Pretreatment with melatonin improves ovarian tissue cryopreservation for transplantation.
Abstract Background: Melatonin has anti-inflammatory and antioxidative actions at the mitochondrial level. This indole may protect the ovarian graft during the cryopreservation process. Therefore, our study aimed to determine whether melatonin pretreatment improves rat ovarian graft quality. Methods: Twenty female rats were allocated to two study groups of ten animals each: 1) control group: ovaries cryopreserved using the standard protocol; and 2) melatonin group: ovaries cryopreserved in a medium with melatonin. Following 24-h freezing, whole ovaries underwent autologous and avascular transplants with retroperitoneal placement. After postoperative (PO) day 15, daily vaginal smears were obtained for estrous cycle characterization. Between PO days 30 and 35, animals were euthanized and ovarian grafts were recovered for histological and immunohistochemical (Ki-67, cleaved caspase-3, TUNEL, von Willebrand factor, estrogen, and progesterone receptors) analysis. The ovaries of the three remaining rats from each group were studied immediately after thawing to assess cryopreservation effects. The ANOVA and the Tukey tests were used, and the rejection level of the null hypothesis was set at 0.05 or 5% (p<0.05).Results: Melatonin promoted faster restart of the estrous cycle and increased the expression of mature follicles, collagen type I, von Willebrand factor, Ki-67, and cleaved caspase-3 on corpora lutea and estrogen receptors in the ovaries. There was a reduction in apoptosis by TUNEL on follicles, corpora lutea, and collagen type III. Conclusion: Melatonin may promote the quality of ovarian grafts through the evaluated parameters. Reproductive function enhancement could be further studied.