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将玻璃化冷冻保存并复温后的半卵巢原位自体移植到母羊体内后的正常妊娠和活产。

Normal gestations and live births after orthotopic autograft of vitrified-warmed hemi-ovaries into ewes.

作者信息

Bordes Agnes, Lornage Jacqueline, Demirci Banu, Franck Michel, Courbiere Blandine, Guerin Jean François, Salle Bruno

机构信息

Département de Médecine de la Reproduction, Hôpital Edouard Herriot, Lyon, France.

出版信息

Hum Reprod. 2005 Oct;20(10):2745-8. doi: 10.1093/humrep/dei155. Epub 2005 Jun 24.

Abstract

BACKGROUND

The aim of this study was to evaluate the long-term outcome of autotransplantation of vitrified warmed hemi-ovaries into ewes.

METHODS

Six hemi-ovaries from six ewes aged 6 to 12 months were vitrified. After dissection of the medulla, the hemi-ovarian cortex was stored at -196 degrees C in liquid nitrogen. Four to six weeks after the first laparotomy, the left ovary was removed and the vitrified-warmed hemi-ovary was sutured.

RESULTS

Plasma progesterone concentration increased in a regular manner in all ewes. Three pregnancies occurred, from which four lambs were born. The first delivery of a normal lamb occurred in February 2003. The second delivery of two normal lambs occurred in March 2003 (a 2.5 kg male and a 2.8 kg female). The last lamb had a normal delivery but had a malformation of the left leg and the oesophagus. This lamb died two months after delivery from pneumariae. Histological examination of the grafted vitrified ovaries showed few primordial and antral follicles.

CONCLUSIONS

These three pregnancies in a ewe model may indicate that ovarian vitrification gives results as good as those from a slow cooling protocol in autograft. It is impossible to establish a link between the vitrification procedure and the malformation of the last lamb, and further studies are needed to evaluate the feasibility of ovarian vitrification.

摘要

背景

本研究的目的是评估玻璃化冷冻-复温后的半卵巢自体移植到母羊体内的长期效果。

方法

取自6只6至12月龄母羊的6个半卵巢进行玻璃化冷冻。在分离髓质后,将半卵巢皮质储存在-196℃的液氮中。首次剖腹手术后4至6周,切除左侧卵巢并缝合玻璃化冷冻-复温后的半卵巢。

结果

所有母羊血浆孕酮浓度均呈规律性升高。发生了3次妊娠,产下4只羔羊。2003年2月产下第一只正常羔羊。2003年3月产下第二胎,为2只正常羔羊(一只2.5千克的雄性羔羊和一只2.8千克的雌性羔羊)。最后一只羔羊顺产,但左腿和食管畸形。这只羔羊在产后两个月因肺炎死亡。对移植的玻璃化冷冻卵巢进行组织学检查发现原始卵泡和窦状卵泡较少。

结论

母羊模型中的这3次妊娠可能表明,卵巢玻璃化冷冻的效果与自体移植中慢速冷冻方案的效果一样好。无法确定玻璃化冷冻过程与最后一只羔羊畸形之间的联系,需要进一步研究来评估卵巢玻璃化冷冻的可行性。

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