Exploration of standard dosage for GnRH antagonist protocol and dosage adjustments after premature luteinizing hormone surge

The gonadotropin-releasing hormone (GnRH) antagonist protocol has emerged as an efficacious alternative to the GnRH agonist protocol for controlled ovarian hyperstimulation (COH) during in vitro fertilization (IVF) cycles, and has been demonstrated applicability in infertile female patients with diverse ovarian responses. While the clinical implementation of the antagonist COH protocol has achieved widespread consensus, opportunities for refinement persist. Therefore, this review article focuses on the advantages and disadvantages of GnRH antagonist protocol, the selection of optimal standard doses, and the strategies for adjusting antagonist doses after the premature luteinizing hormone (LH) surge, aiming to provide more reasonable and scientific recommendations for the application of this scheme.

The anti-diabetic effect and possible mechanism of the Annona muricata L.root extract in type 2 diabetic mice

Objective:To investigate the anti-diabetic effect of the root extract of Annona muricata(AME)in streptozotocin-nicotinamide-induced type 2 diabetic(T2DM)mice.Methods:After 4 weeks of high-fat diet,ICR mice were given 1 g/kg nicotine and 120 mg/kg streptozotocin(STZ)orally to construct a T2DM model.The T2DM mice were randomly divided into five groups:model group,200 mg/kg metformin group and 50,100,200 mg/kg AME groups.Drugs were oral administered continuously for 4 weeks.Fasting blood glucose and body weight were measured weekly.Oral glucose tolerance test(OGTT)and detection of serum glycated hemoglobin(HbA1c)level were performed one week before the end of the experiment.At the end of drug administration,serum total cholesterol(TG),triglycerides(TC),low-density lipoprotein levels(LDL-C)and insulin levels were tested by lipid detection kits;homeostasis model assessment-estimated insulin resistance(HOMA-IR)and HOMA-βindexes were calculated.Liver and kidney tissues were weighed to calculate organ indices and pathological tests were performed.Western blot was performed in the liver to detect adenosine monophosphate-activated protein kinase(AMPK),acetyl coenzyme A carboxylase(ACC),glucose-6-phosphate carboxylase(G6Pase),and phosphoenolpyruvate carboxykinase(PCK1)protein expression.Results:with 200 mg/kg AME significantly reduced fasting blood glucose,HbA1c,TG and LDL-C levels,protected liver and kindey in diabetic mice,decreased the area under the OGTT curve,inhibited ACC and G6Pase protein expressions,and activated AMPK protein expression.Conclusion:AME showed good therapeutic activity against T2DM,and the mechanism may be related to the activation of AMPK and inhibition of ACC and G6Pase proteins.

Ethanol extract of Annona muricata Linn fruit perform antidiabetic effect on type 2 diabetic mice through α-glucosidase inhibition

Objective:To explore the anti-diabetic effects and its underlying mechanism of Annona muricata Linn fruit ethanol extract(AME).Methods:Streptozotocin-induced type 2 diabetic(T2DM)mouse model was constructed.Those diabetic mice were randomly grouped and given 50 mg/kg acarbose or AME(200 mg/kg,100 mg/kg or 50 mg/kg)for four weeks.The body weight,postprandial blood glucose and glycosylated hemoglobin levels were measured during the administration.After the administration,a glucose tolerance test was performed,and the levels of triglycerides,cholesterol and low-density lipoproteins in mice were detected by biochemical test kits.The inhibitory activity of AME onα-glucosidase in vivo and in vitro was determined by enzyme inhibition tests.Results:AME significantly reduced weight gain,postprandial blood glucose,glycosylated hemoglobin and low-density lipoprotein levels in T2DM mice;enhanced glucose tolerance and pancreaticβ-cell function of T2DM mice;inhibitedα-glucosidase activity in mouse intestine in an noncompetitive manner.Conclusion:AME may noncompetitive inhibitα-glucosidase activity and reduce postprandial glucose intake to achieve a therapeutic and regulatory effect on type 2 diabetes.

Research progress of ICOSL/ICOS pathway in maternal-fetal immune tolerance

Co-signaling molecules are molecules whose ligands on the surface of cells interact with receptors on the surface of T cells to convey stimulatory or inhibitory signals to regulate immune responses.Co-signaling molecules play an important role in tumor and autoimmune diseases.Lately,studies have shown that co-signaling molecules are also involved in the regulation of maternal-fetal immune tolerance,and abnormalities of co-signaling molecules may lead to the imbalance of maternal-fetal immune tolerance,resulting in recurrent abortion,eclampsia and other pregnancy complications.ICOSL/ICOS is a ligand and receptor of costimulatory signals,which regulates maternal and fetal immune tolerance by participating in T cell differentiation and Th1 and Th2 cytokine secretion.Therefore,this article reviews the structure of ICOSL/ICOS,the distribution of ICOSL/ICOS at the maternal-fetal interface and its immune regulation during pregnancy,in order to provide new ideas for the future study of immunotherapy of pregnancy complications caused by abnormal co-signaling molecules.

