非肥胖型多囊卵巢综合征大鼠模型的建立及评价研究
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1.北京中医药大学生命科学学院;2.北京中医药大学中药学院,北京中医药大学北京中医药研究院,国家中医药管理局名医名方重点研究室;3.北京中医药大学中药学院;4.北京中医药大学中医学院;5.北京中医药大学北京中医药研究院;6.北京中医药大学北京中医药研究院,国家中医药管理局名医名方重点研究室

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国家自然科学基金项目(面上项目,重点项目,重大项目),北京中医药大学“解码中医”协同攻关项目,中西医结合周期疗法治疗多囊卵巢综合征方案的制订及培训


Establishment and evaluation study of non-obese polycystic ovary syndrome rat model
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1.College of Life Science, Beijing University of Chinese Medicine;2.College of Traditional Chinese Medicine(TCM), Beijing University of Chinese Medicine;3.Beijing Research Institute of Chinese Medicine, Beijing University of Chinese Medicine;4.Key Laboratory of Famous Doctors and Famous Prescriptions of National Administration of TCM;5.College of Traditional Chinese Medicine (TCM), Beijing University of Chinese Medicine;6.College of Traditional Chinese Medicine, Beijing University of Chinese Medicine

Fund Project:

The National Natural Science Foundation of China (General Program, Key Program, Major Research Plan), Collaborative research project “Decoding Chinese Medicine” of Beijing University of Traditional Chinese Medicine, Development and training of a program for the treatment of polycystic ovary syndrome by combining traditional Chinese and Western medicine with cyclic therapy

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    摘要:

    目的 建立符合临床特征的、稳定的非肥胖型多囊卵巢综合征(polycystic ovary syndrome, PCOS)大鼠模型。方法 采用脱氢表雄酮(dehydroepiandrosterone, DHEA)皮下注射法建立PCOS大鼠模型。将3周龄SD大鼠分为正常组、6 mg/kg DHEA造模组、60 mg/kg DHEA造模组,造模组每日按照相应剂量进行DHEA皮下注射,正常组每日给予甘油皮下注射,连续21 d ,以卵巢组织病理学为金标准进行模型评价,明确DHEA致PCOS大鼠模型的最佳造模剂量。在此基础上,选取DHEA最佳造模剂量,分别设立停止造模组和继续造模组,进行28 d的模型观察,考察模型维持情况,其中停止造模组不再继续给予DHEA,继续造模模型组每48 h给予60 mg/kg DHEA皮下注射。评价指标包含大鼠体质量、动情周期、空腹血糖和血清胰岛素、卵巢组织病理形态和血清性激素水平。结果 1)与正常组相比,6 mg/kg DHEA造模组与60 mg/kg DHEA造模组体质量均未表现出明显差异,但二者动情周期均失去规律性,卵巢组织中可见较多囊状扩张的大卵泡,少见成熟卵泡,颗粒细胞层数减少且排列稀疏无序,黄体数量减少;且60 mg/kg DHEA造模组血清T、E2水平显著升高(P<0.05)。2)停止造模组:模型组与正常组相比,两周后恢复规律的动情周期,卵巢组织中可见各级生长卵泡和黄体,囊性卵泡减少,颗粒细胞层数增加,可见成熟卵泡,卵母细胞局部形态完整,且E2、AMH水平降低(P<0.05)。3)继续造模组:模型组与正常组相比,长期处于动情后期,卵巢组织中可见较多囊状扩张的大卵泡,少见成熟卵泡,颗粒细胞层数减少且排列稀疏无序,黄体数量明显减少,且血清LH、LH/FSH、T水平升高(P<0.05)。结论 连续21 d皮下注射60 mg/kg DHEA,能够成功构建符合临床特征的非肥胖型PCOS大鼠模型,在此基础上每48 h给予60 mg/kg DHEA 皮下注射能够保持模型的稳定性。

    Abstract:

    Objective To establish a stable rat model of non-obese polycystic ovary syndrome (PCOS) with clinical characteristics. Methods The dehydroepiandrosterone (DHEA) was used to establish a PCOS rats model by subcutaneous injection. 3-week-old SD rats were divided into a normal group, a 6 mg/kg DHEA model group, and a 60 mg/kg DHEA model group, and the model groups were subcutaneously injected with DHEA according to the corresponding dose daily, while the normal group was subcutaneously injected with glycerol daily for 21 consecutive days. The model was evaluated with ovarian histopathology as the gold standard to determine the optimal dosage of DHEA-induced PCOS rat model. On this basis, the optimal DHEA modeling dose was selected, and the stopping and continuing modeling groups were set up respectively, to observe the model for 28 days to investigate maintenance of model. The stopping modeling group was no longer given DHEA, and the continuing modeling group was subcutaneously injected with 60 mg/kg DHEA every 48 h. The evaluation indicators include body mass, estrous cycle, fasting blood glucose and serum insulin, histopathologic morphology of the ovaries and serum sex hormone levels. Results 1) Compared with the normal group, body mass in the 6 mg/kg DHEA model group and the 60 mg/kg DHEA model group showed no significant difference, and the estrous cycles were irregular in both groups. And there were more cystically dilated large follicles in theovaries, with fewer mature follicles, reduced layers of granulosa cells in a sparse and disorganized manner, and fewer luteum in the 6 mg/kg DHEA model group and the 60 mg/kg DHEA model group. Furthermore, serum T and E2 levels were significantly higher in the 60 mg/kg DHEA model group (P<0.05). 2) The stopping modeling group: the model group resumed regular estrous cycles after two weeks compared with the normal group, various growth follicles and corpora lutea were observed in ovarian tissues, the number of cystic follicles were reduced, the number of granulosa cell layers was increased, mature follicles were visible, and oocytes were locally intact in morphology, furthermore, the levels of E2 and AMH were reduced in the model group (P<0.05). 3) The continuing model group: Compared with the normal group, the model group was in the late stage of estrous cycle for a long period, and there were more large follicles with cystic dilatation, fewer mature follicles, fewer layers of granulosa cells with sparse and disordered arrangement, the number of corpus luteum was significantly reduced in the ovarian. Furthermore, the levels of serum LH , LH/FSH and T were elevated (P<0.05). Conclusion Subcutaneous injection of 60 mg/kg DHEA for 21 consecutive days can successfully construct a non-obese PCOS rat model that meets clinical characteristics. On this basis, subcutaneous injection of 60 mg/kg DHEA every 48 hours can maintain the stability of the model.

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  • 收稿日期:2023-11-29
  • 最后修改日期:2024-04-02
  • 录用日期:2024-05-08
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