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A novel herbal combination ameliorates ovarian dysfunction and regulates altered biochemical parameters in rats with letrozole-induced polycystic ovary syndrome
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作者 Sunita Shailajan Sasikumar Menon +1 位作者 Swati Singh Yugandhara Patil 《Asian pacific Journal of Reproduction》 2023年第1期23-34,共12页
Objective:To investigate the potential activity of novel herbal combination and novel herbal formulation(syrup)in female Sprague Dawley rats with letrozole-induced polycystic ovary syndrome(PCOS).Methods:Forty-two rat... Objective:To investigate the potential activity of novel herbal combination and novel herbal formulation(syrup)in female Sprague Dawley rats with letrozole-induced polycystic ovary syndrome(PCOS).Methods:Forty-two rats were randomly divided into seven groups with six rats in each group.Group 1 received 0.5%carboxy methylcellulose orally for 37 days and served as the normal control group.Group 2 was orally administered with letrozole of 1 mg/kg for 21 days and served as the PCOS induction group without treatment.Group 3 to 7 were administered with letrozole of 1 mg/kg for 21 days orally to induce PCOS,and then respectively received clomiphene citrate at 1 mg/kg,100 and 200 mg/kg of novel herbal combination,200 mg/kg of novel herbal formulation(syrup),and 400 mg/kg of marketed formulation of Pushyanuga churna,once daily for 15 days.Effects of the novel herbal combination and its syrup formulation were evaluated on the hormonal profile,the levels of antioxidants,the lipid profile and on the ovarian morphology,using letrozole-induced PCOS model in rats.Results:Letrozole caused alterations in hormonal levels and lipid levels similar to PCOS and ovarian histology showed presence of ovarian cysts confirming the induction of PCOS in rats.On treatment with the novel herbal combination and its syrup formulation in PCOS-induced rats,the altered hormonal and lipid profiles showed significant recovery to normal levels.Ovarian histology confirmed the restoration of folliculogenesis in the PCOS-induced rats.The treatment with the syrup formulation of novel herbal combination was found to be more effective than novel herbal combination and showed better recovery in various parameters evaluated.The results of the study,however,suggested that treatment with novel herbal combination and its syrup formulation provided minimal protection against oxidative stress caused due to the induction of PCOS.Conclusions:The integrated approach for management of PCOS is to counterbalance the limitations associated with modern therapy.Both the novel herbal combination and the syrup formulation of novel herbal combination show efficacy in the management of PCOS in rats and restore folliculogenesis in the ovary.The syrup formulation of novel herbal combination is most effective in the management of PCOS and shows potential to be developed as an adjuvant therapeutic agent. 展开更多
关键词 Polycystic ovarian syndrome Polyherbal combination letrozole Pushyanuga churna Clomiphene citrate HISTOPATHOLOGY Biochemical HERBAL
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Preliminary study of letrozole use for improving spermatogenesis in non-obstructive azoospermia patients with normal serum FSH 被引量:8
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作者 Giorgio Cavallini Giovanni Beretta Giulio Biagiotti 《Asian Journal of Andrology》 SCIE CAS CSCD 2011年第6期895-897,共3页
We investigated whether letrozole (2.5 mg day-1) improves sperm count in non-obstructive azoospermia (NOA) patients. Four men were included in this study, and they had folliculo-stimulating hormone and other hormo... We investigated whether letrozole (2.5 mg day-1) improves sperm count in non-obstructive azoospermia (NOA) patients. Four men were included in this study, and they had folliculo-stimulating hormone and other hormone levels within the normal range and no varicoceles or chromosomal aberrations. These four patients were administered letrozole for 3 months. Sperm count, testicular volume, gonadotropin, testosterone (T) and estradiol (E2) blood levels were assessed before, during and 1 week after the suspension of treatment. All patients showed spermatozoa in their ejaculate, increased gonadotropin and T levels and lower E2 levels (P〈0.05 in all cases), when letrozole was administered. This suggests that letrozole treatment might improve sperm count in an NOA sub-population; however, more studies, including the proper controls, are needed to confirm its efficacy. 展开更多
关键词 letrozole medical treatment non-obstructive azoospermia SPERMATOGENESIS
