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Anti-Müllerian hormone and antral follicle count predict ovarian response in women less than 45 years following GnRH antagonist multiple-dose protocol
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作者 Mohammed M.Laqqan Maged M.Yassin 《Asian pacific Journal of Reproduction》 2022年第5期208-216,共9页
Objective:To speculate which of the following parameters:antral follicle count(AFC),anti-Müllerian hormone(AMH),follicle-stimulating hormone(FSH)and age can be used as a predictor of ovarian response to gonadotro... Objective:To speculate which of the following parameters:antral follicle count(AFC),anti-Müllerian hormone(AMH),follicle-stimulating hormone(FSH)and age can be used as a predictor of ovarian response to gonadotropin-releasing hormone(GnRH)antagonist stimulation multiple-dose protocol in women under 45 years,and to determine the cutoff value of these parameters and their correlations for predicting low and high ovarian response.Methods:This prospective study included 462 women with the mean age of(29.3±6.5)years.All women were subjected to the GnRH antagonist stimulation multiple-dose protocol.On the second day of the menstrual cycle,ultrasonography was conducted to determine AFC in both ovaries.Peripheral blood samples were collected to evaluate the level of estradiol,FSH,luteinizing hormone,prolactin,thyroid-stimulating hormone,and AMH.The women were divided into three groups:low response(AHH<1 ng/mL,n=173),normal response(AMH=1.0-3.5 ng/mL,n=175),and high response(AMH>3.5 ng/mL,n=114).Results:A significant decrease was found in the age and FSH level in the high response group compared to other groups(P<0.001).Conversely,a significant increase was shown in AMH,estradiol on human chorionic gonadotropin(hCG)day,AFC,mature oocytes,fertilized oocytes,and embryos transferred in the high response group compared to the other two groups(P<0.001).The receiver operating characteristic(ROC)curves demonstrated that AFC and AMH had the highest accuracy,followed by basal FSH level and age in the prediction of low ovarian reserves(P<0.001)with cutoff values of≤4.50 and≤0.95 for AFC and AMH,respectively.Moreover,the ROC analysis showed that AFC had the highest accuracy,followed by AMH level and age in the prediction of high ovarian reserves with a cutoff value of≥14.50,≥3.63,and≤27.50 years,respectively(P<0.01).A significant decrease was observed in women's age,estradiol level,and oocyte fertilization rate in pregnant women compared to non-pregnant women(P<0.001).Additionally,significant negative correlations were found between the AFC,the number of mature oocytes,fertilized oocytes,embryos transferred,and the age of pregnant women(P<0.001).Conclusions:AFC and AMH predict low and high ovarian response to GnRH antagonist stimulation multiple-dose protocol in women under 45 years. 展开更多
关键词 Antral follicle count Anti-Müllerian hormone ANTAGONIST Controlled ovarian stimulation GNRH MULTIPLE-DOSE ovarian response
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Ovarian Follicle Disaggregation to Assess Granulosa Cell Viability
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作者 Mohammad Asaduzzaman Daniela Figueroa Gonzalez Fiona Young 《International Journal of Clinical Medicine》 2018年第5期377-399,共23页
