Furthermore, both clustered to group 1, but in different subgroups. The proportion of alleles 1 and 2 for each tissue were determined by analysis of the CytB gene using AS-PCR (supplemental online Fig. 2) and ranged from 50.7% to 65.0% (p > .05; Fig. 5). However, these proportions were not equivalent for mRNA. For both heart and liver, the percentage of allele 1 transcribed was lower than for their respective DNA levels (heart: mRNA, 35.0%; DNA, 62.3%; liver: mRNA, 43.3%; DNA, 53.3%; p > .05; Fig. 5). The proportion of allele 1 transcribed for kidney, muscle, lung, and spleen was higher than for their respective DNA values (Fig. 5). However, this was significantly different only in lung (p < .05). The difference among all mRNA samples was found to be significant (p < .0001). This was reflected in the low levels of allele 1 observed in the heart and liver samples, both of which were significantly lower than the values in the lung and spleen samples (p < .01).
|
G transition at nucleotide 200 of the CytB gene resulted in Asn
Ser, C
G at nucleotide 221 resulted in Thr
Ser, and C
T at nucleotide 323 resulted in Thr
Ile.
|
| DISCUSSION |
|---|
|
|
|---|
Unlike data from SCNT, our data suggest that HMC allows more than one population of oocyte mtDNA to be transmitted. Similar outcomes were observed following serial NT, where the donor cell is first introduced into an enucleated recipient oocyte and then transferred to an enucleated zygote [30]. As a result, both sources of oocyte mtDNA, but not donor cell mtDNA, were transmitted to the offspring [16]. Pronuclei transfer, where mtDNA close to the karyoplast is transferred [31], and cytoplasmic transfer (CT), where mtDNA is introduced directly into the oocyte [32, 33], also result in two populations of oocyte mtDNA being inherited. However, as with donor cell mtDNA, levels of donated or supplemented mtDNA in the offspring are variable, with segregation into one or more tissues [31].
Embryos generated with multiple cytoplasts provide an excellent model for the study of mtDNA transmission between two or more alleles in a competitive environment. This is true especially as donor cell mtDNA replication factors are still expressed prior to and postfusion through to the blastocyst, when mtDNA replication in IVF embryos is first initiated [14]. Consequently, HMC fusions allow the donor cell to select for one or both alleles from the one-cell stage onward, and these alleles will not necessarily be lost due to the large-scale degradation of mtDNA, which has been associated with bovine [34] and porcine [35] preimplantation embryos. The persistence of only one oocyte mtDNA population at various stages of development can be explained by either the randomly selected cytoplasts having arisen from the same maternal source or the preferential replication of one allele. Those mitochondria contributing to the reconstructed oocyte will have escaped the hypothetical mitochondrial bottleneck [7], a genetic filtering process presumed to take place at the primordial follicle stage, just after gastrulation, which regulates the transmission of mtDNA to the subsequent generation [36]. However, a further selective mechanism appears to take place for somatic lineages, as fetal tissues had significantly fewer heteroplasmic variants than in the one-cell and two- to six-cell embryos (Fig. 2).
The limited but necessary mtDNA divergence between the donor cell and the recipient oocyte in intra- and interspecific crosses might relate to the inheritance of the nuclear genes that drive mtDNA transcription and replication. Prior to fertilization, the diploid nucleus discards one set of chromosomes at meiosis I. However, following natural fertilization, the recombination of haploid maternal and paternal nuclei gives rise to a combination of chromosomal alleles that will encode the mtDNA-specific transcription and replication factors. Consequently, for the paternal-derived alleles encoding mtDNA transcription and replication factors, the oocyte mtDNA will be sufficiently diverse to allow for a degree of genetic divergence that could promote the faithful transcription and replication of mtDNA. Following SCNT, both alleles will have been previously conditioned to the mtDNA population of the somatic donor cell but not that of the recipient oocyte, which could compensate for the lack of chromosomal genetic diversity.
The clustering of the major alleles from heteroplasmic embryos, blood, and tissue samples to groups 1 and 3 suggests that the breeds associated with these groups may have a developmental advantage (Fig. 4). For example, Angus preimplantation embryos are more sensitive to increased temperature than Brahman embryos, and their development is significantly reduced [37]. However, it is evident from crosses between more distantly related species that increased evolutionary distance becomes detrimental. For example, the crossing of B. gaurus donor cells with enucleated B. taurus oocytes, representing an evolutionary distance of 0.108% (1.4 times the distance of the HMC offspring), resulted in 18% of reconstructed oocytes developing to the blastocyst stage, with 12% of these developing to fetuses [38]. All but one of these fetuses aborted, including one after 200 days of gestation, because of abnormal placentae [38]. More recently, cloning of the even more divergent B. javanicus [39] with B. taurus or B. indicus oocytes resulted in two pregnancies, which were lost between 30 and 90 days of gestation [40]. Although the introduction of an O. musimon donor cell into an O. aries oocyte resulted in live offspring [41], where the evolutionary distance was within a similar range [42], an O. aries-C. hircus intergeneric model resulted in preimplantation development not surpassing the 20-cell stage [14]. In this instance, the mean evolutionary distance between the donor cell and the recipient oocyte was 0.4114%.
