Analysis of blood parameters and molecular endometrial markers during early reperfusion in two ovine models of uterus transplantation

PLoS One. 2021 May 18;16(5):e0251474. doi: 10.1371/journal.pone.0251474. eCollection 2021.

Abstract

The dissection of the veins is the trickiest step of Uterine transplantation (UTx). Performing the anastomosis of a single uterine vein could bring a therapeutic benefit and simplification of surgery and serve for managing unilateral venous thromboses. The objectives of this project were to evaluate the expression of early markers of ischemia-reperfusion and to compare findings following one or two vein anastomoses. Orthotopic uterine auto-transplantations were performed on an ovine model with anastomosis of either two (group 1) or one utero-ovarian veins (group 2). Blood gases, histology and ischemia- reperfusion markers transcripts (PTGS2, IL6, IL8, SOD2, C3, BAX/BCL2 and TLR4) were analyzed as well as PTGS2 protein expression using Western Blot and fluorescence immunolocalization on endometrial biopsies after 3h of reperfusion. Ten ewes were included in the experimentation, 4 were in group1, 3 in group 2, the others being sham operated controls. No significant differences were observed between the two phenotypes. Based on these results, the anastomosis of one single uterine vein appears to be an approach consistent with short-term graft survival. Further experiments will be needed to confirm the reliability of this approach, especially the long-term follow-up of the uterine graft including its ability to support gestation to term.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Anastomosis, Surgical
  • Animals
  • Endometrium / metabolism
  • Female
  • Reperfusion Injury / blood
  • Reperfusion Injury / diagnosis
  • Reperfusion Injury / genetics
  • Sheep
  • Transcriptome
  • Uterus / blood supply
  • Uterus / transplantation*

Grants and funding

The authors received funding (financial and material support) from the Foch Foundation. Angéline Favre-Inhofer and Nathalie Cornet were paid a stipend by the Foch Foundation. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.