Department of Neurosurgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, 222 Banpodaero, Seochogu, Seoul 06591, Korea.
Cell Death Disease Research Center, Department of Neurosurgery, St. Vincent Hospital, College of Medicine, The Catholic University of Korea, 222 Banpodaero, Seochogu, Seoul 06591, Korea.
Cells. 2021 Jan 29;10(2):267. doi: 10.3390/cells10020267.
Long-term hormone replacement therapy due to panhypopituitarism can lead to serious complications and thus, pituitary transplantation is considered a more desirable. We investigated functional restoration after allotransplatation of the pituitary gland. We transplanted extracted pituitary gland into the omentum of an hypophysectomized rat. Two experiments were performed: (1) to confirm the hypophysectomy was successful and (2) to assess functional restoration after pituitary transplantation. Pituitary hormone level and weight change were consecutively assessed. Electron microscopic (EM) examinations were performed to identify morphological changes at 3 days after transplantation. We confirmed that pituitary gland was properly extracted from 6 rats after sacrifice. The findings showed (1) a weight loss of more than 3% or (2) a weight change of less than 2% along with a decreased growth hormone (GH) level by more than 80% at 2 weeks post-hypophysectomy. A further four rats underwent pituitary transplantation after hypophysectomy and were compared with the previously hypophysectomized rats. All showed rapid weight gain during the two weeks after transplantation. The thyroid-stimulating hormone, prolactin, and GH levels were restored at one week post-transplantation and maintained for 10 weeks. Hypophyseal tissue architecture was maintained at 3 days after transplantation, as indicated by EM. These data suggest that a transplanted pituitary gland can survive in the omentum with concomitant partial restoration of anterior pituitary hormones.
由于全垂体功能减退症而进行长期激素替代治疗可能会导致严重的并发症,因此,垂体移植被认为是一种更可取的治疗方法。我们研究了垂体移植后的功能恢复情况。我们将提取的垂体组织移植到被切除垂体的大鼠的大网膜中。进行了两项实验:(1)确认垂体切除术成功,(2)评估垂体移植后的功能恢复情况。连续评估垂体激素水平和体重变化。在移植后 3 天进行电子显微镜(EM)检查以确定形态变化。我们在 6 只大鼠死后确认已正确提取垂体。研究结果显示:(1)在 2 周的垂体切除术后,体重减轻超过 3%或体重变化小于 2%,同时生长激素(GH)水平下降超过 80%;(2)进一步的 4 只大鼠在垂体切除术后进行了垂体移植,并与之前的垂体切除大鼠进行了比较。所有大鼠在移植后的两周内体重迅速增加。移植后一周,促甲状腺激素、催乳素和 GH 水平恢复,并维持 10 周。EM 显示,移植后 3 天,垂体组织结构得以维持。这些数据表明,移植的垂体组织可以在大网膜中存活,并伴有前垂体激素的部分恢复。