Abstract

Background and Aim:Endometriosis affects the ovaries and causes a decrease in the oocyte quality during endometrial receptivity. During the development of ovarian follicles, paracrine communication occurs between granulosa cells and oocytes. This study was conducted to determine the effects of bone marrow mesenchymal stem cell transplantation on tumor necrosis factor-alpha (TNF-α) receptor 1 (TNFR1) expression, granulosa cell apoptosis, and folliculogenesis in endometriosis mouse models.Materials and Methods:This study involved 42 female mice, which were divided into three groups: Healthy mice (T0), endometriosis mice without transplantation (T1), and endometriosis mice with bone marrow mesenchymal stem cell transplantation (T2). The mice were injected intraperitoneally with endometrial fragments (200 μL) to become endometriosis models. On day 15, the endometriosis models received mesenchymal stem cells. Sample collection was performed on day 29. Granulosa cell apoptosis and TNFR1 expression were examined using immunohistochemical staining, and folliculogenesis was assessed using hematoxylin and eosin staining of ovary samples. The data obtained from both examinations were statistically analyzed using Statistical Package for the Social Sciences.Results:The results showed that TNFR1 expression is significantly decreased in T2 (p<0.004). The apoptosis of granulosa cells was lower in T2 (p<0.000). The primary, secondary, and graafian follicle counts in T2 were significantly increased.Conclusion:Bone marrow mesenchymal stem cell transplantation in endometriosis mouse models can reduce TNFR1 expression and granulosa cell apoptosis and improve folliculogenesis.

Highlights

  • Endometriosis is a gynecological disease that is commonly found in women of the reproductive age

  • The apoptosis of granulosa cells was lower in T2 (p

  • This study consisted of three stages: Stem cell preparation, endometriosis model production, and proving the effects of mesenchymal stem cell transplantation on TNF-α receptor 1 (TNFR1) expression, granulosa cell apoptosis, and folliculogenesis repair

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Summary

Introduction

Endometriosis is a gynecological disease that is commonly found in women of the reproductive age. The success rate of pregnancy in women with endometriosis who underwent in vitro fertilization (IVF) was 54% compared with infertile women due to tubal abnormalities [1]. Compared with other causes of infertility (e.g. tubal abnormalities and unexplained infertility), moderate endometriosis results in low pregnancy success and a high incidence of abortion [2]. This study was conducted to determine the effects of bone marrow mesenchymal stem cell transplantation on tumor necrosis factor-alpha (TNF-α) receptor 1 (TNFR1) expression, granulosa cell apoptosis, and folliculogenesis in endometriosis mouse models

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