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Article ; Online: Fertility restoration in mice with chemotherapy induced ovarian failure using differentiated iPSCs.

Elias, Kevin M / Ng, Nicholas W / Dam, Kh U / Milne, Ankrish / Disler, Emily R / Gockley, Alison / Holub, Nicole / Seshan, Maya L / Church, George M / Ginsburg, Elizabeth S / Anchan, Raymond M

EBioMedicine

2023  Volume 94, Page(s) 104715

Abstract: Background: Treatment options for premature ovarian insufficiency (POI) are limited to hormone replacement and donor oocytes. A novel induced pluripotent stem cell (iPSC) transplant paradigm in a mouse model has potential translational applications for ... ...

Abstract Background: Treatment options for premature ovarian insufficiency (POI) are limited to hormone replacement and donor oocytes. A novel induced pluripotent stem cell (iPSC) transplant paradigm in a mouse model has potential translational applications for management of POI.
Methods: Mouse ovarian granulosa cell derived-iPSCS were labelled with green fluorescent protein (GFP) reporter and differentiated in vitro into oocytes. Differentiated cells were assayed for estradiol and progesterone secretion by enzyme-linked immunosorbent assays. After Fluorescence-Activated Cell Sorting (FACS) for the cell surface marker anti-Mullerian hormone receptor (AMHR2), enriched populations of differentiated cells were surgically transplanted into ovaries of mice that had POI secondary to gonadotoxic pre-treatment with alkylating agents. A total of 100 mice were used in these studies in five separate experiments with 56 animals receiving orthotopic ovarian injections of either FACS sorted or unsorted differentiated iPSCSs and the remaining animals receiving sham injections of PBS diluent. Following transplantation surgery, mice were stimulated with gonadotropins inducing oocyte development and underwent oocyte retrieval. Nine transplanted mice were cross bred with wild-type mice to assess fertility. Lineage tracing of resultant oocytes, F1 (30 pups), and F2 (42 pups) litters was interrogated by GFP expression and validation by short tandem repeat (STR) lineage tracing.
Findings: [1] iPSCs differentiate into functional oocytes and steroidogenic ovarian cells which [2] express an ovarian (GJA1) and germ cell (ZP1) markers. [3] Endocrine function and fertility were restored in mice pretreated with gonadotoxic alkylating agents via orthotopic transplantation of differentiated iPSCS, thus generating viable, fertile mouse pups.
Interpretation: iPSC-derived ovarian tissue can reverse endocrine and reproductive sequelae of POI.
Funding: Center for Infertility and Reproductive Surgery Research Award, Siezen Foundation award (RMA). Reproductive Scientist Development Program, Marriott Foundation, Saltonstall Foundation, Brigham Ovarian Cancer Research Fund (K.E).
MeSH term(s) Humans ; Female ; Mice ; Animals ; Induced Pluripotent Stem Cells ; Primary Ovarian Insufficiency/chemically induced ; Primary Ovarian Insufficiency/therapy ; Fertility ; Antineoplastic Agents/adverse effects ; Alkylating Agents/adverse effects ; Alkylating Agents/metabolism
Chemical Substances Antineoplastic Agents ; Alkylating Agents
Language English
Publishing date 2023-07-21
Publishing country Netherlands
Document type Journal Article
ZDB-ID 2851331-9
ISSN 2352-3964
ISSN (online) 2352-3964
DOI 10.1016/j.ebiom.2023.104715
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