Background: Mammalian ovaries contain follicles containing an oocyte enclosed by layers of granulosa cells (GC). Follicle growth and oocyte maturation are largely dependent on GC numbers and viability, but there is no... Background: Mammalian ovaries contain follicles containing an oocyte enclosed by layers of granulosa cells (GC). Follicle growth and oocyte maturation are largely dependent on GC numbers and viability, but there is no established, reliable method for assessing the number of viable GC within an isolated follicle. Methods: Centrifugation conditions and the Trypan Blue (TB) Exclusion assay were optimised for low cell densities compatible with the numbers of GC in follicles. Mouse ovarian follicles were disaggregated to produce a single cell suspension of GC which were examined by TB (n = 4), but also by crystal violet assay in a 96-well plate format after 24 h in vitro (n = 3). GC viability in vitro was characterised further by using enzyme-linked immunoassays to quantify GC production of anti-Mullerian hormone (AMH) and estrogen. Results: The centrifugation and low cell density TB protocol could accurately measure the viability of 78 GC in 10 &mu;L, with an intra-assay coefficient of variation (CoV) 22%, and inter-assay CoV 7%. The best follicle disaggregation method (30 min 37°C exposure to 2 mg/mL collagenase prior to 30 min exposure to 0.025% hyaluronidase) yielded (656 &plusmn;87) GC per antral follicle of which 82% &plusmn;5% were viable. Culturing 312 - 20,000 GC per well for 24 hours and assessing viability by crystal violet assay generated a linear correlation between OD value and viable GC number (R2 = 0.98) and estrogen concentration per well (R2 = 0.92). 20,000 GC per well produced 143 &plusmn;16 pg/mL estrogen during 24 hours in vitro, but no detectable AMH. Conclusion: This is the first report describing the isolation of viable, estrogen-producing GC from murine follicles, and their subsequent culture. These procedures are transferrable to other species including humans and can be applied to screening the reproductive toxicity of pharmaceutical agents. 展开更多
关键词 ovarian follicle GRANULOSA Cells VIABILITY COLLAGENASE HYALURONIDASE
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Evaluation of glucose metabolism in women with multiple ovarian follicles
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作者 Shulan Lǚ Xiaoyan Guo Zuansun Cao Wenjun Mao 《Journal of Nanjing Medical University》 2007年第4期268-271,共4页
Objective :To investigate glucose metabolism in women with multiple ovarian follicles (MOF) and explore the relationship between glucose metabolism, insulin resistance and body weight. Methods:We evaluated 46 wome... Objective :To investigate glucose metabolism in women with multiple ovarian follicles (MOF) and explore the relationship between glucose metabolism, insulin resistance and body weight. Methods:We evaluated 46 women with MFO and 30 normal women as controls. All the subjects were given 75g of glucose orally in order to perform the oral glucose tolerance test (OGTT) and insulin releasing test (IRT), and they were also evaluated for insulin resistance using the insulin resistance index with homeostatic model assessment (HOMA). Results:The occurrence of impaired glucose tolerance in women with MOF was 10.87%, which was significantly higher than that in the control group (3.33% ,P 〈 0.05). The rate of insulin resistance was 30.43% in the study group as compared to 10.00% in the control group. The results showed that there was significant difference between the two groups(P 〈 0.05). The levels of FSH,LH,PRL,E2,T and P between the two groups had no significant difference (P 〉 0.05). BMI in women with impaired glucose tolerance was correlated positively to insulin resistance (r = 0.567, P 〈 0.05). Conclusion:Abnormal glucose metabolism was observed in women with unitary multiple ovarian follicles, and this could be attributed to obesity and insulin resistance. Women with MOF and associated obesity should be subjected to OGTT so that their glucose levels can be monitored as a preventive measure. 展开更多
关键词 multiple ovarian follicles glucose metabolism insulin resistance impaired glucose tolerance
