IVI Foundation, Av. Fernando Abril Martorell, 106-TorreA-Plantal, 46026, Valencia, Spain.
Department of Pediatrics, Obstetrics and Gynecology, School of Medicine, Valencia University, Valencia, Spain.
Reprod Sci. 2020 Aug;27(8):1609-1619. doi: 10.1007/s43032-020-00191-w.
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.
卵巢储备功能降低(DOR)和原发性卵巢功能不全(POI)是导致不孕的主要因素。然而,目前缺乏可用于评估新治疗策略的合适的 DOR 动物模型。在这项研究中,我们旨在评估化疗治疗在小鼠中是否能重现 DOR 患者观察到的特征。21 只非肥胖型糖尿病/严重联合免疫缺陷(NOD/SCID)雌性小鼠被分配到 3 组(n = 7/组):对照组、单次溶剂(二甲亚砜[DMSO])处理;DOR 组,单次低剂量化疗;POI 组,单次标准化疗剂量。21 天后,小鼠进行卵巢超刺激和交配。部分动物被采集以分析卵巢储备、排卵和受精率以及卵巢基质的形态、凋亡和血管化。其余的小鼠进行多次交配以评估妊娠率和产仔数。DOR 和 POI 组小鼠表现出发情周期紊乱、卵巢质量、卵泡数量、MII 卵母细胞和胚胎减少以及卵巢基质血管化减少。两种模型中的小鼠还表现出形态异常卵泡、基质退化和凋亡比例增加。与 DOR 和 POI 患者观察到的情况一样,DOR 组的这些损伤比 POI 组的损伤程度较轻。没有 POI 雌性能怀孕。同时,DOR 雌性能连续怀孕几次,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能够显示 DOR 患者大部分卵巢特征和生育结局的小鼠模型。