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Effects of changing the COS protocol in patients without a transplantable embryo in the previous IVF/ICSI cycle 改变COS方案对先前IVF/ICSI周期中没有可移植胚胎的患者的影响
IF 0.8 4区 医学 Q4 OBSTETRICS & GYNECOLOGY Pub Date : 2023-05-29 DOI: 10.1097/rd9.0000000000000070
Shan Yi, Yi-Hua Yang, Yin Bi, Zhonghong Zeng, Xi Wang, Mu-Jun Li, Wenwen Ma
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引用次数: 0
Simplified lung ultrasound method to predict the respiratory support needs of neonates whose mothers had pregnancy complications: a diagnostic accuracy study 简化肺部超声方法预测母亲有妊娠并发症的新生儿呼吸支持需求:诊断准确性研究
IF 0.8 4区 医学 Q4 OBSTETRICS & GYNECOLOGY Pub Date : 2023-05-26 DOI: 10.1097/RD9.0000000000000069
Xin-Ao Lin, Xuefeng Wang, Xiao-Bo Fan, G. Xi, Ji-mei Wang
Objective: Some pregnancy complications are associated with respiratory problems in infants. Early identification and implementation of respiratory support are needed for these infants. This study aimed to (1) use lung ultrasound (LU) for predicting the respiratory support requirements of infants and (2) simplify the examination method to facilitate its clinical application. Methods: Neonates underwent LU examinations within 1 hour of birth. The infants were divided into a pregnancy complication (PC) group and a control group according to their mothers’ clinical data. The primary outcome measure was the need for respiratory support. Predictive models were established based on the differences in LU patterns between the two groups. The predictive value of the models was compared with that of the LU score (LUS) system, which has been widely used in other studies. Simplified models were established by analyzing the predictive effects of LU patterns in different parts of the lungs. Predictive reliability was tested using the receiver operating characteristic curve analysis. Results: PC and control groups had 29 and 117 neonates, respectively; a total of 22 neonates required respiratory support. The PC and control groups showed differences in respiratory support requirements, A-lines, and coalesced B-lines. The percentages of A-lines and coalesced B-lines were associated with respiratory support requirements. The optimal cutoff values for the percentages of the A-lines and coalesced B-lines were 55.7% and 24.5%, respectively. Similar effects were obtained by calculating the percentage of coalesced B-lines in four areas (R3, R4, L3, and L4). These methods were judged as more visual and convenient than LUS assessment. Conclusion: The percentages of A-line and coalesced B-lines on LU images can be used to predict the respiratory support needs of neonates whose mothers had pregnancy complications. Only four areas (R3, R4, L3, and L4) had similar predictive values.
目的:一些妊娠并发症与婴儿的呼吸系统问题有关。这些婴儿需要早期识别和实施呼吸支持。本研究旨在(1)使用肺部超声(LU)预测婴儿的呼吸支持需求;(2)简化检查方法,以促进其临床应用。方法:新生儿出生后1小时内进行LU检查。根据母亲的临床数据,将婴儿分为妊娠并发症(PC)组和对照组。主要的结果衡量标准是是否需要呼吸支持。根据两组LU模式的差异建立预测模型。将模型的预测值与在其他研究中广泛使用的LU评分(LUS)系统的预测值进行了比较。通过分析肺不同部位LU模式的预测效果,建立了简化的模型。使用接收机工作特性曲线分析测试了预测可靠性。结果:PC组和对照组分别有29例和117例新生儿;共有22名新生儿需要呼吸支持。PC组和对照组在呼吸支持需求、A线和合并B线方面存在差异。A线和合并B线的百分比与呼吸支持需求相关。A线和合并B线的百分比的最佳截止值分别为55.7%和24.5%。通过计算四个区域(R3、R4、L3和L4)中聚结的B线的百分比,获得了类似的效果。这些方法被认为比LUS评估更直观、更方便。结论:LU图像上A线和合并B线的百分比可用于预测母亲有妊娠并发症的新生儿的呼吸支持需求。只有四个区域(R3、R4、L3和L4)具有相似的预测值。
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引用次数: 0
A novel tube for sperm density gradient centrifugation procedure 一种新型精子密度梯度离心管
IF 0.8 4区 医学 Q4 OBSTETRICS & GYNECOLOGY Pub Date : 2023-05-10 DOI: 10.1097/rd9.0000000000000068
