Premature ovarian insufficiency (POI) occurs in 1% of reproductive-age women. The
ovarian manifestation ranges from the presence of a variable population of follicles
(follicular) to the absence of follicles (afollicular), and in the majority of cases
the cause is unknown. A transgenic mouse model of follicular POI, the Double Mutant
(DM), arises from oocyte-specific deletion of Mgat1 and
C1galt1 required for the generation of O- and
N-glycans. DM females are subfertile at 6 weeks, infertile by 9
weeks and exhibit POI by 12 weeks of age. In this study we investigate the cause of
the reduced fertility at 6 weeks and infertility at 9 weeks of DM females. Ovary
sections were used to analyse follicle and corpora lutea (CL) numbers, apoptosis, and
levels of laminin and 3β-hydroxysteroid dehydrogenase using
immunohistochemistry. After POI, DM females unexpectedly remained sexually receptive.
At both 6 and 9 weeks, DM ovaries contained more primary follicles, however, at 9
weeks DM follicles were proportionally healthier, revealed by TUNEL analysis compared
with Controls. In 9 week DM ovaries (collected post-mating), secondary follicles had
theca and basal lamina structure abnormalities, whilst preovulatory follicles failed
to ovulate resulting in the presence of numerous luteinised unruptured follicles,
indicative of ovulation failure. Finally, DM ovaries contained more regressing CL
with decreased luteal cell apoptosis indicative of a defect in CL regression.
Identifying these follicular modifications have provided insight into the aetiology
of a model of POI and highlight targets to investigate with the hope of developing
new fertility treatments.