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评估 Z-VAD-FMK 作为一种抗凋亡药物,以防止人卵巢组织移植后颗粒细胞凋亡和卵泡死亡。

Evaluation of Z-VAD-FMK as an anti-apoptotic drug to prevent granulosa cell apoptosis and follicular death after human ovarian tissue transplantation.

机构信息

Laboratory of Tumor and Developmental Biology, GIGA-R, University of Liège, Tour de Pathologie (B23), Avenue Hippocrate, 13, Sart Tilman, B-4000, Liège, Belgium.

Department of Gynecology and Obstetrics, CPMA, University of Liège, CHR de la Citadelle, Boulevard du 12ième de Ligne, 1, B-4000, Liège, Belgium.

出版信息

J Assist Reprod Genet. 2019 Feb;36(2):349-359. doi: 10.1007/s10815-018-1353-8. Epub 2018 Nov 3.

DOI:10.1007/s10815-018-1353-8
PMID:30390176
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6420548/
Abstract

PURPOSE

To evaluate the efficiency of ovarian tissue treatment with Z-VAD-FMK, a broad-spectrum caspase inhibitor, to prevent follicle loss induced by ischemia/reperfusion injury after transplantation.

METHODS

In vitro, granulosa cells were exposed to hypoxic conditions, reproducing early ischemia after ovarian tissue transplantation, and treated with Z-VAD-FMK (50 μM). In vivo, cryopreserved human ovarian fragments (n = 39) were embedded in a collagen matrix containing or not Z-VAD-FMK (50 μM) and xenotransplanted on SCID mice ovaries for 3 days or 3 weeks.

RESULTS

In vitro, Z-VAD-FMK maintained the metabolic activity of granulosa cells, reduced HGL5 cell death, and decreased PARP cleavage. In vivo, no improvement of follicular pool and global tissue preservation was observed with Z-VAD-FMK in ovarian tissue recovered 3-days post-grafting. Conversely, after 3 weeks of transplantation, the primary follicular density was higher in fragments treated with Z-VAD-FMK. This improvement was associated with a decreased percentage of apoptosis in the tissue.

CONCLUSIONS

In situ administration of Z-VAD-FMK slightly improves primary follicular preservation and reduces global apoptosis after 3 weeks of transplantation. Data presented herein will help to guide further researches towards a combined approach targeting multiple cell death pathways, angiogenesis stimulation, and follicular recruitment inhibition.

摘要

目的

评估广谱半胱天冬酶抑制剂 Z-VAD-FMK 处理卵巢组织以预防移植后缺血/再灌注损伤引起的卵泡丢失的效率。

方法

在体外,用缺氧条件(复制卵巢组织移植后早期的缺血)处理颗粒细胞,并使用 Z-VAD-FMK(50μM)进行处理。在体内,将冷冻保存的人类卵巢碎片(n=39)嵌入含有或不含有 Z-VAD-FMK(50μM)的胶原基质中,并在 SCID 小鼠卵巢上进行 3 天或 3 周的异种移植。

结果

在体外,Z-VAD-FMK 维持了颗粒细胞的代谢活性,减少了 HGL5 细胞的死亡,并减少了 PARP 的切割。在体内,在移植后 3 天回收的卵巢组织中,Z-VAD-FMK 对卵泡池和整体组织保存没有改善。相反,在移植 3 周后,用 Z-VAD-FMK 处理的碎片中初级卵泡密度更高。这种改善与组织中凋亡细胞的百分比降低有关。

结论

原位给予 Z-VAD-FMK 可轻微改善初级卵泡的保存,并减少移植后 3 周的整体凋亡。本文提供的数据将有助于指导进一步的研究,以针对多种细胞死亡途径、血管生成刺激和卵泡募集抑制的联合方法。

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86 successful births and 9 ongoing pregnancies worldwide in women transplanted with frozen-thawed ovarian tissue: focus on birth and perinatal outcome in 40 of these children.全球范围内,接受冻融卵巢组织移植的女性中有86例成功分娩,9例仍在妊娠:重点关注其中40名儿童的出生及围产期结局。
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