Garcés D, Mariana J C
Service de Chirurgie Vasculaire, CHU Trousseau, Tours, France.
J Surg Res. 1997 Sep;72(1):15-21. doi: 10.1006/jsre.1997.5161.
Progesterone (P4) and estradiol 17 beta are essential for the dialogue between the ovary and the hypothalamohypophysial system. Immunization against steroids, although a valuable tool, displays limits. We propose a straightforward method to suppress steroids from the peripheral circulation by using the liver to catabolize steroids, through an anastomosis of the ovary to the mesenteric vein. Twelve mature cycling Ile-de-France ewes were unilaterally ovariectomized during the breeding season and subsequently randomly assigned to be anastomosed (n = 6; A) or sham-operated (n = 6; SO) on Day 10 of a synchronized estrous cycle. The ovarian vein was anastomosed to the superior mesenteric vein and all collateral veins to the ovarian vein were ligatured. Sham-operated ewes had only their collateral vein ligatured without anastomosis. Four days following surgery, ewes from both treatments were injected with PGF-2 alpha and autopsied between 9 and 14 days following surgery. Blood progesterone and estradiol 17 beta were measured daily from Day 4 before surgery until 7 days after castration. Estradiol levels measured at the level of the ovarian vein indicated that anastomosis allowed normal ovarian activity in all but 1 ewe in which collateral veins to the ovarian duct had developed. In the 5 A ewes, progesterone in peripheral blood decreased to low levels the day following surgery but this fall was not accompanied by an increase in estradiol. Estradiol levels measured at the output of the liver from hepatic vein were lower in A ewes (46.6 pg/ml) than in the ovarian vein of SO ewes (334.1 pg/ml). Ovarian hypertrophy was observed in 5 A ewes in which numerous large follicles were observed. These results indicate that the experimental model is functional and permits the study of the stimulation and hyperstimulation of the ovary and the control of the terminal follicular growth in the endocrine environment of the animal itself.
孕酮(P4)和雌二醇17β对于卵巢与下丘脑 - 垂体系统之间的相互作用至关重要。尽管免疫类固醇是一种有价值的工具,但也存在局限性。我们提出了一种直接的方法,通过将卵巢与肠系膜静脉吻合,利用肝脏分解代谢类固醇,从而抑制外周循环中的类固醇。在繁殖季节,对12只成熟的法国岛羊进行单侧卵巢切除,随后在同步发情周期的第10天随机分为吻合组(n = 6;A)或假手术组(n = 6;SO)。将卵巢静脉与肠系膜上静脉吻合,并结扎所有通向卵巢静脉的侧支静脉。假手术组的母羊仅结扎其侧支静脉而不进行吻合。手术后4天,两组处理的母羊均注射PGF - 2α,并在手术后9至14天进行尸检。从手术前第4天到阉割后7天,每天测量血液中的孕酮和雌二醇17β。在卵巢静脉水平测量的雌二醇水平表明,除了1只母羊卵巢导管侧支静脉已发育外,吻合术使其他所有母羊的卵巢活动正常。在5只A组母羊中,外周血中的孕酮在手术后第二天降至低水平,但这种下降并未伴随雌二醇的增加。A组母羊从肝静脉输出处测量的雌二醇水平(46.6 pg/ml)低于SO组母羊卵巢静脉中的水平(334.1 pg/ml)。在5只A组母羊中观察到卵巢肥大,其中可见许多大卵泡。这些结果表明,该实验模型是有效的,并且可以在动物自身的内分泌环境中研究卵巢的刺激和过度刺激以及终末卵泡生长的控制。