Evidence map›Paper›PMID 28137855›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2017

AMH/MIS as a contraceptive that protects the ovarian reserve during chemotherapy.

Motohiro Kano, Amanda E Sosulski, LiHua Zhang, Hatice D Saatcioglu, Dan Wang, Nicholas Nagykery, Mary E Sabatini, Guangping Gao, Patricia K Donahoe, David Pépin

Open access · bronzeAbstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 112 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
112citing papers in PubMed, 1 pooled it
23.0field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

112 citing papers in PubMed, 1 synthesis or guideline pooled it, 201 citations in OpenAlex.

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52 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 1 country.

Motohiro KanoPediatric Surgical Research Laboratories, Massachusetts General Hospital, Boston, MA 02114.
Amanda E SosulskiPediatric Surgical Research Laboratories, Massachusetts General Hospital, Boston, MA 02114.
LiHua ZhangPediatric Surgical Research Laboratories, Massachusetts General Hospital, Boston, MA 02114.
Hatice D SaatciogluPediatric Surgical Research Laboratories, Massachusetts General Hospital, Boston, MA 02114.
Dan WangHorae Gene Therapy Center, University of Massachusetts Medical School, Worcester, MA 01655.
Nicholas NagykeryPediatric Surgical Research Laboratories, Massachusetts General Hospital, Boston, MA 02114.
Mary E SabatiniDepartment of Obstetrics and Gynecology, Harvard Medical School and Massachusetts General Hospital, Boston, MA 02114.
Guangping GaoHorae Gene Therapy Center, University of Massachusetts Medical School, Worcester, MA 01655.
Patricia K DonahoePediatric Surgical Research Laboratories, Massachusetts General Hospital, Boston, MA 02114; DPEPIN@mgh.harvard.edu pdonahoe@partners.org.
David PépinPediatric Surgical Research Laboratories, Massachusetts General Hospital, Boston, MA 02114; DPEPIN@mgh.harvard.edu pdonahoe@partners.org.
Harvard University · USMassachusetts General Hospital · USUniversity of Massachusetts Chan Medical School · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The ovarian reserve represents the stock of quiescent primordial follicles in the ovary which is gradually depleted during a woman's reproductive lifespan, resulting in menopause. Müllerian inhibiting substance (MIS) (or anti-Müllerian hormone/AMH), which is produced by granulosa cells of growing follicles, has been proposed as a negative regulator of primordial follicle activation. Here we show that long-term parenteral administration of superphysiological doses of MIS, using either an adeno-associated virus serotype 9 (AAV9) gene therapy vector or recombinant protein, resulted in a complete arrest of folliculogenesis in mice. The ovaries of MIS-treated mice were smaller than those in controls and did not contain growing follicles but retained a normal ovarian reserve. When mice treated with AAV9/MIS were paired with male breeders, they exhibited complete and permanent contraception for their entire reproductive lifespan, disrupted vaginal cycling, and hypergonadotropic hypogonadism. However, when ovaries from AAV9-MIS-treated mice were transplanted orthotopically into normal recipient mice, or when treatment with the protein was discontinued, folliculogenesis resumed, suggesting reversibility. One of the important causes of primary ovarian insufficiency is chemotherapy-induced primordial follicle depletion, which has been proposed to be mediated in part by increased activation. To test the hypothesis that MIS could prevent chemotherapy-induced overactivation, mice were given carboplatin, doxorubicin, or cyclophosphamide and were cotreated with AAV9-MIS, recombinant MIS protein, or vehicle controls. We found significantly more primordial follicles in MIS-treated animals than in controls. Thus treatment with MIS may provide a method of contraception with the unique characteristic of blocking primordial follicle activation that could be exploited to prevent the primary ovarian insufficiency often associated with chemotherapy.

Indexed as

AnimalsAnti-Mullerian HormoneAntineoplastic AgentsContraceptionContraceptive AgentsDependovirusFemaleGranulosa CellsMaleMiceMice, Inbred C57BLOvarian FollicleOvarian ReservePrimary Ovarian InsufficiencyReproductionAnti-Mullerian HormoneAntineoplastic AgentsContraceptive AgentsAAV9AMHcontraceptiveMISoncofertility

Identifiers

PMID28137855
PMCPMC5338508
OpenAlexW2582733603

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.