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Stability-indicating liquid chromatographic method for the determination of Letrozole in pharmaceutical formulations 被引量:2
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作者 M.Mathrusri Annapurna Chitaranjan Mohapatro A.Narendra 《Journal of Pharmaceutical Analysis》 SCIE CAS 2012年第4期298-305,共8页
A stability-indicating high-performance liquid chromatographic method was developed and validated for the determination of Letrozole in tablet dosage forms. Reversed-phase chromatography was performed on Shimadzu Mode... A stability-indicating high-performance liquid chromatographic method was developed and validated for the determination of Letrozole in tablet dosage forms. Reversed-phase chromatography was performed on Shimadzu Model LC-Class-Vp with Lichrocart/Lichrosphere 100 C-18 (250 mm 4.6 mm, 5 mm particle size) column with methanol: tetra butyl ammonium hydrogen sulfate (80:20V/V) as mobile phase at a flow rate of 1 mL/min with UV detection at 240 nm. Linearity was observed in the concentration range of 0.5-150 mg/mL (R 2 0.9998) with regression equation y 102582xt43185. The limit of quantitation (LOQ) and limit of detection (LOD) were found to be 0.043 and 0.012 mg/mL respectively. The forced degradation studies were performed by using HCl, NaOH, H 2 O 2 , thermal and UV radiation. Letrozole is more sensitive towards alkaline conditions and very much resistant towards acidic, oxidative and photolytic degradations. The method was validated as per ICH guidelines. The RSD for intra-day (0.78-0.97) and inter-day (0.86-0.96) precision were found to be lesser than 1%. The percentage recovery was in good agreement with the labeled amount in the pharmaceutical formulations and the method is simple, specific, precise and accurate for the determination of Letrozole in pharmaceutical formulations. 展开更多
关键词 letrozole Liquid chromatography STABILITY-INDICATING
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Randomized controlled trial of Letrozole versus Clomiphene citrate for induction of ovulation in polycystic ovarian syndrome (PCOS): A Malaysian experience 被引量:3
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作者 Nik Hazlina Nik Hussain Munawwirah Ismail +3 位作者 Murizah Mohd. Zain Pu Chan Yeu Roszaman Ramli Wan Mohd Zahiruddin Wan Mohammad 《Open Journal of Obstetrics and Gynecology》 2013年第5期11-17,共7页
Background: The purpose of this study was to compare the effectiveness of Letrozole versus Clomiphene citrate for ovulation induction in polycystic ovarian syndrome (PCOS) with infertility. Methods: This was a prospec... Background: The purpose of this study was to compare the effectiveness of Letrozole versus Clomiphene citrate for ovulation induction in polycystic ovarian syndrome (PCOS) with infertility. Methods: This was a prospective randomized trial involving 150 women with PCOS attending the Infertility Clinic at three hospitals in Malaysia. During the initial visit, anthropometric measurements and baseline investigations were performed. Patients were randomized to 5.0 mg Letrozole daily (75 patients) or 100 mg Clomiphene citrate daily (75 patients) from the fifth until the ninth day of menstruation. Serial transvaginal scans were performed to see the dominant follicles, endometrial thickness and number of follicles. Transvaginal scans were performed serially to look for evidence of ovulation. Results: The subjects were homogenously distributed. The difference between Letrozole and Clomiphene citrate for ovulation rate was 59 (78.7%) versus 40 (53.3%). Patients taking Letrozole exhibited a mean endometrial thickness (ET) at mid cycle of menses (Day 11-D14) of9.2 mm(SD ± 2.3) versus8.4 mm(SD ± 2.2) for patients taking Clomiphene citrate, and these differences were statistically significant 展开更多
关键词 POLYCYSTIC Ovarian Syndrome OVULATION INDUCTION CLOMIPHENE CITRATE letrozole
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Crystal Engineering of Co(Ⅱ) Metal-organic Frameworks Based on the Hydrolysis Product of Letrozole and Coligands 被引量:1
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作者 康海霞 傅玉琴 +3 位作者 鞠丰阳 王玉芳 李晓玲 刘广臻 《Chinese Journal of Structural Chemistry》 SCIE CAS CSCD 2019年第8期1266-1274,共9页
