Gui Ting, Yuan Guangwen, Shen Keng, Cao Dongyan, Yang Jiaxin, Wu Ming, Lang Jinghe
Department of Obstetrics and Gynecology, Peking Union Medical College Hospital, Beijing, People's Republic of China.
Department of Gynecologic Oncology, Cancer Hospital, Peking Union Medical College, Chinese Academy of Medical Science, Beijing, People's Republic of China.
Onco Targets Ther. 2015 Mar 23;8:661-7. doi: 10.2147/OTT.S78729. eCollection 2015.
The aim of the study reported here was to investigate the protective effect of gonadotropin-releasing hormone analog (GnRHa) against cyclophosphamide (CTX)-induced gonadotoxicity.
Eighty Fischer 344 rats were divided randomly into four groups (20 per group). One group received normal saline, one GnRHa, one CTX, and one GnRHa+CTX. Several parameters were used to observe the ovarian reserve, including ovary weight, follicle number and diameter, concentrations of estradiol (E2) and follicle-stimulating hormone (FSH), and expressions of sex hormone receptors.
When treatment was finished, the number of small follicles in the GnRHa+CTX group was significantly higher than in the CTX-alone group. Thirty days after treatment, the ovary weight, percentage of small follicles, mean follicular diameter, and serum concentrations of E2 and FSH in the GnRHa+CTX group all recovered, approaching normal levels. Sex hormone receptors did not show significant differences between the four groups.
Combination treatment with GnRHa could prevent CTX-induced damage to ovarian reserve.
本研究旨在探讨促性腺激素释放激素类似物(GnRHa)对环磷酰胺(CTX)所致性腺毒性的保护作用。
80只Fischer 344大鼠随机分为四组(每组20只)。一组接受生理盐水,一组接受GnRHa,一组接受CTX,一组接受GnRHa+CTX。采用多个参数观察卵巢储备,包括卵巢重量、卵泡数量和直径、雌二醇(E2)和促卵泡生成素(FSH)浓度以及性激素受体表达。
治疗结束时,GnRHa+CTX组小卵泡数量显著高于单纯CTX组。治疗30天后,GnRHa+CTX组的卵巢重量、小卵泡百分比、平均卵泡直径以及血清E2和FSH浓度均恢复,接近正常水平。四组之间性激素受体未显示出显著差异。
GnRHa联合治疗可预防CTX对卵巢储备的损伤。