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Medicinas Complementárias
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1.
Reprod Biol Endocrinol ; 20(1): 35, 2022 Feb 19.
Artículo en Inglés | MEDLINE | ID: mdl-35183206

RESUMEN

BACKGROUND: Ovarian tissue cryopreservation and transplantation (OTCTP) is currently the main option available to preserve fertility in prepubertal patients undergoing aggressive cancer therapy treatments. However, a major limitation of OTCTP is follicle loss after transplantation. The mouse is a model of choice for studying ovarian function and follicle development after ovarian tissue grafting in vivo. In these mouse models, ovarian tissue or ovaries can be transplanted to different sites. Our aim was to evaluate a new alternative to heterotopic transplantation models that could be useful to test pharmaceutical improvement for ovarian grafts after OTCTP. METHODS: Slow frozen murine whole ovaries were transplanted into the mouse ears (between the external ear skin layer and the cartilage). Ovarian transplants were recovered after 3, 14 or 21 days. Grafts were analyzed by immunohistochemistry and follicle density analyses were performed. RESULTS: An increase of ovarian vascularization (CD31 and Dextran-FITC positive staining), as well as cellular proliferation (Ki67 staining) were observed 3 weeks after transplantation in comparison to 3 days. Fibrosis density, evaluated after Van Gieson staining, decreased 3 weeks after transplantation. Furthermore, transplantation of cryopreserved ovaries into ovariectomized mice favored follicle activation compared to transplantation into non-ovariectomized mice. CONCLUSION: The present study indicates that surgical tissue insertion in the highly vascularized murine ear is an effective model for ovarian grafting. This model could be helpful in research to test pharmaceutical strategies to improve the function and survival of cryopreserved and transplanted ovarian tissue.


Asunto(s)
Evaluación Preclínica de Medicamentos/métodos , Fármacos para la Fertilidad Femenina/uso terapéutico , Preservación de la Fertilidad/métodos , Ovario/trasplante , Trasplante Heterotópico/métodos , Animales , Proliferación Celular/efectos de los fármacos , Terapia Combinada , Femenino , Fármacos para la Fertilidad Femenina/farmacología , Supervivencia de Injerto/efectos de los fármacos , Terapia de Reemplazo de Hormonas/métodos , Ratones , Ratones Endogámicos BALB C , Ratones SCID , Modelos Biológicos
2.
Reprod Sci ; 28(11): 3109-3122, 2021 11.
Artículo en Inglés | MEDLINE | ID: mdl-34008154

RESUMEN

This study evaluated the effect of adding alpha lipoic acid (ALA) to the vitrification solution of sheep ovarian tissue on 7 days of in vitro culture or 15 days of xenotransplantion. ALA was used at two different concentrations (100 µM: ALA100 and 150 µM: ALA150). Ovarian tissue was evaluated by classical histology (follicular morphology, development, and stromal cell density); immunohistochemistry for forkhead box O3a (FOXO3a); Ki67 (cell proliferation); cluster of differentiation 31 (CD31); and alpha smooth muscle actin (α-SMA). Reactive oxygen species (ROS) levels in ovarian tissue, as well as malondialdehyde (MDA) and nitrite levels in the culture medium, were assessed. Similar percentage of morphologically normal follicles was found in the vitrified ovarian tissue in the presence of ALA100 or ALA150 after in vitro culture or xenotransplantation. Follicular development from all treatments was higher (P < 0.05) than the control group. Moreover, an activation of primordial follicles was observed by FOXO3a. Stromal cell density and immunostaining for Ki67 and CD31 were significantly higher (P < 0.05) in ALA150 vitrified tissue. No difference (P > 0.05) was found in α-SMA between ALA concentrations after in vitro culture or xenograft. ROS levels in the ovarian tissue were similar (P > 0.05) in all treatments, as well as MDA and nitrite levels after 7 days of culture. We concluded that the addition of ALA 150 is able to better preserve the stromal cell density favoring granulosa cell proliferation and neovascularization.


Asunto(s)
Antioxidantes/farmacología , Folículo Ovárico/efectos de los fármacos , Folículo Ovárico/trasplante , Ácido Tióctico/farmacología , Trasplante Heterólogo/métodos , Vitrificación/efectos de los fármacos , Animales , Femenino , Ratones , Ratones Endogámicos BALB C , Ratones Desnudos , Folículo Ovárico/fisiología , Ovario/efectos de los fármacos , Ovario/fisiología , Ovario/trasplante , Ovinos
3.
Gynecol Endocrinol ; 34(12): 1005-1010, 2018 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-30129788

RESUMEN

In order to promote the standard application of ovarian tissue cryopreservation in China, and to provide effective scientific medical services of fertility preservation for patients, the First Chinese Guideline of Ovarian Tissue Cryopreservation and Transplantation is established according to the agreements between gynecologists, embryologists, oncologists, pediatricians, breast oncologists, hematologists, and experts on Traditional Chinese Medicine (TCM), based on already successful treated cases within Beijing Obstetrics and Gynecology Hospital, Capital Medical University, China, and based on already existing international guidelines on fertility preservation including important publications in this field. The guideline includes selection criteria, evaluation, and indications; SOPs of ovarian tissue removal, transportation, preparation, freezing, and thawing; approaches of ovarian tissue transplantation and follow-up; practical recommendations for ovarian tissue cryopreservation and transplantation including recommendations of the diseases where this method could be available, and treatment of menopausal symptoms during the peri-transplantation period (time between cryopreservation and retransplantation). The aim of this guideline was to be scientific, practical, and operable.


