embryonic stem cell ( esc ) lines are derived from the inner cell mass ( icm ) of blastocysts , and the defining feature of these cells is their ability to differentiate into a variety of cell types that encompass all three embryonic germ layers . 
 embryonic stem cells , particularly human stem cells hold tremendous potential in the field of regenerative medicine , in addition to being a useful tool in basic scientific research and for pharmacological and cytotoxicity screening [ 4 , 5 ] . 
 methods for efficient and reliable preservation of embryonic stem cells are necessary to preserve these pluripotent cells for therapeutic and experimental use . 
 the traditional method for embryonic stem cell cryopreservation has been slow cooling at rates of approximately 1c per minute [ reviewed in ] . 
 this technique has been successfully applied to the cryopreservation of embryos at a variety of stages [ 712 ] as well as oocytes [ 1315 ] . 
 vitrification involves ultra - rapid cooling of the cell at rates as high as 20,000c / min and the use of high concentrations of cryoprotectant agents ( cpa ) . to achieve these high cooling rates the cell 
 is frozen in miniscule volumes of fluid in vessels that allow almost instantaneous cooling to 196c . 
 vitrification protocols have also been successfully used for cryopreservation of human embryonic stem cell lines [ 16 , 17 ] . 
 numerous publications suggest that cell preservation by vitrification may be superior to slow cooling methodologies   [ reviewed in [ 19 , 20 ] ] . to date 
 there have been no reports on the cryopreservation of icm cells extracted from the blastocyst stage embryo . 
 preservation of isolated embryo - derived stem cells without first establishing a viable es cell line offers a new avenue for banking the stem cell source material . the small number of cells in the icm of day 5 or day 6 blastocysts poses a special challenge during the cryopreservation process . in this investigation 
 we explore the feasibility of icm vitrification and subsequent establishment of esc - like colonies . 
 icm isolation methodology and its influence on cryosurvival and subsequent retention of es phenotype were looked at . 
 mouse one - cell zygotes ( charles river laboratory ; wilmington , ma ) were used for all icm isolation experiments . 
 the zygotes were thawed as per manufacturer s instructions and cultured overnight in global blastocyst medium ( lifeglobal ; guilford , ct , usa ) supplemented with 10% serum protein substitute ( sps , cooper / sage ; pasadena , ca , usa ) . 
 icms from mouse embryos were isolated by immunosurgery , micro - dissection   or laser with micro - dissection . 
 zonae were removed from any unhatched blastocysts using acid tyrodes solution . for immunosurgical isolation , zona free blastocysts 
 were incubated with 20% rat anti - mouse serum for 1  h followed by 1  h incubation with 20% guinea pig complement . 
 lysed trophectodermal cells were removed from icms by repeated pipetting with finely drawn glass micropipettes . for both of the micro - dissection techniques , zona - free blastocysts were first plated and allowed to attach to the dish . 
 after 48  h , the icm outgrowth was either micro- dissected free from surrounding trophectodermal cells or treated first with laser to destroy any residual trophectoderm cells before micro - dissection . 
 vitrification of isolated icms was carried out using a two step equilibration protocol : ( 1 ) 7.5% dmso/7.5% ethylene glycol ( eg ) for 2  min , ( 2 ) 15% dmso/15% eg + 10  g / ml ficoll + 0.65  mol / l sucrose for 45  s. the basal medium used to constitute vitrification solutions was global blast medium with 20% sps . 
 after the final equilibration step , individual icms were loaded on to the vitrification carrier and immersed in liquid nitrogen ( ln2 ) . in this study we tested two different carrier systems ; the cryoloop ( hampton research ; laguna , ca , usa ) and the hsv straw ( mid - atlantic diagnostics ; laurrel , nj , usa ) . 
 the cryoloop is a microscopic nylon loop measuring ~1.0  mm in diameter . for cryoloop vitrification 
 , the icm was loaded on to a thin film of fluid applied to the loop , before plunging into a vial containing ln2 . 
