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Evaluation of Z-VAD-FMK as an anti-apoptotic drug to prevent granulosa cell apoptosis and follicular death after human ovarian tissue transplantation.

AbstractPURPOSE:
To evaluate the efficiency of ovarian tissue treatment with Z-VAD-FMK, a broad-spectrum caspase inhibitor, to prevent follicle loss induced by ischemia/reperfusion injury after transplantation.
METHODS:
In vitro, granulosa cells were exposed to hypoxic conditions, reproducing early ischemia after ovarian tissue transplantation, and treated with Z-VAD-FMK (50 μM). In vivo, cryopreserved human ovarian fragments (n = 39) were embedded in a collagen matrix containing or not Z-VAD-FMK (50 μM) and xenotransplanted on SCID mice ovaries for 3 days or 3 weeks.
RESULTS:
In vitro, Z-VAD-FMK maintained the metabolic activity of granulosa cells, reduced HGL5 cell death, and decreased PARP cleavage. In vivo, no improvement of follicular pool and global tissue preservation was observed with Z-VAD-FMK in ovarian tissue recovered 3-days post-grafting. Conversely, after 3 weeks of transplantation, the primary follicular density was higher in fragments treated with Z-VAD-FMK. This improvement was associated with a decreased percentage of apoptosis in the tissue.
CONCLUSIONS:
In situ administration of Z-VAD-FMK slightly improves primary follicular preservation and reduces global apoptosis after 3 weeks of transplantation. Data presented herein will help to guide further researches towards a combined approach targeting multiple cell death pathways, angiogenesis stimulation, and follicular recruitment inhibition.
AuthorsMaïté Fransolet, Laure Noël, Laurie Henry, Soraya Labied, Silvia Blacher, Michelle Nisolle, Carine Munaut
JournalJournal of assisted reproduction and genetics (J Assist Reprod Genet) Vol. 36 Issue 2 Pg. 349-359 (Feb 2019) ISSN: 1573-7330 [Electronic] Netherlands
PMID30390176 (Publication Type: Journal Article)
Chemical References
  • Amino Acid Chloromethyl Ketones
  • Caspase Inhibitors
  • benzyloxycarbonylvalyl-alanyl-aspartyl fluoromethyl ketone
Topics
  • Amino Acid Chloromethyl Ketones (administration & dosage)
  • Animals
  • Apoptosis (drug effects)
  • Caspase Inhibitors (administration & dosage)
  • Female
  • Granulosa Cells (drug effects)
  • Humans
  • Mice, SCID
  • Ovarian Follicle (physiopathology, transplantation)
  • Reperfusion Injury (drug therapy, physiopathology)
  • Transplantation, Heterologous (adverse effects)

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