Evidence map›Paper›PMID 40009267›Full record

ArticleJournal of assisted reproduction and genetics2025

Ovarian function and response to gonadotropins after prolonged perfusion of whole ewe ovaries in a bioreactor.

Prajakta Hatekar, Panagiotis Tsiartas, Lucía de Miguel Gómez, Claudia Mateoiu, Edina Sehic, Mats Hellström, Pasquale Patrizio, Randa Akouri

Abstract read
In one paragraph

Article in Journal of assisted reproduction and genetics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Prajakta Hatekar *Laboratory for Transplantation and Regenerative Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Panagiotis Tsiartas *Karolinska Institute, Department of Clinical Science, Intervention and Technology: Karolinska Institutet, Institutionen För Klinisk Vetenskap, Intervention Och Teknik, Stockholm, Sweden.ORCID http://orcid.org/0000-0002-1785-8535
Lucía de Miguel GómezLaboratory for Transplantation and Regenerative Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.ORCID http://orcid.org/0000-0001-6556-9108
Claudia MateoiuDepartment of Pathology, Sahlgrenska University Hospital, Gothenburg, Sweden.
Edina SehicLaboratory for Transplantation and Regenerative Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.ORCID http://orcid.org/0000-0003-3457-1111
Mats HellströmLaboratory for Transplantation and Regenerative Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.ORCID http://orcid.org/0000-0002-7088-9533
Pasquale PatrizioMiller School of Medicine, Division of Reproductive Endocrinology & Infertility, Department of Obstetrics, Gynecology and Reproductive Sciences, University of Miami, Miami, USA.ORCID http://orcid.org/0000-0003-4796-7078
Randa AkouriInstitute of Clinical Sciences, Department of Obstetrics and Gynecology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden. randa.akouri@vgregion.se.ORCID http://orcid.org/0000-0001-5524-0165

Funding

ALF agreement ALFGBG-872611
6 · The paper itself

Abstract

purposeFertility preservation for pre-pubertal girls undergoing gonadotoxic cancer treatments and women with systemic cancers at high risk for ovarian metastasis remains limited. Current options, such as ovarian cortex transplantation, risk reintroducing malignant cells. This study presents a novel approach focusing on ex vivo folliculogenesis and mature oocyte retrieval for cryopreservation, mitigating this risk.

methodsThis experimental study optimized an ex vivo ovarian perfusion system in sheep, refining gonadotropin stimulation to yield mature oocytes. Eleven ovaries were divided into two experimental subgroups: Group 1 (n = 5) and Group 2 (n = 6). Both groups were perfused in a bioreactor for 4 to 8 days under distinct perfusion protocols, differing in gonadotropin administration overnight-Group 1 did not receive overnight gonadotropin stimulation, whereas Group 2 received basal gonadotropin stimulation overnight. Assessments included follicular proliferation, oocyte maturity, apoptosis, ovarian function-related gene expression, and the levels of hormones, metabolites, and electrolytes in the culture medium, compared across subgroups.

resultsThe protocol without overnight ovarian stimulation yielded mature MII oocytes, despite fewer secondary follicles and overexpression of the pro-apoptotic BAX gene. Conversely, ovaries with overnight stimulation yielded mostly GV-MI oocytes and exhibited reduced secondary follicle proliferation and higher HIF1A expression. Hormone levels, metabolites, and electrolytes remained stable across groups and time.

conclusionsThis study is the first to report the successful harvesting of MII oocytes following extended ex vivo perfusion of intact ewe ovaries, highlighting the potential of the perfusion model to support advanced follicular development. Further investigations are warranted to elucidate underlying mechanisms and refine protocol efficiency.

Indexed as

Fertility PreservationGonadotropinsOvaryAnimalsApoptosisBioreactorsCryopreservationFemaleHumansOocyte RetrievalOocytesOvarian FollicleOvulation InductionPerfusionSheepGonadotropinsBioreactorEx vivo cultureFertility preservationGene expressionOvarian perfusion

Identifiers

PMID40009267
PMCPMC12167194

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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.