Yun-jing Xue, W. Du, Cunzhong Deng, Yuan Xu, Chen Liu, Yan-Nan Yang, Ling Wang, Yu-Zhen Lv, Zheng Li, R. Chian
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引用次数: 0
Macrosomia is associated with overweight in childhood: a follow-back of a cohort established in the early years of the obesity epidemic 巨大儿与儿童期超重有关:一项对肥胖症流行早期建立的队列的随访研究
IF 0.8 4区 医学 Q4 OBSTETRICS & GYNECOLOGY Pub Date : 2023-05-10 DOI: 10.1097/rd9.0000000000000067
Temitayo M Adebile, Amarachukwu F. Orji, F. Twum, Jian Zhang
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引用次数: 0
Integrated bioinformatics analysis to identify key genes and pathways involved in the endometria of patients with recurrent implantation failure undergoing in vitro fertilization and embryo transfer 综合生物信息学分析以确定体外受精和胚胎移植中复发性植入失败患者子宫内膜相关的关键基因和途径
IF 0.8 4区 医学 Q4 OBSTETRICS & GYNECOLOGY Pub Date : 2023-05-01 DOI: 10.1097/rd9.0000000000000066
Yilun Sui, Lu Li, Xiao-Xi Sun
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引用次数: 0
Inflammatory response-based subtyping and potential therapeutic strategies for triple-negative breast cancer 基于炎症反应的亚型和三阴性乳腺癌的潜在治疗策略
IF 0.8 4区 医学 Q4 OBSTETRICS & GYNECOLOGY Pub Date : 2023-04-28 DOI: 10.1097/RD9.0000000000000065
Ze-qing Li, Wenjuan Zhang, Yizhou Jiang, Z. Shao, D. Ma, Jiong Wu
Objective: Inflammatory response plays a crucial role in the development and treatment of cancer. However, the role of inflammatory response in triple-negative breast cancer (TNBC) remains unclear. Based on the heterogeneity of the inflammatory response, we classified TNBC, elucidated its subtype features, and revealed potential therapeutic strategies. Methods: We established inflammatory response subtyping based on the RNA sequencing data of TNBCs derived from a cohort at the Fudan University Shanghai Cancer Center (FUSCC). Next, we explored the features and potential therapeutic strategies for each subgroup by analyzing transcriptome data. Using a machine-learning method, we validated and generalized the TNBC inflammatory response subtypes in an external dataset. Results: A total of 360 TNBC samples and 88 normal tissues were collected from a cohort at FUSCC. Patients with TNBC were divided into four inflammatory response groups (IRGs) based on the expression of inflammatory response genes: high inflammatory response gene expression with pronounced pyroptosis phenotype and high immune cell infiltration (IRG 1), low inflammatory response gene expression and low immune cell infiltration (IRG 2), ITGB8 specific inflammatory response with a predominant proliferation phenotype (IRG 3), and low M1/M2 ratio with a marked angiogenesis phenotype (IRG 4). Relapse-free survival (RFS) was better in IRG 1 and 2 and worse in IRG 3 and 4. Owing to their poor prognosis, we mainly focused on IRG 3 and IRG 4 to investigate potential treatment strategies. ITGB8 was highly expressed in IRG 3; thus, targeting ITGB8 may be a potential therapeutic strategy for patients in IRG 3. IRG 4 had a lower M1/M2 ratio and a marked angiogenesis phenotype; therefore, therapeutic strategies, such as anti-angiogenesis or M2 to M1 repolarization of macrophages, could be recommended for these patients. Additionally, we validated and generalized the TNBC inflammatory response subtyping in an external dataset using a machine-learning method. Conclusion: TNBC patients with different inflammatory response subtypes have different characteristics and may need subtype-specific treatment strategies.