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Effects of Antisense Oligodeoxynucleotide to Follicle-stimulating Hormone Receptor on the Cell Proliferation and Apoptosis in Cells Derived from Human Ovarian Mucinous Cystadenocarcinoma in Vitro
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作者 李双 马丁 朱长虹 《Journal of Huazhong University of Science and Technology(Medical Sciences)》 SCIE CAS 2007年第1期95-100,共6页
The human ovarian mucinous cystadenocarcinoma (hOMC) cells were co-cultured with antisense oligodeoxynucleotide (antisense ODN), nonsense ODN, and follicle-stimulating hormone (FSH) at different concentrations f... The human ovarian mucinous cystadenocarcinoma (hOMC) cells were co-cultured with antisense oligodeoxynucleotide (antisense ODN), nonsense ODN, and follicle-stimulating hormone (FSH) at different concentrations for the purpose of observing the effects of antisense ODN to FSH receptor (FSHR) on the proliferation and apoptosis of cultured hOMC cells in vitro. The inhibitory rates of growth were measured by using MTT method on the 2nd, 4th, 6th, 8th and 10th days after the interference of antisense ODN, nonsense ODN, and FSH, respectively. The apoptotic rates and the cell cycles were determined by means of flow cytometry, the apoptosis indexes were detected by using TUNEL, and the expression of caspase-3 was measured by using SP immunohistochemistry. Compared with that in the control group, the proliferative activity of hOMC cells was increased obviously in FSH groups (P〈0.05 or P〈0.01), decreased distinctly in antisense ODN groups (P〈0.05 or P〈0.01), and unchanged in nonsense ODN groups, respectively. Meanwhile, antisense ODN could significantly antagonize the FSH-promoted cell proliferative activity (P〈0.01). Compared with those in the control group, the apoptotic rates and the expression of caspase-3 were dramatically increased in the mid- and high-dose antisense ODN groups (P〈0.05 or P〈0.01), while the number of cells in G1/G0 phase was significantly decreased and that in S phase distinctly increased (P〈0.01), There was no change in nonsense ODN groups (P〉0.05), It was suggested that FSH may improve the development of hOMC cells, However, antisense ODN could inhibit proliferative activity and the FSH-promoted proliferative activity in hOMC cells, at the same time, antisense ODN could inhibit hOMC cell growth by inducing apoptosis. 展开更多
关键词 follicle-stimulating hormone receptor antisense oligodeoxynucleotide ovarian neoplasm cell proliferation APOPTOSIS
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Three Dimensional <i>In Vitro</i>Culture of Murine Secondary Follicles in a Defined Synthetic Matrix 被引量:1
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作者 Mohammad Asaduzzman Xiaolin Cui +1 位作者 Hu Zhang Fiona Young 《Journal of Biomaterials and Nanobiotechnology》 2018年第3期244-262,共19页
Ovarian follicle growth in three dimensional (3D) matrices in vitro has limitations: a) matrices don’t expand as follicles grow, b) requirements for enzyme-mediated retrieval, and c) animal-derived components prevent... Ovarian follicle growth in three dimensional (3D) matrices in vitro has limitations: a) matrices don’t expand as follicles grow, b) requirements for enzyme-mediated retrieval, and c) animal-derived components prevent clinical application. Therefore, we evaluated N-Isopropylacrylamide (SFX-1), a novel synthetic 3D culture matrix, for follicle culture. Groups of three murine secondary follicles were encapsulated in 50 μL of DMEM/F12-1%ITS-10%FCS (DMEM/F12) or SFX-1 (3:2 v/v DMEM/F12) or Matrigel (1:1 DMEM/F12) and cultured for 48 h. Matrigel contains growth factors but SFX-1 has no animal-derived factors. Each culture condition was examined in 6 wells containing 