The cyanide groups of letrozole(1-[bis(4-cyanophenyl)methyl]-1,2,4-triazole) were hydrolyzed into the carboxylic groups under alkaline conditions. Then the hydrolysis product(1-[bis(4-carboxylphenyl)methyl]-1,2,4-tria... The cyanide groups of letrozole(1-[bis(4-cyanophenyl)methyl]-1,2,4-triazole) were hydrolyzed into the carboxylic groups under alkaline conditions. Then the hydrolysis product(1-[bis(4-carboxylphenyl)methyl]-1,2,4-triazole, H2ltzda) reacted with Co(NO3)2·6H2O in the presence of different bipyridl-typed ligands under hydrothermal conditions. As a result, two new Co(Ⅱ) MOFs were obtained, formulated as [Co2(ltzda)2(bpp)2]n(1) and {[Co2(ltzda)2(bpy)]·4H2O}n(2)(bpp = 1,3-di(4-pyridyl)propane, bpy = 4,4’-bipyridine). Two MOFs have been characterized by single-crystal X-ray diffraction, thermogravimetric analysis and magnetic measure. 1 displays a 2D metal-organic framework containing wave layers and 2 shows a pillared-layer structure existing in a 2-fold interpenetrated mode. 展开更多
关键词 letrozole Co(Ⅱ) METAL-ORGANIC frameworks HYDROLYSIS magnetic PROPERTY coligand
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Simultaneous Letrozole and Clomiphene Citrate versus Letrozole Alone in Clomiphene Citrate Resistant Polycystic Ovary Syndrome: A Randomised Controlled Trial 被引量:1
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作者 Mohamed A. Ibrahem 《Open Journal of Obstetrics and Gynecology》 2019年第11期1532-1540,共9页
Background: Polycystic ovary syndrome (PCOS) is a common cause of anovulatory infertility. The therapeutic strategies for clomiphene citrate (CC)- resistant patients include the addition of corticosteroids, extended d... Background: Polycystic ovary syndrome (PCOS) is a common cause of anovulatory infertility. The therapeutic strategies for clomiphene citrate (CC)- resistant patients include the addition of corticosteroids, extended duration of clomiphene, gonadotrophin therapy, laparoscopic ovarian drilling, in vitro fertilization or the use of aromatase inhibitors recently. Letrozole decreases estrogen levels in the body, so it releases the hypothalamus and/or pituitary gland from the negative feedback of estrogen. This increases levels of gonadotrophins, which stimulates follicular growth. Objectives: To evaluate the role of letrozole alone and simultaneous use of letrozole and clomiphene citrate (CC) for ovulation induction in patients with clomiphene citrate-resistant PCOS (CCR-PCOS). Patients and Methods: This open-label randomised controlled study was conducted in the Department of Obstetrics and Gynecology, Faculty of Medicine, Zagazig University, Egypt during the period from February 2018 to June 2019. The study included 60 CCR-PCOS patients who were randomly allocated by independent personnel into two arms: group A (letrozole alone) or B (letrozole + CC). In either group, monitoring the mean follicular diameter and endometrial thickness in the days 10, 12, and 14 of the cycle by transvaginal ultrasound and Measurement of serum Progesterone (ng/ml) 7 days after the expected time of ovulation. Results: We investigated various clinical and sonographic factors that may predict the outcome of the method of induction of ovulation in CCR-PCOS with no significant affection for the results. There was a non-significant difference between the studied groups regarding ovulation and pregnancy per cycle or per patient. Conclusion: Letrozole alone or simultaneous use of letrozole and CC offers a good second-line option for induction of ovulation in CCR-PCOS patients. However, the combination of CC and letrozole did not add any benefit over the use of letrozole alone regards ovulation rate, follicular volume, endometrial thickness, pregnancy rate and live birth rate. 展开更多
关键词 OVULATION Induction letrozole CLOMIPHENE CITRATE POLYCYSTIC OVARY Syndrome
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Short-term Femara (letrozole) treatment and suppression of Ki67 expression in postmenopausal endometrial carcinoma 被引量:1
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作者 Lloyd H. Smith Gary Leiserowitz +1 位作者 Guibo Xing John Bishop 《Open Journal of Obstetrics and Gynecology》 2013年第3期347-351,共5页
Objective: To determine if short-term treatment with Femara (letrozole) induces measurable reduction in tumor Ki67 expression in postmenopausal women with FIGO grade 1 and 2 endometrial carcinoma. Methods: In this non... Objective: To determine if short-term treatment with Femara (letrozole) induces measurable reduction in tumor Ki67 expression in postmenopausal women with FIGO grade 1 and 2 endometrial carcinoma. Methods: In this non-randomized prospective study, 12 patients were given Femara (letrozole) 2.5 mg daily for approximately 3 weeks prior to planned hysterectomy for FIGO grade 1 or 2 endometrial carcinoma. A group of 12 demographically similar patients were enrolled as no-treatment controls. Ki67 expression in tumor cells was quantitated by immunohistochemistry with mechanical scanning within the initial endometrial biopsy and compared to that in the hysterectomy specimen for each patient in the treatment and control groups. Results: The treatment and