Asunto(s)
Criopreservación , Preservación de la Fertilidad/métodos , Ovario/trasplante , Femenino , Humanos
4.
Reprod Biomed Online ; 33(3): 425-32, 2016 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-27210771

RESUMEN

In women, chemotherapy and radiotherapy can be harmful to the ovaries, causing loss of endocrine and reproductive functions. When gonadotoxic treatment cannot be delayed, ovarian tissue cryobanking is the only way of preserving fertility. This technique, however, is not advisable for patients with certain types of cancer, because of the risk of reintroducing malignant cells present in the cryopreserved tissue. Our objective is therefore to develop a transplantable artificial ovary. To this end, cryopreserved human preantral follicles were isolated and embedded in fibrin formulations prepared with 50 mg/ml fibrinogen and 10 IU/ml thrombin supplemented or not with 3% hyaluronic acid, and respectively xenografted to specially created right and left peritoneal pockets in eight nude mice. On days 0 and 7, the animals were killed and the matrices retrieved. On day 7, no difference was observed in the recovery rate of follicles embedded in fibrin alone (23.4%) or fibrin-hyaluronic acid (20.5%). Ki67 staining confirmed growth of the grafted follicles and terminal deoxynucleotidyl transferase)-mediated dUDP nick-end labelling assay revealed 100% of the follicles to be viable in both groups on day 7. In conclusion, fibrin seems to be a promising material for creation of an artificial ovary, supporting follicle survival and development.


Asunto(s)
Órganos Artificiales , Criopreservación , Fibrina/química , Ovario/fisiología , Animales , Supervivencia Celular , Femenino , Preservación de la Fertilidad , Humanos , Etiquetado Corte-Fin in Situ , Ratones , Ratones Desnudos , Folículo Ovárico/crecimiento & desarrollo , Folículo Ovárico/fisiología , Ovario/trasplante , Trasplante Heterólogo
5.
Acta Cir Bras ; 29 Suppl 3: 22-7, 2014.
Artículo en Inglés | MEDLINE | ID: mdl-25351152

RESUMEN

PURPOSE: To evaluate morphological and functional aspects of the ovarian graft in transplanted rats treated with NAC. METHODS: Female Wistar rats, virgin, 3 to 4 months old, weighing 200-250 grams were used in experiments. The rats have been kept in proper sanitary conditions, receiving food and water ad libitum. Five groups (n=10, each) were constituted: 4 groups treated subcutaneously with NAC, at doses of 150, 300, 600 and 1200 mg/kg (NAC150, NAC300, NAC600 and NAC1200, respectively), one hour of before the ovarian transplantation and control group (GTx) - treated with physiological solution and submitted to ovarian transplantation. The rats were anesthetized and submitted to autologous left ovarian transplantation, without anastomosis in retroperitoneum, and contralateral oophorectomy. During follow-up of 4 or 15 days, the estrous cycle was evaluated by vaginal smears to determine cycle regularity. At the end of 4th or 15th days, rats were re-anesthetized and blood and graft were obtained to estradiol analysis and morphological assessment. Data were analysed by One Way Analysis of Variance (ANOVA) or ANOVA on ranks complemented by Student-Newman-Keuls test. RESULTS: At 4th day, viable follicles in the graft did not altered by NAC treatments. The NAC300 and NAC600 groups showed increasing in follicle atresia (p=0.012) compared to GTx and NAC1200 group. At 15th day, 50% of GTx, NAC150, and NAC300 rats showed regular oestrous cycle; 83% of NAC600 and 100% of NAC1200 rats returned to regular cycle. NAC1200 group showed increasing in primordial follicle compared to GTx, NAC150 or NAC300 (p=0.011). NAC did not interfere in estradiol levels after 4 or 15 days of transplantation. CONCLUSION: In autologous ovarian transplantation, high dose of NAC promotes graft viability with recovery of estrous cycle.


