Survival of transplanted ovaries in rats

Ovarian remnant syndrome in a cat with ovarian tissue in the omentum

CASE DESCRIPTION

A 2-year-old spayed female domestic shorthair cat was evaluated for recurring estrous behavior after ovariohysterectomy and 2 subsequent exploratory laparotomies.

CLINICAL FINDINGS

Physical examination revealed no abnormalities. A serum sample tested positive for anti-Müllerian hormone and had a progesterone concentration consistent with the presence of an ovarian remnant. Results of abdominal ultrasonographic examination suggested presence of a slightly hyperechoic mass caudal to the left kidney.

TREATMENT AND OUTCOME

Exploratory laparotomy was performed when the cat was showing estrous behavior. Tissues at the right and left ovarian pedicles and the uterine stump appeared grossly normal but were excised and submitted for histologic examination. Two small nodules associated with the omentum were removed, and histologic examination results for one of these nodules indicated ovarian tissue with secondary and graafian follicles. Clinical signs of estrus resolved after surgery, and hormonal assay results were within ranges expected for an ovariectomized cat.

CLINICAL RELEVANCE

To the authors' knowledge, the present case represented the first clinical report of ovarian remnant syndrome in a cat or dog in which persistent ovarian tissue was not found at the site of an ovarian pedicle. Our findings emphasized the importance of exploring the entire abdominal cavity when evaluating a patient for possible ovarian remnant tissue and confirming the excision of ovarian remnant tissue by histologic assessment.

Meloxicam and buprenorphine treatment after ovarian transplantation does not affect estrous cyclicity and follicular integrity in aged CBA/J mice

Angiogenesis, the formation of new blood vessels, is important for the survival of ovarian transplants and the restoration of ovarian functions. Without angiogenesis, transplanted ovarian tissue becomes more susceptible to tissue damage and necrosis. Administration of analgesics for pain management has been shown to decrease angiogenesis, which can influence transplant success especially in aged animals. Aging and the effects of hypoxia after transplantation decrease reproductive viability of the ovarian transplant; therefore, it is important to understand the additional effects of analgesics on aged animal models. The present study investigated the effects of two analgesics, buprenorphine, an opiate, and meloxicam, a non-steroidal anti-inflammatory drug (NSAID), on the reproductive indicators related to estrous cyclicity and follicular integrity after ovarian transplantation of young ovaries into aged CBA/J mice. These aged females did not show any different reproductive responses when treated with either buprenorphine or meloxicam. No significant differences were observed in estrous cycle length, the onset of estrous cycling, the regularity of estrous cycles, and the proportion of viable follicles and total number of follicles per ovarian sample across treatment groups.

Orthotopic transplantation of neonatal GFP rat ovary as experimental model to study ovarian development and toxicology

The rat is one of the most commonly used experimental animal species in biomedical research. The availability of new research tools in rats could therefore provide considerable advances in the areas where this mammal is extensively used. We report the development of a new green fluorescent protein (GFP) rat strain suitable for organ transplantation and the birth of GFP rats following orthotopic transplantation of neonatal ovaries from this newly developed GFP rat strain to a wild-type Fischer 344 (F344) strain. A new GFP rat strain was developed by backcrossing eGFP Sprague-Dawley (SD-Tg(CAG-EGFP)Cz-004Osb) to wild-type F344 for eight generations. Whole ovaries from postnatal day (PND) 8 or PND 21 GFP rats were transplanted orthotopically to bilaterally ovariectomized wild-type adult females (n=6). All recipients were mated, and three of the five resulting litters contained GFP pups. In the PND 8 group, all recipients cycled regularly and the ovarian morphology appeared normal when collected at 9 months post-transplantation. In the PND 21 group, 60% of the recipients displayed regular estrous cycles at 9 months post-transplantation, but showed reduced ovarian size. This new strain and neonatal orthotopic transplantation could be useful for many biomedical fields including transplantation, development, and reproductive toxicology.