From the above, it is evident that intra- and interspecific embryos could be generated to the blastocyst stage, which could give rise to ESCs. In addition, intergeneric ESCs have been derived following the transfer of a human donor cell into a rabbit cytoplast [43]. However, it remains to be determined whether the degree of 1 mtDNA genetic divergence influences the ability of such ESCs to function efficiently. In the mouse, various time points rotated to ESC differentiation can equate to specific stages of fetal development [44]. If a similar scenario were applied to larger mammalian ESC differentiation, then it is likely that intra- and interspecific and intergeneric ESCs would survive in their undifferentiated state and the early and mid-phases of differentiation because of the high glycolytic/anaerobic environment of the ESC culture media [45]. This would be representative of the support that the fetus would receive in utero from the mother as mtDNA mass accumulates in readiness for increased ATP output postparturition [31]. However, in their fully differentiated state, these ESCs might be compromised, just as some SCNT-derived fetuses and offspring are [38, 40].
From an mtDNA perspective, the rate-limiting factors are likely to be the incompatibility of (a) the nuclear-encoded mtDNA transcription and replication factors to mediate efficient transcription and replication, (b) mtDNA heteroplasmic populations, and (c) the nuclear- and mtDNA-encoded components of the ETC. For any SCNT-derived ESCs, the vast majority of their mtDNA content is likely to originate from the recipient oocyte source, although some donor cell mtDNA is likely to be transmitted. Previous investigations have determined that the incorporation of both donor cell and recipient oocyte mtDNA or two sources of oocyte mtDNA can result in divergent populations of mtDNA coexisting together. The segregation of these molecules can be random, as observed in porcine [46], bovine [12], and murine [47] SCNT offspring. However, such heteroplasmy can potentially encode for differing amino acid compositions because of sequence variants within various subspecies [15, 16], and this will be further exaggerated in intergeneric ESCs.
Our data show that, in heteroplasmic tissues, both molecules are indeed transcribed, but at ratios that do not directly correspond to the mtDNA ratios for the two alleles (Table 2). Furthermore, this appears to be specific to certain tissues, such as lung and heart. One explanation for this outcome might be the greater necessity for homoplasmy at the mRNA rather than the mtDNA level, so that functional ETCs could be formed to ensure maximal ATP generation. This would certainly be true for heart, liver, and lung tissue, which are high ATP users, whereas heteroplasmy might be more easily tolerated by lower ATP users. It is likely that this adaptive approach may be suitable to intra- and interspecific NT ESCs, where compatibility between the nuclear and mtDNA subunits of the ETC could be sufficient to ensure cellular function of any differentiated cell.
However, as inter-generic ESCs are generated with genetically diverse donor nuclei and recipient cytoplasts, they may not be able to produce sufficient levels of ATP to support high ATP-demanding cell types once differentiated and then challenged to function in an in vivo/aerobic environment. These incompatibilities are highlighted by somatic cell-somatic cell fusions (cybrids), where transcription and replication are not always affected but ETC activity is [48, 49], as cybrid formation and growth rates [50]. Consequently, as it is not possible to predict whether donor cell mtDNA would persist at sufficient levels for transcription of appropriate levels of species-specific mtRNA, it may be necessary to modulate the mtDNA composition of the recipient oocyte or the resultant ESCs so that more diverse forms of genetic diversity can be avoided but viable ESCs can be derived.
| CONCLUSION |
|---|
|
|
|---|
| DISCLOSURE OF POTENTIAL CONFLICTS OF INTEREST |
|---|
|
|
|---|
| ACKNOWLEDGMENTS |
|---|
|
|
|---|
| REFERENCES |
|---|
|
|
|---|
This article has been cited by other articles:
![]() |
A.L. Bredenoord, G. Pennings, and G. de Wert Ooplasmic and nuclear transfer to prevent mitochondrial DNA disorders: conceptual and normative issues Hum. Reprod. Update, November 1, 2008; 14(6): 669 - 678. [Abstract] [Full Text] [PDF] |
||||
| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
| STEM CELLS | THE ONCOLOGIST | CME | ALPHAMED PRESS JOURNALS |