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来曲唑的长期使用会导致……性腺的形态学改变。

Prolonged use of letrozole causes morphological changes on gonads in .

作者信息

Arroyo Maria Angelica Machado, Santos Paulo Ramos da Silva, de Oliveira Moacir Franco, de Assis Antônio Chaves

机构信息

Departamento de Cirurgia, Faculdade de Medicina Veterinária e Zootecnia, Universidade de São Paulo, São Paulo, SP, Brasil.

Departamento de Ciências Animais, Universidade Federal Rural do Semi-Árido, Mossoró, RN, Brasil.

出版信息

Anim Reprod. 2021 Jul 12;18(2):e20200029. doi: 10.1590/1984-3143-AR2020-0029. eCollection 2021.

Abstract

Letrozole is used as a therapeutic agent in reproductive disorders caused by high estrogen levels. Letrozole inhibits cytochrome P450 aromatase and reduces estrogen levels. However, the effects of long-term use on reproductive traits are unknown. The aim of this study was to evaluate the prolonged use of letrozole in the gonads of rodents (Spix's yellow-toothed cavy; ). Forty-eight rodents (24 males and 24 females) were randomly divided into the treated and control groups. Letrozole administration started at 15 days of age and continued weekly until 30, 45, 90, and 120 days of age. The body, testis, and ovary weights were analyzed, as well as the morphological progression of spermatogenesis and folliculogenesis. Macroscopically, body weight gain and gonads weight were increased in the letrozole group. Microscopically, the ovaries of treated females showed stratified epithelium and a cellular disorder of the tunica albuginea. In the testes of treated males, the development of seminiferous tubules was delayed and sperm was absent. The collective findings indicate that the prolonged use of letrozole alters secondary sexual characteristics, and causes weight gain, reproductive changes, and male infertility.

摘要

来曲唑被用作治疗由高雌激素水平引起的生殖系统疾病的药物。来曲唑抑制细胞色素P450芳香化酶并降低雌激素水平。然而,长期使用对生殖性状的影响尚不清楚。本研究的目的是评估来曲唑在啮齿动物(斯皮克斯黄齿豚鼠)性腺中的长期使用情况。48只啮齿动物(24只雄性和24只雌性)被随机分为治疗组和对照组。来曲唑给药从15日龄开始,每周持续给药,直至30、45、90和120日龄。分析了体重、睾丸和卵巢重量,以及精子发生和卵泡发生的形态学进展。宏观上,来曲唑组的体重增加和性腺重量增加。微观上,接受治疗的雌性动物的卵巢显示出分层上皮和白膜细胞紊乱。在接受治疗的雄性动物的睾丸中,生精小管的发育延迟且无精子。总体研究结果表明,长期使用来曲唑会改变第二性征,并导致体重增加、生殖变化和男性不育。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2225/8291776/cc4b2a59ff2e/1984-3143-ar-18-2-e20200029-gf01.jpg

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