 the hsv straw consists of a capillary tube with a cut out region , creating a narrow gutter and an outer straw . 
 the outer straw was then drawn over it and sealed to create a closed system . 
 the cryoloop or hsv straw was immersed directly in basal culture medium containing 0.25  m sucrose . 
 the icm cells displaced from the carriers were readily visualized using the dissecting scope . after 2  min , recovered icms were moved to the second solution containing 0.125  m sucrose for 3  min and then placed in culture . 
 embryonic stem cell medium ( esc - sure dmem ; applied stem cell , sunnyvale , ca , usa ) supplemented with 20% fbs , 200  mm non - essential amino acids , 100  u / ml penicillin , 10  g / ml streptomycin , 100  mm sodium pyruvate and  mercaptoethanol and 10  ng / ml of mouse leukemia inhibitory factor ( lif ; chemicon ; temecula , ca , usa ) was used for culture of icms . 
 icm - derived es cells were cultivated on inactivated mouse embryonic feeder layers ( mef ) . 
 mef cells were purchased ( applied stem cell ; sunnyvale , ca , usa ) and prepared as per manufacturer s instructions . alternatively , icms were grown without feeder cells on 
 0.1% gelatin coated eight or 16 well chamber slides with 25% mef conditioned medium/75% esc complete medium . 
 these cell clumps were individually picked off of the culture surface and disaggregated by treatment with trypsin : edta solution for 35  min at room temperature . 
 culture medium was exchanged every 48  h. icms and icm - derived esc colonies were tested during the culture interval for expression of stem cell specific markers ; ssea-1 , oct-4 and sox-2 and alkaline phospatase(ap ) activity using the mouse es / ips cell characterization kit ( applied stem cell , sunnyvale , ca , usa ) . cell fixation and permeabilization was carried out using kit reagents as per manufacturer s instructions . 
 after blocking , cells were incubated with primary antibody against ssea-1 , sox-2 or oct-4 overnight at 4c . 
 cells were subsequently washed twice with pbs and incubated with corresponding secondary antibodies conjugated with alexa fluor 594 for 1  h at room temperature . 
 immunoflourescent staining was visualized using confocal laser microscopy and optical sectioning with image analysis software . 
 alkaline phospatase ( ap ) staining was performed by incubating fixed cells with ap test solution ( provided in kit ) for 2  h at room temperature . 
 the main outcome parameters measured were icm survival , recovery and ability to attach within 24  h of warming . 
 mouse one - cell zygotes ( charles river laboratory ; wilmington , ma ) were used for all icm isolation experiments . 
 the zygotes were thawed as per manufacturer s instructions and cultured overnight in global blastocyst medium ( lifeglobal ; guilford , ct , usa ) supplemented with 10% serum protein substitute ( sps , cooper / sage ; pasadena , ca , usa ) . 
 icms from mouse embryos were isolated by immunosurgery , micro - dissection   or laser with micro - dissection . 
 zonae were removed from any unhatched blastocysts using acid tyrodes solution . for immunosurgical isolation , zona free blastocysts 
 were incubated with 20% rat anti - mouse serum for 1  h followed by 1  h incubation with 20% guinea pig complement . 
 lysed trophectodermal cells were removed from icms by repeated pipetting with finely drawn glass micropipettes . for both of the micro - dissection techniques , zona - free blastocysts were first plated and allowed to attach to the dish . 
 after 48  h , the icm outgrowth was either micro- dissected free from surrounding trophectodermal cells or treated first with laser to destroy any residual trophectoderm cells before micro - dissection . 
 vitrification of isolated icms was carried out using a two step equilibration protocol : ( 1 ) 7.5% dmso/7.5% ethylene glycol ( eg ) for 2  min , ( 2 ) 15% dmso/15% eg + 10  g / ml ficoll + 0.65  mol / l sucrose for 45  s. the basal medium used to constitute vitrification solutions was global blast medium with 20% sps . 
