Serum markers of ovarian reserve and ovarian histology in adult mice treated with cyclophosphamide in pre-pubertal age

Laura Detti, Rebecca A. Uhlmann, Meifen Lu, Michael Peter Diamond, Ghassan M. Saed, Nicole M. Fletcher, Jie Zhang, Lucy J. Williams

Research output: Contribution to journalArticle

16 Scopus citations

Abstract

Purpose: AMH is used to quantify the extent of follicular pool in postpubertal women, but its value after chemotherapy is unclear. We tested AMH as a marker of follicular reserve in adult mice treated with cyclophosphamide (CTX) in prepubertal age. Methods: Mice received placebo or CTX at age 18 days. AMH and FSH were assessed on day 43, 56, and 95 of life. Ovaries were fixed in formalin, embedded in paraffin, and stained with H&E and TUNEL. Follicular apoptosis was graded. Results: All mice exposed to CTX had a decreased number of follicles/mm2 and significantly decreased AMH, but only 48 % of pubertal and 81 % of adult mice had increased FSH. Over time, there was an increase in FSH (p < 0.05), but not a concurrent decrease in AMH, while in controls, FSH remained stable and AMH decreased. There was no correlation between histological and serological markers. Conclusions: CTX administration to pre-pubertal mice caused various degrees of residual function, which were reflected by FSH, but not by AMH or by the number of ovarian follicles. AMH served as a marker of quantitative, and FSH of qualitative, residual ovarian function.

Original languageEnglish (US)
Pages (from-to)1421-1429
Number of pages9
JournalJournal of Assisted Reproduction and Genetics
Volume30
Issue number11
DOIs
StatePublished - Nov 1 2013

Keywords

  • AMH
  • Animal study
  • Cyclophosphamide
  • FSH
  • Follicle count
  • Prepubertal

ASJC Scopus subject areas

  • Reproductive Medicine
  • Genetics
  • Obstetrics and Gynecology
  • Developmental Biology
  • Genetics(clinical)

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