目的:炎症反应在肿瘤的发展和治疗中起着至关重要的作用。然而,炎症反应在三阴性乳腺癌(TNBC)中的作用仍不清楚。基于炎症反应的异质性,我们对TNBC进行了分类,阐明了其亚型特征,并揭示了潜在的治疗策略。方法:我们基于来自复旦大学上海癌症中心(FUSCC)一个队列的tnbc的RNA测序数据建立了炎症反应亚型。接下来,我们通过分析转录组数据探讨了每个亚组的特征和潜在的治疗策略。使用机器学习方法,我们在外部数据集中验证并推广了TNBC炎症反应亚型。结果:从FUSCC的一个队列中共收集了360例TNBC样本和88例正常组织。根据炎症反应基因的表达将TNBC患者分为4个炎症反应组(IRGs):炎症反应基因高表达,有明显的焦凋亡表型和高免疫细胞浸润(irg1),炎症反应基因低表达,有低免疫细胞浸润(irg2), ITGB8特异性炎症反应,有明显的增殖表型(irg3), M1/M2低比例,有明显的血管生成表型(irg4)。无复发生存(RFS) irg1和2较好,irg3和4较差。由于其预后较差,我们主要关注irg3和irg4,探讨潜在的治疗策略。ITGB8在irg3中高表达;因此,靶向ITGB8可能是irg3患者的潜在治疗策略。irg4具有较低的M1/M2比值和明显的血管生成表型;因此,治疗策略,如抗血管生成或巨噬细胞M2到M1再极化,可以推荐给这些患者。此外,我们使用机器学习方法在外部数据集中验证并推广了TNBC炎症反应亚型。结论:不同炎症反应亚型的TNBC患者具有不同的特点,可能需要针对不同亚型的治疗策略。
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引用次数: 0
Roles of protein tyrosine phosphatases in reproduction and related diseases 蛋白酪氨酸磷酸酶在生殖及相关疾病中的作用
IF 0.8 4区 医学 Q4 OBSTETRICS & GYNECOLOGY Pub Date : 2023-04-21 DOI: 10.1097/rd9.0000000000000064
Ruo-Heng Du, Huaiyan Chen, Lu Gao
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引用次数: 0
NLRP3 Inhibitor Dopamine Receptors Agonist as a Potential Therapeutic Strategy for Treatment of Overactive Immune Responses in COVID-19 NLRP3抑制剂多巴胺受体激动剂作为治疗COVID-19过度活跃免疫反应的潜在治疗策略
IF 0.8 4区 医学 Q4 OBSTETRICS & GYNECOLOGY Pub Date : 2023-04-13 DOI: 10.1097/rd9.0000000000000061
Jialei Zhu, Jing Jin, Jing Tang
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引用次数: 0
The effect of antioxidants on increased oocyte competence in IVM: a review 抗氧化剂对IVM中提高卵母细胞能力的作用综述
IF 0.8 4区 医学 Q4 OBSTETRICS & GYNECOLOGY Pub Date : 2023-03-13 DOI: 10.1097/RD9.0000000000000063
Arezoo Solati, Sina Taghvimi, Z. Jamali, Farzaneh Vahedi, M. Moazamfard, Sedigheh Bahmyari, A. Movahedpour, H. Ghasemi
In vitro maturation (IVM) is considered a potential assisted reproductive technology that is a safer and simpler alternative to conventional in vitro fertilization. It is primarily used in patients with impaired oocyte maturation and for the treatment of infertile women who are at risk of fertility loss. In addition, IVM is currently used mainly in polycystic ovarian syndrome patients with a high ovarian response and is still considered an experimental option in fertility preservation. Producing highly competent oocytes during IVM is considered a key step in the success of in vitro production (IVP) of embryos. Some factors, such as culture medium conditions and other supplements, have a significant impact on oocyte IVM performance. One of the known disruptors of oocyte developmental competence in IVP is oxidative stress (OS), which is caused by an imbalance between the production and neutralization of reactive oxygen species (ROS). In vitro conditions induce supraphysiological ROS levels due to exposure to an oxidative environment and the isolation of the oocyte from the follicle protective antioxidant milieu. Given the importance of OS in oocyte competence, the establishment of standardized antioxidant IVM systems is critical for improving the overall success of IVP. This review focuses on the main antioxidants tested to protect oocytes against OS in IVM.