 after the final equilibration step , individual icms were loaded on to the vitrification carrier and immersed in liquid nitrogen ( ln2 ) . in this study we tested two different carrier systems ; the cryoloop ( hampton research ; laguna , ca , usa ) and the hsv straw ( mid - atlantic diagnostics ; laurrel , nj , usa ) . 
 the cryoloop is a microscopic nylon loop measuring ~1.0  mm in diameter . for cryoloop vitrification 
 , the icm was loaded on to a thin film of fluid applied to the loop , before plunging into a vial containing ln2 . 
 the hsv straw consists of a capillary tube with a cut out region , creating a narrow gutter and an outer straw . 
 the outer straw was then drawn over it and sealed to create a closed system . 
 the cryoloop or hsv straw was immersed directly in basal culture medium containing 0.25  m sucrose . 
 the icm cells displaced from the carriers were readily visualized using the dissecting scope . after 2  min , recovered icms were moved to the second solution containing 0.125  m sucrose for 3  min and then placed in culture 
 vitrification of isolated icms was carried out using a two step equilibration protocol : ( 1 ) 7.5% dmso/7.5% ethylene glycol ( eg ) for 2  min , ( 2 ) 15% dmso/15% eg + 10  g / ml ficoll + 0.65  mol / l sucrose for 45  s. the basal medium used to constitute vitrification solutions was global blast medium with 20% sps . 
 after the final equilibration step , individual icms were loaded on to the vitrification carrier and immersed in liquid nitrogen ( ln2 ) . in this study we tested two different carrier systems ; the cryoloop ( hampton research ; laguna , ca 
 , usa ) and the hsv straw ( mid - atlantic diagnostics ; laurrel , nj , usa ) . 
 the cryoloop is a microscopic nylon loop measuring ~1.0  mm in diameter . for cryoloop vitrification 
 , the icm was loaded on to a thin film of fluid applied to the loop , before plunging into a vial containing ln2 . 
 the hsv straw consists of a capillary tube with a cut out region , creating a narrow gutter and an outer straw . 
 the outer straw was then drawn over it and sealed to create a closed system . 
 the cryoloop or hsv straw was immersed directly in basal culture medium containing 0.25  m sucrose . 
 the icm cells displaced from the carriers were readily visualized using the dissecting scope . after 2  min , recovered icms were moved to the second solution containing 0.125  m sucrose for 3  min and then placed in culture 
 embryonic stem cell medium ( esc - sure dmem ; applied stem cell , sunnyvale , ca , usa ) supplemented with 20% fbs , 200  mm non - essential amino acids , 100  u / ml penicillin , 10  g / ml streptomycin , 100  mm sodium pyruvate and  mercaptoethanol and 10  ng / ml of mouse leukemia inhibitory factor ( lif ; chemicon ; temecula , ca , usa ) was used for culture of icms . 
 icm - derived es cells were cultivated on inactivated mouse embryonic feeder layers ( mef ) . 
 mef cells were purchased ( applied stem cell ; sunnyvale , ca , usa ) and prepared as per manufacturer s instructions . 
 these cell clumps were individually picked off of the culture surface and disaggregated by treatment with trypsin : edta solution for 35  min at room temperature . 
 culture medium was exchanged every 48  h. icms and icm - derived esc colonies were tested during the culture interval for expression of stem cell specific markers ; ssea-1 , oct-4 and sox-2 and alkaline phospatase(ap ) activity using the mouse es / ips cell characterization kit ( applied stem cell , sunnyvale , ca , usa ) . cell fixation and permeabilization was carried out using kit reagents as per manufacturer s instructions . after blocking 
 , cells were incubated with primary antibody against ssea-1 , sox-2 or oct-4 overnight at 4c . 
 cells were subsequently washed twice with pbs and incubated with corresponding secondary antibodies conjugated with alexa fluor 594 for 1  h at room temperature . 