control groups were similar in age, tumor grade and FIGO stage. When “aromatase inhibitor responsiveness” was defined as proportionate decline in Ki67% stained tumor cells of at least 70% between the pre-treatment endometrial biopsy and post-treatment hysterectomy specimens, 5 of 12 patients were found to be “responsive” in the treatment group with none of the controls fulfilling these criteria. Conclusion: Femara (letrozole) 2.5 mg daily for approximately 3 weeks induced a significant reduction in tumor cell Ki67 expression among 5 of 12 (41%) postmenopausal women with FIGO grade 1 or 2 endometrial carcinoma. We postulate that Ki67 may be a useful marker during aromatase inhibitor medical treatment of patients with endometrial cancer who are not candidates for surgical treatment. 展开更多
关键词 ENDOMETRIAL Carcinoma AROMATASE Inhibitor letrozole Ki67
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SPE-UPLC-MS/MS assay for determination of letrozole in human plasma and its application to bioequivalence study in healthy postmenopausal Indian women 被引量:1
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作者 Pravin G.Vanol Puran Singhal +3 位作者 Priyanka A.Shah Jaivik V.Shah Pranav S.Shrivastav Mallika Sanyal 《Journal of Pharmaceutical Analysis》 SCIE CAS 2016年第4期276-281,共6页
A rapid and sensitive ultra performance liquid chromatography-tandem mass spectrometry(UPLC-MS/MS) method is described for determination of letrozole in human plasma.Following solid phase extraction(SPE) of letroz... A rapid and sensitive ultra performance liquid chromatography-tandem mass spectrometry(UPLC-MS/MS) method is described for determination of letrozole in human plasma.Following solid phase extraction(SPE) of letrozole and letrozole-d4 on Orochem DVB-LP cartridges,chromatography was performed on Acquity UPLC BEH C_(18)(50 mm × 2.1 mm.1.7 μm) column using methanol-0.1%formic acid in water(85:15,v/v) as the mobile phase.Detection was carried out on a triple quadrupole mass spectrometer with an electrospray source,operated under positive ionization mode.Quantitation of letrozole and letrozole-d4 was done using multiple reaction monitoring(MRM) following the transitions at m/z286.2→217.0 and m/z 290.2→221.0,respectively.The calibration plots were linear through the concentration range of 0.10-100 ng/mL(r^2 ≥ 0.9990) using 100 μL human plasma.The extraction recovery of letrozole ranged from 94.3%to 96.2%and the intra-batch and inter-batch precision was ≤ 5.2%.The method was successfully applied to a bioequivalence study of letrozole after oral administration of2.5 mg tablet formulation to 16 healthy postmenopausal Indian women.The assay reproducibility was also established through incurred sample reanalysis(ISR) of 74 subject samples. 展开更多
关键词 letrozole letrozole-D4 UPLC-MS/MS Solid phase extraction Bioequivalence study
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Combined effects of Gymnema sylvestre and Pergularia daemia on letrozole-induced polycystic ovarian syndrome in rats
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作者 Sudhakar Pachiappan Kothai Ramalingam Arul Balasubramanian 《Asian pacific Journal of Reproduction》 2021年第2期68-74,共7页
Objective:To investigate the combined therapeutic potential of Gymnema(G.)sylvestre and Pergularia(P.)daemia on letrozole-induced polycystic ovarian syndrome(PCOS)in rats.Methods:Thirty six healthy female Wistar rats ... Objective:To investigate the combined therapeutic potential of Gymnema(G.)sylvestre and Pergularia(P.)daemia on letrozole-induced polycystic ovarian syndrome(PCOS)in rats.Methods:Thirty six healthy female Wistar rats with regular estrus cycles were randomly divided into six groups each of 6.GroupⅠreceived 1 mL of 0.5%carboxyl methyl cellulose orally and served as the vehicle control group,while groupsⅡtoⅥwere treated with letrozole(1 mg/kg body weight p.o.)for 21 days to induce PCOS.After induction of PCOS,groupⅡserved as the PCOS control group,without treatment;groupⅢreceived metformin(20 mg/kg body weight p.o.)as the standard group,and groupsⅣtoⅥreceived G.sylvestre(100 mg/kg body weight p.o.),P.daemia(300 mg/kg body weight p.o.),and the combination of G.sylvestre and P.daemia,respectively,for 28 days.Vaginal smears were collected from all rats daily throughout the study to determine the phases of the estrus cycle.After completing the treatment schedule,oral glucose tolerance test,serum lipid profile and reproductive hormonal analysis were carried out.Subsequently,the rats were sacrificed to collect ovary and uterus for histopathological examination.Results:The PCOS control rats showed a significant irregularity in the estrus cycle,hyperglycemia,and the altered