Hope for boys left infertile from cancer

Hope for boys left infertile from cancer

A MEDICAL breakthrough has offered hope to boys left infertile from cancer treatment as scientists discover a way to freeze testicles.
Powerful chemotherapy and radiation can damage a boy’s undeveloped testes and leaves almost a third of cancer-surviving men infertile as adults.
Getty – Contributor A medical breakthrough has offered hope to boys who cancer treatment as doctors discover they could still have children, file image of white blood cells attached to a cancer cell
But experts say they have discovered that a baby can be produced by taking testicular tissue at a young age and freezing it.
The technique worked successfully in monkeys and it could soon be used in the clinic for humans.
Experts said the study, published in journal Science, was a “major step” towards developing fertility-restoring treatments for boys who undergo potentially sterilising procedures.
Treatments like chemotherapy can lead to infertility and, while it is possible for men to freeze their sperm ahead of treatment, pre-pubescent males are too young to produce it.
How it was tested
The scientists, from the University of Pittsburgh School of Medicine, removed a testis from five young rhesus macaques and froze the testicular tissue.
The animals then underwent chemotherapy.
As the animals approached puberty, the researchers thawed the tissue samples and implanted them back, along with fresh tissue from the remaining testis.
The team found that after a few months, the tissue had produced sperm, which was used to generate embryos and transferred to females.
Baby Grady
In April 2018, baby Grady – a healthy female rhesus macaque – was born.
Dr Adetunji Fayomi, one of the study’s authors, said: “With Grady’s birth, we were able to show proof-of-principle that we can cryopreserve pre-pubertal testicular tissue, and later use it to restore fertility as an adult.”
Dr Kyle Orwig, the study’s senior author, added: “This advance is an important step toward offering young cancer patients around the world a chance at having a family in the future.”
Dr Rod Mitchell, from the University of Edinburgh, said: “This study represents a major step towards developing treatments for restoring fertility potential in boys facing sterilising cancer treatment.
“Since 2016, we have been freezing and storing testicular tissue in boys at high risk of future infertility as a result of their cancer treatment.
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“This study provides proof-of-principle for restoring fertility potential in these boys when they reach adulthood.
“This is the first primate study to show that pre-pubertal testicular tissue can be successfully removed, cryopreserved and re-transplanted, resulting in the development of sperm that can generate a live birth.
“Whilst translation of this approach into humans will require carefully conducted clinical studies, for young boys currently having their testicular tissue cryopreserved these results provide genuine optimism for their future fertility.”
AP:Associated Press A baby monkey named Grady, born from an experimental technology that aims to help young boys undergoing cancer treatment preserve their future fertility
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