 immunoflourescent staining was visualized using confocal laser microscopy and optical sectioning with image analysis software . 
 alkaline phospatase ( ap ) staining was performed by incubating fixed cells with ap test solution ( provided in kit ) for 2  h at room temperature . 
 the main outcome parameters measured were icm survival , recovery and ability to attach within 24  h of warming . 
 icms and icm - derived esc colonies were tested during the culture interval for expression of stem cell specific markers ; ssea-1 , oct-4 and sox-2 and alkaline phospatase(ap ) activity using the mouse es / ips cell characterization kit ( applied stem cell , sunnyvale , ca , usa ) . cell fixation and permeabilization was carried out using kit reagents as per manufacturer s instructions . after blocking 
 , cells were incubated with primary antibody against ssea-1 , sox-2 or oct-4 overnight at 4c . 
 cells were subsequently washed twice with pbs and incubated with corresponding secondary antibodies conjugated with alexa fluor 594 for 1  h at room temperature . 
 immunoflourescent staining was visualized using confocal laser microscopy and optical sectioning with image analysis software . 
 alkaline phospatase ( ap ) staining was performed by incubating fixed cells with ap test solution ( provided in kit ) for 2  h at room temperature . 
 the main outcome parameters measured were icm survival , recovery and ability to attach within 24  h of warming . 
 isolated icms were easily vitrified using a two step ethylene - glycol / dmso protocol . 
 after plating , 95% ( 74/78 ) of icms were able to attach to mef feeder layers and proliferate in culture . 
 this was similar to the 95% attachment rate observed with non - vitrified control icms after 24  h of culture . 
 cryopreserved icms exhibited similar proliferation patterns as fresh control icm s and could be passaged and expanded . 
 figure  1 depicts the morphology of vitrified - warmed icms and the rapid increase in icm outgrowth within 72  h of plating . 
 morphologically the cells displayed characteristics typical of pluripotent stem cells [ 3 , 16 ] i.e. high ratio of nucleus to cytoplasm and prominent nucleoli . 
 alkaline phosphatase activity was also high in the icm - derived cells , another indication of stem cell origin ( fig . 
 immunocytochemical analysis further confirmed that icm - derived es - like cells from both fresh and vitrified icms expressed markers characteristic of pluripotent stem cells . 
 colonies were positive for ssea-1 , sox-2 and oct-4 ( fig .  2 ) . 
 ( b - e ) morphology of vitrified  warmed icms after plating on mef feeder layer . 
 ( b ) 3  hours after warming ( c ) 24  hours ( d ) 48  hours ( e ) 72  hours . 
 2expression and localization of stem cell specific markers in vitrified - warmed icms after 48  hours in culture . 
 ( a ) icm stained with ssea 1 ( red signal ) and dapi ( blue signal ) . 
 ( c ) sox-2 staining ( red ) , detected in both nucleus and cytoplasm . 
 ( e ) oct-4 expression on day 16 of culture icms were isolated from mouse blastocysts . 
 ( b - e ) morphology of vitrified  warmed icms after plating on mef feeder layer . 
 ( b ) 3  hours after warming ( c ) 24  hours ( d ) 48  hours ( e ) 72  hours . 
 trophectodermal and mef cells adjacent to icm were negative for ap expression and localization of stem cell specific markers in vitrified - warmed icms after 48  hours in culture . 
 ( a ) icm stained with ssea 1 ( red signal ) and dapi ( blue signal ) . 
 ( c ) sox-2 staining ( red ) , detected in both nucleus and cytoplasm . 
