Cover Story:
Study by Saini et al. investigated the effects of adding Granulocyte-macrophage colony-stimulating factor (GM-CSF) during in vitro maturation (IVM) on oocyte quality in a mouse model of advanced maternal age (Saini et al.: Addition of granulocyte macrophage colony stimulating factor (GM-CSF) during in vitro oocyte maturation improves embryo development in a mouse model of advanced maternal age. pp. 411–417). Oocytes from older female mice were treated with GM-CSF, and several developmental competence measures were assessed. The treatment tended to increase fertilisation rates (76.19 vs. 82.03; P = 0.07) while increasing blastocyst rates 51.10 vs. 61.52; P < 0.01), and the number of good quality of blastocysts (33.31 vs. 44.13; P < 0.05), along with increased inner cell mass and total cell number. GM-CSF also increased mitochondrial membrane potential. However, it did not affect spindle formation or chromosome alignment. These findings indicate that GM-CSF could improve oocyte quality in women of advanced maternal age by improving embryo development and mitochondrial function.