serum lipid profile such as the increased low and very low density lipoprotein,triglyceride,and decreased high density lipoproteins.In addition,the PCOS control rats showed a significant increase in serum luteinizing hormone,testosterone,and estrogen,and decrease in follicle stimulating hormone and progesterone.These changes were significantly revoked in all the treatment groups.The test drugs also significantly reduced the gained ovary weight(P<0.001),and histopathology of the ovary showed almost normal ovary.Among the treatment groups,the group of combination treatment of G.sylvestre and P.daemia showed superior ameliorative results in PCOS parameters.Conclusions:Combination of G.sylvestre and P.daemia presents potent synergistic activity against hyperandrogenism,hyperinsulinemia,anovulation and follicular cysts in letrozole-induced PCOS rats. 展开更多
关键词 Polycystic ovarian syndrome METFORMIN letrozole Gymnema sylvestre Pergularia daemia Reproductive hormone Estrus cycle
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Protective and therapeutic effect of protocatechuic acid in assessment of letrozole- induced polycystic ovary syndrome in rats
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作者 Rupavath Chandrashekhar Bakshi Vasudha +2 位作者 Jagruthi Jeripothula Nelavelli Lakshmi Bhavani Bhavani Ram 《Asian pacific Journal of Reproduction》 2020年第5期230-238,共9页
Objective:To investigate the potential activity of protocatechuic acid in female Wistar rats with letrozole-induced polycystic ovary syndrome(PCOS).Methods:Thirty rats were divided into five groups of six each.Group 1... Objective:To investigate the potential activity of protocatechuic acid in female Wistar rats with letrozole-induced polycystic ovary syndrome(PCOS).Methods:Thirty rats were divided into five groups of six each.Group 1 received 0.5%carboxy methyl cellulose orally and served as the normal control group;group 2 was treated orally with 1 mg/kg of letrozole daily for 21 days and served as the PCOS induced group;group 3 was orally administered with letrozole of 1 mg/kg for 21 days and further administered with standard drug of clomiphene citrate at a dose of 1 mg/kg body weight in 0.5%carboxy methyl cellulose per oral and served as the standard group;groups 4 and 5 were administered with letrozole of 1 mg/kg for 21 days and further treated with protocatechuic acid orally at low dose of 5 mg/kg body weight and high dose of 15 mg/kg body weight respectively for 15 days.At the end of the study period,rats were subjected for the estimation of invasive blood pressure and heart rate,biochemical estimations and antioxidant assay.In addition,ovarian histomorphology was examined.Results:The PCOS was confirmed in the letrozole induced rats with increased concentration of androgen,abnormal lipid levels,glucose,glycosylated haemoglobin and also depletion of antioxidants.After protocatechuic acid treatment,the increased levels of testosterone due to induction of PCOS were restored to normal levels.Additionally,there was a consistent decrease in luteinizing hormone and follicle stimulating hormone levels in the treatment groups,followed by decrease in the number of cysts after treatment with protocatechuic acid.Histopathological observations showed a remarkable recovery of the ovarian tissue and the presence of normalized structure of antral follicle.Protocatechuic acid treatment restored all the parameters to normalcy and abolished cysts formation in ovaries of female rats.Conclusions:Protocatechuic acid shows potential protective effects in letrozole-induced PCOS rats.The protective effect is comparable to that of clomiphene citrate and thus shows its potential in the treatment of PCOS. 展开更多
关键词 Polycystic ovary syndrome letrozole Protocatechuic acid FERTILITY OVULATION
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Letrozole versus Gonadotropin in Unexplained Infertile Couples Failed to Conceive with Clomiphene Citrate
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作者 Moustafa Abbas Ibrahaiem Sherin A. Shazly +2 位作者 Khaled F. Helal Hala Mowafy Manal M. El Behery 《Open Journal of Obstetrics and Gynecology》 2014年第10期636-641,共6页
