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Tamoxifen decreases ovarian follicular loss from experimental toxicant DMBA and chemotherapy agents cyclophosphamide and doxorubicin in the rat

  • Fertility Preservation
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Abstract

Introduction

We serendipitously observed a protective effect of tamoxifen against depletion of ovarian follicles by 7,12-dimethylbenzanthracene (DMBA), a chemical carcinogen, during a cancer prevention study. Such ovarian protection is being sought as an alternative approach to fertility preservation in human cancer patients.

Methods

Rats received tamoxifen (0, 1 mg or 2.5 mg/kg/d) and DMBA (0, 1, 2 mg/kg/wk) or cyclophosphamide (0, 35, 50 mg/kg/wk). Ovarian follicles were quantified and effects on fertility and litter size were tested. Cultured oocytes were exposed to chemotherapy drug doxorubicin, with or without 4-hydroxytamoxifen (4HT).

Results

DMBA and cyclophosphamide decreased the number of primordial and total follicles, and this reduction was prevented by tamoxifen. Cyclophosphamide tended to reduce fertility and lessened neonatal survival. Tamoxifen reversed these defects. Doxorubicin caused oocyte fragmentation which was prevented by 4HT.

Conclusions

Tamoxifen decreases follicle loss and improves reproductive function following exposure to ovarian toxicants including chemotherapy drugs in the female rat.

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References

  1. Absolom K, Eiser C, Turner L, Ledger W, Ross R, Davies H, et al. Ovarian failure following cancer treatment: current management and quality of life. Hum Reprod. 2008;23:2506–12.

    Article  PubMed  Google Scholar 

  2. Simon B, Lee SJ, Partridge AH, Runowicz CD. Preserving fertility after cancer. CA Cancer J Clin. 2005;55:211–28.

    Article  PubMed  Google Scholar 

  3. Meirow D. Reproduction post-chemotherapy in young cancer patients. Mol Cell Endocrinol. 2000;169:123–31.

    Article  CAS  PubMed  Google Scholar 

  4. Pacey AA. Fertility issues in survivors from adolescent cancers. Cancer Treat Rev. 2007;33(7):646–55.

    Article  CAS  PubMed  Google Scholar 

  5. Lobo RA. Potential options for preservation of fertility in women. N Engl J Med. 2005;353(1):64–73.

    Article  CAS  PubMed  Google Scholar 

  6. Ataya K, Rao LV, Lawrence E, Kimmel R. Luteinizing hormone-releasing hormone agonist inhibits cyclophosphamide-induced ovarian follicular depletion in rhesus monkeys. Biol Reprod. 1995;52(2):365–72.

    Article  CAS  PubMed  Google Scholar 

  7. Blumenfeld Z. How to preserve fertility in young women exposed to chemotherapy? The role of GnRH agonist cotreatment in addition to cryopreservation of embrya, oocytes, or ovaries. Oncologist. 2007;12(9):1044–54.

    Article  PubMed  Google Scholar 

  8. Blumenfeld Z. GnRH-agonists in fertility preservation. Curr Opin Endocrinol Diabetes Obes. 2008;15(6):523–8.

    Article  CAS  PubMed  Google Scholar 

  9. Blumenfeld Z, Avivi I, Ritter M, Rowe JM. Preservation of fertility and ovarian function and minimizing chemotherapy-induced gonadotoxicity in young women. J Soc Gynecol Investig. 1999;6(5):229–39.

    Article  CAS  PubMed  Google Scholar 

  10. Oktay K, Sonmezer M, Oktem O, Fox K, Emons G, Bang H. Absence of conclusive evidence for the safety and efficacy of gonadotropin-releasing hormone analogue treatment in protecting against chemotherapy-induced gonadal injury. Oncologist. 2007;12(9):1055–66.

    Article  CAS  PubMed  Google Scholar 

  11. Ting AY, Kimler BF, Fabian CJ, Petroff BK. Tamoxifen prevents premalignant changes of breast but not ovarian cancer in rats at high risk for both disease. Cancer Prev Res. 2008;1:546–54.

    Article  CAS  Google Scholar 

  12. Kossoy G, Ben-Hur H, Elhayany A, Schneider DF, Kossoy N, Zusman I. Effects of tamoxifen and soluble tumor-associated antigens on ovarian structure in mammary tumor-bearing rats. Oncol Rep. 2005;14(5):1317–21.

    CAS  PubMed  Google Scholar 

  13. Geyer RP, Bleisch VR, Bryant JE, Robbins AN, Saslaw IM, Stare FJ. Tumor production in rats injected intravenously with oil emulsions containing 9,10-dimethyl-1,2-benzanthracene. Cancer Res. 1951;11(6):474–8.

