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Background: Diabetes is a metabolic disorder affecting the whole body systems including the
female reproductive organs. Moreover, diabetes is an important cause of
infertility. Metformin is commonly used to control hyperglycemia in patients
with diabetes. This study was done to evaluate the ultrastructural changes of
ovarian follicles in diabetic rats and their response to metformin.
Methods: Thirty-six adult Sprague-Dawley female rats (170-210
g) were studied in three groups (Control, diabetic and metformin-treated rats).
In the second and third groups, diabetes was induced by injection of
streptozotocin (45 mg/kg).
The rats in the third group were later treated by metformin monohydrochloride
(100 mg/kg). At the end of the experiment, rats
were sacrificed and their right ovaries were observed under transmission
electron microscope. Quantitative data were analyzed by student t-test in SAS
software.
Results: In comparison with the control group, significant decreases in zona pellucida
thickness and the mean number of microvilli were observed (respectively, P<0.01
and P<0.001) in diabetic rats. Significant
decreases in zona pellucida thickness were also observed in metformin-treated
rats (P<0.05) but changes in the number of
microvilli were non-significant. The number of organelles in oocyte cytoplasm
was higher and they were natural or natural-looking in metformin-treated rats
versus the diabetic ones. Reduction in the number of mitochondria and their
ballooning cristae were of the most noticeable changes in diabetic rats.
Conclusion: Diabetes
decreases the number of microvilli and oocyte organelles and diminishes zona
pellucida thickness leading to structural changes in the organelles but
metformin could improve the aforesaid conditions.
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