1.Progress in Establishment and Application of Laboratory Animal Models Related to Development of Male Infertility Drugs
Shuwu XIE ; Ruling SHEN ; Jinxing LIN ; Chun FAN
Laboratory Animal and Comparative Medicine 2023;43(5):504-511
As the incidence of male infertility has been increasing during recent years, it is urgent to reveal the pathogenesis of male infertility, as well as to develop the new drugs for treatment of male infertility, in order to solve the declining birth rate and aging problems. The construction and application of male infertile animal models is critical for drug development, which plays an important role in accurately evaluating the efficacy and mechanism of infertility treatment. A suitable infertility model not only can reduce the repeated drug efficacy evaluations, reduce animal usage and the cost of new drug development, but also has important reference value for subsequent clinical trial research. Male infertility laboratory animal models can be constructed through chemical, physical, endocrine, environmental estrogen, gene modification, and immune methods. This article mainly introduces the existing male infertility animal models available for drug development, and briefly introduces the application progress of each model to provide reference for the male infertility drug researchers.
2.Effects of posterior pedicle screw internal fixation on early Cage subsidence after oblique lateral lumbar interbody fusion
Jie LI ; Yilei CHEN ; Kaifeng GAN ; Binhui CHEN ; Minzhe ZHENG ; Lingxiao PAN ; Junhui LIU ; Shuwu FAN ; Fengdong ZHAO
Journal of Xi'an Jiaotong University(Medical Sciences) 2022;43(1):111-116
【Objective】 To investigate the effects of one-stage additional posterior pedicle screws (PPS) internal fixation on early Cage subsidence after oblique lateral interbody fusion (OLIF). 【Methods】 We made a retrospective analysis of 118 patients with lumbar degenerative diseases treated with OLIF at the Department of Orthopedics, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, from January 2016 to December 2019. We divided the patients into OLIF stand-alone group (58 ones) and OLIF with PPS fixation group (60 ones) according to the surgical procedure. All the patients had preoperative frontal and lateral radiographs of the lumbar spine, and CT and MR scans were performed. The clinical outcomes and reoperation rates of the two groups were compared at immediate postoperative follow-up and at 1, 3, 6 and 12 months. X-ray and CT examinations were performed to assess Cage subsidence in both groups at each postoperative follow-up. 【Results】 There was no statistical difference between the two groups in baseline data and surgical segmentation. Of the 118 patients with 141 discs who underwent OLIF surgery, 58 patients with 68 discs received OLIF stand-alone surgery and 60 ones with 73 discs received OLIF with PPS fixation. There were no significant differences in intraoperative bleeding, complications, or postoperative clinical outcomes between the two groups (P>0.05), and the Cage subsidence rate was 22.4% in OLIF stand-alone group and 5% in OLIF with PPS fixation group, with significant difference between the two groups (P<0.01). 【Conclusion】 Both OLIF stand-alone and OLIF additional PPS fixation can achieve good early clinical outcomes, and first-stage additional PPS fixation can significantly reduce the occurrence of Cage subsidence in the early postoperative period after OLIF.