中国组织工程研究与临床康复
中國組織工程研究與臨床康複
중국조직공정연구여림상강복
JOURNAL OF CLINICAL REHABILITATIVE TISSUE ENGINEERING RESEARCH
2010年
2期
233-236
,共4页
傅锦媚%汪燕%肖准%李尚为
傅錦媚%汪燕%肖準%李尚為
부금미%왕연%초준%리상위
人卵巢组织%新型玻璃化冷冻%慢速冷冻%血管内皮生长因子%微血管密度
人卵巢組織%新型玻璃化冷凍%慢速冷凍%血管內皮生長因子%微血管密度
인란소조직%신형파리화냉동%만속냉동%혈관내피생장인자%미혈관밀도
背景:人卵巢组织冷冻已成为一种保存生育能力的手段,卵巢组织移植后必须经过血管重建过程才能恢复血供,冷冻保存和复苏技术是影响移植后卵巢组织血管重建的关键.目的:比较新型玻璃化冷冻和慢速冷冻后人卵巢组织血管内皮生长因子表达情况及微血管密度,探讨不同冷冻方法对人卵巢组织血管重建的影响.方法:8份卵巢组织标本取自子宫内膜癌患者手术切除的正常卵巢组织,将每份卵巢皮质切成1.5 mm×1.5 mm×1.0 mm大小的组织块共12块后,随机数字表法分为3组:对照组(新鲜组)、新型玻璃化冷冻组和慢速冷冻组.将新型玻璃化冷冻组卵巢组织块依次在含体积分数7.5%乙二醇+体积分数7.5%二甲基亚砜+体积分数20%胎牛血清的TCM-199培养液和含体积分数15%乙二醇+体积分数15%二甲基亚砜+0.5 mol/L蔗糖的TCM-199培养液中平衡脱水,然后直接浸入液氮并装入冷冻管保存,解冻时按浓度梯度1.0,0.5,0.25 mol/L蔗糖和含体积分数20%牛血清的TCM-199培养液依次洗脱冷冻保护剂.将慢速冷冻组人卵巢组织块放入盛有1 mL冷冻液(含1.5 mol/L二甲基亚砜+体积分数20%牛血清+0.1mol/L蔗糖的TCM-199培养液)的1.8 mL冷冻管内平衡,然后放入程序冷冻仪中按设定程序进行冷冻.解冻时按浓度梯度1.0 mol/L二甲基亚砜+0.1 mol/L蔗糖、0.5 mol/L二甲基亚砜+0.1 mol/L蔗糖、0.25 mol/L二甲基亚砜+0.1 mol/L蔗糖和0.1 mol/L蔗糖依次洗脱冷冻保护剂.冻融组及对照组均进行体外培养.免疫组织化学观察培养0,2,4,6 d各组人卵巢组织血管内皮生长因子和CD34表达情况,并进行微血管计数.结果与结论:3组人卵巢组织培养前后间质细胞中均见血管内皮生长因子成斑片状弱表达,培养2 d血管内皮生长因子表达均增加并达到峰值,培养4 d均开始减弱,6 d时进一步减弱;与慢速冷冻组相比,新型玻璃化冷冻组血管内皮生长因子表达更接近对照组.3组人卵巢组织培养2 d微血管密度均增加并达到峰值,对照组和新型玻璃化冷冻组明显高于慢速冷冻组(P<0.05):慢速冷冻组培养4 d时微血管密度较培养2 d时显著下降(P<0.05);3组培养6 d时微血管密度较培养2 d时显著下降(P<0.05).与慢速冷冻法相比,新型玻璃化冷冻法能更好地保存人卵巢组织间质细胞和细胞外基质,对卵巢组织血管内皮生长因子表达及微血管生成的影响更少.