Background:?Unexplained infertility represents about 15% - 20% of infertile couples. Usually, these cases need assistance. Clomiphene citrate is the most used drug for this problem but sometimes pregnancy failed to ac... Background:?Unexplained infertility represents about 15% - 20% of infertile couples. Usually, these cases need assistance. Clomiphene citrate is the most used drug for this problem but sometimes pregnancy failed to achieve it, so other options for assistance are gonadotrophin or letrezole. The objective of our study was to compare the pregnancy rate for letrezole and gonadotropin inunexplained infertile women’s who failed to conceive with clomiphene citrate. Methods: This prospective quasi-randomized trial was carried out in cytogenetic unite at obstetrics and gynecology department, Zagazig University Hospital. 140 infertile females were included, induction of ovulation by letrozole for half of them and by gonadotrophin for the other half. Results: There was statistically highly significant decrease in duration of stimulation, E2 levels and endometrial thickness at day of HCG in letrezole group, no significant difference between two groups as regard number of follicles and pregnancy rate per cycle, while the cumulative pregnancy rate and the cost of stimulation are significantly higher in gonadotrophin group. Conclusion: In patient with unexplained infertility who failed to conceive with clomiphene citrate, gonadotrophins have a higher pregnancy rate than letrezole. However, pregnancy rate was high enough with lower cost with letrezole to be acceptable and justified its use in this group of patients. 展开更多
关键词 letrozole GONADOTROPIN Infertility CLOMIPHENE Citrate
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来曲唑(letrozole)治疗乳腺癌优于他莫昔芬
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《临床合理用药杂志》 2010年第1期48-48,共1页
关键词 他莫昔芬 辅助治疗 乳腺癌 来曲唑 letrozole 芳香酶抑制剂 绝经后妇女 分泌反应
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Best time for progesterone supplementation in aid ovulation induction cycles by letrozole
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作者 Xue-Mei Wang Hua Lou +3 位作者 Yuan-Rong Cui Xia Zhang Bo Dong Cai-Hong Chang 《Journal of Hainan Medical University》 2019年第5期22-25,共4页
Objective:To explore the best time for progesterone supplementation in AID ovulation induction cycles by Letrozole.Methods: The data analysed in this study were collected from 509 patients who were performed AID (Arti... Objective:To explore the best time for progesterone supplementation in AID ovulation induction cycles by Letrozole.Methods: The data analysed in this study were collected from 509 patients who were performed AID (Artificial Insemination by Donor) administrated letrozole (LE) between 2014.8-2015.7. All patients were randomly divided into 4 groups by the time of progesterone administrated, including experimental group and the control group. The experimental group was divided into group 1-72 h after ovulation, group 2-48 h after ovulation, group 3-24 h after ovulation and control group—without administrated LE. The gestation and live birth rate were evaluated by monitoring vaginal ultrasound and HCG blood value 14 d after AID.Results: The pregnancy rate with administrated progesterone added 72 h after ovulation was 31.9%, which was significantly higher than those of other groups, the same situation as groups added progesterone was significantly higher than the control group. However, there was no significant difference in the numbers of abortions among the four groups. The LBR of group 4 was significantly lower than that of group 1.Conclutions: Progesterone administrated 72 h after ovulation can promoted the gestation rate, but did not affect the rate of miscarrage . 展开更多
关键词 PROGESTERONE letrozole Artificial INSEMINATION DYDROGESTERONE CLOMIPHENE Citrate Artificial INSEMINATION by Donor(AID)
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Letrozole可更有效地降低乳腺癌的复发风险
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作者 林倩瑶 《国外医学情报》 2006年第2期19-20,共2页
据近期出版的《新英格兰医学杂志》(NEJM)刊登的IBSCG研究结果显示,letrozole与它莫西芬相比可更有效地降低乳腺癌幸存者复发的风险。研究证实letrozole有助于阻止乳腺癌向身体其他部位的扩散,复发高危女性可从letrozole中获益。
关键词 letrozole 复发风险 乳腺癌 letrozole 医学杂志 它莫西芬 高危女性 英格兰 幸存者
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Letrozole可改善体外受精的结果
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作者 林琳(摘译) 夏雪(校) 《国外医学情报》 2005年第11期38-38,共1页
据西班牙研究人员报道,对卵巢过度刺激反应较差的患者利用芳香酶抑制剂letrozole进行辅助治疗可增加体外受精(IVF)的成功率。
关键词 letrozole 体外受精 letrozole 芳香酶抑制剂 研究人员 辅助治疗 刺激反应 西班牙
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Effectiveness of co-treatment with traditional Chinese medicine and letrozole for polycystic ovary syndrome:a meta-analysis 被引量:14
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作者 Qian-wen Ma Yong Tan 《Journal of Integrative Medicine》 SCIE CAS CSCD 2017年第2期95-101,共7页
