Past Issue

Volume 13, Number 3, Oct-Dec 2019 Pages: 196-202

Effects of Co-Administration of Bone Marrow Stromal Cells and L-Carnitine on The Recovery of Damaged Ovaries by Performing Chemotherapy Model in Rat

Sam Zarbakhsh, Ph.D, 1, *, Robabeh Safari, M.Sc, 1, Hamid Reza Sameni, Ph.D, 1, Behpour Yousefi, Ph.D, 1, Manouchehr Safari, Ph.D, 1, Nasrin Khanmohammadi, M.Sc, 1, Parisa Hayat, B.Sc, 2,
Nervous System Stem Cells Research Center, Semnan University of Medical Sciences, Semnan, Iran
Cellular and Molecular Research Center, Iran University of Medical Sciences, Tehran, Iran
*Corresponding Address: P.O.Box: 35198-99951 Nervous System Stem Cells Research Center Semnan University of Medical Sciences Semnan Iran



L-carnitine (Lc) as a type of flavonoid antioxidants and bone marrow stromal cells (BMSCs) as a type of mesenchymal stem cells may recover damaged ovaries. It seems that Lc has favorable effects on differentiation, increasing lifespan and decreasing apoptosis in BMSCs. The aim of this study was to investigate effects of co-ad- ministration of BMSC+Lc on damaged ovaries after creating a chemotherapy model with cyclophosphamide in rats.

Materials and Methods

In this experimental study, cyclophosphamide was intraperitoneally (IP) injected to forty female wistar rats for 14 days, in terms of chemotherapy-induced ovarian destruction. The rats were then randomly divided into four groups: control, Lc, BMSCs and co-administration of BMSC+Lc. Injection of BMSCs into bilateral ovaries and intraperitoneal injection of Lc were performed individually and together. Four weeks later, levels of se- rum estradiol (E2) and follicle-stimulating hormone (FSH) using enzyme-linked immunosorbent assay (ELISA) kit, number of ovarian follicles at different stages using hematoxylin and eosin (H&E) staining and expression of ovarian Bcl-2 and Bax proteins using western blot were assessed.


Co-administration of BMSC+Lc increased E2 and decreased FSH levels compared to the control group (P<0.001). The number of follicles was higher in the co-administrated group compared to the control group (P<0.001). Co-administration of BMSC+Lc increased Bcl-2 protein level, decreased Bax protein level and increased Bcl-2/Bax ratio (P<0.001).


The effect of co-administration of BMSC+Lc is probably more effective than the effect of their separate administration on the recovery of damaged ovaries by chemotherapy.