Asunto(s)
Acetilcisteína/farmacología , Ovario/trasplante , Trasplantes/efectos de los fármacos , Acetilcisteína/administración & dosificación , Animales , Estradiol/sangre , Ciclo Estral/efectos de los fármacos , Femenino , Modelos Animales , Folículo Ovárico/efectos de los fármacos , Ovario/anatomía & histología , Ovario/efectos de los fármacos , Distribución Aleatoria , Ratas Wistar , Factores de Tiempo , Trasplantes/fisiología
6.
Eur J Obstet Gynecol Reprod Biol ; 178: 16-20, 2014 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-24948049

RESUMEN

OBJECTIVE: To investigate the effects of necrostatin-1 (Nec-1) supplementation on vitrification, warming and transplantation of ovarian tissue. STUDY DESIGN: Ovaries from 4-week-old ICR mice were vitrified using a two-step procedure; ovaries were suspended in equilibration solution for 10min, and then mixed with vitrification solution for 5min. Ovaries were divided at random into three groups and 0 (control), 25 or 100µM Nec-1 was added to the vitrification solution. After warming, follicular morphology and apoptosis were assessed. For each group, a sample of vitrified, warmed ovaries was autotransplanted. The same dose of Nec-1 that was added to the vitrification solution was added to each warming solution and injected intraperitoneally. Follicular morphology and apoptosis of transplanted ovaries were assessed after 2 weeks. RESULTS: After vitrification and warming, morphological analysis revealed that the intact follicle ratio was significantly higher in the Nec-1-treated groups compared with the control group (control, 45.1%; 25µM Nec-1, 51.7%; 100µM Nec-1, 57.9%). The rate of apoptosis was lower in the Nec-1 treated groups compared with the control group (control, 11.2%; 25µM Nec-1, 8.5%; 100µM Nec-1, 7.2%). After transplantation of the vitrified, warmed ovaries, morphological analysis revealed that the intact follicle ratio was significantly higher in the Nec-1 treated groups compared with the control group (control, 43.1%; 25µM Nec-1, 60.6%; 100µM Nec-1, 70.7%). The rate of apoptosis was lower in the Nec-1 treated groups compared with the control group (control, 5.3%; 25µM Nec-1, 2.5%; 100µM Nec-1, 2.0%). CONCLUSIONS: Nec-1 supplementation during vitrification, warming and transplantation has beneficial effects on the survival of ovarian tissue. These results can help to improve ovarian tissue vitrification and transplantation protocols for fertility preservation.


Asunto(s)
Criopreservación/métodos , Imidazoles/farmacología , Indoles/farmacología , Folículo Ovárico/efectos de los fármacos , Ovario/efectos de los fármacos , Ovario/trasplante , Animales , Apoptosis/efectos de los fármacos , Femenino , Preservación de la Fertilidad , Etiquetado Corte-Fin in Situ , Ratones Endogámicos ICR , Vitrificación
7.
Hum Reprod ; 29(1): 146-54, 2014 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-24256992

RESUMEN

STUDY QUESTION: What are the effects of exposure of ovarian tissue to dehydroepiandrosterone (DHEA) supplementation in vivo? SUMMARY ANSWER: DHEA exposure stimulates initiation of primordial follicles and development of gonadotrophin-responsive preantral/early antral follicles possibly mediated through promoting granulosa cell proliferation and enhancing anti-Mullerian hormone (AMH) expression. WHAT IS KNOWN ALREADY?: Ovarian ageing is a cause of subfertility and is associated with poor outcomes of IVF treatment and premature menopause. A few clinical studies have shown that DHEA can improve ovarian response and increase the chances of pregnancy after IVF treatment in women with a diminished ovarian reserve (DOR) suggesting DHEA may help to overcome the effect of ovarian ageing. However, there are no data about how DHEA acts on ovarian folliculogenesis. STUDY DESIGN, SIZE AND DURATION: A cortical autograft experimental model was conducted in six female sheep aged at least 24 months. The period of DHEA treatment in the animals lasted for 10 weeks. PARTICIPANTS/MATERIALS, SETTING, METHODS: All the animals were subjected to unilateral oophorectomy. Half of the ovary was fixed for histological analysis as a time-zero control. The remaining tissue was used to isolate patches of ovarian cortex which were autografted back onto the ovarian pedicle. The grafting procedure eradicated all growing follicles and synchronized early follicular development. After a 10-week treatment period with DHEA implants, the ewes were sacrificed and the graft and remaining ovary were harvested. Histological and immunohistochemistry (IHC) findings, accompanied with serum hormonal profiles were compared to determine the effect on the follicle population. MAIN RESULTS AND THE ROLE OF CHANCE: Higher proportions of the follicle population in the remaining ovary were observed to be in the antral stage after DHEA treatment. The observation coincided with an increase in the rate of primordial follicle initiation and preantral follicle development in cortical grafts and the remaining ovarian tissue, respectively. The IHC results indicated that DHEA increased the expression of both the proliferation marker (KI-67) in granulosa cells and the follicular AMH expression at the preantral and early antral follicle stages. LIMITATIONS, REASONS FOR CAUTION: The experimental design compared follicle populations before and after DHEA treatment within individual animals to allow changes over time to be detected against a background of high inter-animal variation. However, since no controls without DHEA were included, we cannot say what would have happened over time in its absence, and it is possible that other factors may have resulted in the changes in follicle development observed during the experiment. WIDER IMPLICATIONS OF THE FINDING: Our data supports the idea that DHEA might be a useful therapy to delay the effects of ovarian ageing. Therefore, it may have a role as an adjunct during IVF to improve ovarian response in women with DOR and as a treatment for premature ovarian insufficiency. STUDY FUNDING/COMPETING INTEREST(S): The research received finance support from the University of Nottingham. The authors declare no conflict of interest in this study.