18 follicles, in four replicate experiments (n = 4). Photomicrographs were used to determine follicle diameters and morphological integrity. Follicles were Live-Dead (LD) stained or disaggregated to generate cells for viability assessment using Trypan Blue (TB). Estradiol, progesterone and anti-mullerian hormone (AMH) in conditioned media were measured using Enzyme-linked Immunoassay. All culture conditions supported similar increases in follicle diameter. DMEM/F12 did not maintain morphological integrity which prevented follicle retrieval after 48 h;25% were retrieved from DMEM/F12, but 44% and 41% follicles were retrieved from SFX-1 and Matrigel respectively. Follicles retrieved from Matrigel could not be disaggregated, which prevented TB viability assessment. LD estimations of viable cells/follicle were lower than TB, but culture conditions had no effect on viability;SFX-1 64% ± 8% and DMEM/F12 69% ± 9%. SFX-1 and Matrigel supported similar levels of progesterone synthesis, only Matrigel supported estrogen synthesis, but none of the culture conditions supported AMH production. SFX-1 was not cytotoxic and was comparable to Matrigel. Further development of SFX-1 for use with human follicles is supported. 展开更多
关键词 ovarian follicle SYNTHETIC MATRIX MATRIGEL Estradiol Progesterone Anti-Mullerian Hormone
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Determination of the ovine ovarian reserve during the prenatal and neonatal periods
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作者 Isam B.Sharum 《Asian pacific Journal of Reproduction》 2023年第4期194-200,共7页
Objective:To determine the ovine ovarian histomorphology and follicular staging at various age periods in Awassi breed.Methods:Ovaries were collected from prenatal fetuses[gestational age(95±5)days],neonatal(day ... Objective:To determine the ovine ovarian histomorphology and follicular staging at various age periods in Awassi breed.Methods:Ovaries were collected from prenatal fetuses[gestational age(95±5)days],neonatal(day 0),and prepubertal ewe lambs(two and four months of age);each age group included six animals.Ovaries(n=12,each group)were dissected and processed for hematoxylin and eosin staining.Stained sections(n=24,each group)were imaged and utilized for histomorphology assessment,follicle measurement,and classification.Results:Prenatal ovaries were mainly enriched with primordial follicles accompanied by a lower proportion of primary follicles.In addition to primordial and primary follicles,neonatal ovaries demonstrated a proportion of centrally located multilayered and antral follicles.In comparison with neonatal ovaries,the proportion of multilayered and antral follicles was significantly higher in the ovaries of two-month-old lambs;conversely,the proportion of peripherally situated primordial follicles dramatically declined compared to that of earlier age of lamb.Although there was no statistical variation in the sizes of primordial follicles across groups,the mean diameter of the primary follicle in the prenatal ovaries was substantially smaller than in postnatal ovaries.Compared to the neonatal ovaries,the size of the multilayered and antral follicles in the prepubertal ovaries was substantially larger.Conclusions:The earliest follicular developmental stages were established prenatally whereas the advanced growth stages started in the neonatal period and greatly increased in the prepubertal period. 展开更多
关键词 Prenatal ovine ovary Prepubertal ovine ovary ovarian histomorphology Immature ewe lamb ovary Ovine ovarian reserve follicle staging ovarian follicular growth
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Quercetin modulates ovarian autophagy-related molecules and stereological parameters in a rat model of PCOS