Ovary and uterus transplantation

Ovarian and uterine transplantation are procedures gaining more attention again because of potential applications in respectively fertility preservation for cancer and other patients and, more tentatively, women with uterine agenesis or hysterectomy. Cryopreservation of tissue slices, and possibly whole organs, is providing opportunities for banking ovaries for indefinite periods before transplanting them back to restore fertility. The natural plasticity of this organ facilitates grafting to different sites where they can be revascularized and rapidly restore the normal physiology of secretion and ovulation. Ischemic damage is a chief limitation because many follicles are lost, at least in avascular grafts, and functional longevity is reduced. Nevertheless, grafts of young ovarian tissue, even after cryopreservation, can be highly fertile in laboratory rodents and, in humans, autografts have functioned for up to 3 years before needing replacement. Transplantation by vascular anastomosis provides potentially longer function but it is technically much more demanding and riskier for the recipient. It is the only practicable method with the uterus, and has enabled successful pregnancies in several species, but not yet in humans. Contrary to claims made many years ago, neither organ is privileged immunologically, and allografts become rapidly rejected except in hosts whose immune system is deficient or suppressed pharmacologically. All in all, transplantation of these organs, especially the ovary, provides a broad platform of opportunities for research and new applications in reproductive medicine and conservation biology.

Survival of ovarian allografts in an experimental animal model

Transplantation of ovarian tissue is a promising strategy for fertility preservation in young cancer patients with premature ovarian failure if they have cryopreserved their own tissue before undergoing gonadotoxic treatment. However, extension of ovary donation to children and adults seeking treatment for hypogonadism is controversial unless the tissue does not provoke an immune reaction or specific tolerance can be safely and effectively achieved. The survival of heterotopic ovarian allografts was tested in a mouse model. Isografts were placed under the kidney capsule of ovariectomized animals differing at the H-2 haplotype (H-2d or H-2k). Within three wk, and in contrast to isografts, the allografts were rejected, although their survival was extended when donor and host strains shared the same haplotype (H-2k). Allograft survival was not improved if the tissue was implanted orthotopically. When monoclonal antibodies to CD4 antigens were administered at doses exceeding those effective for long-term tolerance to cardiac allografts, graft survival was prolonged in one of two strain combinations, but they failed to restore fertility. These results indicate that the ovary is not an immunologically privileged organ, as the older literature suggested, and chronic immunosuppression is likely to be required for ovarian allografts in clinical settings.

Análise histológica da viabilidade do transplante autólogo de hemi-ovário em retroperitônio de ratos

OBJETIVO: Analisar a presença de sinais morfológicos indicativos de restabelecimento da função ovariana em hemi-ovários autotransplantados em retroperitônio de ratos Wistar. MÉTODOS: Utilizou-se 48 animais, previamente ooforectomizados bilateralmente. Distribuídos em 6 subgrupos, de acordo com o tempo pós-operatório no qual foram submetidos a retirada das peças a serem histologicamente analisadas, sendo em seguida submetidos a sacrifício. As peças foram fixadas em formol a 10 % por 24 horas, a 4º C, sendo então incluídas em parafina. Foram obtidos de cada peça 5 cortes semi-seriados de 10 micrômetros de espessura, no sentido transversal do ovário. RESULTADOS: Os parâmetros morfométricos analisados foram a presença ou ausência de folículos ovarianos, neoformação vascular, corpos lúteos e tecido de granulação. Os resultados das análises demonstraram presença de folículos ovarianos em vários estágios de desenvolvimento, corpos lúteos e neoformação vascular em todos os grupos analisados. Demonstraram também presença de tecido de granulação (infiltrado inflamatório), predominando nos grupos experimentais com menor tempo de pós-operatório. CONCLUSÃO: Foi possível concluir então que os ovários implantados apresentavam características morfológicas de ovários viáveis, indicando que a implantação permitiu a manutenção dos mesmos no retroperitônio das ratas.

Effect of site of transplantation on follicular development of human ovarian tissue transplanted into intact or castrated immunodeficient mice

OBJECTIVE

To study the response of human ovarian xenografts to transplantation into different sites and in different host conditions.

DESIGN

Controlled experiment.

SETTING

Academic research laboratory.

PATIENT(S)

Donated ovarian tissue from two young women.

INTERVENTION(S)

Human ovarian cortical pieces were transplanted either under the kidney capsule or to the subcutaneous space of intact or castrated male nonobese diabetic (NOD) severe combined immune-deficient (SCID) mice. Grafts were recovered after euthanasia.

MAIN OUTCOME MEASURE(S)

Microscopic examination of histologic sections to determine proportions of growing follicles, and serum estradiol concentration measurements.

RESULT(S)

Six months after transplantation, ovarian grafts transplanted under the kidney capsule of intact male mice had significantly higher proportions of growing follicles compared with those recovered from the castrated/kidney capsule and intact/subcutaneous groups. However, no difference was detected between the intact/kidney capsule and the castrated/subcutaneous groups. Mean estradiol concentrations in serum were nonsignificantly increased in mice with ovarian grafts compared with those in mice without a graft.