BACKGROUND: Polycystic ovary syndrome (PCOS) is an endocrine disease that affects gynecologica health. Treatment of PCOS remains a big challenge for clinicians. OBJECTIVE: This meta-analysis was developed to compa... BACKGROUND: Polycystic ovary syndrome (PCOS) is an endocrine disease that affects gynecologica health. Treatment of PCOS remains a big challenge for clinicians. OBJECTIVE: This meta-analysis was developed to compare the efficacy of co-treatment with traditiona Chinese medicine (TCM) and letrozole against letrozole monotherapy in the treatment of PCOS. SEARCH STRATEGY: Randomized controlled trials (RCTs) were electronically retrieved from PubMed, Cochrane Library, China Biomedical Literature Database, China National Knowledge Infrastructure and Wanfang Data; related papers that were not available electronically were manually checked. All papers were assessed according to the Cochrane Handbook for Systematic Reviews of Interventions and the valid data were analyzed using Revman software (The Cochrane Collaboration, Copenhagen, Denmark) INCLUSION CRITERIA: We included RCTs that compared co-treatment with TCM and letrozole against letrozole monotherapy in women with PCOS, which was defined by anovulation, biochemical or clinical hyperandrogenemia and polycystic ovaries. We included trials from all sources. DATA EXTRACTION AND ANALYSIS: Two independent reviewers extracted data, and evaluated study quality according to the Cochrane Handbook for Systematic Reviews of Interventions criteria for RCT, including issues of patient randomization, blinding and bias. RESULTS: Eight RCTs, involving a total of 537 patients, were included in the present study. The meta-analysis showed that the cycle ovulation rate, the pregnancy rate and the total effective rate of symptom treatment were higher in treatments combining TCM with letrozole, compared with letrozole monotherapy. Although the rate of luteinizing hormone (LH)/follicle-stimulating hormone (FSH) and the body mass index of the group receiving combined therapy were lower than in letrozole monotherapy, no statistical difference was found in the LH and FSH level between the two groups. CONCLUSION: Available evidence showed that co-treatment with TCM and letrozole was more effective than letrozole monotherapy in the treatment of PCOS. 展开更多
关键词 medicine Chinese traditional letrozole polycystic ovary syndrome META-ANALYSIS
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Effect of Letrozole,Berberine,or Their Combination for Infertility in Women with Polycystic Ovary Syndrome:Statistical Analysis Plan for a Multicenter Randomized Controlled Trial 被引量:3
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作者 Hong-Li Ma Jing-Shu Gao +3 位作者 Feng Tian Ernest HY Ng Xiao-Ke Wu Jian-Ping Liu 《World Journal of Traditional Chinese Medicine》 2016年第3期36-42,共7页
Introduction:Letrozole showed higher ovulation and live birth rates than clomiphene in infertile women with polycystic ovary syndrome(PCOS).Berberine,a major active component of Chinese herbal medicine rhizomacoptidis... Introduction:Letrozole showed higher ovulation and live birth rates than clomiphene in infertile women with polycystic ovary syndrome(PCOS).Berberine,a major active component of Chinese herbal medicine rhizomacoptidis,has been used to improve insulin resistance to facilitate ovulation induction in women with PCOS,but there is no study reporting the live birth or its potential as a complementary treatment to letrozole.We aim to determine the efficacy of letrozole with or without berberine in achieving live births among 644 infertile women with PCOS in China's Mainland.Methods and analysis:This is a prospective,randomized,multicentre,double-blinded,controlled design.Infertile women with PCOS were randomized into three-arm,letrozole and berberine,letrozole and berberine placebo,letrozole placebo and berberine.Data and blood were collected at baseline,the third month and sixth month after treatment,or immediately were collected if subject was pregnant.Statisticians and clinical investigators were blinded to treatment allocation and treatment related study results until the central database was locked for final data extraction and analysis determined.The statistical analysis plan described basic analysis principles,methods commonly encountered in data analysis issues,and the specific statistical procedures for analyzing the primary,secondary,and safety outcomes.Ethics and dissemination:The study was approved by the ethics committee of the First Affiliated Hospital,Heilongjiang University of Chinese Medicine.The study findings will be disseminated through peer-reviewed publications and conference presentations.Trial registration:Chinese Clinical Trial Registry:Chi CTR-TRC-09000376.Clinical Trials.gov identifier:NCT01116167. 展开更多
关键词 Polycystic ovary syndrome Statistical analysis plan Randomized controlled trial letrozole BERBERINE
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Protective efficacy of dark chocolate in letrozole-induced ovary toxicity model rats: hormonal, biochemical, and histopathological investigation