Asunto(s)
Deshidroepiandrosterona/farmacología , Folículo Ovárico/efectos de los fármacos , Animales , Hormona Antimülleriana/biosíntesis , Autoinjertos , Deshidroepiandrosterona/administración & dosificación , Implantes de Medicamentos , Femenino , Folículo Ovárico/citología , Folículo Ovárico/fisiología , Ovario/efectos de los fármacos , Ovario/trasplante , Embarazo , Oveja Doméstica
8.
Biol Reprod ; 90(2): 24, 2014 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-24337314

RESUMEN

Female ESR2-null mice (betaERKO) display defects in ovarian function and are subfertile. Follicular maturation is impaired and explains smaller litters, but betaERKO also produce fewer litters, which may be partially due to inadequate ovulatory signals. To test this, the amplitude and timing of the naturally occurring luteinizing hormone (LH) surge was measured in individual intact betaERKO and wild-type (WT) mice. Vaginal cytology was evaluated daily, and blood samples were taken from mice in proestrus. The amplitude of the LH surge was severely blunted in betaERKO mice compared to WT, but pituitary LH levels revealed no differences. The betaERKO mice did not produce a preovulatory estradiol surge. To determine if the smaller LH surges and the reduced number of litters in betaERKO were due to the lack of ESR2 in the hypothalamic-pituitary axis or due to the absence of ESR2 in the ovary, ovaries were transplanted from WT into betaERKO mice and vice versa. The size of the LH surge was reduced only in mice lacking ESR2 within the ovary, and these mice had fewer litters. Fertility and size of the LH surge were rescued in betaERKO mice receiving a WT ovary. These data provide the first experimental evidence that the LH surge is impaired in betaERKO females and may contribute to their reduced fertility. ESR2 is not necessary within the pituitary and hypothalamus for the generation of a normal LH surge and for normal fertility, but ESR2 is essential within the ovary to provide proper signals.


Asunto(s)
Receptor beta de Estrógeno/genética , Hormona Luteinizante/sangre , Ovario/metabolismo , Animales , Regulación hacia Abajo , Receptor beta de Estrógeno/metabolismo , Ciclo Estral/sangre , Ciclo Estral/genética , Femenino , Hipotálamo/metabolismo , Infertilidad Femenina/sangre , Infertilidad Femenina/genética , Hormona Luteinizante/metabolismo , Masculino , Ratones , Ratones Endogámicos C57BL , Ratones Noqueados , Ovario/trasplante , Hipófisis/metabolismo
9.
Acta cir. bras ; 29(supl.3): 22-27, 2014. tab, graf
Artículo en Inglés | LILACS | ID: lil-726248

RESUMEN

PURPOSE: To evaluate morphological and functional aspects of the ovarian graft in transplanted rats treated with NAC. METHODS: Female Wistar rats, virgin, 3 to 4 months old, weighing 200-250 grams were used in experiments. The rats have been kept in proper sanitary conditions, receiving food and water ad libitum. Five groups (n=10, each) were constituted: 4 groups treated subcutaneously with NAC, at doses of 150, 300, 600 and 1200 mg/kg (NAC150, NAC300, NAC600 and NAC1200, respectively), one hour of before the ovarian transplantation and control group (GTx) - treated with physiological solution and submitted to ovarian transplantation. The rats were anesthetized and submitted to autologous left ovarian transplantation, without anastomosis in retroperitoneum, and contralateral oophorectomy. During follow-up of 4 or 15 days, the estrous cycle was evaluated by vaginal smears to determine cycle regularity. At the end of 4th or 15th days, rats were re-anesthetized and blood and graft were obtained to estradiol analysis and morphological assessment. Data were analysed by One Way Analysis of Variance (ANOVA) or ANOVA on ranks complemented by Student-Newman-Keuls test. RESULTS: At 4th day, viable follicles in the graft did not altered by NAC treatments. The NAC300 and NAC600 groups showed increasing in follicle atresia (p=0.012) compared to GTx and NAC1200 group. At 15th day, 50% of GTx, NAC150, and NAC300 rats showed regular oestrous cycle; 83% of NAC600 and 100% of NAC1200 rats returned to regular cycle. NAC1200 group showed increasing in primordial follicle compared to GTx, NAC150 or NAC300 (p=0.011). NAC did not interfere in estradiol levels after 4 or 15 days of transplantation. CONCLUSION: In autologous ovarian transplantation, high dose of NAC promotes graft viability with recovery of estrous cycle. .