CONCLUSION(S)

Follicular development in xenotransplanted human ovarian tissue is influenced by the site of transplantation and the condition of the host.

Fertility of mice following receipt of ovaries slow cooled in dimethyl sulphoxide or ethylene glycol is largely independent of cryopreservation equilibration time and temperature

Cryopreservation procedures generally depend on both the cryoprotectant used and the equilibration conditions to which the material is exposed. The aim of the present study was to examine the effect of cryoprotectants (dimethyl sulphoxide (DMSO) and ethylene glycol (EG)) and equilibration conditions (0, 30 or 120 min at 0°C or 120 min at room temperature) on the fertility of mice receiving cryopreserved mouse ovaries. The study compared the fertility of cryopreserved Day 14 mouse pup ovaries following grafting to adult recipient mice for 4 months. There was no effect of the cryoprotectant or equilibration condition used on the interval to the first plugging/mating or on the interval to the birth of the first litter, the size of litters, the number of litters produced or the total number of offspring produced. Despite this, when compared with control females (untreated, sham and fresh transplant) the cryopreservation and transplantation procedures delayed fertility. However, the size of litters was equivalent for all cryopreserved and control groups (P > 0.05). The results show that, for the equilibration conditions examined, DMSO and EG are equally efficient cryoprotective agents for mouse ovarian tissue.

Cryopreservation of mouse ovarian tissue following prolonged exposure to an Ischemic environment

In cases in which ovarian tissue is to be cryopreserved for tissue or gene banking it is important to maintain its integrity and viability. This study examined how delays between the death of an animal and the collection/cryopreservation of its ovarian tissue influenced follicle viability. Mouse ovaries were placed in PBS+antibiotic (in vitro) or left within the body (in situ) at room temperature for 0, 3, 6, 12, or 24 h following the death of the donor. These ovaries were cryopreserved at 1 degrees C/min on dry ice or in a -84 degrees C freezer using a passive cooling device or by conventional slow cooling (0.3 degrees C/min). The ovaries were grafted under the kidney capsule of ovariectomized recipient mice and collected 2 weeks later, and the size and number of follicles were determined. Cryopreserved ovarian tissue grafted immediately after the death of the donor contained numerous viable and healthy follicles independent of the cooling procedure (dry ice, 134 +/- 32; -84 degrees C, 165 +/- 54; slow, 214 +/- 55 follicles per half ovary). Tissues stored in vitro before cryopreservation retained viable follicles up to 12 h after death (dry ice, 30 +/- 15; -84 degrees C, 86 +/- 45; slow, 93 +/- 33), whereas tissue left in situ had significantly reduced follicle numbers within 3 h of death (dry ice, 36 +/- 12; -84 degrees C, 19 +/- 6; slow, 28 +/- 7). No significant difference was found between the cooling rates tested, indicating that a passive cooling container which cools at 1 degrees C/min is a suitable alternative to conventional slow cooling. We conclude that ovarian tissues for cryobanking should be cryopreserved as soon as possible after collection or death of the animal to ensure maximal follicular survival.

Preliminary experience with subcutaneous human ovarian cortex transplantation in the NOD-SCID mouse

Xenogeneic transplantation of ovarian cortex into an immunodeficient animal host may be an approach toward fertility preservation for young female patients undergoing cancer therapy. Our objective was to evaluate the development of follicles in human ovarian cortex placed s.c. in non-obese diabetic-severe combined immune deficiency (NOD-SCID) mice (n = 54). The following variables were compared: 1) male versus female mice as hosts, 2) intact versus pituitary down-regulated mice, and 3) warm versus cold tissue transport. After 2 wk, 37 of 50 (74%) of the human xenografts contained follicles. At 12 wk after transplantation, exogenous gonadotropin stimulation resulted in follicle growth in 19 of 37 (51%) of the grafts, including the development of antral follicles, which could be palpated and visualized through the mouse skin. Significantly more developing follicles were identified in male versus female mice (13 of 17 vs. 6 of 20, respectively; p = 0.013) after stimulation. No difference was found between intact and pituitary down-regulated mice as hosts. Follicular survival was significantly increased by warm versus cold tissue transport. Our results suggest that s.c. ovarian cortex xenografting into NOD-SCID mice is feasible. Primordial follicles in ovarian xenografts retain their developmental potential and form antral follicles following gonadotropin stimulation.