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作者 Asma Neisy Farhad Koohpeyma +2 位作者 Majid Jafari Khorchani Fatemeh Karimi Fatemeh Zal 《Asian Pacific Journal of Tropical Biomedicine》 SCIE CAS 2023年第1期9-16,共8页
Objective:To examine the effect of quercetin on stereological parameters and autophagy-related genes in ovaries of polycystic ovary syndrome(PCOS)rats.Methods:Fifty female Sprague-Dawley rats were randomly divided int... Objective:To examine the effect of quercetin on stereological parameters and autophagy-related genes in ovaries of polycystic ovary syndrome(PCOS)rats.Methods:Fifty female Sprague-Dawley rats were randomly divided into five groups:the control group,the ethanol group,the quercetin group(15 mg/kg/day),the PCOS group,as well as the PCOS+quercetin group.After the induction of PCOS,quercetin was administered orally for 30 days.Histological,stereological and real-time PCR analyses were carried out to evaluate the effect of quercetin on PCOS rats.Results:Stereological analysis revealed that quercetin significantly increased the number of ovarian follicles and the volume of corpus luteum and induced a significant decrease in atretic follicles in comparison to the PCOS group.In addition,quercetin markedly increased mTOR gene expression while decreasing Beclin-1 and LC3 gene expression.Conclusions:Quercetin strongly modulates the expression of ovarian autophagy-related genes and stereological parameters in PCOS rats.Therefore,it can be considered as an ameliorative component for ovarian follicular impairments. 展开更多
关键词 QUERCETIN Autophagy pathway mTOR BECLIN-1 LC3 ovarian follicles Polycystic ovary syndrome
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Expression of VEGF165 and VEGF165b during ovarian follicular development
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作者 Chinnarat Changsangfa Bongkoch Turathum +1 位作者 Morakot Sroyraya Khwanthana Grataitong 《Asian pacific Journal of Reproduction》 2023年第6期281-287,共7页
Objective:To investigate the role of vascular endothelial growth factor(VEGF)165a,VEGF165b,and VEGF receptor(VEGFR)in the development of bovine follicles.Methods:We cultured follicular cells that were collected from s... Objective:To investigate the role of vascular endothelial growth factor(VEGF)165a,VEGF165b,and VEGF receptor(VEGFR)in the development of bovine follicles.Methods:We cultured follicular cells that were collected from small,medium,and large sized bovine follicles with estrogen and measured the expression of VEGF,VEGFR2 and VEGF165b by Western blot analysis and immunofluorescence.Results:The expression of VEGF165 increased in all follicle sizes and the expression of VEGF165b was increased in the small and large follicles after culturing in an estrogen containing medium.The expression of VEGFR2 was increased in the medium and large follicles after culturing with estrogen for 96 h.VEGF165 was activated at 100 ng/mL estrogen in the large follicles for 96 h.In addition,VEGFR2 was upregulated in the medium and large follicles after treated with 100 ng/mL estrogen for 96 h.Conclusions:This evidence suggests that the expression of VEGF165 and VEGFR is associated with estrogen stimulation during the development of bovine follicles and in an autocrine or paracrine manner.This reveals an advantage during oocyte maturation in vitro. 展开更多
关键词 ovarian follicles Vascular endothelial growth factor VEGF VEGFR2 VEGF165B Estrogen stimulation
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Research progress of in vitro activation mechanism and clinical application of female ovarian tissue
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作者 WU Bang-yong YI Hong-yan +1 位作者 MA Yan-lin HUANG Yuan-hua 《Journal of Hainan Medical University》 2023年第4期69-73,共5页
