INVESTIGATION OF EFFECT OF QUERCETIN ON STRUCTURAL AND VASCULAR CHANGES IN EXPERIMENTAL OVARIAN HYPERSTIMULATION SYNDROME MODEL


Thesis Type: Doctorate

Institution Of The Thesis: Gazi University, Sağlık Bilimleri Fakültesi, HİSTOLOJİ VE EMBRİYOLOJİ ANABİLİM DALI, Turkey

Approval Date: 2021

Thesis Language: Turkish

Student: İsmail TÜRKOĞLU

Supervisor: Suna Ömeroğlu

Abstract:

Ovarian hyperstimulation syndrome (OHSS) is a serious iatrogenic complication that can

occur during assisted reproductive techniques. There is no specific treatment for OHSS.

More research is needed to elucidate the pathophysiology behind the condition and to

find a permanent treatment for it. In this study, it was aimed to investigate the effects of

quercetin on ovarian morphology and related VEGF/VEGFR-2 expression and IL-6 level rat

model of OHSS. 28 immature female Wistar Albino rats, 21-22 days old, were randomly

divided into 4 groups (Control, KOH, OHSS and OHSS+Quercetin), 7 in each group.

Hematoxylin-Eosin, Periodic acid Schift staining for histo-morphological examination of

ovarian tissue and immunohistochemical staining for evaluation of VEGFA and VEGFR-2

expression, ELISA analyzes to determine the concentration of IL-6, VEGFA in the

peritoneal fluid and E2 in the serum were performed. Body weight, ovarian weight and

diameters, vascular endothelial growth factor (VEGF) and IL-6 levels of peritoneal fluid,

serum E2 levels, and ovarian expression of VEGFA and VEGFR-2 were compared between

the groups. Ovarian weights and diameters, peritoneal fluid levels of VEGFA and IL-6 and

ovarian VEGFA, VEGFR-2 expression were found to be significantly lower in quercetintreated

rats than in the untreated OHSS group. In addition, when the structures in the

ovary were evaluated, it was found that quercetin administration significantly decreased

the number of corpus luteum and cystic structures compared to the group with OHSS,

and increased the number of atretic follicles. It was determined that quercetin has effects

that reduce OHSS findings. It has been demonstrated that the use of quercetin can be

effective both in the prevention and control of OHSS

Key Words : OHSS, ovary, quercetin, vegf, vegfr-2, IL-6