Keckstein Philip, Dittrich Ralf, Bleisinger Nathalie, Hoffmann Inge, Beckmann Matthias W, Gebhardt Albrecht, Schmid Benjamin, Keckstein Simon
Department of Gynecology and Obstetrics, Erlangen University Hospital, Friedrich-Alexander-University of Erlangen-Nürnberg, Comprehensive Cancer Center ER-EMN, Erlangen, Germany.
Department of Statistics, University of Klagenfurt, Klagenfurt, Austria.
Arch Gynecol Obstet. 2024 May;309(5):2127-2136. doi: 10.1007/s00404-024-07419-z. Epub 2024 Mar 12.
To preserve fertility before gonadotoxic therapy, ovarian tissue can be removed, cryopreserved, and transplanted back again after treatment. An alternative is the artificial ovary, in which the ovarian follicles are extracted from the tissue, which reduces the risk of reimplantation of potentially remaining malignant cells. The PTEN inhibitor bpV(HOpic) has been shown to activate human, bovine and alpacas ovarian follicles, and it is therefore considered a promising substance for developing the artificial ovary. The purpose of this study was to examine the impact of different scaffolds and the vanadate derivative bpV(HOpic) on mice follicle survival and hormone secretion over 10 days.
A comparative analysis was performed, studying the survival rates (SR) of isolated mice follicle in four different groups that differed either in the scaffold (polycaprolactone scaffold versus polyethylene terephthalate membrane) or in the medium-bpV(HOpic) versus control medium. The observation period of the follicles was 10 days. On days 2, 6, and 10, the viability and morphology of the follicles were checked using fluorescence or confocal microscopy. Furthermore, hormone levels of estrogen (pmol/L) and progesterone (nmol/L) were determined.
When comparing the SR of follicles among the four groups, it was observed that on day 6, the study groups utilizing the polycaprolactone scaffold with bpV(HOpic) in the medium (SR: 0.48 ± 0.18; p = 0.004) or functionalized in the scaffold (SR: 0.50 ± 0.20; p = 0.003) exhibited significantly higher survival rates compared to the group using only the polyethylene terephthalate membrane (SR: 0). On day 10, a significantly higher survival rate was only noted when comparing the polycaprolactone scaffold with bpV(HOpic) in the medium to the polyethylene terephthalate membrane group (SR: 0.38 ± 0.20 versus 0; p = 0.007). Higher levels of progesterone were only significantly associated with better survival rates in the group with the polycaprolactone scaffold functionalized with bpV(HOpic) (p = 0.017).
This study demonstrates that three-dimensional polycaprolactone scaffolds improve the survival rates of isolated mice follicles in comparison with a conventional polyethylene terephthalate membrane. The survival rates slightly improve with added bpV(HOpic). Furthermore, higher rates of progesterone were also partly associated with improved survival.
为在性腺毒性治疗前保留生育能力,可切除卵巢组织,冷冻保存,治疗后再移植回去。另一种方法是人工卵巢,即从组织中提取卵巢卵泡,这降低了潜在残留恶性细胞再植入的风险。PTEN抑制剂bpV(HOpic)已被证明可激活人、牛和羊驼的卵巢卵泡,因此被认为是开发人工卵巢的一种有前景的物质。本研究的目的是研究不同支架和钒酸盐衍生物bpV(HOpic)对小鼠卵泡在10天内的存活及激素分泌的影响。
进行了一项对比分析,研究了四个不同组中分离的小鼠卵泡的存活率(SR),这四个组在支架(聚己内酯支架与聚对苯二甲酸乙二酯膜)或培养基(含bpV(HOpic)的培养基与对照培养基)方面存在差异。卵泡的观察期为10天。在第2天、第6天和第10天,使用荧光或共聚焦显微镜检查卵泡的活力和形态。此外,还测定了雌激素(pmol/L)和孕酮(nmol/L)的激素水平。
比较四组卵泡的存活率时发现,在第6天,在培养基中使用含bpV(HOpic)的聚己内酯支架的研究组(SR:0.48±0.18;p = 0.004)或在支架中进行功能化处理的研究组(SR:0.50±0.20;p = 0.003)的存活率显著高于仅使用聚对苯二甲酸乙二酯膜的组(SR:0)。在第10天,只有将培养基中含bpV(HOpic)的聚己内酯支架与聚对苯二甲酸乙二酯膜组进行比较时,才观察到显著更高的存活率(SR:0.38±0.20对0;p = 0.007)。只有在使用经bpV(HOpic)功能化的聚己内酯支架的组中,较高水平的孕酮才与更好的存活率显著相关(p = 0.017)。
本研究表明,与传统的聚对苯二甲酸乙二酯膜相比,三维聚己内酯支架可提高分离的小鼠卵泡的存活率。添加bpV(HOpic)后存活率略有提高。此外,较高的孕酮水平也部分与存活率的提高有关。