The activation and development of primordial follicles is the key to the maturation of female gametes.Premature ovarian insufficiency(POI)patients are unable to complete the primordial follicle activation and developm... The activation and development of primordial follicles is the key to the maturation of female gametes.Premature ovarian insufficiency(POI)patients are unable to complete the primordial follicle activation and development due to follicular dormancy and unbalanced developmental regulation in the body,leading to female infertility.Ovarian tissue in vitro activation(IVA)technology has become a new way to solve the problem of patients who cannot auto-activate primordial follicles to obtain their own mature oocytes.In IVA research,signaling pathways such as PI3K/PTEN/Akt and Hippo have become the focus of current research.This review will describe the relevant research progress and clinical application of the IVA mechanism,and provide a reference for clinical research on ovarian tissue culture and activation in vitro. 展开更多
关键词 ovarian tissue Primordial follicle In vitro activation PI3K/PTEN/Akt HIPPO
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N-乙酰半胱氨酸对冻融人卵巢组织的保护作用
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作者 李扬璐 阮祥燕 +8 位作者 李妍秋 谷牧青 杜娟 王泽铖 程姣姣 金凤羽 蒋玲玲 杨瑜 Alfred O.Mueck 《首都医科大学学报》 CAS 北大核心 2024年第4期573-582,共10页
目的以首都医科大学附属北京妇产医院生育力保护中心现有冻存复苏方案为基础,以雌性去势裸鼠为模型,通过人冻融卵巢组织异种移植探讨抗氧化剂N-乙酰半胱氨酸(N-Acetyl-L-Cysteine,NAC)对人卵巢组织的保护作用。方法将4例患者的卵巢组织... 目的以首都医科大学附属北京妇产医院生育力保护中心现有冻存复苏方案为基础,以雌性去势裸鼠为模型,通过人冻融卵巢组织异种移植探讨抗氧化剂N-乙酰半胱氨酸(N-Acetyl-L-Cysteine,NAC)对人卵巢组织的保护作用。方法将4例患者的卵巢组织按照原有冻融方案和改良方案(加入NAC)进行冻融,所有患者取材后留取新鲜卵巢组织进行钙黄绿素AM(Calcein acetoxymethyl ester,Calcein-AM)和苏木精-伊红(hematoxylin-eosin staining,HE)染色评估卵泡活性并计数。将36只雌性去势裸鼠随机分为4组,将复苏后的卵巢组织移植于双侧裸鼠肾被膜下,按照移植卵巢组织的冻融方案分为原有冻融方案组(control group),改良方案组(NAC group),卵巢去势组(ovariectomy group)和正常对照组(normal group,不进行手术)。分别在移植第3天、第7天、第21天处死裸鼠,取血清及卵巢组织移植物。采用酶联免疫吸附试验(enzyme-linked immunosorbent assay,ELISA)法检测血清雌二醇(estradiol,E2)、卵泡刺激素(follicle stimulating hormone,FSH)和抗苗勒管激素(anti-mullerian hormone,AMH)水平,取卵巢组织移植物1片用于HE染色观察卵泡发育情况,1片用于总抗氧化能力(total antioxidant capability,TAC)的检测。结果移植后各时间点两移植组卵泡发育分级差异无统计学意义(P>0.05)。NAC组总抗氧化能力显著高于control组(P<0.05),与新鲜卵巢组织相比差异无统计学意义(P>0.05)。移植第3天control组裸鼠血清中E2水平显著高于卵巢去势组(P<0.05),余各时间点两移植组与卵巢去势组差异无统计学意义(P>0.05)。移植后第3天和第21天两移植组裸鼠血清中FSH水平低于卵巢去势组(P<0.05),与正常对照组差异无统计学意义(P>0.05)。移植后第3天control组AMH显著高于卵巢去势组(P<0.05),与其余各组差异无统计学意义(P>0.05),移植第7天两移植组AMH水平下降,显著低于正常对照组(P<0.05),移植第21天两移植组AMH水平均显著高于卵巢去势组(P<0.05),与正常对照组差异无统计学意义(P>0.05)。结论原有冻存方案及改良冻存方案均能有效恢复卵巢组织的内分泌功能。与原有冻存方案相比,NAC改良方案能够提高移植卵巢组织的抗氧化能力,并减少移植初期原始卵泡的激活,保存更多的原始卵泡数量。 展开更多
关键词 N-乙酰半胱氨酸 原始卵泡 卵泡激活 卵泡丢失 卵巢储备
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补肾益冲方对卵巢储备功能减退大鼠卵巢组织形态及性激素的影响
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作者 简晓莉 刘志承 +1 位作者 徐汉明 常瑞萍 《天津药学》 2024年第1期1-4,共4页
目的:研究补肾益冲方对卵巢储备功能减退(DOR)模型大鼠卵巢功能的影响。方法:选取雌性未孕SD大鼠40只,随机分为空白组、模型组、补肾益冲方组、补佳乐组。除空白组外,其余大鼠采用雷公藤多苷片混悬液灌胃制备DOR大鼠模型,造模成功后分... 目的:研究补肾益冲方对卵巢储备功能减退(DOR)模型大鼠卵巢功能的影响。方法:选取雌性未孕SD大鼠40只,随机分为空白组、模型组、补肾益冲方组、补佳乐组。除空白组外,其余大鼠采用雷公藤多苷片混悬液灌胃制备DOR大鼠模型,造模成功后分别给予补肾益冲方及补佳乐进行相应的治疗干预。药物干预结束后,采用酶联免疫吸附试验法(ELISA)检测大鼠血清中抗苗勒管激素(AMH)、促卵泡生成素(FSH)、雌二醇(E_(2))、促黄体生成素(LH)的水平;HE染色观察大鼠卵巢组织的病理学形态变化。结果:与空白组比较,模型组大鼠血清FSH和LH水平升高(P<0.05),AMH和E_(2)水平降低(P<0.05);卵巢中原始卵泡和生长卵泡的数量减少,闭锁卵泡增加;卵巢间质增生并纤维化。补肾益冲方干预后,DOR大鼠血清中FSH和LH激素水平降低(P<0.05),AMH和E_(2)激素水平升高(P<0.05);卵巢组织形态得到改善,原始卵泡和生长卵泡增多,闭锁卵泡减少。结论:补肾益冲方对DOR大鼠卵巢组织形态、卵母细胞的数量和质量具有改善作用,能调节AMH、FSH、E_(2)和LH从而提高DOR大鼠的卵巢储备功能。 展开更多
关键词 补肾益冲方 卵巢储备功能减退 性激素 卵泡
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分期针刺任督经穴治疗早发性卵巢功能不全的临床观察
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作者 许江虹 陈跃来 +4 位作者 尹平 赵雪丹 郑慧敏 胡俊威 刘璐鳭 《中国性科学》 2024年第8期118-121,共4页