    CAS  PubMed  Google Scholar 

  14. Matikainen T, Perez GI, Jurisicova A, Pru JK, Schlezinger JJ, Ryu HY, et al. Aromatic hydrocarbon receptor-driven Bax gene expression is required for premature ovarian failure caused by biohazardous environmental chemicals. Nat Genet. 2001;28(4):355–60.

    Article  CAS  PubMed  Google Scholar 

  15. Borman SM, Christian PJ, Sipes IG, Hoyer PB. Ovotoxicity in female Fischer rats and B6 mice induced by low-dose exposure to three polycyclic aromatic hydrocarbons: comparison through calculation of an ovotoxic index. Toxicol Appl Pharmacol. 2000;167(3):191–8.

    Article  CAS  PubMed  Google Scholar 

  16. Tsai-Turton M, Nakamura BN, Luderer U. Induction of apoptosis by 9, 10-dimethyl-1, 2-benzanthracene in cultured preovulatory rat follicles is preceded by a rise in reactive oxygen species and is prevented by glutathione. Biol Reprod. 2007;77(3):442–51.

    Article  CAS  PubMed  Google Scholar 

  17. Shiromizu K, Thorgeirsson SS, Mattison DR. Effect of cyclophosphamide on oocyte and follicle number in Sprague-Dawley rats, C57BL/6 N and DBA/2 N mice. Pediatr Pharmacol (New York). 1984;4(4):213–21.

    CAS  Google Scholar 

  18. Ataya KM, McKanna JA, Weintraub AM, Clark MR, LeMaire WJ. A luteinizing hormone-releasing hormone agonist for the prevention of chemotherapy-induced ovarian follicular loss in rats. Cancer Res. 1985;45(8):3651–6.

    CAS  PubMed  Google Scholar 

  19. Jurisicova A, Lee HJ, D’Estaing SG, Tilly J, Perez GI. Molecular requirements for doxorubicin-mediated death in murine oocytes. Cell Death Differ. 2006;13(9):1466–74.

    Article  CAS  PubMed  Google Scholar 

  20. Gonfloni S, Di Tella L, Caldarola S, Cannata SM, Klinger FG, Di Bartolomeo C, et al. Inhibition of the c-Abl-TAp63 pathway protects mouse oocytes from chemotherapy-induced death. Nat Med. 2009;15(10):1179–85.

    Article  CAS  PubMed  Google Scholar 

  21. Oh SH, Miyoshi K, Funahashi H. Rat oocytes fertilized in modified rat 1-cell embryo culture medium containing a high sodium chloride concentration and bovine serum albumin maintain developmental ability to the blastocyst stage. Biol Reprod. 1998;59(4):884–9.

    Article  CAS  PubMed  Google Scholar 

  22. Perez GI, Tao XJ, Tilly JL. Fragmentation and death (a.k.a. apoptosis) of ovulated oocytes. Mol Hum Reprod. 1999;5(5):414–20.

    Article  CAS  PubMed  Google Scholar 

  23. Tilly JL. Ovarian follicle counts–not as simple as 1, 2, 3. Reprod Biol Endocrinol. 2003;1:11.

    Article  PubMed  Google Scholar 

  24. Stern JM, Strait T. Reproductive success, postpartum maternal behavior, and masculine sexual behavior of neonatally androgenized female hamsters. Horm Behav. 1983;17(2):208–24.

    Article  CAS  PubMed  Google Scholar 

  25. Jakubowski M, Terkel J. Female reproductive function and sexually dimorphic prolactin secretion in rats with lesions in the medial preoptic-anterior hypothalamic continuum. Neuroendocrinology. 1986;43(6):696–705.

    Article  CAS  PubMed  Google Scholar 

  26. Fisher B, Costantino JP, Wickerham DL, Redmond CK, Kavanah M, Cronin WM, et al. Tamoxifen for prevention of breast cancer: report of the National Surgical Adjuvant Breast and Bowel Project P-1 Study. J Natl Cancer Inst. 1998;90(18):1371–88.

    Article  CAS  PubMed  Google Scholar 

  27. Ezzat AA, Ibrahim EM, Stuart RK, Ajarim D, Bazarbashi S, El-Foudeh MO, et al. Adding high-dose tamoxifen to CHOP does not influence response or survival in aggressive non-Hodgkin’s lymphoma: an interim analysis of a randomized phase III trial. Med Oncol. 2000;17(1):39–46.

