Restoration of endocrine function and fertility with orthotopic tubal-ovarian allotransplant as the anatomical-functional unit in rabbits

J Invest Surg. 2008 Nov-Dec;21(6):348-59. doi: 10.1080/08941930802438930.

Abstract

The aim of this study was to re-establish endocrine and reproductive function in tubal-ovariectomized rabbits using orthotopic tubal-ovary allotransplants (OT-OA). Fifty-five New Zealand White nonconsanguineous rabbits were used and allocated into five experimental groups: Each group comprised donors submitted to right salpingo-oophorectomy that served as the donated allograft. In group 1 no cyclosporin (CsA) was administered and rabbits were submitted to left salpingo-oophorectomy (LSO). Group 2 was the allotransplant group and did not receive CsA. Group 3 was the allotransplant group with CsA. They were submitted to bilateral salpingo-oophorectomy followed by OT-OA. CsA of 10 mg/kg/day was administered to rabbits for the first 21 days and 5 mg/kg/day for the remainder of the study. Group 4 received CsA just as for group 3 and was submitted to LSO. During the study the following were measured: estradiol (E2), progesterone (P4), follicle-stimulating hormone (FSH), luteinizing hormone (LH), and histopathological study of the uteri, tubes, and ovaries. Groups 1, 3, and 4 showed a significant increase in serum E2 and P4 levels corresponding to the second week of gestation, compared to group 2 (p < .05). Group 2 showed a significant increase in serum LH and FSH levels during week 10 compared to serum LH and FSH levels in groups 1, 3, and 4 (p < .05). In group 3, three rabbits did not reject the allotransplant, one rabbit became pregnant, and endocrine function was re-established in two rabbits. It can be concluded that OT-OA together with CsA administration re-establishes endocrine function and fertility.

MeSH terms

  • Animals
  • Cyclosporine / administration & dosage
  • Estradiol / blood
  • Fallopian Tubes / pathology
  • Fallopian Tubes / physiology
  • Fallopian Tubes / transplantation*
  • Female
  • Fertility
  • Follicle Stimulating Hormone / blood
  • Gynecologic Surgical Procedures / methods
  • Humans
  • Immunosuppressive Agents / administration & dosage
  • Infertility, Female / surgery
  • Luteinizing Hormone / blood
  • Ovary / pathology
  • Ovary / physiology
  • Ovary / transplantation*
  • Pregnancy
  • Progesterone / blood
  • Rabbits
  • Transplantation, Homologous

Substances

  • Immunosuppressive Agents
  • Progesterone
  • Estradiol
  • Cyclosporine
  • Luteinizing Hormone
  • Follicle Stimulating Hormone