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李彩霞,李玉艳,俞炽阳,何畏,王凤英.自体卵巢冷冻后移植治疗卵巢早衰的实验研究[J].陆军军医大学学报(原第三军医大学学报),2010,32(16):1781-1784.
Li Caixia,Li Yuyan,Yu Chiyang,He Wei,Wang Fengying.Transplantation of autologous cryopreserved ovarian tissue to treat premature ovarian failure in mice[J].J Amry Med Univ (J Third Mil Med Univ),2010,32(16):1781-1784.
李彩霞,李玉艳,俞炽阳,何畏,王凤英.自体卵巢冷冻后移植治疗卵巢早衰的实验研究[J].陆军军医大学学报(原第三军医大学学报),2010,32(16):1781-1784. DOI:
Li Caixia,Li Yuyan,Yu Chiyang,He Wei,Wang Fengying.Transplantation of autologous cryopreserved ovarian tissue to treat premature ovarian failure in mice[J].J Amry Med Univ (J Third Mil Med Univ),2010,32(16):1781-1784. DOI:
目的 研究卵巢早衰小鼠自体冷冻卵巢移植后移植卵巢的存活、生长及功能恢复情况。 方法 将60只雌性昆明鼠分为化疗组、放疗组、化疗+移植组、放疗+移植组、正常组、去势组,每组10只。取出小鼠单侧卵巢经液氮冷冻后,利用环磷酰胺、白消安或
60
Coγ照射处理小鼠,使其卵巢功能衰竭,随后将解冻后自体卵巢植入部分小鼠肾脏包膜下。观察冻融后卵巢组织学变化,移植后卵巢、子宫内膜组织学变化及雌二醇(E
2
)水平。 结果 解冻后卵巢中卵泡的数量与新鲜卵巢相似,但卵泡体积变小,卵母胞与周围颗粒细胞之间的空隙增大。化疗、放疗组卵巢呈典型的早衰样组织学改变:表现为卵巢明显萎缩,卵泡闭锁,卵母细胞及透明带退行性改变,黄体及间质纤维化、坏死等。冷冻卵巢移植后,可见不同阶段的发育卵泡,并可见间质腺和黄体,移植组小鼠阴道上皮细胞及子宫内膜有雌激素效应。血清学结果显示,移植组血清E
2
水平[化疗+移植组(27.47±1.98)pg/L,放疗+移植组(25.89±2.78)pg/L
]
明显高于未移植组[化疗组(16.88±2.06)pg/L,放疗组(15.50±1.17)pg/L,P0.05
]
,而与正常组[(30.93±4.05)pg/L
]
之间差异无统计学意义(P0.05)。 结论 卵巢早衰小鼠自体冷冻卵巢移植后能在异位存活、生长发育并具有内分泌功能。
Objective To investigate the survival
growth and functional recovery of cryopreserved ovarian tissue after autologously transplanted into mice with premature ovarian failure (POF). Methods Sixty mice were divided into 6 groups with 10 animals in each
that is
chemical treatment
radiation treatment
chemical or radiation treatment with transplantation
normal control and ovariectomy control group. For the latter 2 groups
no ovary resection or resection of both ovaries
was preformed. For the other 4 groups
after one of the ovaries was removed and frozen
the mice were induced to POF by administering cyclophosphamide (120 mg/kg
i.p.) and busulfan (12 mg/kg
intradermal injections) for chemical treatment groups or receiving
60
Co γ - ray irradiation (0.5 Gy
60 cGy/min
20 cm × 20 cm ) for radiation groups. After 1 week the cryopreserved ovarian tissue were autologously transplanted into subrenal capsule. The morphology and histology of the fresh and frozen ovarian tissue
estrous cycle determination
serum estradiol hormone levels
histological changes of graft ovaries and endometrium were examined. Results The follicle numbers in the thawed ovarian tissue were similar to that in fresh ovary
but the size of follicles became smaller
and the spaces between oocytes and their peripheral granular cells became larger. The typical histological changes like POF were found in chemical and radiation treatment groups
including ovary atrophy
follicles atresia
retrograde degeneration of oocytes and zona pellucida
the fibrosis or necrosis of corpus lutea and interstitial tissues. After the frozen ovary transplantation
there were follicles at different stage of development
corpus luteum and interstitial gland in the grafts. The effect of estrogen on the vaginal epithelium and endometrium were observed. Serological studies showed that serum estradiol levels of mouse with ovarian transplantation were significantly higher than those without ovarian transplantation in POF [(27.47 ± 1.98) pg/L in chemical treatment group with transplantation
vs
(16.88 ± 2 . 06) pg/L in chemical treatment group
and (25.89 ± 2.78) pg/L in radiation treatment group with transplantation
vs
(15.50 ± 1 . 17) pg/L in radiation treatment group
P
0 . 05
]
and had no significant difference as compared with those in normal control (
P
0.05). Conclusion Cryopreserved ovarian tissue can be survival
development and restoring endocrine function after autologously ectopic - tran
splanted into POF mouse.
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