 ( e ) oct-4 expression on day 16 of culture approximately 57  days after the first passage , numerous esc - like colonies could be seen . 
 diameters ranged from 50100  m in small colonies , 120160  m in medium colonies and over > 180  m in the larger colonies . 
 cultures were trypsinized and re - plated when most colonies fell in the mid - size range . 
 colonies could be dissociated in to individual cells and re - seeded on to fresh mef feeder layers . 
 to date the embryonic stem cell characteristics and colony - forming ability of the vitrified - warmed icm cells have been maintained through three passages and up to 16  days in culture . 
 we saw no indication of premature differentiation in the vitrified - warmed icms during the 16  days of culture . 
 no statistical difference was found in survival , recovery or plating efficiency between the two carriers . 
 the one distinct advantage of the hsv straw was that it allowed aseptic vitrification with no direct contact between icm cells and ln2 . 
 icm - derived es cells from both carriers retained their pluripotency and stem cell characteristics for the 16  day culture duration tested . 
 table  1effect of carrier on icm vitrificationrecoverysurvivalattachmentcryoloop(open)21/21 ( 100%)21/21 ( 100%)20/21 ( 95%)hsv ( closed)57/58 ( 98%)57/57 ( 100%)54/57 ( 95%)*no significant differences were found between carriers for all parameters ( p  > 
 0.05 ) effect of carrier on icm vitrification * no significant differences were found between carriers for all parameters ( p  >  0.05 ) separation of the icm from the whole blastocyst is an important step if icm banking is to be successfully applied . to this end 
 we tried three different techniques for icm isolation but none appeared to influence overall survival after warming or subsequent retention of es phenotype during culture . 
 survival and attachment of cryopreserved icms was 85% ( 6/7 ) with immunosurgically isolated icms , as compared to 92% ( 47/51 ) and 100% ( 21/21 ) with the micro - dissection or micro - dissection / laser ablation technique , respectively . 
 the immunosurgical method involved lysis of trophectodermal cells surrounding the icm and thus required more hands - on manipulation of the embryo , as compared to the two micro - dissection methods . with the two microdissection methods , 
 the icm cluster was distinctly larger , owing to the additional growth time in vitro before actual icm isolation . 
 we observed that laser ablation decreased residual contamination of icms with trophectodermal cells before vitrification . 
 icm - derived stem cell populations were evident and enriched with each cell passage , regardless of initial amount of trophectodermal cells contamination . 
 establishment of stable pluripotent stem cell lines from embryos is a fairly labor - intensive process , involving numerous cell passages . 
 the efficiency of stem cell derivation from the icm of human embryos is between 30% and 50% , depending on characteristics of the icm . 
 vitrification of isolated icms is a novel approach for preservation of the  stem cell source  material , without first establishing an esc line 
 . this may be especially valuable for human esc banking , eliminating the ethical complications of viable human embryos being kept in long term storage for future stem cell derivation . 
 current studies with embryos indicate that cryopreservation by vitrification may result in higher cell survival rates than with traditional slow cooling [ 19 , 20 ] . 
 successfully applied vitrification to human embryonic cell lines hes1 and hes2 in an open pulled straw . 
 vitrification resulted in 100% recovery of es clumps , subsequent attachment and colony formation . with slow cooling 
 , they noted that only 70% of es cell clumps were recovered after thawing and only 16% attached . 
 moreover , developing colonies were undersized and only a minority retained their pluripotent stem cell characteristics . higher attachment and recovery rates after vitrification as compared to slow cooling were also reported by li et al . . 
 .   also observed higher post - thaw es cell differentiation and cell death with the conventional slow freezing method as compared to vitrification in either open pulled straws or sealed straws . 
 the scope of this investigation was to demonstrate the feasibility of icm vitrification in a safe and effective manner and to provide evidence that the pluripotency of icm cells was retained for several passages . 
 vitrification requires the use of high concentrations of cpas and ultra - rapid reduction in temperature to minimize the toxicity of cryoprotectant agents . to achieve this , special vessels or carriers 
 are used that permit loading of cells in volumes of < 2  ul . the type of carrier can affect the rate of cooling . direct exposure of the cellular material to ln2 as with the cryoloop results in cooling rates of close to 20,000c / min . 
