Gholami Keykavoos, Asheghmadine Elahe, Guitynavard Fateme, Baghdadabad Leila Zareian, Taheri Diana, Zahmatkesh Parisa, Reis Leonardo Oliveira, Aghamir Seyed Mohammad Kazem
Urology Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Department of Plastic & Reconstructive Surgery, Cedars-Sinai Medical Center, Los Angeles, CA, USA.
Int J Reprod Biomed. 2025 May 1;23(2):171-184. doi: 10.18502/ijrm.v23i2.18489. eCollection 2024 May.
Restoring fertility in male cancer individuals through testicular tissue transplantation faces challenges due to hypoxia-induced loss of spermatogonial stem cells (SSCs). Hydrogel encapsulation was explored to minimize hypoxic damage in testicular tissue transplantation. For this purpose, human amnion membrane (hAM)-derived hydrogel could be an alternative.
The potential of hAM-derived hydrogel to support testis tissue grafts was evaluated.
In this experimental study, testicular tissue samples (1-3 mm) were obtained from 16 male NMRI mice (4-5 wk, 22 2 gr). These tissue fragments were either encapsulated within a hydrogel derived from a hAM or left unencapsulated (control) prior to being autologously transplanted beneath the dorsal skin of mice subjected to hemilateral or bilateral orchiectomy. The grafted testicular tissues were histologically evaluated for key parameters, including the integrity of seminiferous tubules, survival of SSCs, Sertoli cell functionality, as well as hypoxia and apoptosis on day 21.
No significant differences were observed between groups regarding ST integrity, number of SSCs, Sertoli cell functionality, or the rate of hypoxia-inducible factor 1-alpha and apoptosis (p 0.05).
In conclusion, this study demonstrated no effect of hAM hydrogel encapsulation on the outcomes of testicular tissue transplantation.
由于缺氧导致精原干细胞(SSCs)丢失,通过睾丸组织移植恢复男性癌症患者的生育能力面临挑战。人们探索了水凝胶封装以尽量减少睾丸组织移植中的缺氧损伤。为此,人羊膜(hAM)衍生的水凝胶可能是一种选择。
评估hAM衍生水凝胶支持睾丸组织移植的潜力。
在本实验研究中,从16只雄性NMRI小鼠(4 - 5周龄,22±2克)获取睾丸组织样本(1 - 3毫米)。这些组织碎片在自体移植到接受单侧或双侧睾丸切除术的小鼠背部皮肤下之前,要么封装在hAM衍生的水凝胶中,要么不封装(作为对照)。在第21天对移植的睾丸组织进行组织学评估,以检测关键参数,包括生精小管的完整性、SSCs的存活、支持细胞功能以及缺氧和凋亡情况。
在生精小管完整性、SSCs数量、支持细胞功能或缺氧诱导因子1 - α和凋亡率方面,两组之间未观察到显著差异(p>0.05)。
总之,本研究表明hAM水凝胶封装对睾丸组织移植结果没有影响。