Abstract

BackgroundIn order to preserve fertility in young women with disseminated cancer, e.g. leukemia, an approach that has been suggested is to retransplant isolated small follicles within an ovarian matrix free from malignant cells and with no risk for contamination. The present study evaluates the first step to create a bioengineered ovarian construct that can act as growth-supporting tissue for isolated small follicles that are dependent on a stroma for normal follicular maturation. The present study used the intact mouse ovary to develop a mouse ovarian scaffold through various protocols of decellularization.Material and methodsPotential Immunogenic DNA and intracellular components were removed from whole mouse ovaries by agitation in a 0.5% sodium dodecyl sulfate solution (Protocol 1; P1), or in a 2% sodium deoxycholate solution (P2) or by a combination of the two (P3). The remaining decelluralized ovarian extracellular matrix structure was then assessed based on the DNA- and protein content, and was further evaluated histologically by haematoxylin and eosin-, Verhoeff’s van gieson- (for elastin), Masson’s trichrome- (for collagens) and Alcian blue (for glycosaminoglycans) staining. We also evaluated the decellularization efficiency using the mild detergent Triton-X100 (1%).ResultsSodium dodecyl sulfate efficiently removed DNA and intracellular components from the ovarian tissue but also significantly reduced the integrity of the remaining ovarian extracellular matrix. Sodium deoxycholate, a considerably milder detergent compared to sodium dodecyl sulfate, preserved the ovarian extracellular matrix better, evident by a more distinct staining for glycosaminoglycan, collagen and elastic fibres. Triton-X100 was found ineffective as a decellularization reagent for mouse ovaries in our settings.ConclusionsThe sodium dodecyl sulfate generated ovarian scaffolds contained minute amounts of DNA that may be an advantage to evade a detrimental immune response following engraftment. The sodium deoxycholate generated ovarian scaffolds had higher donor DNA content, yet, retained the extracellular composition better and may therefore have improved recellularization and other downstream bioengineering applications. These two novel types of mouse ovarian scaffolds serve as promising scaffold-candidates for future ovarian bioengineering experiments.

Highlights

  • Recent advancements in cancer therapy have significantly improved survival rates, but fertility dysfunction after therapy is common due to negative side effects

  • The sodium deoxycholate generated ovarian scaffolds had higher donor DNA content, yet, retained the extracellular composition better and may have improved recellularization and other downstream bioengineering applications. These two novel types of mouse ovarian scaffolds serve as promising scaffold-candidates for future ovarian bioengineering experiments

  • Decellularization efficiency of various detergents on mouse ovaries The initial evaluation of potential efficiency of decellularization detergents revealed that Sodium dodecyl sulfate (SDS) and Sodium deoxycholate (SDC) were effective in removing DNA rapidly from mouse ovaries (Fig. 1)

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Summary

Introduction

Recent advancements in cancer therapy have significantly improved survival rates, but fertility dysfunction after therapy is common due to negative side effects. The ovaries are sensitive to alkylating cytotoxic drugs [3], and chemotherapies have been associated with vascular damage and ovarian cortical fibrosis [4, 5]. These gonadotoxic effects can lead to premature ovarian failure (POF), with accompanying early menopause and infertility. Current fertility preservation methods for cancer patients include embryo/oocyte vitrification, ovarian transposition and ovarian cortex transplantation [8,9,10]. The present study used the intact mouse ovary to develop a mouse ovarian scaffold through various protocols of decellularization

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