Asunto(s)
Animales , Femenino , Acetilcisteína/farmacología , Ovario/trasplante , Trasplantes/efectos de los fármacos , Acetilcisteína/administración & dosificación , Estradiol/sangre , Ciclo Estral/efectos de los fármacos , Modelos Animales , Folículo Ovárico/efectos de los fármacos , Ovario/anatomía & histología , Ovario/efectos de los fármacos , Distribución Aleatoria , Ratas Wistar , Factores de Tiempo , Trasplantes/fisiología
10.
J Reprod Dev ; 58(2): 260-3, 2012.
Artículo en Inglés | MEDLINE | ID: mdl-22156380

RESUMEN

A large proportion of follicles are lost during the initial ischemia that occurs after transplantation of ovarian tissues. Thus, the effect of hyperbaric oxygen therapy (HBO) on the follicular loss of ovarian tissues after transplantation was examined in mice. Ovarian slices from ICR mice were transplanted under the kidney capsule in ovariectomized ICR. Hyperbaric oxygen with 100% oxygen was initiated for 30 min at 2.5 atmospheres absolute immediately after transplantation, and this treatment was repeated at 48-h intervals for 2 weeks. The number of follicles was dramatically reduced at 2 weeks post transplantation. However, HBO was significantly effective in enhancing the survival of transplanted ovarian follicles. The survival rates of primordial and primary follicles in ovarian tissues of mice with HBO were significantly higher than those without HBO. These results indicate HBO can be effectively used for the enhancement of survival of transplanted ovarian tissues.


Asunto(s)
Supervivencia de Injerto , Oxigenoterapia Hiperbárica , Isquemia/prevención & control , Folículo Ovárico/patología , Ovario/trasplante , Daño por Reperfusión/prevención & control , Animales , Femenino , Infertilidad Femenina/terapia , Isquemia/etiología , Riñón , Ratones , Ratones Endogámicos ICR , Folículo Ovárico/metabolismo , Ovariectomía , Daño por Reperfusión/etiología , Organismos Libres de Patógenos Específicos , Trasplante Heterotópico/efectos adversos
11.
Reprod Toxicol ; 32(4): 472-83, 2011 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-21963885

RESUMEN

We assessed neonatal diethylstilbestrol (DES)-induced disruption at various endocrine levels in the hamster. In particular, we used organ transplantation into the hamster cheek pouch to determine whether abnormalities observed in the post-pubertal ovary are due to: (a) a direct (early) mechanism or (b) an indirect (late) mechanism that involves altered development and function of the hypothalamus and/or pituitary. Of the various disruption endpoints and attributes assessed: (1) some were consistent with the direct mechanism (altered uterine and cervical dimensions/organization, ovarian polyovular follicles, vaginal hypospadius, endometrial hyperplasia/dysplasia); (2) some were consistent with the indirect mechanism (ovarian/oviductal salpingitis, cystic ovarian follicles); (3) some were consistent with a combination of the direct and indirect mechanisms (altered endocrine status); and (4) the mechanism(s) for one (lack of corpora lutea) was uncertain. This study also generated some surprising observations regarding vaginal estrous assessments as a means to monitor periodicity of ovarian function in the hamster.


Asunto(s)
Animales Recién Nacidos , Dietilestilbestrol/toxicidad , Estrógenos no Esteroides/toxicidad , Genitales Femeninos/efectos de los fármacos , Animales , Cuello del Útero/anatomía & histología , Cricetinae , Ciclo Estral , Trompas Uterinas/anatomía & histología , Trompas Uterinas/efectos de los fármacos , Trompas Uterinas/fisiología , Femenino , Genitales Femeninos/anatomía & histología , Genitales Femeninos/fisiología , Hormonas/sangre , Hipotálamo/fisiología , Mesocricetus , Ovariectomía , Ovario/anatomía & histología , Ovario/fisiología , Ovario/trasplante , Hipófisis/fisiología , Embarazo , Maduración Sexual , Útero/anatomía & histología , Vagina/fisiología
12.
Fertil Steril ; 84(5): 1509, 2005 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-16275256

RESUMEN

OBJECTIVE: To discuss the 18-month follow-up results of fresh ovarian cortical tissue transplant. DESIGN: Case study. SETTING: Academic medical center. PATIENT(S): A 46-year-old patient who was operated on for uterine fibroids, and who then received an ovarian tissue transplant in July 2003. INTERVENTION(S): Serum hormone levels were measured at 3-month intervals. MAIN OUTCOME MEASURE(S): Follicular development evident by ultrasound examination; serum hormone levels (FSH, LH, E2). RESULT(S): Preoperative and 3rd-, 6th-, 9th-, 12th-, 15th-, and 18th-month hormone levels were, respectively, as follows: FSH: 9.06, 79.5, 13.7, 16.66, 51.91, 44.37, and 24.17 mIU/mL; LH: 5.91, 33.92, 8.78, 21.83, 38.31, 40.85, and 22.4 mIU/mL; E2: 166, 46, 48, 117, 31, 14.4, and 137.7 pg/mL. Folliculogenesis was confirmed by ultrasonography at the 6th, 9th, and 18th months during the follow-up period. CONCLUSION(S): Fresh ovarian autotransplantation may be a logical alternative for hormonal support for a specific patient group.


