Abstract
Summary
We investigated the capacity of young ovaries, transplanted into old ovariectomized CBA mice, to improve remaining life expectancy of the hosts. Donor females were sexually mature 2-month-olds; recipients were prepubertally ovariectomized at 3 weeks and received transplants at 5, 8 or 11 months of age. Relative to ovariectomized control females, life expectancy at 11 months was increased by 60% in 11-month recipient females and by 40% relative to intact control females. Only 20% of the 11-month transplant females died in the 300-day period following ovarian transplantation, whereas nearly 65% of the ovariectomized control females died during this same period. The 11-month-old recipient females resumed oestrus and continued to cycle up to several months beyond the age of control female reproductive senescence. Across the three recipient age groups, transplantation of young ovaries increased life expectancy in proportion to the relative youth of the ovary. Our results relate to recent findings on the gonadal input upon aging in Caenorhabditis elegans and may suggest how the mammalian gonad, including that of humans, could regulate aging and determine longevity.
Keywords: mouse life table, mouse mortality, life span, ovary transplantation, gonadal signals
Introduction
Although it is widely known that aging in many species is inextricably linked to different aspects of reproduction (Partridge & Harvey, 1985; Bell & Koufopanou, 1986; Gosden, 1996), little is known about the direct effect of gonadal input on longevity in mammals. Many studies have examined the effects of ovarian manipulation on reproductive capacity (Aschheim, 1965; Felicio et al., 1983; Mobbs et al., 1984). However, the nature and impact of gonadal inputs on longevity are unclear because these experimental designs confounded age of ovary and age of individual. Here, to define the direct ovarian influence on longevity in mice, we prepubertally ovariectomized females and subsequently transplanted young ovaries into these females at older ages.
Four concepts and observations shape our experimental design. First, model species including medflies (Carey et al., 1998a) and mice (Merry & Holehan, 1979) suggest that dietary restriction does not independently arrest reproduction and reduce mortality. Rather, reduced mortality produced by diet restriction is a consequence of the arrested reproduction produced by the diet restriction. This conclusion follows from studies with medflies and with mice in which females are switched from ad libitum to restricted diets and their reproductive capacity and post-reproductive mortality are restored to levels that are virtually identical to individuals maintained on ad libitum diets (Merry & Holehan, 1979; Carey et al., 1998a). With the medfly, Müller et al. (2001) modelled this demographic outcome as a ‘reproductive clock’ in which the rate of reproductive decline is a good predictor of the speed of aging.
Second, in the nematode Caenorhabditis elegans, Kenyon and co-workers (Hsin & Kenyon, 1999; Arantes-Oliveira et al., 2002) show that ablation of the full gonad does not affect life span but that selective ablation of the germ-line stem cells significantly increases longevity. These data suggest there is a balance between germ line tissue and gonadal somatic tissue signals that regulates life span. In mice we may then expect the nuances of reproduction, including the presence or absence of cycling and its intensity, to affect the relationship between reproduction, mortality and longevity.
Third, in medfly we find that mortality rate is a graded function of the physiological age of the ovary. Ovarian physiological status can have opposite effects on mortality – a physiologically young ovary can decrease mortality while a physiologically old ovary can increase mortality (Carey et al., 1998a, 2002). Operationally, in response to access to a full (protein-rich) diet, female medflies experienced reduced mortality early in the ‘reproductive’ mode (i.e. physiologically young ovaries) but heightened mortality in the later stages of this mode (i.e. physiologically old ovaries). This observation suggests that the pattern of mortality in experimentally manipulated animals will depend on the age of their transplanted ovaries. In mice we predict that young ovaries will depress mortality but old ovaries will heighten mortality causing a precipitous drop in survival as the cohort reaches the most advanced ages.
Fourth, the age-effects of reproduction on mortality are strongest at older ages because young individuals are intrinsically robust and neither need nor can benefit from the protective effect provided by youthful ovaries. We see this in medflies when females are switched from a sugar to a sugar-plus-yeast diet as young or as old adults (Carey et al., 1998a). Females fed sugar only have high mortality and exhibit arrested reproduction. When switched to sugar plus yeast as young females, mortality is modestly decreased while reproduction is increased, but when switched as 90-day-old females, mortality is strongly decreased relative to the increase in reproduction which is maintained.