体外成熟(IVM)被认为是一种潜在的辅助生殖技术,是传统体外受精的更安全、更简单的替代方案。它主要用于卵母细胞成熟受损的患者和有生育能力丧失风险的不孕妇女的治疗。此外,IVM目前主要用于卵巢反应高的多囊卵巢综合征患者,仍被认为是保持生育能力的实验选择。在IVM过程中产生高能力的卵母细胞被认为是胚胎体外生产(IVP)成功的关键步骤。一些因素,如培养基条件和其他补充剂,对卵母细胞IVM的性能有显著影响。IVP中卵母细胞发育能力的已知干扰因素之一是氧化应激(OS),这是由活性氧(ROS)的产生和中和之间的不平衡引起的。由于暴露于氧化环境以及卵母细胞从毛囊保护性抗氧化剂环境中分离,体外条件诱导超生理ROS水平。鉴于OS在卵母细胞能力中的重要性,建立标准化的抗氧化剂IVM系统对于提高IVP的整体成功至关重要。本文综述了IVM中保护卵母细胞免受OS侵害的主要抗氧化剂。
{"title":"The effect of antioxidants on increased oocyte competence in IVM: a review","authors":"Arezoo Solati, Sina Taghvimi, Z. Jamali, Farzaneh Vahedi, M. Moazamfard, Sedigheh Bahmyari, A. Movahedpour, H. Ghasemi","doi":"10.1097/RD9.0000000000000063","DOIUrl":"https://doi.org/10.1097/RD9.0000000000000063","url":null,"abstract":"In vitro maturation (IVM) is considered a potential assisted reproductive technology that is a safer and simpler alternative to conventional in vitro fertilization. It is primarily used in patients with impaired oocyte maturation and for the treatment of infertile women who are at risk of fertility loss. In addition, IVM is currently used mainly in polycystic ovarian syndrome patients with a high ovarian response and is still considered an experimental option in fertility preservation. Producing highly competent oocytes during IVM is considered a key step in the success of in vitro production (IVP) of embryos. Some factors, such as culture medium conditions and other supplements, have a significant impact on oocyte IVM performance. One of the known disruptors of oocyte developmental competence in IVP is oxidative stress (OS), which is caused by an imbalance between the production and neutralization of reactive oxygen species (ROS). In vitro conditions induce supraphysiological ROS levels due to exposure to an oxidative environment and the isolation of the oocyte from the follicle protective antioxidant milieu. Given the importance of OS in oocyte competence, the establishment of standardized antioxidant IVM systems is critical for improving the overall success of IVP. This review focuses on the main antioxidants tested to protect oocytes against OS in IVM.","PeriodicalId":20959,"journal":{"name":"Reproductive and Developmental Medicine","volume":"7 1","pages":"180 - 188"},"PeriodicalIF":0.8,"publicationDate":"2023-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45526530","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Real value of the oocytes with smooth endoplasmic reticulum aggregates in in vitro fertilization/intracytoplasmic sperm injection cycle: a retrospective cohort study 具有滑面内质网聚集体的卵母细胞在体外受精/细胞质内精子注射周期中的实际价值:一项回顾性队列研究
IF 0.8 4区 医学 Q4 OBSTETRICS & GYNECOLOGY Pub Date : 2023-03-06 DOI: 10.1097/RD9.0000000000000059
Zheng-xuan Zhang, Xiaonan Liu, Ying Wang, Xue-Yao Bai, Sha Tao, Hongmei Li, Lin-Yao Zhu, Yu-yan Li, Wei He
Objective: The management of oocytes affected by smooth endoplasmic reticulum aggregates (SERa) remains debatable. To understand how to manage SERa+ oocytes and cycles, we performed a retrospective cohort study and analyzed the impact of SERa+ cycles and oocytes on clinical and neonatal outcomes. Methods: We included 4856 cycles (149 SERa+ and 4707 SERa−) from 4201 women (age: 21–42 years) who received in vitro fertilization/intracytoplasmic sperm injection (IVF/ICSI) treatments at the Center of Reproductive Medicine, First Affiliated Hospital of Army Military University, from 2016 to 2019. SERa+ cycles had at least one SERa oocyte in the oocyte cohort. All 1722 oocytes in the SERa+ cycle were divided into SERa+ (405) and SERa− (1317) oocytes. Results: The rates of two pronuclei (2PN) and high-quality embryos were lower in SERa+ cycles than in SERa− cycles, regardless of IVF or ICSI (P <0.05). As the proportion of SERa+ oocytes increased in the SERa+ cycles, the rate of high-quality embryos declined gradually (P <0.05). Furthermore, the rate of 2PN in SERa+ oocytes was significantly lower than that in SERa− oocytes (P <0.05). Regardless of whether IVF or ICSI insemination was performed, no significant differences in terms of clinical pregnancy rate and spontaneous abortion rate were observed between SERa+ and SERa− cycles or between SERa+ and SERa− oocytes (P >0.05). Conclusion: Normal fertilization with SERa+ cycles and oocytes was substantially reduced, regardless of the insemination method. Embryos originating from SERa+ oocytes can be transferred when there are no other options, but fully informed consent and strict follow-up of fetal development are mandatory.