    Article  CAS  PubMed  Google Scholar 

  28. Berman E, McBride M, Lin S, Menedez-Botet C, Tong W. Phase I trial of high-dose tamoxifen as a modulator of drug resistance in combination with daunorubicin in patients with relapsed or refractory acute leukemia. Leukemia. 1995;9(10):1631–7.

    CAS  PubMed  Google Scholar 

  29. Sverrisdottir A, Nystedt M, Johansson H, Fornander T. Adjuvant goserelin and ovarian preservation in chemotherapy treated patients with early breast cancer: results from a randomized trial. Breast Cancer Res Treat. 2009;117(3):561–7.

    Article  CAS  PubMed  Google Scholar 

  30. Furlanut M, Franceschi L, Pasqual E, Bacchetti S, Poz D, Giorda G, et al. Tamoxifen and its main metabolites serum and tissue concentrations in breast cancer women. Ther Drug Monit. 2007;29(3):349–52.

    Article  CAS  PubMed  Google Scholar 

  31. Rose DP, Davis TE. Effects of adjuvant chemohormonal therapy on the ovarian and adrenal function of breast cancer patients. Cancer Res. 1980;40(11):4043–7.

    CAS  PubMed  Google Scholar 

  32. Hu X, Christian P, Sipes IG, Hoyer PB. Expression and redistribution of cellular Bad, Bax, and Bcl-X(L) protein is associated with VCD-induced ovotoxicity in rats. Biol Reprod. 2001;65(5):1489–95.

    Article  CAS  PubMed  Google Scholar 

  33. Livera G, Petre-Lazar B, Guerquin MJ, Trautmann E, Coffigny H, Habert R. p63 null mutation protects mouse oocytes from radio-induced apoptosis. Reproduction. 2008;135(1):3–12.

    Article  CAS  PubMed  Google Scholar 

  34. Morita Y, Perez GI, Maravei DV, Tilly KI, Tilly JL. Targeted expression of Bcl-2 in mouse oocytes inhibits ovarian follicle atresia and prevents spontaneous and chemotherapy-induced oocyte apoptosis in vitro. Mol Endocrinol. 1999;13(6):841–50.

    Article  CAS  PubMed  Google Scholar 

  35. Thompson KE, Sipes IG, Greenstein BD, Hoyer PB. 17beta-estradiol affords protection against 4-vinylcyclohexene diepoxide-induced ovarian follicle loss in Fischer-344 rats. Endocrinology. 2002;143(3):1058–65.

    Article  CAS  PubMed  Google Scholar 

  36. Dubey RK, Tyurina YY, Tyurin VA, Gillespie DG, Branch RA, Jackson EK, et al. Estrogen and tamoxifen metabolites protect smooth muscle cell membrane phospholipids against peroxidation and inhibit cell growth. Circ Res. 1999;84(2):229–39.

    CAS  PubMed  Google Scholar 

  37. Nathan L, Chaudhuri G. Antioxidant and prooxidant actions of estrogens: potential physiological and clinical implications. Semin Reprod Endocrinol. 1998;16(4):309–14.

    Article  CAS  PubMed  Google Scholar 

  38. fDarvari R, Boroujerdi M. Investigation of the influence of modulation of P-glycoprotein by a multiple dosing regimen of tamoxifen on the pharmacokinetics and toxicodynamics of doxorubicin. Cancer Chemother Pharmacol. 2005;56(5):497–509.

    Article  CAS  PubMed  Google Scholar 

  39. Shen LZ, Hua YB, Yu XM, Xu Q, Chen T, Wang JH, et al. Tamoxifen can reverse multidrug resistance of colorectal carcinoma in vivo. World J Gastroenterol. 2005;11(7):1060–4.

    CAS  PubMed  Google Scholar 

  40. Oktay K, Buyuk E, Davis O, Yermakova I, Veeck L, Rosenwaks Z. Fertility preservation in breast cancer patients: IVF and embryo cryopreservation after ovarian stimulation with tamoxifen. Hum Reprod. 2003;18(1):90–5.

    Article  CAS  PubMed  Google Scholar 

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Correspondence to Brian K. Petroff.

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Tamoxifen decreases follicle loss and improves reproductive function following exposure to ovarian toxicants, including chemotherapy drugs, in the female rat.

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Ting, A.Y., Petroff, B.K. Tamoxifen decreases ovarian follicular loss from experimental toxicant DMBA and chemotherapy agents cyclophosphamide and doxorubicin in the rat. J Assist Reprod Genet 27, 591–597 (2010). https://doi.org/10.1007/s10815-010-9463-y

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  • DOI: https://doi.org/10.1007/s10815-010-9463-y

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