长期使用他莫西芬会影响卵巢,但不会影响植入前胚胎发育
Gülbahar Zehra Kutlutürk1, Trenton L Place2, Michael S Awadalla2
1Molecular Pathology and Experimental Medicine, University of Southern California.
Biology of reproduction
|December 16, 2025
概括
在小鼠中长期服用他莫西芬 (TAM) 治疗减少了卵巢大小和原始卵泡储量,影响了排卵率. 然而,TAM并没有影响受精或体外胚胎发育到囊胚阶段.
科学领域:
- 生殖生物学 生殖生物学
- 在瘤学瘤学.
- 毒理学 毒理学 毒理学
背景情况:
- 关于化疗剂对生殖的长期影响的研究有限.
- 塔莫西芬 (TAM) 是一种广泛使用的药物,对癌症幸存者有潜在的生殖影响.
研究的目的:
- 在小鼠模型中研究长期他莫西芬 (TAM) 治疗对卵巢储备,卵泡发育和胚胎发生的影响.
- 为了评估TAM在洗期后的影响的可逆性.
主要方法:
- 成年雌性小鼠接受了三周的TAM或对照,随后是0周,1周或3周的洗期.
- 卵巢大小,卵泡数量 (原始,初级,二级,腹,心房) 和黄体被分析.
- 评估了超排卵,交配和体外胚胎发育到囊胚阶段.
主要成果:
- 与对照组相比,用TAM治疗的卵巢比对照组小36%,原始卵泡数量减少35%.
- 在接受TAM治疗的小鼠中观察到动性毛囊增加了3.4倍.
- 在接受TAM治疗的小鼠中,排卵率下降,但受精率和体外爆发率不受影响.
结论:
- 在小鼠中长期暴露于他莫西芬,通过减少原始卵泡和增加缩,显著耗尽卵巢储备.
- 虽然排卵受损,但剩余卵细胞的受精和早期胚胎发育潜力似乎被保留了.
- 这些发现强调了与长期使用他莫西芬相关的潜在生殖风险,即使在治疗停止后也是如此.
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