首页|脂肪间充质干细胞来源的外泌体对卵巢早衰治疗效果的研究

脂肪间充质干细胞来源的外泌体对卵巢早衰治疗效果的研究

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目的 探讨脂肪间充质干细胞提取的外泌体(ADSC-Exo)对化疗引起的卵巢早衰(POF)的作用。方法 制备大鼠脂肪间充质干细胞来源的外泌体,分离大鼠卵巢颗粒细胞(GC),按处理方法不同将GC分为正常对照组(Ctrl)、顺铂组(Cis)、顺铂+外泌体组(Cis+Exo),培养一定时间后通过CCK8实验比较3组GC增殖情况。SD雌性大鼠随机分为正常对照组(Ctrl)、顺铂组(Cis)、顺铂+外泌体组(Cis+Exo),每组6只,Cis组和Cis+Exo组通过腹腔内注射顺铂构建POF大鼠模型,造模成功后,Cis+Exo组用提取的ADSC-Exo进行治疗2周,通过检测卵泡计数、生殖激素[FSH、雌二醇(E2)、抗苗勒管激素(AMH)]水平、细胞凋亡情况评估其疗效。结果 体外细胞实验显示:与Cis组相比,Cis+Exo组加入ADSC-Exo培养1 d后,细胞增殖率升高(P<0。05);培养2~4 d,Cis+Exo组的细胞增殖率显著高于Cis组(P<0。001);与正常对照组相比,Cis+Exo组细胞增殖率仍偏低,且差异有统计学意义(P<0。05)。动物实验表明:与Cis组相比,ADSC-Exo治疗2周后的Cis+Exo组FSH水平显著降低(P<0。001)、E2和AMH水平显著升高(P<0。001),Cis+Exo组原始卵泡显著增加(P<0。05),闭锁卵泡数量显著减少(P<0。05),Cis+Exo组凋亡率显著降低(P<0。001)。结论 ADSC-Exo对化疗导致的卵巢早衰有一定治疗作用。
Treatment of premature ovarian failure with exosomes from adipose-derived stem cells
Objective:To investigate the effects of adipose-derived stem cell-derived exosome(ADSC-Exo)in treating premature ovarian failure(POF).Methods:ADSC-Exo of rat was prepared.Then ovarian granulosa cells(GCs)were separated and divided into the control group(Ctrl),cisplatin group(Cis)and cisplatin+exosome group(Cis+Exo)according to different treatment strategy.After a certain period of cultivation,the proliferation of GC was compared through CCK8 experiment among three groups.SD female rats were randomly divided into the control group(Ctrl),cisplatin group(Cis)and cisplatin+exosome group(Cis+Exo),with 6 rats in each group.A POF rat model was constructed through cisplatin injection in Cis and Cis+Exo groups,then ADSC-Exo was used to treat these rats for two weeks.The treatment effects were evaluated by the number of follicle count,the levels of FSH,estradiol(E2)and anti-Müllerian hormone(AMH)as well as cell apoptosis.Results:In vitro experiments showed that compared with Cis group,the cell proliferation rate of Cis+Exo group increased 1 day after ADSC-Exo treatment(P<0.05)and was significantly higher after 2 to 4 days of treatment(P<0.001).And the cell proliferation rate of Cis+Exo group was still lower than the control group,and the difference was statistically significant(P<0.05).Animal experiments showed that after 2 weeks of ADSC-Exo treatment,the FSH level was significantly lower in Cis+Exo group than that in Cis group(P<0.001),while the E2 and AMH levels(P<0.001)were significantly higher in Cis+Exo group than those in Cis group(P<0.001).Cis+Exo group showed significant increase in the number of primordial follicles(P<0.05),and decrease in the number of atretic follicles(P<0.05).The apoptosis rate of Cis+Exo group was significantly decreased(P<0.001).Conclusions:ADSC-Exo has a certain therapeutic effect on premature ovarian failure caused by chemotherapy.

Adipose-derived stem cellExosomePremature ovarian failure

李宇祺、龚小春、邢彦彦

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复旦大学附属金山医院妇产科,上海 201058

随州市妇幼保健院妇科,随州 441399

脂肪间充质干细胞 外泌体 卵巢早衰

2024

生殖医学杂志
北京协和医院 国家人口计生委科学技术研究所

生殖医学杂志

CSTPCD
影响因子:1.24
ISSN:1004-3845
年,卷(期):2024.33(12)