Zhongnan Hospital of Wuhan University, Institute of Hepatobiliary Diseases of Wuhan University, Transplant Center of Wuhan University, National Quality Control Center for Donated Organ Procurement, Hubei Key Laboratory of Medical Technology on Transplantation, Hubei Clinical Research Center for Natural Polymer Biological Liver, Hubei Engineering Center of Natural Polymer-based Medical Materials, 430071, Wuhan, China.
J Ovarian Res. 2022 Dec 28;15(1):139. doi: 10.1186/s13048-022-01083-0.
Ovarian insufficiency frequently renders postmenopausal women susceptible to osteoporosis and dyslipidaemia. Postmenopausal transplant women are at a higher risk developing osteoporosis and dyslipidaemia due to the concomitant application of glucocorticoids and immunosuppressants after solid organ transplantation. Thus, this study aimed to explore the feasibility of ovarian tissue transplantation (OTT) as an alternative to Hormone replacement therapy (HRT) for postmenopausal women with solid organ transplant needs.
Sixty mice were randomly divided into four groups: sham operation, ovariectomised (OVX group), ovariectomy plus oestrogen (E group), and ovariectomy plus OTT (OTT group). The inhibin levels in the OTT group were increased and the follicle stimulating hormone and luteinizing hormone were suppressed to normal levels, which could not be achieved in the E group. The femoral bone mineral density in the OTT group was significantly increased than the E group (P < 0.05), and the probability of fracture was reduced by 1.4-2.6 times. Additionally, the high-density lipoprotein cholesterol levels were higher in the OTT group than in the E group and the triglyceride levels were lower in the OTT group than in the E group (P < 0.05).
OTT not only achieves certain endocrine effects by participating in the regulation of the hypothalamic-pituitary-ovarian feedback control loop, but also ameliorates osteoporosis and dyslipidaemia, which may be an alternative to traditional HRT for postmenopausal women with solid organ transplant needs.
卵巢功能不全常使绝经后妇女易患骨质疏松症和血脂异常。由于在实体器官移植后同时应用糖皮质激素和免疫抑制剂,绝经后移植妇女发生骨质疏松症和血脂异常的风险更高。因此,本研究旨在探讨卵巢组织移植(OTT)作为绝经后有实体器官移植需求的妇女激素替代疗法(HRT)的替代方法的可行性。
60 只小鼠随机分为四组:假手术组、卵巢切除组(OVX 组)、卵巢切除加雌激素组(E 组)和卵巢切除加 OTT 组(OTT 组)。OTT 组的抑制素水平升高,卵泡刺激素和黄体生成素被抑制至正常水平,而 E 组则无法达到这一水平。OTT 组的股骨骨密度明显高于 E 组(P<0.05),骨折的概率降低了 1.4-2.6 倍。此外,OTT 组的高密度脂蛋白胆固醇水平高于 E 组,OTT 组的甘油三酯水平低于 E 组(P<0.05)。
OTT 不仅通过参与下丘脑-垂体-卵巢反馈控制环路的调节来实现一定的内分泌作用,而且还改善骨质疏松症和血脂异常,这可能是绝经后有实体器官移植需求的妇女替代传统 HRT 的一种方法。