Experiment 1: HSO can accelerate maturity of virgin mice by upregulating the expression of ERα and ERβ
Animal body mass
There was no significant difference in body mass between different groupsĀ (one-way ANOVA, F3,35 =1.728, p>0.05, Fig 1).
Sexual maturity time, gonad wet weight and gonad coefficient
HSO could advance the vaginal opening time of mice by varying degrees (Table 1). There were significant differences in the gonad wet weight (F3,36 =13.561, p<0.01, Fig 2A) and gonad coefficient (gonad coefficient = uterus and ovarian wet weight/body weight, F3,36 =14.006, p<0.01, Fig 2B) between different groups. Compared with the control group, the gonad wet weight and gonad coefficient of the high-dose HSO group were significantly increased (p<0.05).Ā
Uterine and ovarian tissue morphology
In the control group, the uterus was small, the endometrium was thinner and discontinuous, and the uterine cavity was narrow, with sparse glands. Compared with the control group, there was no significant difference in the low-dose HSO group. In the high-dose HSO group, the uterine volume and cavity were significantly increased, the endometrium was thickened, with more glands, and the degree of curvature was high, almost filling the entire uterine cavityĀ (Fig 3). There was a significant difference in endometrial thickness between the different groups measured by microscopic scale (F3,36 =8.204, p<0.01, Table 2). Compared with the control group, the endometrial thickness of the high-dose HSO group was significantly increased (p<0.01), there was no significant difference between the low-dose groups (p>0.05).
The ovarian growth and development in the control group was normal, and the structure of the follicle was complete and clear. Compared with the control group, the ovary was significantly enlarged in the high-dose HSO group. The number of primordial follicles, primary follicles and secondary follicles were also higher in the high-dose groups.Ā The corpus luteum shape was clear in each group (Fig 4). There were significant differences in the number of primary follicles (F3,14 =5.629, p<0.05) and secondary follicles (F3,11 =6.063, p<0.05) between different groups, but the area of ovary (measured with endometrial thickness) was not significant (F3,20 =2.902, p>0.05, Table 3). Compared with the control group, the number of primary follicles (p<0.01), secondary follicles (p<0.01) and ovary area (p<0.05) in the high-dose HSO groups were significantly increased.Ā
ERα and ERβ expression
The background of immunohistochemical staining sections was colorless or light blue. The immunoreactive substances of ERα and ERβ were brownish yellow and mainly distributed in the cytoplasm, and the nuclei were stained blue by hematoxylin. The control group had weaker brown-yellow staining than the drug-administered group, indicating that the immunohistochemical method had specificity of ERα and ERβ immunoreactivity. For statistical description, according to follicular development, it was divided into early follicles (primordial follicles and primary follicles), intermediate follicles (secondary follicles), and advanced follicles (mature follicles and atresia follicles).
In the control group, there was no positive reaction between ERα (Fig 5) and ERβ (Fig 6) in primordial follicle oocytes; primary follicular oocytes and granulosa cells (GC) showed weak positive reaction (-~+), and membrane cells (TC) showed almost no expression (-); grade follicular oocytes showed a weak positive reaction (-~+), GC showed a positive reaction (+), TC had almost no expression (-); mature follicular cumulus GC stained weakly (-~+), more brown-yellow particles (+), TC showed a weak positive reaction (-~+), and the degenerated GC in the atresia follicle showed a certain positive reaction (+~+++). Compared with the control group, the positive expressions of ERα and ERβ in oocytes and GC cytoplasm of different doses of HSO were increased significantly in the high-dose groups; positive expression in TC cytoplasm showed no significant changes.
There was a significant difference in the average optical density of ERα and ERβ (Tables 4) in early follicle (F3,12 =33.986, p<0.01, F3,12 =18.589, p<0.01), intermediate follicle (F3,12 =12.439, p<0.01, F3,12 =8.358, p<0.01) and late follicle (F3,12 =10.032, p<0.01, F3,12 =12.672, p<0.01) between different groups. Compared with the control group, the average optical density of ERα and ERβ in early follicles, intermediate follicles and late follicles of the high-dose HSO groups were significantly increased, but there was no significant change in the low-dose HSO group.
Serum E2, FSH and LH content
There were significant differences in E2 (F3,24 =10.270, p<0.01), FSH (F3,26 =5.576, p<0.01) and LH (F3,24 =4.855, p<0.01) levels among different groups. Compared with the control group, the levels of E2 (p<0.01)Ā increased significantly and FSH (p<0.05) decreased significantly in the high-dose HSO groupĀ (Fig 7).
Experiment 2: HSO can upregulate expression of ERα and ERβ in ovariectomized mice
Body mass
There was no significant difference in the body mass levels of mice between different groupsĀ (F3,37=2.001, p>0.05, Fig 8).