Research progress on the effect of oocyte smooth endoplasmic reticulum clusters on early embryo development and pregnancy outcome

With the clinical development and application of intracytoplasmic sperm injection(ICSI)technology in human assisted reproduction,the influence of oocyte quality on embryo development has been paid more and more attention.So far,there have been many reports on oocyte morphology affecting embryo development.It has been found in some works that the appearance of smooth endoplasmic reticulum clusters(SERC)in oocytes may affect the fertilization and embryo development of oocytes.However,with the increasing reports of SERC-containing oocytes obtained by in vitro fertilization and healthy offspring in recent years,there is still some controversy on whether to continue to use SERC-containing oocytes for the following assisted reproductive therapy in clinical practice.Based on this,this review aims to review the research progress of SERC in oocytes in recent years.

The expression of TUSC3 in Preeclampsia and the function in trophoblast cell

Objective:In this study,we aimed to explore the expression of TUSC3 in Preeclampsia and to research the potential function of TUSC3 in placental trophoblast cells.Methods:We collected 10 cases of normal placental tissues and preeclampsia placental tissues,respectively.These parturient received treatment at the First Affiliated Hospital of Hainan Medical University between June 1,2020,and December 31,2022.The expression of TUSC3 in placenta was detected by immunohistochemistry.The effect of TUSC3 on the migration and invasion of HTR8/SVneo cells was analyzed by migration assay and Transwell assay.Results:The expression of TUSC3 was slightly increased in placental villis in preeclampsia.Immunohistochemistry and qRT-PCR were used to detect the expression of TUSC3 protein and mRNA in placental tissues.TUSC3 was markedly upregulated in PE placental tissues(P<0.01).The results of migration assay and Transwell assay showed that the migration rate and the number of invasive cells were significantly decreased in HTR8 overexpressing TUSC3(P<0.01).Conclusions:TUSC3 was markedly increased in PE placental tissues and inhibited trophoblast cells migration and invasion.

Effect of estrogen pretreatment in GnRH antagonist protocol-Meta-analysis

Objective:To evaluate the effect of estrogen pre-treatment in patients with different ovarian response in antagonist protocol.Methods:Randomized controlled trials(RCTs)and retrospective studies about the effect of estrogen pre-treatment in antagonist prorocol were searched in PubMed,Web of Science,China National Knowledge Infrastructure,Wanfang Database.R software was used for meta-analysis.Results:Seven RCTs and two retrospective studies were included.In order to explore the source of heterogeneity,subgroup analysis was used,which was mainly conducted according to the ovarian response of the included population,which were divided into low responders,non-low responders and mixed responders.In the study about gonadotropin hormone(Gn)days,patients were divided into wash-out subgroup and non-wash-out subgroup according to drug use-pattern.Meta-results showed that the number of Gn days increased significantly in the non-wash-out subgroup(WMD=1.07,95%CI[0.83;1.31],I2=66%).The number of Gn days in the wash-out subgroup were not affected(WMD=-0.12,95%CI[-0.45;0.21],I2=0%).In the low-response subgroup,the number of oocytes retrieved(WMD=0.46,95%CI[-0.23;1.16],I2=81%),the fresh cycle clinical pregnancy rate(RR=0.77,95%CI[0.55;1.06],I2=73%)and the cycle cancellation rate(RR=0.80,95%CI[0.40;1.61],I2=83%)were not significantly changed with estrogen pre-treatment.In the non-low-response subgroup,the number of oocytes obtained(WMD=0.21,95%CI[-0.69;1.11],I2=2%),fresh cycle clinical pregnancy rate(RR=0.94,95%CI[0.77;1.14],I2=41%),live birth rate(RR=0.82,95%CI[0.62;1.08],I2=0%)and cycle cancellation rate(RR=0.89,95%CI[0.54;1.47],I2=2%)were not significantly changed with estrogen pre-treatment.Conclusions:Estrogen pre-treatment(with non-wash-out period)in antagonist protocol increases Gn days,dose not improve IVF outcomes in non-low responders and low responders.

Geoacoustic inversion for sediments in the South China Sea based on a hybrid inversion scheme

We performed a long range acoustic propagation experiment in the South China Sea(SCS) in November 2004.The environment of the experiment was with an isothermal sound speed profile,where influence of water volume fluctuation was small,meaning that bottom parameters can be well estimated from acoustic signals.We inverted the acoustic parameters of sediment by using a hybrid inversion scheme that combines the matched field processing inversion with Hamilton sediment empirical relationship and transmission loss data.The numerical results show excellent agreement with the experiment data,indicating validity of the inverted parameters.