Development and maintenance of a polycystic condition in ovaries autotransplanted under the kidney capsule

A single injection of estradiol valerate (EV) produces a polycystic ovarian (PCO) condition in the rat. The development of the PCO condition coincides with alterations in the endogenous plasma gonadotropin patterns, suggesting that PCO may be a response to abnormal gonadotropin stimulation. Other factors, however, such as direct autonomic innervation, also contribute significantly to the regulation of the ovary and could be important in generating and/or maintaining PCO. We have, therefore, removed and autotransplanted one ovary in each of eight rats under the capsule of the ipsilateral kidney, thus totally disrupting its innervation. The animals were injected with EV and both ovaries of each animal were examined 8 weeks later. In a second group of animals, we induced the PCO condition, autotransplanted one polycystic ovary in each animal under the kidney capsule, and examined the ovaries 2 weeks later. In both groups the autotransplanted ovaries exhibited the full range of polycystic morphology, as did the intact ovary in each animal. We conclude that since a major perturbation in innervation affects neither the development nor the maintenance of PCO, autonomic innervation does not play a crucial role in this disorder.

Autonomic innervation and plasma estradiol-17beta and progesterone levels in rats with subcutaneous ovarian autografts

Ovaries were removed from female rats and immediately autografted into a subcutaneous pouch in the flank in order to quantitate the relationship of graft re-innervation, steroid secretion and vaginal smear pattern. Animals were killed at thre time periods: three days after grafting, on the first day a cornified vaginal smear appeared and at the first metestrus. In addition, control animals were killed at metestrus. Plasma samples were obtained from all rats and analyzed for estradiol-17beta and progesterone concentration by radioimmunoassay. At the first day of vaginal cornification after grafting, plasma estradiol-17beta (45.8+/-4.0 pg/ml) was elevated in comparison to controls at metestrus (24.0+/-2.6 pg/ml), but plasma progesterone (21.5+/-4.0 ng/ml) was not different (30.6+/-1.7 ng/ml). Subsequently, at the first metestrus following grafting, plasma estradiol-17beta (23.0+/-3.5 pg/ml) was comparable to control values. In contrast, progesterone was decreased (17.5+/-1.9 ng/ml). A definite correlation was detected between the vaginal smear and plasma levels of steroid hormones in the castrated female rat with subcutaneous ovarian autographs Histochemical techniques were used to study the adrenergic and cholinergic innervations of grafts three days after grafting, at the first day of vaginal cornification, and at the first metestrus. No correlation was shown between density of adrenergic or cholinergic innervation and plasma levels of estradiol-17beta and progesterone or onset of a cycling vaginal smear.

The response of transplants of cultured fetal mouse ovaries in kidneys of ovariectomized adult mice

Whole ovaries from 16-day fetal mice were cultured for 6 to 20 days and then transplanted to the kidneys of ovariectomized adult mice where they remained for one to four weeks. After three weeks in the host's kidneys, many follicles developed within the transplants and became vesiculated. Many of the oocytes within these follicles had formed the first metaphase spindle of meiosis and several had completed the first polar body. Host mice bearing transplants that contained vesiculated follicles showed uterine stimulation and keratinization of their vaginae. However, ovaries that had been in culture for more than ten days before transplantation showed a limited response to the gonadotropins and never matured sufficiently to stimulate the host's reproductive tract. No ovulations occurred in any of the transplants.

Studies on the survival of homografts of skin and ovarian tissue in rats

The expectation of survival of skin homografts in a strain of albino rats has been compared with that of ovarian homografts made subcutaneously in ovariectomized recipients. It was found that a degree of genetic—and therefore antigenic—difference between donor and host that will lead to the breakdown of skin homografts is only rarely sufficient to affect the continued functional activity of ovarian homografts. Ovarian homografts implanted into ovariectomized recipients which had previously received skin homografts from the same donor failed to survive in nearly all those animals which had reacted vigorously against their skin homografts. It seems, therefore, that the majority of ovarian homografts are themselves incapable of provoking reactions, but are not exempt from the immunity elicited by previous homografts of the donor’s skin. Thus skin and ovary share at least some antigens in common. The most likely reasons why ovarian homografts are more successful than skin homografts are (1) that ovarian tissue is characterized by fewer genetically defined ‘histocompatibility' antigens than skin, and (2) that the ‘histocompatibility’ antigens of ovarian tissue are feeble, being capable of eliciting only a weak immune response, if any.