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作者 Naser Mirazi Sheida Hesami +1 位作者 Alireza Nourian Abdolkarim Hosseini 《Journal of Traditional Chinese Medicine》 SCIE CSCD 2022年第5期741-748,共8页
OBJECTIVE: To assess the protective effect of dark chocolate(DC) on the letrozole-induced rat model of polycystic ovary syndrome(PCOS). METHODS: In this experimental study, 32 female Wistar rats, weighing(200 ± 2... OBJECTIVE: To assess the protective effect of dark chocolate(DC) on the letrozole-induced rat model of polycystic ovary syndrome(PCOS). METHODS: In this experimental study, 32 female Wistar rats, weighing(200 ± 20) g, were randomly categorized into 4 groups including control, letrozole(1 mg·kg-1·d-1), metformin(500 mg·kg-1·d-1) along with letrozole, and DC(500 mg·kg-1·d-1) along with letrozole for 28 d by oral gavage. Twenty-four hours after the last supplementation, direct blood sampling was taken from the heart to obtain blood serum for evaluation of sex hormones and gonadotropins, oxidative parameters, inflammatory cytokines, and ovarian tissue was examined for histology. RESULTS: The DC treatment significantly improved PCOS signs, as demonstrated by the significant restoration of ovarian morphology and physiological functions as compared with the letrozole group. DC treatment also decreased ovarian interleukin-1β and tumor necrosis factor-α levels and improved total oxidative/antioxidative status as compared with the letrozole group. CONCLUSIONS: Treating the animals with DC could alleviate the PCOS symptoms and reduced the toxic effects of letrozole in the ovary. This effect may mediate through antioxidant and antiinflammatory properties. 展开更多
关键词 CHOCOLATE letrozole METFORMIN polycystic ovary syndrome antioxidants anti-inflammatory agents
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Anti-androgenic effect of Symplocos racemosa Roxb.against letrozole induced polycystic ovary using rat model
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作者 Mamata Jadhav Sasikumar Menon Sunita Shailajan 《Journal of Coastal Life Medicine》 2013年第4期309-314,共6页
Objective:To investigate the anti-androgenic properties of Symplocos racemosa Roxb.(S.racemosa)in the treatment of hyperandrogenemia associated polycystic ovary syndrome(PCOS)in a letrozole induced PCOS rat model.Meth... Objective:To investigate the anti-androgenic properties of Symplocos racemosa Roxb.(S.racemosa)in the treatment of hyperandrogenemia associated polycystic ovary syndrome(PCOS)in a letrozole induced PCOS rat model.Methods:The testosterone levels were used to evaluate the anti-androgenic effect of S.racemosa in letrozole induced PCOS rats for 21 d.The low(250 mg/kg),mid(500 mg/kg)and high dose(1000 mg/kg)of S.racemosa was given to the PCOS induced rats for 15 d post letrozole induction to determine the effective dose of S.racemosa in the treatment of hyperandrogenemia associated PCOS.The hormones such as estrogen and progesterone were also assayed along with testosterone to determine the fluctuations in sex steroid levels in PCOS rats induced by letrozole.Results:S.racemosa treatment significantly decreased testosterone levels which were found to be elevated in PCOS rats induced by letrozole.S.racemosa significantly restored other blood biochemical parameters such as estrogen,progesterone and cholesterol levels.It also restored the histology of ovarian tissue.The ovarian weights and uterine weights were also significantly recovered after the S.racemosa treatment.Conclusions:The mid dose(500 mg/kg)and high dose(1000 mg/kg)of S.racemosa were found to be effective in the treatment of hyperandrogenemia in PCOS.This effect of S.racemosa was found to be comparable with clomiphene citrate.Clomiphene citrate which was being used as the major medicine in the treatment of PCOS could now be replaced with S.racemosa in the management of PCOS. 展开更多
关键词 Symplocos racemosa Roxb. letrozole Polycystic ovary syndrome Clomiphene citrate
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雄激素对培养的鸡胚卵巢生殖细胞增殖的影响 被引量:4
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作者 刘红云 曾卫东 张才乔 《中国兽医学报》 CAS CSCD 北大核心 2006年第1期101-103,共3页
利用鸡胚性腺生殖细胞-体细胞体外无血清共培养模型研究雄激素对生殖细胞增殖的影响。培养的鸡胚卵巢细胞用睾酮(T,10-8、10-7、10-6mol/L)和/或芳香化酶抑制剂letrozole(Let,10-9、10-8、10-7mol/L)处理,48h后测定生殖细胞增殖的变化... 利用鸡胚性腺生殖细胞-体细胞体外无血清共培养模型研究雄激素对生殖细胞增殖的影响。培养的鸡胚卵巢细胞用睾酮(T,10-8、10-7、10-6mol/L)和/或芳香化酶抑制剂letrozole(Let,10-9、10-8、10-7mol/L)处理,48h后测定生殖细胞增殖的变化。结果显示,睾酮能够促进卵巢生殖细胞的增殖,且这种促增殖作用可被Let部分阻断。由此推断,睾酮的这种促进鸡胚卵巢生殖细胞增殖的作用,部分是通过转变为雌激素才得以发挥的。 展开更多
关键词 鸡胚 卵巢 生殖细胞 雄激素 letrozole 细胞增殖
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