Diyet ileri glikasyon son ürünleri (AGE) ve kadın infertilitesi

Elif ÇELİK, Yasemin AKDEVELİOĞLU
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Abstract

Advanced glycation end products (AGEs) are molecules formed by non-enzymatic reactions between reducing sugars and proteins, nucleic acids, or lipids. Advanced glycation end products may be formed endogenously under normal metabolic conditions or metabolic conditions such as diabetes and hyperglycemia, or exogenously during processing of foods at high temperatures and low humidity, including roasting, grilling, and frying. The accumulation of AGEs has a significant role in the development of disorders associated with infertility. Infertility is an increasingly common health problem in recent years. Dietary habits and nutrient intake are among the many factors affecting infertility in women. Receptor AGEs (RAGE) and AGEs have been observed in theca and granulosa cells of the ovaries. High levels of AGEs affect fertility through ovarian dysfunction, follicular growth, oocyte number, fertilization rate, embryo development, adverse effects on pregnancy rate, insulin resistance, apoptosis, endothelial dysfunction, increased inflammation, and reactive oxygen species (ROS). This review aims to investigate the pathophysiology of AGEs and their receptors, as well as their possible implications for female reproductive health.
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膳食中的高级糖化终产物(AGEs)与女性不孕症
晚期糖基化终产物(AGEs)是由还原糖和蛋白质、核酸或脂质之间的非酶反应形成的分子。晚期糖基化终产物可以在正常代谢条件下或糖尿病和高血糖等代谢条件下内源性形成,也可以在高温低湿的食品加工过程中外源性形成,包括烘烤、烧烤和油炸。AGEs的积累在与不孕症相关的疾病的发展中起着重要作用。近年来,不孕症是一个越来越普遍的健康问题。饮食习惯和营养摄入是影响女性不孕的诸多因素之一。在卵巢的卵泡和颗粒细胞中观察到受体AGEs (RAGE)和AGEs。高水平的AGEs通过卵巢功能障碍、卵泡生长、卵母细胞数量、受精率、胚胎发育、对妊娠率、胰岛素抵抗、细胞凋亡、内皮功能障碍、炎症增加和活性氧(ROS)的不良影响影响生育能力。本文就AGEs及其受体的病理生理机制及其对女性生殖健康的影响进行综述。
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