Delessard Marion, Moutard Laura, Charnay Coline, Rives Nathalie, Dumont Ludovic, Basille-Dugay Magali, Feraille Aurélie, Rondanino Christine
Adrenal and Gonadal Pathophysiology Team, Univ Rouen Normandie, Inserm, Normandie Univ, NorDiC UMR 1239, Rouen University Hospital, Rouen, F-76000, France.
Sci Rep. 2025 Apr 24;15(1):14230. doi: 10.1038/s41598-025-98413-1.
The development of experimental models treated by chemotherapy is needed for elucidating the side effects of cancer treatments administered prior to puberty on male gonad function and the feasibility of restoring fertility from exposed testicular tissues. This study investigated for the first time the effects of cytarabine and daunorubicin administered before meiotic initiation on the first wave of mouse spermatogenesis under both in vivo or in vitro conditions. Prepubertal exposure to cytarabine did not exhibit immediate detrimental effects on testicular tissues, whereas daunorubicin administration resulted in a decreased spermatogonia-to-Sertoli cell ratio and diminished intratubular cell proliferation within three days post-treatment. While the completion of in vivo spermatogenesis was not hindered by chemotherapy exposure, a significant increase in the proportion of spermatozoa with fragmented DNA was observed in mice more than one month after treatment. In vitro spermatogenesis was also accomplished using prepubertal testicular tissues exposed to chemotherapy, indicating that neither cytarabine nor daunorubicin impeded the differentiation potential of spermatogonia into spermatozoa. However, in vitro conditions revealed an arrest in meiotic progression in a substantial proportion of seminiferous tubules and an elevated incidence of DNA double-strand breaks in intratubular cells compared to in vivo controls, irrespective of the treatment administered.
为了阐明青春期前进行的癌症治疗对男性性腺功能的副作用以及从暴露的睾丸组织恢复生育能力的可行性,需要开发经化疗处理的实验模型。本研究首次调查了在减数分裂开始前给予阿糖胞苷和柔红霉素对体内或体外条件下小鼠第一波精子发生的影响。青春期前接触阿糖胞苷对睾丸组织未表现出立即的有害影响,而给予柔红霉素导致精原细胞与支持细胞的比例降低,并在治疗后三天内使管内细胞增殖减少。虽然化疗暴露并未阻碍体内精子发生的完成,但在治疗后一个多月的小鼠中观察到DNA片段化精子的比例显著增加。使用暴露于化疗的青春期前睾丸组织也完成了体外精子发生,这表明阿糖胞苷和柔红霉素均未阻碍精原细胞分化为精子的潜能。然而,体外条件显示,与体内对照相比,无论给予何种治疗,相当一部分生精小管的减数分裂进程停滞,管内细胞中DNA双链断裂的发生率升高。