An effective design therefore must include the following specific elements. (1) There should be no ovarian input prior to ovary transplantation. When properly controlled in this way, any change in mortality when ovaries are transplanted can be attributed to the presence of these ovaries and not to input from ovaries carried through from younger ages. In our study we therefore ovariectomized (OX) the treatment and control mice prior to sexual maturation (i.e. in prepubescent animals at 3 weeks of age). (2) Treatments should be initiated at several ages. From the age of 11 months, females that received transplanted young ovaries at 5, 8 or 11 months continue to age with ovaries that are, respectively, 8, 5 and 2 months old. The design initiates ovarian transplants across the full range of reproductive capacity (early, peak and declining, respectively) and tests how ovarian age affects life expectancy of similarly aged females. (3) Controls are required with permanently ovariectomized individuals accompanied by sham ovarian transplant surgery (OX control) and with intact individuals (IT control). (4) Ovaries should be transplanted into the site of origin, the ovarian bursa. Since signals between germ line tissue and somatic tissue may influence aging, it is crucial to locate the transplant within the physiologically appropriate tissue. Using these four design elements, we were able to manipulate specifically the reproductive system of the mouse, allowing us to examine directly the influence of reproduction on aging.
Results
Ovarian transplantation at 11 months in mice with prepubertal ovariectomy significantly increased remaining life expectancy by 60% (136.9 days) relative to OX control (Table 1). In contrast, relative to OX control at 11 months, the remaining life span was only marginally increased in females that received young ovaries at 5 or 8 months of age (Table 1). As a point of reference, CBA females are normally post-reproductive at 11 months (Fernandes et al., 1973), and young ovaries increase life span when transplanted to females at this age.
Table 1.
Remaining Life Expectancy (days) at: |
||||
---|---|---|---|---|
Treatment | ovariectomy* | 5 months | 8 months | 11 months |
IT Control | 598.5 | 444.5 | 346.5 | 265.6 |
(28) | (28) | (28) | (27) | |
OX Control | 539.9 | 385.9 | 300.2 | 230.5 |
(25) | (25) | (25) | (23) | |
5-mo. transplant | 575.2 | 421.2 | 323.2 | 245.8 |
(22) | (22) | (22) | (21) | |
8-mo. transplant | 549.5 | 395.5 | 297.5 | 285.9 |
(27) | (27) | (26) | (21) | |
11-mo. transplant | 627.2 | 473.2 | 375.2 | 367.3 |
(25) | (25) | (25) | (21) |
Ovariectomy performed at 3 weeks
Values in bold type highlight life expectancy in control and treatment mice at 11 mo
Survivorship normalized to 100% at age 11 months demonstrates important differences among the treatment and control cohorts (Fig. 1). In the 11-month transplant cohort the first 50% of all deaths occurred over 430 days while the remaining 50% of deaths occurred much more rapidly across the following 100 days. In contrast, among OX and IT control cohorts the median age of death was at 316 and 250 days, respectively. Only 20% (four of 20 mice) of the 11-month transplant cohort died during the 300-day period following ovarian transplantation, despite having been subjected twice to major surgery. In contrast, 64% (14 of 22 mice) of the OX control cohort died during the same period. This late acceleration in mortality rate in the 11-month transplant cohort suggests an interaction between the reproductive system and organismal-level aging. Transplantation of young ovaries at 11 months appears to postpone aging by shifting the survival distribution to the right as well as by changing its slope.
We estimated the impact of ovarian transplantation on remaining life expectancy at 11 months with a linear individual-based model including females of the IT control and the three transplant cohorts (Fig. 2). Donor mice were aged 2 months, and recipient mice were aged 5, 8 and 11 months. Eleven-month-old females therefore carried ovaries that were, respectively, 8, 5 and 2 months old. The IT control, at 11 months, carried 11-month-old ovaries. Remaining life span from age 11 months, Ri, was modelled as Ri = b0 + b1 * OVAGEi + ε with parameters estimated by least squares. With OVAGE = 2, 8, 5 and 11 months, b0 = 364.4 and b1 = −10.2 (F = 5.72, P < 0.02). Excluding the IT females, which did not undergo surgical manipulation, b0 = 402.3 and b1 = −20.2 ( F = 7.72, P < 0.01). Thus, remaining life expectancy at 11 months decreased by at least 10.8 days for each additional month of ovary age. Beyond a simple qualitative effect of presence or absence of a transplanted ovary, we see that remaining life span is proportional to the relative youth of the ovary.