Asunto(s)
Climaterio/efectos de los fármacos , Terapia de Reemplazo de Estrógeno , Ovario/trasplante , Climaterio/fisiología , Terapia de Reemplazo de Estrógeno/métodos , Femenino , Humanos , Leiomioma/cirugía , Leiomioma/terapia , Persona de Mediana Edad , Trasplante de Tejidos/métodos
13.
Fertil Steril ; 83 Suppl 1: 1248-54, 2005 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-15831299

RESUMEN

OBJECTIVE: To assess whether coculture of monkey ovarian tissue after low-temperature storage enhances follicular viability. To assess a novel method of vitrifying ovarian tissue. DESIGN: Prospective in vitro study. SETTING: University-affiliated national research center. ANIMAL(S): Ovaries from 15 cynomolgus or rhesus macaques (1-11 years). INTERVENTION(S): Vitrification using a containerless liquid nitrogen emersion system that involves dropping thin cortical pieces suspended in cyroprotectant directly into liquid nitrogen with outcome compared with slow-rate-controlled freezing. Before analysis, some of the thawed tissue was cocultured on mitotically inactivated mouse fetal fibroblast monolayers supplemented with FSH, insulin, transferrin, and selenium. MAIN OUTCOME MEASURE(S): Percentage of oocytes viable using live-dead fluorescent staining with carboxyfluorescein diacetate succinimidyl ester and propidium iodide. RESULT(S): Postthaw survival rates were 70.4% +/- 4.8% of 1,705 follicles after vitrification and 67.3% +/- 1.9% of 1,895 follicles after slow-rate freeze in six trials with each method. Coculture of the thawed tissue increased the viability, respectively, to 89% +/- 2.1% of 2,833 follicles previously vitrified and to 90.3% +/- 1.9% of 2,109 follicles after a slow-rate freeze (P<.01). Primordial follicles (30- to 50-microm diameter) were the vast majority of surviving follicles after thaw and coculture. Follicular viability in control fresh tissue (eight trials) was 76.0% +/- 4.1%, suggesting negligible loss in follicular viability after cryopreservation. CONCLUSION(S): Coculture of thawed ovarian tissue on mouse fetal fibroblasts and FSH increases the percentage of viable follicles. A novel method of vitrifying ovarian tissue is as effective as slow-rate freezing. These approaches may improve graft survival and function when used to treat chemotherapy-induced sterility.


Asunto(s)
Criopreservación/métodos , Ovario/citología , Animales , Supervivencia Celular , Técnicas de Cocultivo , Femenino , Fibroblastos/citología , Macaca fascicularis , Macaca mulatta , Ratones , Ovario/trasplante
14.
Brain Res ; 890(1): 154-61, 2001 Jan 26.
Artículo en Inglés | MEDLINE | ID: mdl-11164778

RESUMEN

We clarify the mechanism of sexual dimorphism of growth hormone releasing hormone (GHRH) neurons in the arcuate nucleus (ARC) and somatostatin (SS) neurons in periventricular nucleus (PeN), by studying the role of the gonads during the neonatal period and after puberty using immunohistochemical and morphometric methods. As in our previous works the numbers of ARC GHRH-ir and PeN SS-ir neurons were significantly greater in adult normal male (NM) mice than in adult normal female (NF) mice. Adult female mice that were ovariectomized neonatally (NOF) increased the expression of GHRH-ir neurons to the male pattern, but adult female mice ovariectomized after puberty (APO) did not change. Adult male mice castrated neonatally and after puberty (NCM and APC, respectively) were not significantly different from NM mice. However, NCT male mice, which were castrated neonatally and transplanted with ovary just before puberty, showed a significantly reduced number of GHRH-ir neurons compared with NCM mice, but no significant difference from NM and NF mice. On the other hand, the PeN SS-ir neuron expression in NCM mice and APC mice showed a significant reduction compared with NM mice, but no significant difference from NF mice. The number of PeN SS-ir neurons in NOF increased to match that of NM mice. Our results suggest that the presence of the ovary during postnatal life inhibits the development of ARC GHRH-ir neurons. The presence of the testis during postnatal life may stimulate the development of PeN SS-ir neurons, while the presence of the ovary during neonatal period may inhibit the development of PeN SS-ir neurons; the presence of ovary after puberty does not inhibit.


Asunto(s)
Hormona Liberadora de Hormona del Crecimiento/análisis , Hipotálamo/citología , Hipotálamo/crecimiento & desarrollo , Neuronas/química , Caracteres Sexuales , Somatostatina/análisis , Animales , Recuento de Células , Femenino , Inmunohistoquímica , Masculino , Ratones , Ratones Endogámicos ICR , Neuronas/citología , Orquiectomía , Ovariectomía , Ovario/fisiología , Ovario/trasplante , Testículo/fisiología
15.
Biol Reprod ; 61(1): 283-7, 1999 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-10377060

