Abstract

IntroductionYoung patients receiving chemotherapy occasionally face infertility and premature ovarian failure (POF). Numerous investigations reported that adipose-derived stem cells (ADSCs) transplantation could ameliorate the structure and function of injured tissues. The aim of this study was to explore the therapeutic efficacy of ADSC transplantation for chemotherapy-induced ovarian damage.MethodsFemale mice were injected intraperitoneally with 50 mg/kg cyclophosphamide (CTX). After 15 consecutive days of injection, ADSCs were transplanted either directly into bilateral ovaries or via intravenous injection, and the ovaries were excised after either 1 week or 1 month of treatment. The follicles were counted and categorized, and ovarian histologic sections were stained for TUNEL. Ovarian function was evaluated by monitoring ovulation. ADSC tracking, microarray analyses, and real-time polymerase chain reaction (PCR) were used to assess the inner mechanism of injury and repair.ResultsThe ovarian function of mice exposed to CTX injection improved after ADSC transplantation. The population of follicles at different stages and ovulation significantly increased after the treatment. Immunofluorescence revealed reduced TUNEL staining. The tracking of ADSCs revealed that these cells did not directly differentiate into the follicle component. Microarray analyses indicated that changes in different groups of genes might affect follicle formation or ovulation.ConclusionsADSC transplantation improved ovarian function. Our results suggest a potential mechanism for ADSC therapy.

Highlights

  • Young patients receiving chemotherapy occasionally face infertility and premature ovarian failure (POF)

  • Cultivation and characterization of mouse Adipose-derived stem cells (ADSC) Isolated cells were cultured in tissue-culture dishes

  • This study indicates that both in situ and intravenous transplantation of ADSC rescues the apoptosis of Granulosa cell (GC) in ovary sections

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Summary

Introduction

Young patients receiving chemotherapy occasionally face infertility and premature ovarian failure (POF). The aim of this study was to explore the therapeutic efficacy of ADSC transplantation for chemotherapy-induced ovarian damage. Chemicals that are used to treat cancer are unquestionably beneficial as therapeutic agents. Their side effect on the quality of life of female cancer survivors and their offspring cannot be ignored. Chemicals that destroy primordial oocytes contained in the ovary can lead to premature ovarian failure (POF) or menopause [1]. POF is defined as secondary infertility with persistently elevated gonadotropin levels before the age of 40, with an estimated 1% incidence [2]. No clear definition exists for chemotherapy-induced ovarian failure, which is characterized by irreversible

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