Since the 5- and 8-month transplant cohorts had only small gains in remaining life expectancy relative to OX and IT controls, it seems that the protective effect of the new ovary for these cohorts could be masked because of their own somatic youth. The protective effects of the young ovaries and the intrinsic youthfulness of the mice were redundant. This interpretation is consistent with the oestrous cycling behaviour of transplanted and control females. Event history charts (Carey et al., 1998b) demonstrate how ovarian transplantation postpones reproductive aging (Fig. 3). The duration of oestrous cyclicity after 11 months was markedly extended in the 11-month transplant females relative to all other cohorts. In contrast, young ovaries transplanted to young females make relatively little contribution to life expectancy or to reproductive schedule.
Discussion
Life span can be extended in mammals by caloric restriction (Weindruch & Walford, 1998) and by mutations of the endocrine system (Mobbs et al., 1984). These manipulations change many integrated systems, including reproduction. Here, using transplantation we varied ovary age independently of chronological age and demonstrate that reproductive state is a primary determinant of mammalian life span. Transplantation of a young ovary into a female at 11 months of age extends life expectancy of the host by 60%. Furthermore, the younger the ovary when a mouse reached 11 months (i.e. the more recent the transplantation), the greater the benefit conferred in terms of life expectancy at that age. Females receiving ovaries at relatively young ages show little added benefit relative to controls, either for life span or for future reproduction. Youth, as it were, is wasted on the young. Remarkably, 11-month-old recipients of 2-month-old ovaries restored oestrous cycling, sometimes for 200 days beyond the age of last reproduction in control females. The young ovary retards both the somatic and the reproductive aging of the host.
A key role for gonadal control of aging has been recently considered in developmental studies of C. elegans. Patel et al. (2002) suggested that variation in germ-line stem cell signalling contributes to body size and life history diversity in nematodes. Hsin & Kenyon (1999) postulated that the gonad of C. elegans produces two counteracting signals – one produced by the germ-line cells which shortens life span (Arantes-Oliveira et al., 2002) and the other produced by the somatic gonad, lengthening life span. Thus, ablation of the germ-line cells extends life span, while ablation of the entire gonad removes both signal sources and does not alter longevity. In our study, females aged without a gonad until they were 11 months old, at which time they received a young gonad. If the somatic function of the young gonad was retained but the germ-line-derived activity was reduced, these ovaries could signal for slow-aging in the somatic host.
Our design for ovarian transplantation may have produced these precise conditions because follicles are lost due to ischaemia during ovarian transplantation in rodents. Thus, the number of gametes is reduced while the quantity of somatic gonadal tissue, which is less sensitive to the decreased blood supply, remains relatively constant. We saw that oestrous cycles were restored in the 11-month-old transplants but not to the level of young IT controls. If the oestrous patterns accurately reflect underlying germ-line-dependent endocrine activity of these ovaries, these data suggest that the transplanted ovary may release strong signals from the young somatic gonad and relatively weak ones from an attenuated germ-line. Thus, the net signal strength favours a reduction in aging rate, resulting in an increase in longevity.
Young ovaries have a protective effect on the soma, especially when transplanted into older mice. Young ovaries may have protective effects in young and middle-aged mice but this may be redundant when combined with the intrinsic hardiness of the younger adult’s somatic youth. Endocrine signals across somatic and germ-line tissues may represent an adaptation of the germ-line to ensure its continuity through regulation of somatic endurance. The accumulating evidence from previous studies of the influence of reproduction on longevity coupled with the current findings suggests that there exists a conserved system to regulate survival mechanism across broad groups of species (Ideker et al., 2001).