RESUMEN

Animals with extreme body growth frequently experience poor reproductive performance, but the cause for this association has not been clearly established. A line of mice homozygous for the high growth (hg) mutation, a mutation that has a major effect on post-weaning growth, exhibits several reproductive deficits including an abnormally high incidence of luteal failure. The objective of the present study was to investigate luteal failure in high-growth (HG) mice during pregnancy and to determine whether the cause of the apparent luteal failure resides in the ovary or the hypothalamic-pituitary unit. In HG females with a demonstrated history of infertility, progesterone injections (1 mg s.c. daily) beginning on Day 1 postcoitum (p.c.) increased the proportion of animals pregnant at Day 17 of gestation. Twice-daily injections of 100 microgram of ovine prolactin (PRL) in alkaline saline given to another group of females beginning on Day 1 p.c. increased the proportion of HG females that were pregnant on Day 6 of gestation compared with saline-injected HG females, although PRL did not increase the pregnancy rate in HG females when compared with a group of noninjected control females. When ovaries from HG females were transplanted into ovariectomized congenic C57 hosts, the C57 graft hosts displayed normal estrous cycles, and upon mating the majority of graft hosts became pregnant. In contrast, when ovaries from C57 females were transplanted into ovariectomized HG hosts, the HG graft hosts displayed normal estrous cycles, but upon mating most were unable to maintain pregnancy. These results suggest that the hypothalamic-pituitary unit of the HG female provides an inadequate signal to the ovaries to maintain pregnancy. Luteal failure in HG females may be due to insufficient PRL as required for establishment and early maintenance of the CL during pregnancy in mice.


Asunto(s)
Cuerpo Lúteo/fisiopatología , Trastornos del Crecimiento/genética , Hipotálamo/fisiopatología , Infertilidad Femenina/genética , Mutación , Hipófisis/fisiopatología , Animales , Decorina , Proteínas de la Matriz Extracelular , Femenino , Eliminación de Gen , Trastornos del Crecimiento/fisiopatología , Infertilidad Femenina/fisiopatología , Factor I del Crecimiento Similar a la Insulina/genética , Ratones , Ratones Mutantes , Ovario/trasplante , Embarazo , Progesterona/farmacología , Prolactina/farmacología , Proteoglicanos/genética
16.
J Reprod Fertil ; 114(2): 341-6, 1998 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-10070363

RESUMEN

Ovarian cortical tissue cryopreservation with subsequent autografting is a potential strategy for the preservation of fertility in patients undergoing systemic chemotherapy and pelvic radiotherapy. Non-vascular implants are first subjected to a period of ischaemia before revascularization and are, therefore, vulnerable to ischaemia-reperfusion injury from reactive oxygen species. Ischaemia-reperfusion injury was investigated during the first week after surgery in murine ovarian grafts and human ovarian xenografts in mice with severe combined immune deficiency (SCID) by measuring total lipid peroxides and malondialdehyde concentrations with a colorometric assay. The effects of administering an antioxidant, vitamin E, on these concentrations were also tested. Products of lipid peroxidation were higher in non-supplemented murine autografts compared with control ovaries (P < 0.05), and were significantly reduced on day 3 by vitamin E administration (P < 0.05). Similarly, in human xenografts, there was a significant reduction in lipid peroxidation with vitamin E administration. These results correspond to a significantly greater total follicle survival in the murine grafts of the supplemented group (45 versus 72%; P < 0.05). They suggest that antioxidant treatment improves the survival of follicles in ovarian grafts by reducing ischaemia-reperfusion injury.


Asunto(s)
Antioxidantes/uso terapéutico , Ovario/irrigación sanguínea , Ovario/trasplante , Daño por Reperfusión/prevención & control , Vitamina E/uso terapéutico , Adulto , Animales , Femenino , Supervivencia de Injerto , Humanos , Peróxidos Lipídicos/análisis , Malondialdehído/análisis , Ratones , Ratones Endogámicos BALB C , Ratones SCID , Ovario/anatomía & histología , Distribución Aleatoria , Trasplante Heterólogo
17.
Brain Res Bull ; 20(6): 709-12, 1988 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-3136863

RESUMEN

The effect of a transitory increase in plasma FSH and LH levels during the prepubertal period on puberty has been investigated. Twenty-day-old rats had been bilaterally ovariectomized and 24 hr later they received two ovaries of infantile rats beneath the kidney capsule. These rats exhibited precocious puberty. Animals into which two additional ovaries had been transplanted first and the next day their own ovaries removed showed puberty at the same time as controls. Additional investigations provided evidence that the ovariectomized and ovary implanted rats plasma FSH and LH levels were in the control range four days after implantation. The findings support the assumption that the hypothalamic lesion-induced precocious puberty is due rather to a transitory enhanced release of gonadotropin releasing hormone by the lesion than to the destruction of sex-steroid sensitive structures inhibiting the release of gonadotropic hormones in prepubertal rats.