揹景:人卵巢組織冷凍已成為一種保存生育能力的手段,卵巢組織移植後必鬚經過血管重建過程纔能恢複血供,冷凍保存和複囌技術是影響移植後卵巢組織血管重建的關鍵.目的:比較新型玻璃化冷凍和慢速冷凍後人卵巢組織血管內皮生長因子錶達情況及微血管密度,探討不同冷凍方法對人卵巢組織血管重建的影響.方法:8份卵巢組織標本取自子宮內膜癌患者手術切除的正常卵巢組織,將每份卵巢皮質切成1.5 mm×1.5 mm×1.0 mm大小的組織塊共12塊後,隨機數字錶法分為3組:對照組(新鮮組)、新型玻璃化冷凍組和慢速冷凍組.將新型玻璃化冷凍組卵巢組織塊依次在含體積分數7.5%乙二醇+體積分數7.5%二甲基亞砜+體積分數20%胎牛血清的TCM-199培養液和含體積分數15%乙二醇+體積分數15%二甲基亞砜+0.5 mol/L蔗糖的TCM-199培養液中平衡脫水,然後直接浸入液氮併裝入冷凍管保存,解凍時按濃度梯度1.0,0.5,0.25 mol/L蔗糖和含體積分數20%牛血清的TCM-199培養液依次洗脫冷凍保護劑.將慢速冷凍組人卵巢組織塊放入盛有1 mL冷凍液(含1.5 mol/L二甲基亞砜+體積分數20%牛血清+0.1mol/L蔗糖的TCM-199培養液)的1.8 mL冷凍管內平衡,然後放入程序冷凍儀中按設定程序進行冷凍.解凍時按濃度梯度1.0 mol/L二甲基亞砜+0.1 mol/L蔗糖、0.5 mol/L二甲基亞砜+0.1 mol/L蔗糖、0.25 mol/L二甲基亞砜+0.1 mol/L蔗糖和0.1 mol/L蔗糖依次洗脫冷凍保護劑.凍融組及對照組均進行體外培養.免疫組織化學觀察培養0,2,4,6 d各組人卵巢組織血管內皮生長因子和CD34錶達情況,併進行微血管計數.結果與結論:3組人卵巢組織培養前後間質細胞中均見血管內皮生長因子成斑片狀弱錶達,培養2 d血管內皮生長因子錶達均增加併達到峰值,培養4 d均開始減弱,6 d時進一步減弱;與慢速冷凍組相比,新型玻璃化冷凍組血管內皮生長因子錶達更接近對照組.3組人卵巢組織培養2 d微血管密度均增加併達到峰值,對照組和新型玻璃化冷凍組明顯高于慢速冷凍組(P<0.05):慢速冷凍組培養4 d時微血管密度較培養2 d時顯著下降(P<0.05);3組培養6 d時微血管密度較培養2 d時顯著下降(P<0.05).與慢速冷凍法相比,新型玻璃化冷凍法能更好地保存人卵巢組織間質細胞和細胞外基質,對卵巢組織血管內皮生長因子錶達及微血管生成的影響更少.
배경:인란소조직냉동이성위일충보존생육능력적수단,란소조직이식후필수경과혈관중건과정재능회복혈공,냉동보존화복소기술시영향이식후란소조직혈관중건적관건.목적:비교신형파리화냉동화만속냉동후인란소조직혈관내피생장인자표체정황급미혈관밀도,탐토불동냉동방법대인란소조직혈관중건적영향.방법:8빈란소조직표본취자자궁내막암환자수술절제적정상란소조직,장매빈란소피질절성1.5 mm×1.5 mm×1.0 mm대소적조직괴공12괴후,수궤수자표법분위3조:대조조(신선조)、신형파리화냉동조화만속냉동조.장신형파리화냉동조란소조직괴의차재함체적분수7.5%을이순+체적분수7.5%이갑기아풍+체적분수20%태우혈청적TCM-199배양액화함체적분수15%을이순+체적분수15%이갑기아풍+0.5 mol/L자당적TCM-199배양액중평형탈수,연후직접침입액담병장입냉동관보존,해동시안농도제도1.0,0.5,0.25 mol/L자당화함체적분수20%우혈청적TCM-199배양액의차세탈냉동보호제.장만속냉동조인란소조직괴방입성유1 mL냉동액(함1.5 mol/L이갑기아풍+체적분수20%우혈청+0.1mol/L자당적TCM-199배양액)적1.8 mL냉동관내평형,연후방입정서냉동의중안설정정서진행냉동.해동시안농도제도1.0 mol/L이갑기아풍+0.1 mol/L자당、0.5 mol/L이갑기아풍+0.1 mol/L자당、0.25 mol/L이갑기아풍+0.1 mol/L자당화0.1 mol/L자당의차세탈냉동보호제.동융조급대조조균진행체외배양.면역조직화학관찰배양0,2,4,6 d각조인란소조직혈관내피생장인자화CD34표체정황,병진행미혈관계수.결과여결론:3조인란소조직배양전후간질세포중균견혈관내피생장인자성반편상약표체,배양2 d혈관내피생장인자표체균증가병체도봉치,배양4 d균개시감약,6 d시진일보감약;여만속냉동조상비,신형파리화냉동조혈관내피생장인자표체경접근대조조.3조인란소조직배양2 d미혈관밀도균증가병체도봉치,대조조화신형파리화냉동조명현고우만속냉동조(P<0.05):만속냉동조배양4 d시미혈관밀도교배양2 d시현저하강(P<0.05);3조배양6 d시미혈관밀도교배양2 d시현저하강(P<0.05).여만속냉동법상비,신형파리화냉동법능경호지보존인란소조직간질세포화세포외기질,대란소조직혈관내피생장인자표체급미혈관생성적영향경소.