Conclusions
With a few recent exceptions (see Tatar, 2002, for a review) little attention has been directed in gerontology to determine the role of reproduction in senescence and longevity. The research results presented here show that transplanted young ovaries received by hosts at older ages can extend the life span. These data are the first to establish that ovarian function plays a direct role in how mammals age. Our findings set the stage for future research to determine how transplanted young ovaries may extend life span in non-ovariectomized older mice, to determine whether second transplants of young ovaries can further extend life span at older ages, and to understand basic cellular and molecular mechanisms underlying ovarian regulation of longevity. Our results have important implications for understanding human aging because they interweave with many cross-threads of research in model organisms and systems, establishing the primacy of gonadal input in mammalian aging and longevity. The results also underscore the need to re-visit the relationship of longevity to the indicators of reproductive aging in women including the age of onset of menopause (Snowdon et al., 1989), child-bearing ability at later ages (Perls et al., 1997) and childlessness (Westendorp & Kirkwood, 1998; Müller et al., 2002).
Experimental procedures
Animals
Mice of CBA/J strain were housed under controlled conditions of temperature (21 ± 2 °C), humidity (minimum 50%) and lighting (14L : 10D) according to the American Association for the Accreditation of Laboratory Animal Care guidelines for animal care. Animals received feed and water ad libitum.
Surgical procedures
Prepubertal female mice were ovariectomized (OX) at 21–22 days. Bilateral ovariectomies were performed as previously described (Cargill et al., 1999) except that one sterile 1-mm-diameter glass bead was inserted into each empty ovarian bursa to keep it open for future ovarian transplantation. After surgery, each female was housed individually in a 26 × 17 × 13-cm shoe-box cage in a specific-pathogen-free colony monitored regularly for the duration of experiments. At 5, 8 or 11 months, bilateral ovarian transplantation surgery was performed as previously described (Cargill et al., 1999) with the exception that the glass bead was first removed and an ovary from a 2-month-old donor female of the same strain was placed into each ovarian bursa. The OX control cohort underwent sham ovarian transplant surgery at 8 months in which the glass bead was removed, but no ovary was transplanted. The intact control cohort was housed under the same conditions. As a result of ovariectomy, treated animals were not exposed to ovarian input until ovarian transplantation at 5, 8, or 11 month (n = 22, 27, 20, respectively). Control animals were either non-surgical, intact (IT) (abbreviation defined previously) (n = 28) or were ovariectomized as before, followed by sham surgery at 8 months, OX (n = 25). Reproductive data in the form of vaginal cytology were collected daily pre- and post-transplantation to ensure complete removal of the ovarian tissue and success of the ovarian transplantation procedure.
Statistical analysis
Differences in the distribution of duration of cycling post 11 months were established with a log-rank test for the four groups with an ovary present at 11 months, since there was censoring due to the death of mice. The test yielded χ2 = 49.1 with 3 degrees of freedom (d.f.), resulting in P < 0.0001, thus providing strong evidence for differences in cycle duration. For assessment of time-to-death, graphical analysis showed that an assumption of proportional hazards was invalid and therefore analysis was based on least-squares regression analysis for time-to-death as response, which was facilitated by the fact that time-to-death was observed for all subjects without censoring. Residuals did not deviate from the assumption of normality. Quadratic terms were added to further assess goodness-of-fit but did not improve fit of the regression model with linear predictors. An additional model was considered to compare the intact control group to all ovariectomized groups where OVNEW is 1 for new ovary transplanted at 11 months and OVNEW is 0 for IT control. Remaining lifetime Ri = b0 + b1 * OVNEWi is estimated with b0 and b1 as 232 and 136.9, respectively (P < 0.004); remaining life expectancy was increased by 136.9 days due to transplantation of a young ovary at 11 months compared with the IT control group.
Acknowledgments
We thank Lawrence Harshman, Barbara Horwitz, Debra Judge, Cynthia Kenyon, Nikos Papadopoulos and Phyllis Wise for comments on earlier drafts. Research was funded, in part, by grants from the Center for the Economics and Demography of Aging, UC Berkeley, the UC Davis Committee on Research, and the National Institute on Aging (P01-08761).
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