目的:受滑面内质网聚集物(SERa)影响的卵母细胞的管理仍然存在争议。为了了解如何管理SERa+卵母细胞和周期,我们进行了一项回顾性队列研究,并分析了SERa+周期和卵母细胞对临床和新生儿结局的影响。方法:我们纳入了2016年至2019年在陆军军医大学第一附属医院生殖医学中心接受体外受精/卵浆内单精子注射(IVF/ICSI)治疗的4201名女性(年龄:21-42岁)的4856个周期(149个SERa+和4707个SERa--)。在卵母细胞队列中,SERa+周期至少有一个SERa卵母细胞。所有1722个SERa+周期的卵母细胞被分为SERa+(405)和SERa−(1317)卵母细胞。结果:无论IVF还是ICSI,SERa+周期的两个原核(2PN)和高质量胚胎的产生率均低于SERa−周期(P 0.05)。在没有其他选择的情况下,可以转移来源于SERa+卵母细胞的胚胎,但必须完全知情同意并严格跟踪胎儿发育。
{"title":"Real value of the oocytes with smooth endoplasmic reticulum aggregates in in vitro fertilization/intracytoplasmic sperm injection cycle: a retrospective cohort study","authors":"Zheng-xuan Zhang, Xiaonan Liu, Ying Wang, Xue-Yao Bai, Sha Tao, Hongmei Li, Lin-Yao Zhu, Yu-yan Li, Wei He","doi":"10.1097/RD9.0000000000000059","DOIUrl":"https://doi.org/10.1097/RD9.0000000000000059","url":null,"abstract":"Objective: The management of oocytes affected by smooth endoplasmic reticulum aggregates (SERa) remains debatable. To understand how to manage SERa+ oocytes and cycles, we performed a retrospective cohort study and analyzed the impact of SERa+ cycles and oocytes on clinical and neonatal outcomes. Methods: We included 4856 cycles (149 SERa+ and 4707 SERa−) from 4201 women (age: 21–42 years) who received in vitro fertilization/intracytoplasmic sperm injection (IVF/ICSI) treatments at the Center of Reproductive Medicine, First Affiliated Hospital of Army Military University, from 2016 to 2019. SERa+ cycles had at least one SERa oocyte in the oocyte cohort. All 1722 oocytes in the SERa+ cycle were divided into SERa+ (405) and SERa− (1317) oocytes. Results: The rates of two pronuclei (2PN) and high-quality embryos were lower in SERa+ cycles than in SERa− cycles, regardless of IVF or ICSI (P <0.05). As the proportion of SERa+ oocytes increased in the SERa+ cycles, the rate of high-quality embryos declined gradually (P <0.05). Furthermore, the rate of 2PN in SERa+ oocytes was significantly lower than that in SERa− oocytes (P <0.05). Regardless of whether IVF or ICSI insemination was performed, no significant differences in terms of clinical pregnancy rate and spontaneous abortion rate were observed between SERa+ and SERa− cycles or between SERa+ and SERa− oocytes (P >0.05). Conclusion: Normal fertilization with SERa+ cycles and oocytes was substantially reduced, regardless of the insemination method. Embryos originating from SERa+ oocytes can be transferred when there are no other options, but fully informed consent and strict follow-up of fetal development are mandatory.","PeriodicalId":20959,"journal":{"name":"Reproductive and Developmental Medicine","volume":"7 1","pages":"142 - 148"},"PeriodicalIF":0.8,"publicationDate":"2023-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43451837","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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Reproductive and Developmental Medicine
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