BACKGROUND: The cryopreservation of human ovarian tissue has become an attractive method to preserve female fertility. Human ovarian tissue experiences neovasculadzation after transplantation to recover blood supply, cryopreservation and resuscitation technique is a key for the neovascularization of human ovarian tissue following transplantation. OBJECTIVE: To investigate vascular endothelial growth factor (VEGF) expression and microvessel density in human ovadan tissue following novel needle immersed vitrification (NIV) and slow-freezing, to explore the influence of two cryopreservation methods play in the neovascularization of human ovarian tissue after transplantation. METHODS: Eight normal human ovarian tissues from patients with carcinoma of endometrium were cut into 12 fragments in the size of 1.5 mm × 1.5 mm × 1.0 mm, then randomly assigned to 3 groups: fresh control group, NIV group and slow-freezing group. In the NIV group, pieces of ovarian tissue stdps were dehydrated in an equilibration solution consisting of 7.5% ethylene glycol and 7.5% dimethyl sulfoxide in TCM-199 supplement with 20% fetal bovine serum and a vitrification solution consisting of 15% ethylene glycol, 15% dimethyl sulfoxide and 0.5 mol/Lsucrose, then were plunged in liquid nitrogen directly and sealed in liquid nitrogen-filled cryovials. For thawing, the needles holding ovadan tissues were serially transferred into 1.0, 0.5, 0.25 mol/L sucrose solution and TCM-199 supplemented with 20% fetal bovine serum. In the slow-freezing group, pieces of human ovadan cortex fragments were placed in a 1.8-mL cryovial containing 1 mL of TCM-199 medium supplemented with 0.1 mol/L sucrose, 20% fetal bovine serum and 1.5 mol/L dimethyl sulfoxide, the cryovials were placed in the programmable freezer and cryopreserved by preset slow-cooling protocol. For thawing, the ovarian tissue stdps were washed in a stepwise manner: 1.0 mol/L dimethyl sulfoxida + 0.1 mol/L sucrose, 0.5 mol/L dimethyl sulfoxide + 0.1 mol/L sucrose, 0.25 mol/L dimethyl sulfoxJde + 0.1 mol/L sucrose and 0.1 mol/L sucrose. The frozen-thawed and fresh controlled human ovarian tissues were cultured in vitro. The expression of VEGF and CD34, as well as microvessel density, was analyzed by immunohistochemistry. RESULTS AND CONCLUSION: There was patchy and mild expression of VEGF in the stromal cells of all the three groups before and after culture. The expression of VEGF increased and reached peak value after culture for 2 days, began to decrease after culture for 4 days and further attenuated after culture for 6 days in all the three groups. Compared with slow-freezing group, the expression of VEGF in NIV group was closer to that in fresh control group. Microvessel density of all the three groups increased and reached peak value after culture for 2 days, and the microvessel density of fresh control group and NIV group was significantly higher than that of slow-freezing group (P < 0.05). The microvessel density of slow-freezing group after culture for 4 days and that of all the three groups after culture for 6 days significantly decreased compared with after culture for 2 days (P <0.05). NIV is superior to slow-freezing to preserve stromal cells and extracellular matrix of human ovarian tissue, and plays less influence in VEGF expression and angiogenesis in human ovarian tissue.