目的观察分期针刺任督经穴治疗早发性卵巢功能不全(POI)的临床疗效。方法选取2021年6月至2022年12月就诊于上海市静安区中医医院的104例POI患者作为研究对象,按照完全随访化方法分为分期组、任脉组、督脉组、西药组,各26例。比较各组患... 目的观察分期针刺任督经穴治疗早发性卵巢功能不全(POI)的临床疗效。方法选取2021年6月至2022年12月就诊于上海市静安区中医医院的104例POI患者作为研究对象,按照完全随访化方法分为分期组、任脉组、督脉组、西药组,各26例。比较各组患者治疗前后血清性激素水平、窦卵泡计数(AFC),以及治疗和随访过程中共5个访视点的Kupperman(K)表和月经不调症状分级量化(MDQ)表评分。结果治疗后,四组血清卵泡刺激素(FSH)水平下降,雌二醇(E_(2))水平上升(P<0.05);西药组、督脉组和分期组AFC升高(P<0.01),分期组AFC改善优于任脉组(P<0.05)。西药组K表和MDQ表评分在治疗期间下降(P<0.01);随访期间K表不再下降(P>0.05),MDQ表上升(P<0.01)。任脉组K表评分在1MC和随访期间下降(P<0.05),MDQ表评分在3MC下降(P<0.01)。督脉组K表和MDQ表评分在3MC下降(P<0.01);随访期间MDQ表评分下降(P<0.05)。分期组K表评分在每个访视点均下降(P<0.05),MDQ表评分在3MC和随访期间下降(P<0.01)。结论分期针刺任督经穴治疗POI的临床疗效显著。 展开更多
关键词 早发性卵巢功能不全 分期针刺 任脉 督脉 卵泡刺激素
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关元命门序贯针刺激活FSHR/cAMP/PKA通路促进早发性卵巢功能不全模型大鼠颗粒细胞增殖的机制研究
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作者 许江虹 陈跃来 +4 位作者 尹平 赵雪丹 郑慧敏 胡俊威 刘璐慜 《广州中医药大学学报》 CAS 2024年第4期965-972,共8页
【目的】观察关元命门序贯针刺方案对早发性卵巢功能不全(POI)模型大鼠的治疗作用及机制。【方法】将雌性SD大鼠分为空白组、模型组、蛋白激酶A(PKA)抑制剂(H89)+针刺组、针刺组各12只。除空白组,其他3组大鼠采用雷公藤多苷片灌胃制备PO... 【目的】观察关元命门序贯针刺方案对早发性卵巢功能不全(POI)模型大鼠的治疗作用及机制。【方法】将雌性SD大鼠分为空白组、模型组、蛋白激酶A(PKA)抑制剂(H89)+针刺组、针刺组各12只。除空白组,其他3组大鼠采用雷公藤多苷片灌胃制备POI模型。模型成功建立后,空白组和模型组每日捆绑一次;针刺组大鼠在动情间期取关元穴针刺,在动情前期取命门穴针刺;H89+针刺组按照针刺组针刺方案干预,在每次针刺前30 min内腹腔注射H89。连续干预20 d。各组大鼠分别在干预后第1个动情间期和动情前期取材。酶联免疫吸附分析(ELISA)检测动情间期促卵泡激素(FSH)、雌二醇(E2)水平,Western Blot法检测动情间期促卵泡激素受体(FSHR)、芳香化酶P450(P450arom)蛋白表达,细胞计数试剂盒8(CCK-8)法检测动情间期和动情前期颗粒细胞活性,免疫组织化学法检测动情前期增殖细胞核抗原(PCNA)蛋白表达水平。【结果】(1)与空白组比较,模型组和H89+针刺组血清FSH水平显著升高(P<0.01),E2水平显著降低(P<0.001);H89+针刺组FSH水平与模型组无差异(P>0.05),E2水平低于模型组(P<0.05);针刺组FSH水平低于模型组和H89+针刺组(P<0.05),与空白组无差异(P>0.05),E2水平显著高于模型组和H89+针刺组(P<0.01),仍低于空白组(P<0.05)。(2)模型组和H89+针刺组FSHR、P450arom蛋白表达均低于空白组(P<0.01);H89+针刺组FSHR蛋白表达水平与模型组无差异(P>0.05),P450arom蛋白表达水平低于模型组(P<0.05);针刺组FSHR、P450arom蛋白表达水平均高于模型组和H89+针刺组(P<0.05),但仍低于空白组(P<0.05)。(3)模型组和H89+针刺组GCs活性和PCNA平均光密度值均低于空白组(P<0.05);H89+针刺组GCs活性和PCNA平均光密度值均低于模型组(P<0.05);针刺组的GCs活性和PCNA平均光密度值显著高于模型组和H89+针刺组(P<0.05或P<0.01)。【结论】关元命门序贯针刺方案可通过上调促卵泡激素受体(FSHR)/环磷酸腺苷(cAMP)/蛋白激酶A(PKA)通路FSHR、P450arom蛋白的表达,调控性激素水平,提高GCs活性和促进GCs细胞增殖,从而改善POI。 展开更多
关键词 序贯针刺 早发性卵巢功能不全 关元穴 命门穴 促卵泡激素受体(FSHR) 芳香化酶P450(P450arom) 大鼠
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微塑料暴露对雌性及其子代健康的影响 被引量:1
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作者 吴静 刘聪 谢青贞(审校) 《国际生殖健康/计划生育杂志》 CAS 2024年第2期155-158,176,共5页
微塑料(microplastics,MPs)是指直径小于5 mm的塑料。作为一种新型环境污染物,MPs可以通过呼吸道、消化道和皮肤进入机体,并在肠道、肝脏和卵巢等多个组织中沉积。MPs暴露对女性生殖系统具有毒性作用,进入卵巢的MPs可对卵泡发育、卵母... 微塑料(microplastics,MPs)是指直径小于5 mm的塑料。作为一种新型环境污染物,MPs可以通过呼吸道、消化道和皮肤进入机体,并在肠道、肝脏和卵巢等多个组织中沉积。MPs暴露对女性生殖系统具有毒性作用,进入卵巢的MPs可对卵泡发育、卵母细胞质量和生殖内分泌激素水平产生不良影响,从而降低雌性生育力。这些负面影响主要是通过凋亡、氧化应激以及调控下丘脑-垂体-性腺轴等机制来实现。此外,近年研究还发现MPs可以进入胎盘并导致胎盘代谢异常、母胎界面免疫失衡和胎盘结构受损。而母源MPs暴露后,MPs可以通过胎盘屏障进入子代体内,对子代的神经、消化和生殖等系统产生不良影响。鉴于MPs的毒性以及在环境中的持久性,应在日常生活中针对性地减少MPs的暴露,预防或降低MPs对人类的危害。 展开更多
关键词 塑料微粒 环境暴露 卵泡 生长和发育 生育力 生殖健康
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干细胞在卵巢组织冷冻与移植中应用的研究进展
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作者 成桂红 杜天奇 +3 位作者 李惠敏 吴惠华 王馥新 孟庆霞 《生殖医学杂志》 CAS 2024年第3期413-417,共5页
干细胞在血液系统疾病中的临床应用已经较为成熟,并进行了广泛推广,例如骨髓造血干细胞移植治疗白血病等,挽救了很多白血病患者的生命。然而,干细胞在生殖医学领域仍处于较慢的初期发展阶段。虽然相对而言,干细胞在卵巢功能障碍的研究... 干细胞在血液系统疾病中的临床应用已经较为成熟,并进行了广泛推广,例如骨髓造血干细胞移植治疗白血病等,挽救了很多白血病患者的生命。然而,干细胞在生殖医学领域仍处于较慢的初期发展阶段。虽然相对而言,干细胞在卵巢功能障碍的研究已经很多,但在卵巢冷冻与移植上有很多尚未开展且值得研究的方向。本文将从干细胞在卵巢组织冷冻保存和移植方面的最新研究进展进行综述,重点介绍不同来源干细胞改善损伤性卵泡存活的进展及其机制,以及在不孕症治疗和生育能力保存尤其是在卵巢冷冻移植方面的潜在临床应用价值。 展开更多
关键词 干细胞 卵巢冷冻 卵巢移植 生育力保存 原始卵泡
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ZP1基因突变在空卵泡综合征中的研究进展
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作者 曹媛媛 贾赞慧 张春苗(审校) 《国际生殖健康/计划生育杂志》 CAS 2024年第2期127-131,共5页
