卵巢储备功能减退化疗诱导小鼠模型:一种用于卵巢损伤新疗法临床前评估的工具。

Diminished Ovarian Reserve Chemotherapy-Induced Mouse Model: A Tool for the Preclinical Assessment of New Therapies for Ovarian Damage.

作者信息

Buigues Anna, Marchante Maria, Herraiz Sonia, Pellicer Antonio

机构信息

1 IVI Foundation, Valencia Spain.

2 Department of Pediatrics, Obstetrics and Gynecology, School of Medicine, Valencia University, Valencia, Spain.

出版信息

Reprod Sci. 2019 Feb 21:1933719119831784. doi: 10.1177/1933719119831784.

Abstract

Diminished ovarian reserve (DOR) and primary ovarian insufficiency (POI) are primary factors leading to infertility. However, there is a lack of appropriate animal models of DOR usable for assessing new therapeutic strategies. In this study, we aimed to evaluate whether chemotherapy treatment in mice could reproduce features similar of that observed in women with DOR. Twenty-one Nonobese diabetic/severe combined immunodeficiency (NOD/SCID) female mice were allocated to 3 groups (n = 7/group): control, single dose of vehicle (Dimethyl Sulfoxide [DMSO]); DOR, single reduced chemotherapy dose; and POI, single standard chemotherapy dose. After 21 days, mice underwent ovarian hyperstimulation and mating. Part of the animals were harvested to analyze ovarian reserve, ovulation and fertilization rates, and morphology, apoptosis, and vascularization of the ovarian stroma. The remaining mice underwent multiple matings to assess pregnancy rates and litter sizes. The DOR and POI mice showed an impaired estrous cyclicity and a decrease in ovarian mass, number of follicles, Metaphase II (MII) oocytes, and embryos as well as in ovarian stroma vascularization. Mice in both models showed also an increase in the percentage of morphologically abnormal follicles, stromal degeneration, and apoptosis. Similar to that observed in DOR and POI patients, these impairments were less severe in DOR than in POI mice. None of the POI females were able to achieve a pregnancy. Meanwhile, DOR females achieved several consecutive pregnancies, although litter size was decreased when compared to controls. In conclusion, a mouse model which displayed most of the ovarian characteristics and fertility outcomes of women with DOR has been established using a single dose of chemotherapy.

摘要

卵巢储备功能减退(DOR)和原发性卵巢功能不全(POI)是导致不孕的主要因素。然而,缺乏适用于评估新治疗策略的DOR动物模型。在本研究中,我们旨在评估小鼠化疗是否能重现DOR女性患者所观察到的类似特征。将21只非肥胖糖尿病/严重联合免疫缺陷(NOD/SCID)雌性小鼠分为3组(每组n = 7):对照组,单次给予溶媒(二甲基亚砜[DMSO]);DOR组,单次降低化疗剂量;POI组,单次标准化疗剂量。21天后,对小鼠进行卵巢超刺激和交配。部分动物被处死以分析卵巢储备、排卵和受精率,以及卵巢基质的形态、凋亡和血管生成情况。其余小鼠进行多次交配以评估妊娠率和产仔数。DOR和POI小鼠表现出动情周期受损,卵巢质量、卵泡数量、减数分裂中期II(MII)卵母细胞、胚胎数量以及卵巢基质血管生成减少。两个模型中的小鼠还表现出形态异常卵泡百分比、基质变性和凋亡增加。与DOR和POI患者中观察到的情况类似,这些损害在DOR小鼠中比在POI小鼠中较轻。POI组雌性小鼠均未怀孕。同时,DOR组雌性小鼠实现了连续多次怀孕,尽管与对照组相比产仔数减少。总之,通过单次化疗剂量建立了一种表现出DOR女性患者大部分卵巢特征和生育结局的小鼠模型。

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