Matched-field inversion of sound speed profile in shallow water using a parallel genetic algorithm

A sound speed profile plays an important role in shallow water sound propagation.Concurrent with in-situ measurements,many inversion methods,such as matched-field inversion,have been put forward to invert the sound speed profile from acoustic signals.However,the time cost of matched-field inversion may be very high in replica field calculations.We studied the feasibility and robustness of an acoustic tomography scheme with matched-field processing in shallow water,and described the sound speed profile by empirical orthogonal functions.We analyzed the acoustic signals from a vertical line array in ASIAEX2001 in the East China Sea to invert sound speed profiles with estimated empirical orthogonal functions and a parallel genetic algorithm to speed up the inversion.The results show that the inverted sound speed profiles are in good agreement with conductivity-temperature-depth measurements.Moreover,a posteriori probability analysis is carried out to verify the inversion results.

Spatial correlation of the high intensity zone in deep-water acoustic field

The spatial correlations of acoustic field have important implications for underwater target detection and other ap- plications in deep water. In this paper, the spatial correlations of the high intensity zone in the deep-water acoustic field are investigated by using the experimental data obtained in the South China Sea. The experimental results show that the structures of the spatial correlation coefficient at different ranges and depths are similar to the transmission loss structure in deep water. The main reason for this phenomenon is analyzed by combining the normal mode theory with the ray theory. It is shown that the received signals in the high intensity zone mainly include one or two main pulses which are contributed by the interference of a group of waterbome modes with similar phases. The horizontal-longitudinal correlations at the same receiver depth but in different high intensity zones are analyzed. At some positions, more pulses are received in the arrival structure of the signal due to bottom reflection and the horizontal-longitudinal correlation coefficient decreases accordingly. The multi-path arrival structure of receiving signal becomes more complex with increasing receiver depth.

Coherence-Time of Matched-Field Processing in Shallow Water in the Presence of Linear Internal Waves

Relationships among the signal coherence-time of matched-field processing （MFP）, the acoustic frequency, the source-receiver range, and the sound speed standard deviation （STD） caused by internal waves in shallow water, are numerically investigated based on oceanographic data from two shallow water experiments. It is found that the coherence-time can be fitted with an inverse square-root power of range, a near inverse 1 power of frequency, and inverse 1.3 power of sound speed STD.

The Effects of Seamounts on Sound Propagation in Deep Water

A propagation experiment was conducted in the South China Sea in 2014 with a flat bottom and seamounts respectively by using explosive sources. The effects of seamounts on sound propagation are analyzed by using the broadband signals. It is observed that the transmission loss （TL） decreases up to 7 dB for the signals in the first shadow zone due to the seamount reflection. Moreover, the TL might increase more than 30 dB in the converge zone due to the shadowing by seamounts. Abnormal TLs and pulse arrival structures at different ranges are explained by using the ray and wave theory. The experimental TLs and arrival pulses are compared with the numerical results and found to be in good agreement.

Horizontal-Longitudinal Correlations of Acoustic Field in Deep Water

The horizontal-longitudinal correlations of the acoustic field in deep water are investigated based on the experi- mental data obtained in the South China Sea. It is shown that the horizontal-longitudinal correlation coefficients in the convergence zone are high, and the correlation length is consistent with the convergence zone width, which depends on the receiver depth and range. The horizontal-longitudinal correlation coefficients in the convergence zone also have a division structure for the deeper receiver. The signals from the second part of the convergence zone are still correlated with the reference signal in the first part. The horizontal-longitudinal correlation coeffi- cients in the shadow zone are lower than that in the convergence zone, and the correlation length in the shadow zone is also much shorter than that in the convergence zone. The numerical simulation results by using the normal modes theory are qualitatively consistent with the experimental results.

Applications of Waveguide Invariant Theory to the Analysis of Interference Phenomena in Deep Water

The waveguide invariant,denoted asβ,can be used to describe the slope of the intensity of a broadband acoustic signal.In deep water,the interference patterns of the areas with dominant waterborne modes and only with bottom bounce modes are greatly different.This phenomenon is illustrated by simulation and explained by the distribution ofβ.The theory shows that in the convergence zone,βapproaches infinity,which leads to the larger slope of sound intensity;on the contrary,in the shadow zone,βis close to 1,leading to smaller slopes.

Intelligent outdoor video advertisement recommendation system based on analysis of audiences' characteristics

An integrated implementation framework of an intelligent recommendation system for outdoor video advertising is proposed, which is based on the analysis of audiences＇ characteristics. Firstly, the images of the scene and the people who view the video advertisements are captured by the net- work camera deployed on the video advertising terminal side. Then audiences＇ characteristics can be obtained by applying computer vision technologies ： face detection, face tracking, gender recogni- tion and age estimation. Finally, an intelligent recommendation algorithm is designed to decide the most fitting video ads for each terminal according to multi-dimensional statistical information of its reover, a novel face detection method and a new face tracking method have been proposed to meet the practical requirements of the system, of which the average Fl-score is O. 988 and 0. 951 respec- tively.