Uterine wet weight and coefficient
There were significant differences in the uterine wet weight (F3,36=26.029, p<0.01) and gonadal coefficient (F3,36=31.665, p<0.01) of mice among different groups (Fig 9). Compared with the sham-operation group, the uterine wet weight (p<0.01) and gonad coefficient (p<0.01) of the model group were significantly reduced. Compared with the model group, the uterine wet weight (p<0.01) and gonad coefficient (p<0.01) of the HSO group was significantly increased.
Analysis of uterine morphology
The sham operation group had normal uterine morphology including developed glands, high degree of curvature, and large uterine cavity. However, the model group had smaller uterine volume, almost no uterine gland development, thin endometrium, and narrow uterine cavity. The uterine volume of the HSO group was increased, the glands were increased and developed, and the endometrium was significantly thickened (Fig 10). The endometrial thickness of mice was measured with a ruler under a microscope. The results of univariate analysis of variance showed significant differences in endometrial thickness of mice between different groups (F3,37=19.491, p<0.01). Compared with the sham operation group, the endometrial thickness of the model group was significantly reduced (p<0.05). Compared with the model group, the endometrial thickness of the HSO group was significantly increased (p<0.05,Ā Table 5).
Analysis of pathological results of spleen
There was no difference in spleen morphology among the groups (Fig 11A), however, there was a significant difference in the spleen wet weight of mice between different groups (F3,34=4.369, p<0.05, Fig 11B), and a significant difference in the number of Langerhans cells in the spleen (F3,28=11.902, p<0.01, Fig 11C). Compared with the sham operation group, the spleen wet weight (p <0.01) and the number of Langerhans cells (p <0.01) in the spleen of the model group were significantly reduced. Compared with the model group, the spleen wet weight (p <0.05) and the number of Langerhans cells (p <0.01) in the spleen of the HSO group were significantly increased.
Analysis of hippocampal pathological results
The morphology of the granular cells in the dentate gyrus area of the sham operation group in the 400X visual field was observed to be regular and orderly. Compared with the sham operation group, the dendritic gyrus of the hippocampus in the model group generally showed shrinking of solid cells and deep staining, and the cell body was deformed. Compared with the model group, the granule cells of the dentate gyrus in the HSO group were generally deformed. The layers were arranged neatly, the pyramidal cells were solidified and shrunk, and there was less deep staining. The granular cells of the hippocampal dentate gyrus in the estradiol valerate group were arranged neatly, and the cells were full and round. There was almost no deep staining and shrinkage.
The cells in the hippocampal CA3 area were arranged in the shape of an arc. When the cells were damaged, solidification, shrinkage and deep staining were observed, but the arrangement was loose and divergent toward the radian direction. In the sham operation group, the cells in the hippocampal CA3 region of the mice were arranged neatly and tightly, and the cell bodies were full. Compared with the sham operation group, the cells in the hippocampal CA3 area of the model group had more deep staining, solidification and shrinkage, and the arrangement was loose and irregular. Compared with the model group, the cell body in the HSO group was fuller and arranged, tight, with almost no shrinkage. The estradiol valerate group was full and tightly arranged, with almost no shrinkage (Fig 13).
ERα and ERβ expression
The background of immunohistochemical staining positive sections was colorless or light blue, and the ERα (Fig 13) or ERβ (Fig 14) immunoreactive substances were yellow or brownish yellow. The cytoplasm of positive cells contained yellow or brownish yellow reaction particles, and the nuclei of the cells were stained light blue or blue. The staining of the control group was negative, the background was colorless or light blue, and there was no yellow or brownish yellow staining, indicating that the immunohistochemical method had the specificity of ERα and ERβ immune response. In the sham operation group, obvious positive expression of ERα and ERβ (Tables 6) was observed in mouse uterine glandular epithelial cells, and the positive expression of ERα was stronger than that of ERβ. There was no significant difference in the average optical density of ERα (F3,31=0.254, p>0.05) in mouse lamina propria cells between different groups. However, there was significant difference in the average optical density of ERβ in mouse lamina propria cells between different groups (F3,32=3.077, p<0.05). There was significant difference in the average optical density of ERα (F3,30=16.443, p<0.01) and ERβ (F3,27=3.366, p<0.05) in uterine gland epithelial cells between different groups. Compared with the sham operation group, the average optical density of ERα (p <0.01) and ERβ (p <0.05) of uterine gland epithelial cells in the model group was significantly reduced. Compared with the model group, the average optical density of ERα (p <0.01) and ERβ (p <0.05) of uterine gland epithelial cells in the HSO group and the estradiol valerate group was significantly increased.
E2, FSH and LH content in serum
There were significant differences in E2 (F3,28=21.615, p<0.01), FSH (F3,27=10.588, p<0.01) and LH (F3,28=6.702, p<0.01) levels among the different groups. Compared with the sham operation group, the E2 level in the model group was significantly reduced, and the FSH and LH levels in the model group were significantly increased. Compared with the model group, the E2 level in the HSO group was significantly increased, and FSH and LH levels were significantly reduced. E2 level in the estradiol valerate group was significantly increased, and FSH and LH levels were significantly reduced (Fig 15).