空卵泡综合征(empty follicle syndrome)发病机制尚不清楚,越来越多的研究聚焦于遗传因素,尤其是调控卵母细胞发育的相关基因。其中,透明带糖蛋白1(zona pellucida glycoprotein 1,ZP1)是透明带基质结构完整性的关键组成部分。由ZP1基... 空卵泡综合征(empty follicle syndrome)发病机制尚不清楚,越来越多的研究聚焦于遗传因素,尤其是调控卵母细胞发育的相关基因。其中,透明带糖蛋白1(zona pellucida glycoprotein 1,ZP1)是透明带基质结构完整性的关键组成部分。由ZP1基因突变造成的透明带结构和功能的缺陷常会导致卵母细胞成熟障碍、脆性增加,进而造成反复取卵失败。现已鉴定出多种导致空卵泡综合征表型的ZP1基因突变。综述不同部位ZP1基因突变引起空卵泡综合征表型及其作用机制。 展开更多
关键词 卵泡 透明带糖蛋白类 透明带 基因 突变 卵母细胞抽取 空卵泡综合征
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两种重组人卵泡刺激素注射液在不同人群中的促排卵效果分析
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作者 季晓微 贺立颖 +4 位作者 陈玮 王琳 刘淼 刘素英 董曦 《生殖医学杂志》 CAS 2024年第4期427-434,共8页
目的探究具有不同糖修饰谱的两种重组人卵泡刺激素(rFSH)在不同人群中行控制性促排卵(COH)临床应用的有效性和安全性。方法回顾性分析2022年1—12月期间本中心的320个COH周期的临床资料,按照COH中使用的rFSH种类不同分为A组(芳乐舒,95... 目的探究具有不同糖修饰谱的两种重组人卵泡刺激素(rFSH)在不同人群中行控制性促排卵(COH)临床应用的有效性和安全性。方法回顾性分析2022年1—12月期间本中心的320个COH周期的临床资料,按照COH中使用的rFSH种类不同分为A组(芳乐舒,95个周期)和B组(Puregon,225个周期)。比较两组患者在起始剂量、刺激时间、HCG日激素水平和内膜厚度、获卵数、减数分裂Ⅱ期(MⅡ)卵率、受精率、卵裂率、有效胚胎率、卵母细胞利用率和胚胎利用率等方面的差异。结果在A、B两组患者的年龄[(34.9±4.9)岁vs.(33.3±4.5)岁,P=0.006]、体质量指数(BMI)[(22.5±3.2)kg/m^(2) vs.(21.6±2.6)kg/m^(2),P=0.027]存在一定差异的前提下,A组获卵数与B组相当[(11.2±7.0)vs.(12.9±7.3),P=0.059]。在拮抗剂方案COH周期,两组患者年龄相近(P>0.05),此时两组的获卵数[(13.7±7.1)vs.(14.8±7.6),P=0.340]及其他结局指标均无统计学差异(P>0.05)。将所有患者根据年龄分层分析,高龄(≥35岁)亚组中,A组患者受精率[(78.1±19.6)%vs.(69.1±25.8)%,P=0.039]、卵裂率[(98.9±3.2)%vs.(93.7±22.1)%,P=0.039]和卵母细胞利用率[(44.9±30.6)%vs.(34.1±23.5)%,P=0.037]显著高于B组;低龄(<35岁)亚组中,A、B两组患者各项结局指标均无统计学差异(P>0.05)。通过逐步多元回归分析,确定COH方案和年龄是获卵数的预测因素(P<0.001),最终回归模型可解释28.8%的反应变异性。结论芳乐舒与Puregon两种rFSH具有相似的获卵数和获胚结局,在高龄人群中芳乐舒诱导的卵母细胞质量可能较高。 展开更多
关键词 重组人卵泡刺激素 控制性促排卵 高龄 糖基化
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不同来源间充质干细胞治疗卵巢早衰的机制
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作者 刘艳艳 马园园 +1 位作者 黄向华 张敬坤 《中国组织工程研究》 CAS 北大核心 2025年第13期2764-2773,共10页
背景:已经有大量细胞及动物实验证实了间充质干细胞具有改善卵巢功能的作用,部分临床试验也已完成并初步证实了其有效性,为卵巢早衰女性带来了希望。目的:总结并分析近年来关于不同来源间充质干细胞治疗卵巢早衰的机制、研究进展及相关... 背景:已经有大量细胞及动物实验证实了间充质干细胞具有改善卵巢功能的作用,部分临床试验也已完成并初步证实了其有效性,为卵巢早衰女性带来了希望。目的:总结并分析近年来关于不同来源间充质干细胞治疗卵巢早衰的机制、研究进展及相关临床试验,为间充质干细胞治疗卵巢早衰的进一步研究及临床应用提供理论依据。方法:以“间充质干细胞,卵巢早衰”及“mesenchymal stem cells,premature ovarian failure”分别作为中、英文关键词,在中国知网、万方数据库、中华医学库及PubMed数据库对相关文献进行检索,最终纳入符合要求的72篇文献进行综述。结果与结论:目前常用于治疗卵巢早衰的间充质干细胞种类有7类,分别为脐带间充质干细胞、骨髓间充质干细胞、胎盘间充质干细胞、经血间充质干细胞、羊膜间充质干细胞、羊水间充质干细胞及脂肪间充质干细胞,涉及作用机制主要包括抑制凋亡促进增殖、抗炎及抑制氧化应激、归巢、促血管生成、抗纤维化、旁分泌、免疫调节、自噬及改善微环境。细胞和动物实验均表明不同来源间充质干细胞可以通过各种机制对卵巢早衰有较好的干预效果,一定程度上延缓了卵巢早衰的进展。如果将来能成功运用于临床,能够很大程度上缓解患者来自心理及生理上的痛苦。但目前临床研究因干细胞来源伦理、具体给药方式及剂量、是否引发严重不良反应等方面缺乏全面且准确的证据,故在未来仍需进行深入探讨,同时远期安全性也有待进一步观察。 展开更多
关键词 卵巢早衰 间充质干细胞 颗粒细胞 卵泡 机制 作用方式 临床试验 诊疗
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移植卵巢组织卵泡损伤机制及保护策略
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作者 应函岐 施丽冰 张松英 《浙江大学学报(医学版)》 CAS CSCD 北大核心 2024年第3期321-330,共10页
卵巢组织冷冻保存及移植是青春期前女性及不能延迟放疗或化疗的恶性肿瘤患者唯一的生育力保存手段。目前,卵巢组织冷冻保存及移植效率仍低,卵巢组织移植后面临缺血缺氧风险,始基卵泡的异常激活和血供恢复后的缺血-再灌注损伤也造成移植... 卵巢组织冷冻保存及移植是青春期前女性及不能延迟放疗或化疗的恶性肿瘤患者唯一的生育力保存手段。目前,卵巢组织冷冻保存及移植效率仍低,卵巢组织移植后面临缺血缺氧风险,始基卵泡的异常激活和血供恢复后的缺血-再灌注损伤也造成移植卵巢组织卵泡大量损失。大量研究尝试通过添加某些药物减少卵泡在冷冻及移植过程中所受的损伤,延长卵巢移植患者内分泌功能及生殖功能持续的时间:如添加褪黑素、N-乙酰半胱氨酸、促红细胞生成素或其他抗氧化剂以减轻氧化应激,添加不同来源的间充质干细胞、碱性成纤维细胞生长因子、血管内皮生长因子、血管生成素2、促性腺激素以促进血运重建,添加抗米勒管激素、雷帕霉素以减少始基卵泡异常激活。本文重点阐述了卵巢组织移植后卵泡损伤的主要机制及减少移植卵巢组织卵泡损伤的方法,以期为提高卵巢组织移植效率提供参考。 展开更多
关键词 卵巢组织 冷冻保存 移植 卵泡损伤 卵泡激活 综述
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多囊卵巢综合征病理机制中的颗粒细胞自噬
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作者 甄佳 赵紫渊 +2 位作者 王子璐 师伟 徐丽(审校) 《国际生殖健康/计划生育杂志》 CAS 2024年第2期150-154,共5页
多囊卵巢综合征(polycystic ovary syndrome,PCOS)是育龄期女性最常见的生殖内分泌紊乱性疾病之一,病理机制尚未阐明。自噬参与卵泡发育的各个阶段,其中卵泡颗粒细胞自噬相对活跃。通过维持颗粒细胞自噬的稳态支持卵巢功能、调控卵泡发... 多囊卵巢综合征(polycystic ovary syndrome,PCOS)是育龄期女性最常见的生殖内分泌紊乱性疾病之一,病理机制尚未阐明。自噬参与卵泡发育的各个阶段,其中卵泡颗粒细胞自噬相对活跃。通过维持颗粒细胞自噬的稳态支持卵巢功能、调控卵泡发育,最终影响胚胎质量及妊娠结局。自噬相关基因和蛋白的异常表达可激活不同的自噬通路,抑制卵泡颗粒细胞发育、干扰内分泌稳态,参与PCOS的病理过程,并影响其预后。综述参与颗粒细胞自噬的关键分子及其在PCOS发生发展中的作用,以期为研究PCOS发生机制及探索临床治疗提供参考。 展开更多
关键词 多囊卵巢综合征 卵泡 自噬 自噬相关蛋白质类 颗粒细胞
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