Effects of internal waves on signal temporal correlation length in the South China Sea

We simulated the temporal correlation of sound transmission using a two-dimensional advective frozen-ocean model with temperature data from a temperature sensor array on a propagation path in the South China Sea （SCS） Experiment 2009, and investigated the relationships of temporal correlation length, source-receiver range, and maximal sound speed fluctuation mainly caused by the solitary internal waves. We found that the temporal correlation length is -h2-power dependent on source-receiver range and -0.9-power dependent on maximal sound speed fluctuation. The empirical relationship is deduced from one-day environmental measurements in a limited area, needing more works and verification in the future with more acoustic data. But the relationship is useful in many applications in the area of SCS Experiment 2009.

Bubble Pulse Cancelation in the Time-Frequency Domain Using Warping Operators

The received shock waves produced by explosive charges are often polluted by bubble pulses in underwater acoustic experiments.A method based on warping operators is proposed to cancel the bubble pulses in the time-frequency domain.This is applied to the explosive data collected during the Yellow Sea experiment in November 2000.The original received signal is first transformed into a warped signal by warping operators.Then,the warped signal is analyzed in the time-frequency domain.Due to the different features between the shock waves and the bubble pulses in the time-frequency domain for the warped signal,the bubble pulses can be easily filtered out.Furthermore,the shock waves in the original time domain can be retrieved by the inverse warping transformation.The autocorrelation functions and the time-frequency representation show that the bubble pulses can be canceled effectively.

Matched Field Source Localization via Environmental Focalization

In a realistic application of matched field processing for source localization,the ability to localize an acoustic source is strongly affected by the uncertainty of the environment.However,accurate environment measurement is a difficult task in large regions of the ocean.We employ a Bayesian approach,referred to here as focalization,to overcome the mismatch by including the environment in the parameter search space.Focalization maximizes the posterior probability density over the unknown source and environmental parameters.The broadband signals recorded by a vertical line array in a Yellow Sea experiment are presented to demonstrate the feasibility of focalization.

The effect of characteristic Li-medicine Alpinia officinarum Hance on improving insulin resistance

Objective:To study the effects of characteristic Li-medicine Alpinia officinarum Hance on improving insulin resistance(IR),and provide scientific evidence for the adjuvant treatment T2DM.Methods:CCK8 kit was used to detect the viability of HepG2 cells with 0-200μg/mL Alpinia officinarum Hance extract(AOE)and 0-100μmol/L galangin,and determine the administration concentration.The IR model was established by inducing HepG2 cells with high glucose for 48 hours,and rosiglitazone(ROSI)was used as the positive control drug.Furthermore,we detected intracellular and extracellular glucose contents in IR-HepG2 cells after dosing AOE and galangin by flow cytometry and glucose detection kit,and evaluated the effect of regulating glucose metabolism and IR.Western blot was used to detect the effects of AOE and galangin on the expression of glucose transporter-4(GLUT4)in IR-HepG2 cells.Results:CCK8 kit test result showed that 0-200μg/mL AOE and 0-50μmol/L galangin had no significant effect on HepG2 cell viability.The results of flow cytometry and glucose detection kit showed that the glucose uptake and consumption of the IR model group induced by high glucose was significantly lower than that of the blank group,and thus the IR model was successfully established.Both 50μg/mL AOE and 10,20μmol/L galangin significantly increased the glucose uptake and consumption of IR-HepG2 cells(P<0.05);Western blot experiment showed that AOE and galangin significantly increased GLUT4 level of IR-HepG2 cells(P<0.01).Conclusion:Alpinia officinarum Hance could promote the uptake and consumption of glucose in IR-HepG2 cells by up-regulating the expression of GLUT4 protein,thereby improving IR and enhancing insulin sensitivity.

Catechol-derived Inhibitors against Quorum Sensing from Retiboletus kauffmanii

[Objectives]This study aimed to screen anti-quorum sensing(QS)activity from the constituent of Retiboletus kauffmanii fruit body.[Methods]Chromatographic technology was used to isolate compounds,while well diffusion assay was applied to screen anti-quorum sensing activity.[Results]12 phenolic compounds were purified from extracts,three catechol-derived compounds at sub-inhibitory concentrations were found to inhibit the production of violacein in Chromobacterium violaceum for the first time.[Conclusions]Three catechol analogs isolated from R.kauffmanii fruit body extract were indicated as quorum sensing inhibitors against C.violaceum.