 in contrast , with closed sealed systems like the hsv straw , no direct contact is made with ln2 and the insulating effect of the outer sheath may reduce the cooling rate . 
 the current data however establish that with either the open cryoloop or closed hsv carrier , a sufficiently high rate of temperature reduction was achieved to ensure icm stem cell survival and capacity to propagate as pluripotent stem cell colonies . 
 concerns about cross - contamination in ln2 storage containers   may however make the closed hsv system more practical for long term storage of icms . 
 all of the icms in this investigation were isolated from blastocysts derived from frozen one - cell mouse embryos . 
 the fact that icms from embryos that had already been cryopreserved once could survive a second cryopreservaton procedure attests to the effectiveness of our vitrification technique . 
 regardless of the initial method of icm isolation , stem cell characteristics were retained by icms through at least three cell passages and 16  days of culture . 
 oct-4 is highly expressed in es cells , and its expression is down regulated when cells differentiate . increased expression of this marker along with continued expression of ssea-1 and sox 2 are all indicative of icm - derived cells generating pluripotent stem cells in culture . 
 stem cell research holds great promise for the treatment of numerous diseases and for advancing the field of regenerative medicine . 
 the demand for human embryonic stem cells is expected to increase as es cells and derived tissue are used in therapeutic trials . 
 currently from 64 es cell lines available from nih registry , only one cell line , h1 has been approved for clinical trials . 
 clearly , additional therapeutic grade stem cell lines derived in xeno - free culture systems and meeting stringent gmp standards will ultimately be needed . 
 the source material for deriving such cell lines comes from embryos derived from in vitro fertilization . 
 cryopreservaton and storage of embryonic stem cells may be more socially acceptable than establishing banks of embryos exclusively for the purpose of future embryonic stem cell derivation . currently , there are nearly 400,000 ivf - produced embryos in frozen storage in the united states alone . 
 most of these will be used to treat infertility , but approximately 2.8% are destined to be discarded . 
 icm banking is a novel approach to the problem of storing stem cell source material of varying genotypes without long term banking of the whole embryo and/or months of cell passaging of each donated embryo to derive a unique stem cell line . 
 studies are underway to further expand the esc colonies , derived from vitrified mouse icms to further document pluripotent functionality and retention of stem cell characteristics over extended in vitro culture intervals 
 . further validation of the concept of icm banking requires the establishment of an es cell line from a vitrified icm that is capable of differentiating into the three embryonic germ cell lines both in vivo , after transplantation and in vitro thru directed differentiation using defined culture conditions . 
 long term studies are needed to determine its efficiency for establishing stable es cell lines . 
 expansion of this work to human embryos is needed to determine if human icms are as easily vitrified and expanded as those in the mouse model . 
 immunosurgical isolation methods for human icm are less desirable due to the use of animal - derived reagents . 
 laser ablation combined with micro - dissection and improved culture methodology for expansion of human icm - derived stem cells without exposure to animal feeder layers or sera are still clearly needed to produce  clinical grade
purposevitrification technology presents new opportunities for preservation of embryo derived stem cells without first establishing a viable esc line . 
 this study tests the feasibility of cryopreserving icm cells using vitrification.materials and methodsicms from mouse embryos were isolated and vitrified in hsv straws or on cryoloops . upon warming , the vitrified icms were cultured and observed for attachment and morphology . 
 colonies were passaged every 36  days . 
 icms and icm - derived esc colonies were tested for expression of stem cell specific markers.resultsicms vitrified on both the cryoloop and the hsv straw had high survival rates . 
 icm derived escs remained undifferentiated for several passages and demonstrated expression of typical stem cell markers ; ssea-1 , sox-2 , oct 4 and alkaline phosphatase.conclusionthis is the first report on successful vitrification of isolated icms and the subsequent derivation of esc colonies . 
 vitrification of isolated icms is a novel approach for preservation of the  stem cell source  material .