Asunto(s)
Hipotálamo/crecimiento & desarrollo , Ovario/trasplante , Maduración Sexual , Animales , Femenino , Hormona Folículo Estimulante/sangre , Hipotálamo/metabolismo , Hipotálamo/fisiología , Hormona Luteinizante/sangre , Ovariectomía , Ovario/fisiología , Ratas
18.
Biol Reprod ; 37(4): 779-85, 1987 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-3480007

RESUMEN

To study age-related changes in uterine responsiveness to deciduogenic stimuli, virgin female rats of the T strain were ovariectomized at 4, 8, 10, or 12 mo of age and given daily s.c. injections of 3 mg progesterone for 7 days, commencing on the day after operation, and a single s.c. injection of 0.1 microgram estradiol-17 beta on the third day of the period. Endometrial stimulation was effected by either endometrial traumatization or intraluminal instillation of sesame oil or prostaglandin E2 (PGE2), applied 16 h after the injection of estradiol. Decidual response began to decrease at 8 mo of age and completely disappeared between 8 and 12 mo, regardless of the type of induction stimulus. At 8 mo of age, females formed deciduomata in response to instillation of oil or PGE2, only when they had been cycling regularly at the time of ovariectomy. In 10-mo-old rats, instillation of oil or PGE2 invariably failed to elicit a positive response, regardless of the pattern of estrous cycles at surgery. However, if an ovary was transplanted s.c. 5 or 7 mo after ovariectomy at 4 mo of age, the uteri responded positively to oil instillation at 10 and 12 mo of age, after the ovarian grafts had been removed and steroid treatments had been administered. Moreover, a 2-mo interval between ovariectomy at 8 mo of age and the commencement of the standard treatment schedule restored or maintained the uterus's ability to form deciduomata by 10 mo of age.(ABSTRACT TRUNCATED AT 250 WORDS)


Asunto(s)
Envejecimiento , Endometrio/fisiología , Animales , División Celular/efectos de los fármacos , Dinoprostona , Endometrio/efectos de los fármacos , Endometrio/lesiones , Estradiol/farmacología , Estro , Femenino , Ovariectomía , Ovario/fisiología , Ovario/trasplante , Prostaglandinas E/farmacología , Ratas , Aceite de Sésamo/farmacología
19.
Wien Med Wochenschr Suppl ; 91: 1-15, 1985.
Artículo en Alemán | MEDLINE | ID: mdl-3895756

RESUMEN

One has to distinguish masculine sex behavior and estrogens alone or in combination with gestagens evoke feminine sex behavior. The central integrator for the induction of sex behavior is located in diencephalic nuclei. If sex hormones are lacking, the sex drive is fading off, except in women. Sex hormones are also responsible for the determination of those neutral centres controlling male or female sex behavior later in life in most species. Based on animal datas and on retrospective inquiries of homosexuals or mothers of homosexuals, a hypothesis for the etiology of homo-, bi- and hyposexuality has been developed by Dorner. Absence or deficiency of androgens in the critical phase of "brain differentiation" leads to male homo-, bi- or hyposexuality, respectively. If androgens become active in the critical phase of female differentiation, then the result will be female homo-, bi- or hyposexuality, respectively. This hypothesis will be critical evaluated.


Asunto(s)
Hormonas Esteroides Gonadales/fisiología , Conducta Sexual/fisiología , Adolescente , Adulto , Anciano , Síndrome de Resistencia Androgénica/fisiopatología , Andrógenos/deficiencia , Andrógenos/fisiología , Animales , Niño , Ciproterona/farmacología , Trastornos del Desarrollo Sexual , Femenino , Homosexualidad , Humanos , Hipotálamo/fisiología , Hormona Luteinizante/metabolismo , Masculino , Persona de Mediana Edad , Ovario/trasplante , Hipófisis/metabolismo , Receptores Androgénicos/deficiencia , Análisis para Determinación del Sexo , Testículo/trasplante
20.
Endocr Rev ; 5(4): 467-97, 1984.
Artículo en Inglés | MEDLINE | ID: mdl-6389107

RESUMEN

Some Mammalian aging processes involve effects of steroids on the brain and pituitary. An ovary-dependent, neuroendocrine aging syndrome of laboratory rats and mice is described in this article. This syndrome can be attenuated during aging by chronic ovariectomy and can be prematurely induced in young rodents by sustained exposure to estradiol (E2). The limited follicular stock in the ovary is proposed to be a major pacemaker of aging in this neuroendocrine syndrome; ovarian aging may interact with neuroendocrine aging. Ovary-independent neuroendocrine changes occur as well. We also discuss developmental influences on adult aging in rodents and other examples in which adult lower mammals are sensitive to long lasting effects of steroids on the brain and pituitary. Possible molecular mechanisms are considered. In view of the long lasting effects of E2 and other steroids on lower mammals, the potential for long term effects of ovarian steroids on the human brain and pituitary warrants continued evaluation.


Asunto(s)
Envejecimiento , Estradiol/fisiología , Fertilidad , Roedores/fisiología , Animales , Encéfalo/fisiología , Castración , Catecolaminas/metabolismo , Estrógenos/efectos adversos , Estro , Femenino , Humanos , Hipotálamo/anatomía & histología , Infertilidad Femenina/inducido químicamente , Hormona Luteinizante/sangre , Ratones , Ratones Endogámicos C57BL , Ovario/fisiología , Ovario/trasplante , Fenotipo , Hipófisis/fisiología , Neoplasias Hipofisarias/fisiopatología , Embarazo , Efectos Tardíos de la Exposición Prenatal , Receptores de Estradiol/metabolismo , Reproducción , Vagina/patología
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