Çağlı Fulya, Baktır Mehmet Akif, Dolanbay Mehmet, Balcıoğlu Esra, Cumaoğlu Ahmet, Ermiş Mustafa, Karaman Enes, Yalçın Betül, Aygen Ercan Mustafa
Erciyes University Faculty of Medicine, Department of Obstetrics and Gynecology, Kayseri, Turkey.
Erciyes University Faculty of Medicine, Department of Physiology, Kayseri, Turkey.
Turk J Obstet Gynecol. 2023 Mar 10;20(1):46-52. doi: 10.4274/tjod.galenos.2023.47817.
To evaluate hyperbaric oxygen therapy (HBO) based on ovarian histology, total antioxidant status (TAS), total oxidant status (TOS), and anti-müllerian hormone (AMH), in the ovarian insufiency (POI) model created with cyclophosphamide (CYP).
The rats were separated into 3 groups of the control group (n=6), the CYP group (n=6), and the CYP+HBO group (n=6). The rats in the CYP group and the CYP+HBO group were injected intraperitoneally with 200 mg/kg CYP on day 1, followed by 8 mg/kg/day for 14 days to create POI. From the 15 day onwards, the rats in the CYP+HBO group were placed in a hyperbaric cabin and exposed to 100% oxygen at 2.4 atm pressure for one h, and were then returned to their cages at the end of the hour.
A statistically significant decrease was determined in the primordial and primary follicle counts in the CYP group compared with the control group (p<0.05). In the CYP+HBO group, a statistically significant increase was determined in the primordial and primary follicle counts (p<0.05). The serum AMH levels were seen to be significantly decreased in the CYP group compared with both the control group and the CYP+HBO groups. The HBO was seen to decrease TOS and increase TAS.
HBO could be an alternative treatment to minimize the effect of ovarian follicle loss caused by CYP, which is used for treating tumors that commonly occur in young females of reproductive age.
基于卵巢组织学、总抗氧化状态(TAS)、总氧化状态(TOS)和抗苗勒管激素(AMH),评估在环磷酰胺(CYP)诱导的卵巢功能不全(POI)模型中高压氧疗法(HBO)的效果。
将大鼠分为3组,即对照组(n = 6)、CYP组(n = 6)和CYP + HBO组(n = 6)。CYP组和CYP + HBO组的大鼠在第1天腹腔注射200 mg/kg CYP,随后以8 mg/kg/天的剂量注射14天以诱导POI。从第15天起,CYP + HBO组的大鼠被置于高压氧舱中,在2.4个大气压下暴露于100%氧气中1小时,然后在1小时结束时返回笼中。
与对照组相比,CYP组的原始卵泡和初级卵泡计数有统计学意义的下降(p<0.05)。在CYP + HBO组中,原始卵泡和初级卵泡计数有统计学意义的增加(p<0.05)。与对照组和CYP + HBO组相比,CYP组的血清AMH水平显著降低。HBO可降低TOS并提高TAS。
HBO可能是一种替代治疗方法,可将用于治疗育龄年轻女性常见肿瘤的CYP所导致的卵巢卵泡损失的影响降至最低。