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Kanser Hastalarında Fertilitenin Korunmasında Kullanılan Kriyoprezervasyon Yöntemleri

Yıl 2018, Cilt: 1 Sayı: 2, 17 - 26, 15.10.2018

Öz

Günümüzde erken tanı ve tedavilerdeki gelişmelerle kanser hastalarında sağ kalım süreleri

uzamıştır. Kanserli hastanın onkoloji tedavisinden sonra da üreme yeteneğinin korunması

yaşam kalitesinin yükseltilmesinde önemli bir yer tutmaktadır. Erişkin kadın ve erkeklerde

olgun üreme hücrelerine ulaşmak mümkündür. Embriyo ve oosit dondurulmasında vitrifikasyon

yöntemi, spermatozoa ve testis hücre süspansiyonu dondurulmasında yavaş dondurma yöntemi,

over dokusu dondurulmasında ise her iki yöntem tercih edilmektedir. Prepubertal dönemde

ise gonad dokularının yani üreme kök hücrelerinin kriyoprezervasyonu tek seçenek olarak

karşımıza çıkmaktadır. Ancak prepubertal testis dokusunun kriyoprezervasyonu henüz deneysel

aşamadadır. Kanser hastaları için fertilite restorasyon tekniklerindeki gelişmeler, yakın bir

gelecekte kliniklerde rutin olarak uygulanabilmesi açısından umut vadetmektedir. Ancak

prepubertal erkek çocuklarda testis dokusundaki spermatogonyal kök hücrelerin güvenli ve en

uygun şekilde kriyoprezervasyonunu sağlayacak detaylı araştırmalara ihtiyaç vardır.

Kaynakça

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Optimal vitrification protocol for mouse ovarian tissue cryopreservation: effect of cryoprotective agents and in vitro culture on vitrified-warmed ovarian tissue survival. Hum Reprod 2014; 29: 720-730. 20. Ting AY, Yeoman RR, Campos JR, et al. Morphological and functional preservation of preantral follicles after vitrification of macaque ovarian tissue in a closed system. Hum Reprod 2013; 28: 1267-1279. 21. So-Youn Kim, Seul Ki Kim, Jung Ryeol Lee et al. Toward precision medicine for preserving fertility in cancer patients: existing and emerging fertility preservation options for women.J Gynecol Oncol 2016; 27(2):e22. 22. Kanatsu-Shinohara M, Ogonuki N, Inoue K et al. Restoration of fertility in infertile mice by transplantation of cryopreserved male germline stemcells. Hum Reprod 2003; 18: 2660-2667. 23. Izadyar F, Matthijs-Rijsenbilt JJ, den Ouden K et al. Development of a cryopreservation protocol for type a spermatogonia. J Androl 2002; 23: 537- 540. 24. Moore KL, Persaud TVN. 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Wyns C, Curaba M, Martinez-Madrid B et al. Spermatogonial survival after cryopreservation and shortterm orthotopic immature human cryptorchid testicular tissue grafting to immunodeficient mice. Hum Reprod 2007; 22: 1603-1611. 50. Brockbank KGM, Song YC, Khirabadi BS. Storage of Tissues by Vitrification. Transplantation Proceedings 2000; 32: 3-4. 51. Morris GJ, Acton E. Controlled ice nucleation in cryopreservation. Cryobiology 2013; 66(2):85- 92. 52. Whittingham DG. Some factors affecting embryo storage in laboratory animals, Ed: Elliot K, Whelan J, The Freezing of Mammalian Embryos. Amsterdam: Ciba Foundation 52; 1977. 97-127. 53. Fahy GM, Wowk B, Pagotan Ret al. Physical and biological aspects of renal vitrification. Organogenesis 2009; 5 (3): 167-175. 54. Fahy GM, Saur J, Williams RJ. Physical problems with the vitrification of large biological systems. Cryobiology 1990; 27(5): 492-510.
Toplam 1 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Bölüm Derleme
Yazarlar

Gülnaz Kervancıoğlu

Yayımlanma Tarihi 15 Ekim 2018
Kabul Tarihi 7 Mayıs 2018
Yayımlandığı Sayı Yıl 2018 Cilt: 1 Sayı: 2

Kaynak Göster

APA Kervancıoğlu, G. (2018). Kanser Hastalarında Fertilitenin Korunmasında Kullanılan Kriyoprezervasyon Yöntemleri. Tıp Fakültesi Klinikleri Dergisi, 1(2), 17-26.


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